A Phase I Study of LX22001 for Injection in Healthy Subjects

Official title

A Phase I, Escalating Single and Multiple Dose Study of LX22001 for Injection to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Bioavailability in Healthy Subjects.

Overview

Study to evaluate the safety and tolerability, pharmacokinetics/pharmacodynamics (PK/PD) parameters of an escalating, single dose/repeat doses of LX22001 for injection in healthy subjects.

Interventions

• Drug LX22001 for Injeciton
  single dose: 25mg,50mg,100mg,200mg ,intravenous infusion. repeat doses: 50mg,100mg , intravenous infusion,once daily for 3 days.
• Drug Tegoprazan tablet
  50mg,oral,single dose
• Drug Esomeprazole sodium for injection
  80 mg intravenous infusion for 30 min followed by a continuous infusion of 8 mg/h for 71.5h

Primary outcome measures

• Number of Participants With Adverse Events [Time frame: 7 days from dosing]

Secondary outcome measures (11)

• Area Under the Concentration-Time Curve From Time 0 to the 24-Hour Time Point (AUC0-24) [Time frame: pre-dose to Day1 post-dose]
• Area Under the Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) [Time frame: pre-dose to Day1 post-dose]
• Maximum Observed Plasma Concentration (Cmax) [Time frame: pre-dose to Day1 post-dose]
• Terminal elimination half-life(t1/2) [Time frame: pre-dose to Day1 post-dose]
• Apparent total body clearance (CL) [Time frame: pre-dose to Day1 post-dose]
• Apparent volume of distribution(Vd) [Time frame: pre-dose to Day1 post-dose]
• Area Under the Concentration-Time Curve During a Dosing Interval (AUCtau) at Steady State [Time frame: Day 3 post-dose]
• Cmax at Steady State (Cmax,ss) [Time frame: Day 3 post-dose]
• Percentage of Time Gastric pH above 4 over 24h [Time frame: baseline, Day 1 and Day 3]
• Percentage of Time Gastric pH above 6 over 24h [Time frame: baseline, Day 1 and Day 3]
• Mean Gastric pH over 24h [Time frame: baseline, Day 1 and Day 3]

Eligibility criteria

"Inclusion Criteria:

• Subjects who fully understand the objectives, nature, methods and possible AEs of the study, voluntarily participate in the clinical study, and sign the Informed Consent Form (ICF) before the initiation of any study procedure, and warrant that any study procedure will be participated in by themselves;
• Healthy Chinese subjects aged 18-45 years (inclusive, at the date of signing the ICF), both males and females;
• Body mass index (BMI): 19.0-26.0 kg/m2 (inclusive); weight: ≥ 50 kg for male and ≥ 45 kg for female;
• Subjects who are willing to use effective contraception and have no sperm or egg donation plan from the time of signing the informed consent form until 3 months after the last dose (see Appendix 20.1 for details of contraceptive measures and contraceptive requirements);
• Subjects who can communicate well with the investigator, and understand and comply with the requirements of this study."

"Exclusion Criteria:

• Allergy (such as: allergic to two or more drugs, foods, or pollen), history of atopic allergic disease (such as: asthma, urticaria, eczematous dermatitis, etc.), history of allergy to any of the components and excipients of the study drugs (LX22001 for injection, tegoprazan tablets, and Esomeprazole Sodium for injection), or allergy to penicillin, cephalosporin, and other antibiotics;
• Any disease or history of disease that may significantly affect drug absorption, distribution, metabolism, and excretion, or any condition that may pose a hazard to the subject, such as: inflammatory bowel disease, gastric ulcer, duodenal ulcer, gastrointestinal/rectal bleeding, persistent nausea, or other clinically significant gastrointestinal anomalies; history of major gastrointestinal surgery (such as: gastrectomy, gastrointestinal anastomosis, bowel resection, gastric bypass, gastric banding, cholecystectomy, except for appendicitis surgery and prolapse surgery);
• History of chronic or serious illness or present illness of cardiovascular, hepatic, renal, respiratory, hematologic and lymphatic, endocrine, immunologic, psychiatric, neurologic, gastrointestinal, metabolic, and skeletal systems within the last 1 year;
• Clinically significant abnormalities in physical examination and laboratory tests at screening, judged by the investigators;
• For those with clinically significant abnormalities in vital signs at screening which will be judged by the investigators based on the actual situations;
• The serological virology test shows positive results of HIV antigen antibody (HIV-Ag/Ab), hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV-Ab), or treponema pallidum antibody (TP-Ab) at screening;
• Women who have not taken effective contraception within 15 days prior to the screening period, or have a positive blood pregnancy test or are breastfeeding during the screening period;
• Those who have a history of drug abuse within the past five years or drug use in the three months prior to screening, or positive results for urine drug test during the screening period;
• Those who smoke more than 5 cigarettes per day or had a habit of using nicotine-containing products within 3 months prior to screening, or test positive for nicotine test at screening;
• Those who drink more than 14 units of alcohol per week (1 unit of alcohol = 360 mL of beer or 45 mL of ABV 40% spirit or 150 mL of wine) within 3 months prior to screening or have consumed an alcohol-containing product 48h prior to the dose or test positive for alcohol breath test at screening;
• Those who have used any medication (including prescription, over-the-counter, nutritional supplements, Chinese herbal medicine, vitamins, etc.) or are on medication within 1 month prior to screening;
• Those who have participated in other clinical studies and used other investigational drugs or interventional therapies within 3 months prior to screening;
• Those who have donated or lost more than 200 mL of blood or received blood transfusion or used blood products within 3 months prior to screening;
• Those who have consumed any food or beverage containing caffeine or producing caffeine or xanthine metabolites (e.g., coffee, tea, chocolate) within 48h prior to the dose;
• Those who have consumed grapefruit, limes, carambola,pitaya, mango or food or drinks prepared from them within 7 days prior to screening;
• Those who are unable to establish intravenous access or intolerable to intravenous administration;
• Those who are involved in the planning and execution of this study;
• Any other circumstance that, in the opinion of the investigator, the subject may be hindered from providing informed consent or following the protocol, or the subject's participation in the study may affect the results of the study or his or her own safety."

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation

Non-randomized

Model

Parallel assignment

Masking

Open label

Primary purpose

Basic science

Study locations

China · 1 center

• Peking Union Medical College Hospital, Chinese Academy of Medical Sciences — Beijing

Identifiers

NCT: NCT06561542 · NE862401

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