First-in-Human, Multiple Part Clinical Study of JNT-517 in Healthy Participants and in Participants With Phenylketonuria
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ClinicalTrials.gov Identifier: NCT05781399 |
Recruitment Status :
Recruiting
First Posted : March 23, 2023
Last Update Posted : January 12, 2024
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The goal of Parts A and B of this Phase 1, first-in-human, randomized study is to assess the safety, tolerability, and pharmacokinetics (PK) of single (SAD) and multiple (MAD) ascending doses of oral JNT-517 in healthy participants. In Part C, the goal is to evaluate the differences in bioavailability between a tablet and suspension formulation of JNT-517 and the food effect in healthy volunteers. All participants in Part C will receive JNT-517. The goal of Part D is to assess the safety, tolerability, PK, and effect on urinary Phe and other amino acids of JNT-517 in participants with phenylketonuria (PKU). Participants in Part D will receive either JNT-517 or placebo and will be blinded to their treatment assignment.
The study consists of 4 parts:
- Part A: SAD in healthy participants -randomized, double-blind, placebo-controlled
- Part B: MAD in healthy participants (14 days)-randomized, double-blind, placebo-controlled
- Part C: Relative bioavailability of 2 formulations and food effect in healthy participants-randomized, open-label
- Part D: Phase 1b in participants with PKU (4 weeks)-randomized, double-blind, placebo-controlled
In each part, participants will complete a Screening Period, a Treatment Period, and a Follow-up Period for safety.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Phenylketonuria | Drug: JNT-517 Suspension Drug: Placebo Suspension Drug: JNT-517 Tablet Drug: Placebo Tablet | Phase 1 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 112 participants |
Allocation: | Randomized |
Intervention Model: | Sequential Assignment |
Intervention Model Description: | The study will be conducted in 4 parts: Parts A, B, C, and D. This study will be seamless, meaning various study parts could begin while other parts are still ongoing, but dose escalation will occur only after satisfactory review of safety and tolerability data from a minimum of 6 participants completing through Day 3, and available PK data. |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Masking Description: | Parts A, B, and D are blinded. Part C is open-label. |
Primary Purpose: | Treatment |
Official Title: | A Phase 1, First-In-Human, Multiple Part, Single Ascending and Multiple Dose Study of JNT-517 in Healthy Participants and in Participants With Phenylketonuria |
Actual Study Start Date : | October 31, 2022 |
Estimated Primary Completion Date : | December 2024 |
Estimated Study Completion Date : | March 2025 |
Arm | Intervention/treatment |
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Experimental: JNT-517 SAD (Part A)
Single dose of JNT-517 or placebo in fasted state.
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Drug: JNT-517 Suspension
JNT-517 in on-site compounded suspension Drug: Placebo Suspension On-site compounded placebo suspension |
Experimental: JNT-517 MAD (Part B)
JNT-517 or placebo once or twice daily for 14 days, with first daily dose given after an overnight fast.
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Drug: JNT-517 Suspension
JNT-517 in on-site compounded suspension Drug: Placebo Suspension On-site compounded placebo suspension |
Experimental: JNT-517 Suspension Then Tablet Fasted Then Tablet Fed (Part C)
Single dose of JNT-517 suspension, JNT-517 tablet in a fasted state, and JNT-517 tablet in a fed state in a sequential, open-label manner. Each treatment is separated by a minimum of 5 half-lives.
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Drug: JNT-517 Suspension
JNT-517 in on-site compounded suspension Drug: JNT-517 Tablet JNT-517 tablets, 25 mg and 75 mg |
Experimental: JNT-517 Tablet Fasted Then Tablet Fed Then Suspension (Part C)
Single dose of JNT-517 tablet in a fasted state, JNT-517 tablet in a fed state, and JNT-517 suspension in a sequential, open-label manner. Each treatment is separated by a minimum of 5 half-lives.
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Drug: JNT-517 Suspension
JNT-517 in on-site compounded suspension Drug: JNT-517 Tablet JNT-517 tablets, 25 mg and 75 mg |
Experimental: JNT-517 Tablet Fed Then Suspension Then Tablet Fasted (Part C)
Single dose of JNT-517 tablet in a fed state, JNT-517 suspension, and JNT-517 tablet in a fasted state in a sequential, open-label manner. Each treatment is separated by a minimum of 5 half-lives.
