Study Evaluating ISM5411 Administered Orally to Healthy Volunteers

• ClinicalTrials.gov Identifier: NCT06012578
• Recruitment Status: Recruiting
• First Posted: August 25, 2023
• Last Update Posted: November 13, 2023
• Sponsor: InSilico Medicine Hong Kong Limited
• Information provided by (Responsible Party): InSilico Medicine Hong Kong Limited

Tracking Information

• First Submitted Date: August 17, 2023
• First Posted Date: August 25, 2023
• Last Update Posted Date: November 13, 2023
• Actual Study Start Date: November 8, 2023
• Estimated Primary Completion Date: September 2024 (Final data collection date for primary outcome measure)

Current Primary Outcome Measures (submitted: August 22, 2023)

• Number of participants with Adverse Events (AEs) after single or multiple doses of ISM5411. [ Time Frame: Up to 7 days after last dose. ]
  The number of participants with treatment related AEs as assessed by CTCAE v5.0. will be monitored.
• Number of participants with clinically significant changes in vital signs [ Time Frame: Up to 7 days after last dose. ]
  The number of participants with clinically significant changes in vital signs will be monitored based on the assessment of blood pressure, heart rate, respiration and body temperature before and after administration.
• Number of participants with clinically significant changes in in chemistry laboratory values [ Time Frame: Up to 7 days after last dose ]
  The number of participants with clinically significant changes in blood routine, blood biochemistry, urine routine, coagulation function, etc. will be monitored before and after administration.
• Number of participants with clinically significant changes in 12-lead Electrocardiogram (ECG) readings [ Time Frame: Up to 7 days after last dose ]
  The number of participants with clinically significant changes in 12-lead Electrocardiogram (ECG) readings will be monitored based on changes in cardiovascular system function (change in QTC parameters) as a criterion of safety and tolerability variables.
• Number of participants with clinically significant changes in physical examinations [ Time Frame: Up to 7 days after last dose ]
  Complete physical examination should include the head and face, skin system, lymph nodes, eyes, ears, nose and throat, mouth, respiratory system, cardiovascular system, abdomen, musculoskeletal system, nervous system and mental status.

• Original Primary Outcome Measures: Same as current

Current Secondary Outcome Measures (submitted: August 22, 2023)

• Maximum plasma concentration (Cmax) of ISM5411 [ Time Frame: Day 1 through Day 17 ]
  To evaluate the pharmacokinetics (PK) characteristics of ISM5411 in healthy subjects.
• Time at which the maximum plasma concentration occurred (tmax) of ISM5411 [ Time Frame: Day 1 through Day 17 ]
  To evaluate the pharmacokinetics (PK) characteristics of ISM5411 in healthy subjects.
• Area under the plasma concentration-time curve from time zero to infinity (AUC0-inf) of ISM5411 [ Time Frame: Day 1 through Day 17 ]
  To evaluate the pharmacokinetics (PK) characteristics of ISM5411 in healthy subjects.
• Area under the plasma concentration-time curve from time zero to time with last measurable concentration t (AUC0-t) of ISM5411 [ Time Frame: Day 1 through Day 17 ]
  To evaluate the pharmacokinetics (PK) characteristics of ISM5411 in healthy subjects.
• Elimination rate constant (λz) of ISM5411 [ Time Frame: Day 1 through Day 17 ]
  To evaluate the pharmacokinetics (PK) characteristics of ISM5411 in healthy subjects.
• Elimination half-life (t1/2) of ISM5411 [ Time Frame: Day 1 through Day 17 ]
  To evaluate the pharmacokinetics (PK) characteristics of ISM5411 in healthy subjects.
• Apparent volume of distribution (Vz/F) of ISM5411 [ Time Frame: Day 1 through Day 17 ]
  To evaluate the pharmacokinetics (PK) characteristics of ISM5411 in healthy subjects.
• Apparent total plasma clearance (CL/F) of ISM5411 [ Time Frame: Day 1 through Day 17 ]
  To evaluate the pharmacokinetics (PK) characteristics of ISM5411 in healthy subjects.
• Mean residence time (MRT) of ISM5411 [ Time Frame: Day 1 through Day 17 ]
  To evaluate the pharmacokinetics (PK) characteristics of ISM5411 in healthy subjects.
• Renal clearance rate (CLR) of ISM5411 [ Time Frame: Day 1 through Day 17 ]
  To evaluate the pharmacokinetics (PK) characteristics of ISM5411 in healthy subjects.
• Accumulative excretion (Ae) of ISM5411 [ Time Frame: Day 1 through Day 17 ]
  To evaluate the pharmacokinetics (PK) characteristics of ISM5411 in healthy subjects.
• Fractional excretion (fe) of ISM5411 [ Time Frame: Day 1 through Day 17 ]
  To evaluate the pharmacokinetics (PK) characteristics of ISM5411 in healthy subjects.
• Relative bioavailability (fed/fasted) of ISM5411 [ Time Frame: Day 1 through Day 17 ]
  To evaluate the pharmacokinetics (PK) characteristics of ISM5411 in healthy subjects.

