Phase I Trial of an Investigational Small Pox Medication
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Purpose
| Condition | Intervention | Phase |
|---|---|---|
| Orthopoxviral Disease Smallpox Monkey Pox | Drug: ST-246 Days 1 - 3 Drug: ST-246 Days 11 - 13 | Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Crossover Assignment Masking: Double Blind (Participant, Care Provider, Investigator) Primary Purpose: Treatment |
| Official Title: | A Phase I Randomized, Double-Blind, Crossover, Exploratory Study of the Pharmacokinetics of a Single Oral Dose of Form I Versus Form V Capsules of the Anti-Orthopoxvirus Compound ST-246® in Fed Normal Healthy Volunteers |
- Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: t½ [ Time Frame: Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs ]Mean terminal half-life (t½; hrs) for Forms I and V were calculated from [plasma] vs time profiles.
- Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: AUC0-τ [ Time Frame: Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs ]Area under the drug concentration-time curve from time zero to time t, where t is the last timepoint with a drug concentration ≥ lowest obtainable quantification (AUC0-τ; ng*hr/mL).
- Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: AUC0-∞ [ Time Frame: Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs ]Area under the drug concentration-time curve from time zero to infinity (AUC0-∞; ng*hr/mL).
- Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: Cmax [ Time Frame: Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs ]Maximum drug concentration in plasma, determined directly from individual concentration-time data (Cmax)
- Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: Tmax [ Time Frame: Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs ]Time to maximum plasma concentration(Tmax; hrs) for Forms I and V were calculated from [plasma] vs time profiles.
- Number of Study Participants Who Tolerated a Single Dose of ST-246 Form I vs. Form V as Determined by No Clinically Significant Changes in Safety Parameters [ Time Frame: 4 weeks ]
Evaluated safety parameters included:
- physical examination/vital signs
- electrocardiograms (heart rate, PR interval, QRS duration, QT interval, and QTc Bazett)
- laboratory safety tests (hematology, chemistry, urinalysis)
- adverse events For a), b) and c), summary statistics (mean,SD, median, minm, maxm)for values, and changes from baseline(Day 1 pre-dose) to each timepoint, were measured and compared to laboratory normal reference ranges. Values for a)- d) were assigned grades according to DAIDS AE Grading Table. Any Grade of 3 or higher was considered severe and significant.
| Enrollment: | 12 |
| Study Start Date: | August 2008 |
| Study Completion Date: | October 2008 |
| Primary Completion Date: | October 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Group ST-246 Form I (followed by Form V)
Each of six subjects receive a single oral 400 mg dose (2×200 mg) of ST-246 Form I (monohydrate) in the first intervention period, followed 10 days later (3 days post-treatment monitoring and 7 days wash-out period) in the second intervention period by a single oral 400 mg dose (2×200 mg) of ST-246 Form V (hemihydrate). Both forms of drug are orally administered within 30 minutes after a standard light meal consisting of 400-450 calories and approximately 25% fat.
|
Drug: ST-246 Days 1 - 3
First Intervention is on Days 1 - 3, and includes 6 patients dosed once orally with ST-246 Form I (Arm 1), and 6 patients dosed once orally with ST-246 Form V (Arm 2).
Other Name: Tecovirimat
Drug: ST-246 Days 11 - 13
Second Intervention is on Days 11 - 13 (after a 3 day post-treatment monitoring and 7 day wash-out period) where the 6 patients previously given ST-246 Form I (Arm 1) are now dosed once orally with ST-246 Form V, and the 6 patients previously given ST-246 Form V (Arm 2) are now dosed once orally with ST-246 Form I.
Other Name: Tecovirimat
|
|
Active Comparator: Group ST-246 Form V (followed by Form I)
Each of six subjects receive a single oral 400 mg dose (2×200 mg) of ST-246 Form V (hemihydrate) in the first intervention period, followed 10 days later (3 days post-treatment monitoring and 7 days wash-out period) in the second intervention period by a single oral 400 mg dose (2×200 mg) of ST-246 Form I (monohydrate). Both forms of drug are orally administered within 30 minutes after a standard light meal consisting of 400-450 calories and approximately 25% fat.
|
Drug: ST-246 Days 1 - 3
First Intervention is on Days 1 - 3, and includes 6 patients dosed once orally with ST-246 Form I (Arm 1), and 6 patients dosed once orally with ST-246 Form V (Arm 2).
Other Name: Tecovirimat
Drug: ST-246 Days 11 - 13
Second Intervention is on Days 11 - 13 (after a 3 day post-treatment monitoring and 7 day wash-out period) where the 6 patients previously given ST-246 Form I (Arm 1) are now dosed once orally with ST-246 Form V, and the 6 patients previously given ST-246 Form V (Arm 2) are now dosed once orally with ST-246 Form I.