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Drug: JNT-517 Suspension
JNT-517 in on-site compounded suspension Drug: JNT-517 Tablet JNT-517 tablets, 25 mg and 75 mg |
Experimental: JNT-517 PKU (Part D)
JNT-517 or placebo daily for 4 weeks. Dose is based on data from Parts A, B, and C.
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Drug: JNT-517 Tablet
JNT-517 tablets, 25 mg and 75 mg Drug: Placebo Tablet Matching film-coated placebo tablet |
- Number of participants with treatment-emergent adverse events [ Time Frame: Parts A and C: Screening to Day 8; Part B: Screening to Day 21; Part D: Screening to Day 35 ]Reported based on results of 12-lead ECGs, vital signs, clinical laboratory tests, and other medical assessments.
- Plasma area under the concentration-time curve (AUC) of JNT-517 [ Time Frame: Parts A and C: pre-dose to 72 hrs post-dose on Day 1; Part B: pre-dose to 24 hrs post-dose on Days 1, 14 and pre-dose on Days 3, 13; Part D: pre-dose to 4 hrs post-dose on Days 1, 14, 28 ]
- Maximum observed plasma concentration (Cmax) of JNT-517 [ Time Frame: Parts A and C: pre-dose to 72 hrs post-dose on Day 1; Part B: pre-dose to 24 hrs post-dose on Days 1, 14 and pre-dose on Days 3, 13; Part D: pre-dose to 4 hrs post-dose on Days 1, 14, 28 ]
- Time to maximum plasma concentration (Tmax) of JNT-517 [ Time Frame: Parts A and C: pre-dose to 72 hrs post-dose on Day 1; Part B: pre-dose to 24 hrs post-dose on Days 1, 14 and pre-dose on Days 3, 13; Part D: pre-dose to 4 hrs post-dose on Days 1, 14, 28 ]
- Plasma terminal half-life (t1/2) of JNT-517 [ Time Frame: Parts A and C: pre-dose to 72 hrs post-dose on Day 1; Part B: pre-dose to 24 hrs post-dose on Days 1, 14 and pre-dose on Days 3, 13; Part D: pre-dose to 4 hrs post-dose on Days 1, 14, 28 ]
- Comparison of Tmax of JNT-517 in fed and fasted states [ Time Frame: Pre-dose to 72 hrs post-dose on Day 1 ]Part C only
- Comparison of Cmax of JNT-517 in fed and fasted states [ Time Frame: Pre-dose to 72 hrs post-dose on Day 1 ]Part C only
- Comparison of AUC of JNT-517 in fed and fasted states [ Time Frame: Pre-dose to 72 hrs post-dose on Day 1 ]Part C only
- Changes in urinary amino acid levels [ Time Frame: Screening and Days 1, 7, 14, 21, 28 ]Part D only. Urine samples will be collected at the indicated timepoints and analyzed for amino acid levels, including Phe.
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years to 65 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Key Inclusion Criteria:
Parts A, B, and C:
- Males and females 18 to 55 years of age.
- Medically healthy with no clinically significant medical history.
- Body mass index (BMI) of 18-40 kg/m2 and total body weight >50 kg (110 lbs).
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Non-smoker for at least 2 weeks prior to dosing and willing to abstain during the study.
Part D:
- Males and females 18 to 65 years of age, inclusive.
- Diagnosis of PKU with a confirmed genotype.
- At least 2 plasma Phe levels >600 μM over the past 12 months.
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BMI of 18-40 kg/m2.
All Parts:
- Females of childbearing potential must agree to use 2 highly effective contraceptive methods.
- Capable of giving signed informed consent and able to comply with study procedures.
Key Exclusion Criteria:
All Parts:
- Any acute or chronic medical condition that would prevent the participant from complying with the procedures or place the participant at risk if they participate in the study.
- Positive for hepatitis B or C or human immunodeficiency virus.
- Any history of malignancy in the last 5 years, excluding non-melanoma skin cancer.
- Any history of liver disease.
- Any surgical or medical conditions that may affect study drug absorption, distribution, metabolism, or excretion.
- Participation in another investigational drug trial within 30 days or, if known, 5 half-lives of the investigational drug (whichever is longer).
- History of drug/alcohol abuse in the last year.
- Current, recent, or suspected infection within 4 weeks of Screening of SARS-CoV-2/COVID-19.
- Received a vaccine for SARS-CoV-2/COVID-19 within 14 days of Screening.
- Unable to tolerate oral medication.
- Allergy to JNT-517 or any component of the investigational product.
