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History of Changes for Study: NCT03268343
A Study in Healthy Volunteers to Investigate the Effect of Food on the Bioavailability of Cytisine
Latest version (submitted February 6, 2019) on ClinicalTrials.gov
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Study Record Versions
Version A B Submitted Date Changes
1 August 29, 2017 None (earliest Version on record)
2 September 22, 2017 Study Status
3 November 15, 2017 Recruitment Status, Study Status, Contacts/Locations and Study Design
4 December 11, 2017 Study Status
5 August 27, 2018 Study Status, Outcome Measures, Contacts/Locations, Document Section, Results, Eligibility, Arms and Interventions and Study Identification
6 February 6, 2019 Study Status, Arms and Interventions, Baseline Characteristics and Participant Flow
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Study NCT03268343
Submitted Date:  August 29, 2017 (v1)

Open or close this module Study Identification
Unique Protocol ID: ACH-CYT-01
Brief Title: A Study in Healthy Volunteers to Investigate the Effect of Food on the Bioavailability of Cytisine
Official Title: A Phase 1 Open Label, Randomized, Two-Way Crossover Study in Healthy Volunteers to Investigate the Effect of Food on the Bioavailability of Cytisine
Secondary IDs:
Open or close this module Study Status
Record Verification: August 2017
Overall Status: Recruiting
Study Start: August 7, 2017
Primary Completion: September 1, 2017 [Anticipated]
Study Completion: December 1, 2017 [Anticipated]
First Submitted: August 25, 2017
First Submitted that
Met QC Criteria:
August 29, 2017
First Posted: August 31, 2017 [Actual]
Last Update Submitted that
Met QC Criteria:
August 29, 2017
Last Update Posted: August 31, 2017 [Actual]
Open or close this module Sponsor/Collaborators
Sponsor: Achieve Life Sciences
Responsible Party: Sponsor
Collaborators:
Open or close this module Oversight
U.S. FDA-regulated Drug: Yes
U.S. FDA-regulated Device: No
Data Monitoring: No
Open or close this module Study Description
Brief Summary:

This will be an open-label, randomised, 2-period, single-dose crossover study to determine the comparative bioavailability of cytisine following single-dose administration in healthy male and female subjects under fed and fasted conditions.

The study will be comprised of a pre-study screen, followed by 2 treatment periods (1 and 2) and a post-study follow-up.

Detailed Description:
Open or close this module Conditions
Conditions: Smoking Cessation
Keywords:
Open or close this module Study Design
Study Type: Interventional
Primary Purpose: Treatment
Study Phase: Phase 1
Interventional Study Model: Crossover Assignment
Number of Arms: 2
Masking: None (Open Label)
Allocation: Randomized
Enrollment: 24 [Anticipated]
Open or close this module Arms and Interventions
Arms Assigned Interventions
Experimental: Schedule A

Schedule A (12 subjects):

  • Period 1: Cytisine (2 x 1.5 mg tablets) will be administered 30 minutes after the start of a high fat breakfast (fed state).
  • Period 2: Cytisine (2 x 1.5 mg tablets) will be administered after an overnight fast of at least 10 hours (fasting state).
Drug: Cytisine
Cytisine 1.5 mg Film-Coated Tablets
Experimental: Schedule B

Schedule B (12 subjects):

  • Period 1: Cytisine (2 x 1.5 mg tablets) will be administered after an overnight fast of at least 10 hours (fasting state).
  • Period 2: Cytisine (2 x 1.5 mg tablets) will be administered 30 minutes after the start of a high fat breakfast (fed state).
Drug: Cytisine
Cytisine 1.5 mg Film-Coated Tablets
Open or close this module Outcome Measures
Primary Outcome Measures:
1. Plasma Cytisine Pharmacokinetics (PK): Maximum Observed Plasma Concentration (Cmax)
[ Time Frame: Pre-dose, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours, 14 hours, 16 hours and 24 hours post-dose ]

2. Plasma Cytisine PK: Total Area Under the Curve From Time Zero to Infinity (AUC0-∞)
[ Time Frame: Pre-dose, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours, 14 hours, 16 hours and 24 hours post-dose ]

Secondary Outcome Measures:
1. Plasma Cytisine PK: Time of Occurrence of Cmax (Tmax)
[ Time Frame: Pre-dose, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours, 14 hours, 16 hours and 24 hours post-dose ]

2. Plasma Cytisine PK: AUC From Time Zero to the Last Sampling Time (AUC0-t)
[ Time Frame: Pre-dose, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours, 14 hours, 16 hours and 24 hours post-dose ]

3. Plasma Cytisine PK: Residual Area, or Percentage of Extrapolated Part for the Calculation of AUC0-∞ (AUC%)
[ Time Frame: Pre-dose, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours, 14 hours, 16 hours and 24 hours post-dose ]

4. Plasma Cytisine PK: Apparent Terminal Elimination Rate Constant (Lambda z)
[ Time Frame: Pre-dose, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours, 14 hours, 16 hours and 24 hours post-dose ]

5. Plasma Cytisine PK: Apparent Terminal Elimination Half-Life (t1/2)
[ Time Frame: Pre-dose, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours, 14 hours, 16 hours and 24 hours post-dose ]

6. Urine Cytisine PK: Amount Excreted in Urine Over Time (Ae)
[ Time Frame: Pre-dose, 0-2 hours, 2-4 hours, 4-8 hours, 8-12 hours and 12-24 hours post-dose ]