• Original Secondary Outcome Measures: Same as current
• Current Other Pre-specified Outcome Measures: Not Provided
• Original Other Pre-specified Outcome Measures: Not Provided

Descriptive Information

• Brief Title: Study Evaluating ISM5411 Administered Orally to Healthy Volunteers
• Official Title: A Randomized, Double-Blind, Placebo-Controlled, Single Ascending Dose, Multiple Ascending Dose and Food Effect Study to Evaluate Safety, Tolerability, Pharmacokinetics and Food Effect of ISM5411 in Healthy Subjects
• Brief Summary: The goal of this clinical trial is to learn about ISM5411 in healthy subjects. The primary objective is to evaluate the safety and tolerability of single and multiple oral doses of ISM5411 in healthy subjects.
• Detailed Description: Not Provided
• Study Type: Interventional
• Study Phase: Phase 1
• Study Design: Allocation: Randomized; Intervention Model: Sequential Assignment; Masking: Double (Participant, Investigator); Primary Purpose: Treatment
• Condition: Healthy Subjects

Intervention

• Drug: ISM5411
  Investigational Drug
• Drug: Placebo
  ISM5411 Matching Placebo

Study Arms

• Experimental: ISM5411
  Intervention: Drug: ISM5411
• Placebo Comparator: Placebo
  Intervention: Drug: Placebo

• Publications *: Not Provided

Recruitment Information

• Recruitment Status: Recruiting
• Estimated Enrollment (submitted: August 22, 2023): 76
• Original Estimated Enrollment: Same as current
• Estimated Study Completion Date: September 2024
• Estimated Primary Completion Date: September 2024 (Final data collection date for primary outcome measure)

Eligibility Criteria

Inclusion Criteria:

1. Subjects who have signed the informed consent form (ICF) prior to the study, fully understand the content, procedures and possible adverse reactions of the study, and are able to complete the study in accordance with the protocol requirements.
2. Subjects (including their partners) who have no plan to become pregnant and voluntarily use effective contraception as described in section 8.1 from screening to 3 months after the last dose.
3. Male and female subjects aged 18-55 years (inclusive).
4. Body weight ≥50 kg for males and ≥45 kg for females, with a body mass index (BMI = weight (kg)/height2 (m2)) of 18 ~ 32 kg/m2 (inclusive).

Exclusion Criteria:

1. Allergy to the IP or any of its ingredients, or allergic constitution (allergy to more than 1 drugs and food).
2. History of dysphagia or any gastrointestinal surgery (appendicectomy and cholecystectomy are excluded) or disease that affects drug absorption and/or elimination.
3. Presence of clinically relevant diseases evidenced by clinical findings, which are making implementation of the protocol or interpretation of the study results difficult, or that would put the subject at risk by participating in the study in the opinion of the investigator, including but not limited to gastrointestinal, renal, hepatic, neurological, hematological, endocrine, oncological, pulmonary, immunological, psychiatric or cardiovascular and cerebrovascular diseases).
4. Presence of abnormal and clinically significant medical history, physical examination, vital signs, 12-lead ECG, clinical laboratory tests, abdominal color Doppler ultrasound, or other investigations at screening (Repeat testing will be allowed by the investigator discretion).
5. Positive human immunodeficiency virus antibody (HIV-Ab), hepatitis B surface antigen (HBsAg) and hepatitis C antibody (HCV-Ab) in the viral serology testing at screening.
6. Smoking > 5 cigarettes or an equivalent amount of tobacco per day, or consuming ≥ 14 units of alcohol per week (1 unit of alcohol ≈ 25 mL of spirits/100 mL of wine/285 mL of beer) within 1 months prior to screening or unwilling to abstain from smoking or drinking during the study.
7. Subjects who are positive for urine drug testing at screening or Day-1, or have a history of drug abuse or narcotic use in the past five years (Repeat testing will be allowed by the investigator discretion).
8. Subjects who have donated blood or lost a significant amount of blood (>400 mL) within 1 months prior to screening, or who plan to donate blood during the study or within 1 month after the end of the study.
9. Subjects who have undergone major surgical procedures (major visceral, organ, or bone surgeries) that may affect the study in the judgment of the investigator within 3 months prior to screening, or who intend to have such procedures during the study.
10. Intolerance to vein puncture, or presence of a history of blood phobia or trypanophobia.
11. Use of any prescription drugs within 14 days prior to the admission. Use of counter medication / vitamins / supplements within 7 days prior to admission (with the exception of contraception, occasional paracetamol, and standard dose of multivitamins).
12. Subjects who have receipt of any study drug or participated in any medical device clinical studies within 1 month (or 5 half-lives, whichever is longer) prior to screening.
13. Vaccination with any live or attenuated vaccine within 1 month prior to screening.
14. Any acute disease or acute attack of any chronic disease within 28 days prior to screening.
15. Consumption of any caffeinated food or beverages (such as coffee, strong tea, cola, chocolate, etc.), xanthine-rich food (such as anchovies, sardines, bovine liver, bovine kidney, etc.), food that induces or inhibits liver metabolizing enzymes (such as dragon fruits, mango, grapefruit, pomegranate, etc.) and beverages made thereof, or food or beverages containing alcohol, or presence of other factors that may affect the absorption, distribution, metabolism or excretion of the drug (such as strenuous exercise) within 48 hours prior to IP.
16. Female subjects who are in lactation or positive for serum pregnancy test during the screening period or study course.
17. Subjects who, in the judgment of the investigator, are not suitable for participation in the study.

Sex/Gender

• Sexes Eligible for Study: All

• Ages: 18 Years to 55 Years (Adult)
• Accepts Healthy Volunteers: Yes

Contacts

Contact: Yichen Liu; +86 18817554306; Insilico-Clinicaltrial@insilico.ai

• Listed Location Countries: Australia

Administrative Information

• NCT Number: NCT06012578
• Other Study ID Numbers: ISM5411-101
• Has Data Monitoring Committee: Yes

U.S. FDA-regulated Product

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

IPD Sharing Statement

• Plan to Share IPD: No

• Current Responsible Party: InSilico Medicine Hong Kong Limited
• Original Responsible Party: Same as current
• Current Study Sponsor: InSilico Medicine Hong Kong Limited
• Original Study Sponsor: Same as current
• Collaborators: Not Provided
• Investigators: Not Provided
• PRS Account: InSilico Medicine Hong Kong Limited
• Verification Date: November 2023