- Received >50 mL of blood or plasma within 30 days of Screening or >500 mL of blood or plasma within 60 days of Screening.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05781399
Contact: Toby Vaughn | 1-513-505-0770 | tvaughn@jnanatx.com | |
Contact: John Throup, PhD | clinicaltrials@jnanatx.com |
United States, Florida | |
University of Florida College of Medicine | Recruiting |
Gainesville, Florida, United States, 32610 | |
Contact: Roberto Zori, MD 352-273-7763 zorirt@peds.ufl.edu | |
University of South Florida | Recruiting |
Tampa, Florida, United States, 33620 | |
Contact: Amarillas Sanchez-Valle, MD 813-417-5095 gmresearch@usf.edu | |
United States, Georgia | |
Rare Disease Research | Recruiting |
Atlanta, Georgia, United States, 30329 | |
Contact: Valery Sevillanos 470-666-1884 valery.sevillanos@rarediseaseresearch.com | |
United States, Illinois | |
Ann & Robert H. Lurie Children's Hospital of Chicago | Recruiting |
Chicago, Illinois, United States, 60611 | |
Contact: Phillip Luu 312-227-6128 pluu@luriechildrens.org | |
United States, Nebraska | |
University of Nebraska Medical Center | Recruiting |
Omaha, Nebraska, United States, 68198 | |
Contact: William B Rizzo, MD 402-559-2560 wrizzo@unmc.edu | |
United States, Oregon | |
Oregon Health & Sciences University | Recruiting |
Portland, Oregon, United States, 97239 | |
Contact: Elaine Sim, MS,RD,LD 503-494-0232 sim@ohsu.edu | |
United States, Pennsylvania | |
Children's Hospital of Philadelphia | Recruiting |
Philadelphia, Pennsylvania, United States, 19104 | |
Contact: Jennifer Phillip 973-847-3056 phillipL@chop.edu | |
UPMC Children's Hospital of Pittsburgh | Recruiting |
Pittsburgh, Pennsylvania, United States, 15224 | |
Contact: Nyesha S Rainey, CRC 412-692-8049 brooksns@upmc.edu | |
United States, Texas | |
UT Southwestern Medical Center | Recruiting |
Dallas, Texas, United States, 75390 | |
Contact: Juana Luevano 214-645-7411 juana.luevano@utsouthwestern.edu | |
University of Texas Health Science Center at Houston | Recruiting |
Houston, Texas, United States, 77030 | |
Contact: Emily Garcia 713-500-0220 Emaily.garcia@uth.tmc.edu | |
United States, Utah | |
Utah Health - The University of Utah Hospital | Recruiting |
Salt Lake City, Utah, United States, 84112 | |
Contact: Carrie Bailey, BS CCRC 801-587-3605 ped_mgr@lists.hsc.utah.edu | |
Australia, Melbourne VIC | |
Nucleus Network Melbourne | Recruiting |
Melbourne, Melbourne VIC, Australia, 3004 | |
Contact: Ofer Gonen, MD +61 3 8593 9800 o.gonen@nucleusnetwork.com | |
Australia, New South Wales | |
Westmead Hospital | Recruiting |
Westmead, New South Wales, Australia, 2145 | |
Contact: Pamela Cheung +61 2 8890 3626 pamela.cheung@health.nsw.gov.au | |
Australia, Queensland | |
Mater Misericordia Ltd | Recruiting |
South Brisbane, Queensland, Australia, 4101 | |
Contact: Yvonne M Gautam +61 7 3163 3484 yvonne.gautam@mater.uq.edu.au | |
Australia, South Australia | |
Royal Adelaide Hospital | Recruiting |
Adelaide, South Australia, Australia, 5000 | |
Contact: Kathy Heyman +61 8 7074 4404 kathy.heyman@sa.gov.au |
Responsible Party: | Jnana Therapeutics |
ClinicalTrials.gov Identifier: | NCT05781399 |
Other Study ID Numbers: |
JNT517-101 |
First Posted: | March 23, 2023 Key Record Dates |
Last Update Posted: | January 12, 2024 |
Last Verified: | January 2024 |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
PKU |
Phenylketonurias Brain Diseases, Metabolic, Inborn Brain Diseases, Metabolic Brain Diseases Central Nervous System Diseases |
Nervous System Diseases Amino Acid Metabolism, Inborn Errors Metabolism, Inborn Errors Genetic Diseases, Inborn Metabolic Diseases |