Other Name: Tecovirimat
|
Detailed Description:
This was a Phase I, double-blind, cross-over, single-dose study of the orally administered anti-orthopoxvirus compound, ST-246, to 12 healthy, fed volunteers between the ages of 18 and 50 years. Subjects were randomized such that 6 subjects received either ST-246 Form I (monohydrate) followed 10 days later after a wash-out period by Form V (hemihydrate), and 6 subjects received ST-246 Form V followed by Form I, as for the previous group.
Both forms of ST-246 were similar in the way they were manufactured. The only difference between Form I and Form V may be related to how it dissolves, and this may affect the way that it is absorbed in the human body. Information about any side-effects that may occur will also be collected in this study.
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years (Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- 18 to 50 years
- Available for clinical follow-up duration of study.
- Able/willing to give written consent.
- Good general health; no clinically significant medical history.
- Refrain from taking any medications from screening through 72 hours after last dose.
- Adequate venous access.
- PE and lab results without clinically significant findings within 28 days prior to receipt of drug.
- Meet Lab Criteria within 28 days prior to receipt of drug.
- Negative pregnancy test
- Non smokers
- No alcohol or caffeine
- Participant or partner has undergone surgical sterilization, or the participant agrees either to be abstinent or use two non-hormonal methods of contraception for duration of the study
Exclusion Criteria:
- Marked baseline prolongation of QT/corrected QT interval (QTc) interval (
- History of additional risk factors for Torsade de Pointes
- Clinically significant abnormal ECG
- Personal history of cardiac disease, symptomatic or asymptomatic arrhythmias, syncopal episodes, or prolongation of the PR interval
- Family history of Sudden Cardiac Death not clearly due to acute myocardial infarction.
-
History of any clinically significant conditions including:
- Asthma
- Diabetes mellitus
- History of thyroidectomy or thyroid disease
- Serious angioedema episodes
- Head trauma resulting in a diagnosis of TBI other than concussion
- Seizure or history of seizure
- Bleeding disorder diagnosed by a doctor or significant bruising or bleeding difficulties with intramuscular injections or blood draws
- Malignancy
- Family history of idiopathic seizures
- History or presence of neutropenia or other blood dyscrasia
- Known Hepatitis B or Hepatitis C infection
- Known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome illness.
- Current or recent history of a clinically significant bacterial, fungal, or mycobacterial infection.
- Known clinically significant chronic viral infection (or current clinically significant viral infection
- History of frequent or severe headaches or migraines
- Known chronic bacterial, mycobacterial, fungal, parasitic, or protozoal infection
- Woman who is pregnant or is breast-feeding or planning to become pregnant
- On any concomitant medications
- History of drug allergy that, in the opinion of the PI, contraindicates participation in the trial.
- Inability to swallow medication
- Body Mass Index above 35 or below 18,
- Current drug abuse or alcohol abuse.
- Inability to refrain from physical exercise for a period of 24 hr before and after a PK day or refrain from consuming xanthines, grapefruit or grapefruit juice
- Clinically significant lactose intolerance
- Received experimental drug within 30 days
- Vaccination within 30 days
- Total of more than 350 milliliters (mL) of blood drawn in 2 months
- Treatment with any immunosuppressant or immunomodulatory medication in 3 months
- Any condition occupational reason or other responsibility that, in the judgment of the PI, would jeopardize the safety or rights of a subject participating in the trial or would render the subject unable to comply with the protocol
- History or diagnosis that would affect absorption of study medication
Contacts and LocationsPlease refer to this study by its ClinicalTrials.gov identifier: NCT00728689
| United States, Florida | |
| Orlando Clinical Research Center | |
| Orlando, Florida, United States, 32809 | |
| Principal Investigator: | Thomas C Marbury, MD | Orlando Clinical Research Center |
More Information
| Responsible Party: | SIGA Technologies |
| ClinicalTrials.gov Identifier: | NCT00728689 History of Changes |
| Other Study ID Numbers: |
SIGA-246-005 DMID 08-0014 ( Other Identifier: NIH Contract (HHSN266200600014C) ) |
| Study First Received: | August 1, 2008 |
| Results First Received: | June 10, 2009 |
| Last Updated: | June 22, 2015 |
Keywords provided by SIGA Technologies:
|
Orthopoxviral Smallpox Monkey pox |
Additional relevant MeSH terms:
|
Smallpox Monkeypox Poxviridae Infections DNA Virus Infections Virus Diseases |
ClinicalTrials.gov processed this record on July 14, 2017


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