7. Urine Cytisine PK: Percentage of Drug Excreted in Urine (Ae%)
[ Time Frame: Pre-dose, 0-2 hours, 2-4 hours, 4-8 hours, 8-12 hours and 12-24 hours post-dose ]

To assess the renal elimination of cytisine via measurement of urinary concentrations of cytisine.
8. Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), and Discontinuations Due to AEs
[ Time Frame: Day -1 of Period 1 to 6-8 days after last dose (post-study follow-up) ]

Open or close this module Eligibility
Minimum Age: 18 Years
Maximum Age: 55 Years
Sex: All
Gender Based:
Accepts Healthy Volunteers: Yes
Criteria:

Inclusion Criteria:

  1. Healthy males and females between 18 and 55 years of age.
    1. If a female subject of child bearing potential, a negative pregnancy test at screening and admission and willing to use an effective method of contraception (unless of non-childbearing potential or where abstaining from sexual intercourse is in line with the preferred and usual lifestyle of the subject) from first dose until 3 months after last dose of investigational medicinal product (IMP).
    2. If a female subject of non-child bearing potential, a negative pregnancy test at screening and admission. For the purposes of this study, this is defined as the subject being amenorrheic for at least 12 consecutive months or at least 4 months post-surgical sterilisation (including bilateral fallopian tube ligation or bilateral oophorectomy with or without hysterectomy). Menopausal status will be confirmed by demonstrating at screening that levels of follicle stimulating hormone (FSH) fall within the respective pathology reference range. In the event a subject's menopause status has been clearly established (for example, the subject indicates she has been amenorrheic for 10 years), but FSH levels are not consistent with a post-menopausal condition, determination of subject eligibility will be at Investigator's discretion following consultation with the Sponsor.
    3. If a male subject, willing to use an effective method of contraception (unless anatomically sterile or where abstaining from sexual intercourse is in line with the preferred and usual lifestyle of the subject) from first dose until 3 months after last dose of IMP.
  2. Subject with a body mass index (BMI) of 18-32 kg/m2. BMI = body weight in kg / [height in m]2.
  3. Subject with no clinically significant abnormal serum biochemistry, haematology and urine examination values within 28 days before the first dose of IMP.
  4. Subject with negative urinary drugs of abuse screen, determined within 28 days before the first dose of IMP (a positive alcohol or cotinine result may be repeated at Investigator's discretion).
  5. Subject with negative human immunodeficiency virus (HIV), hepatitis B surface antigen (Hep B) and hepatitis C virus antibody (Hep C) results.
  6. Subject with no clinically significant abnormalities in 12-lead ECG determined after minimum of 5 minutes in supine position within 28 days before the first dose of IMP.
  7. Subject with no clinically significant abnormalities in vital signs (systolic blood pressure between 90-150 mmHg, diastolic blood pressure (DBP) between 50 and 90 mmHg, and pulse rate (PR) between 40-110 bpm, measured on the dominant arm after minimum of 5 minutes in supine position) determined within 28 days before first dose of IMP.
  8. Subject must be available to complete the study (including post study follow-up) and comply with study restrictions.
  9. Subject must provide written informed consent to participate in the study.

Exclusion Criteria:

  1. Known hypersensitivity/allergy reaction to varenicline, other cytisine-derivatives or any of the excipients in the Tabex formulation (lactose, cellulose, talc, magnesium).
  2. History of severe hypersensitivity reactions to any other drugs.
  3. History of any medical condition (e.g. gastrointestinal, renal or hepatic) or surgical condition (e.g. cholecystectomy, gastrectomy) that may affect drug pharmacokinetics (absorption, distribution, metabolism or excretion).
  4. Difficulty in donating blood on either arm or known history.
  5. History of alcoholism or drug abuse within last 2 years.
  6. Regular nicotine intake (e.g., smoking, nicotine patch, nicotine chewing gum or electronic cigarettes) within previous 3 months and inability to refrain from nicotine intake from Screening until end of study.
  7. Use of prescription or non-prescription drugs, including vitamins, herbal and dietary supplements within 14 days (or 5 half-lives, whichever is longer) prior to the first dose of IMP, unless in the opinion of the Investigator the medication will not interfere with the study procedures or compromise subject safety.
  8. Participated in any investigational drug clinical trial within the previous 3 months or a marketed drug trial within the previous 30 days prior to randomization on Day 1 of Period 1.
  9. Donation of 450 mL or more blood or had history of significant blood loss due to any reason or had plasmapheresis within 3 months before the first dose of IMP.
  10. Any special food restrictions that may hinder ability to consume the high fat breakfast provided during the study; such as lactose intolerance, vegan, low-fat, low sodium, etc.
  11. Any inability or difficulty in fasting.
  12. Inability to communicate well with Investigators (i.e., language problem, poor mental development or impaired cerebral function).
  13. Any other condition that the Principal Investigator considers making the subject unsuitable for this study.
Open or close this module Contacts/Locations
Central Contact Person: Daniel Cain
Telephone: 425.686.1546
Email: dcain@achievelifesciences.com
Study Officials: Annelize Koch, MD
Principal Investigator
Simbec Research Ltd (Simbec)
Locations: United Kingdom
Simbec Research Ltd
[Recruiting]
Cardiff, United Kingdom, CF11 9AB
Contact:Contact: Annelize Koch, MD
Open or close this module IPDSharing
Plan to Share IPD: Undecided
Open or close this module References
Citations:
Links:
Available IPD/Information:

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