Alzheimer Disease Clinical Trial
Official title:
A Randomized, Double-blind, Placebo-controlled, Single-dose, 6-Period Crossover Study to Evaluate the Effects of BPN14770 on Scopolamine-induced Cognitive Impairment in Healthy Volunteers
This is a Phase 1, randomized, double-blind, placebo-controlled, 6-period crossover study to evaluate the effects of BPN14770 10 mg and 50 mg in reversing scopolamine-induced cognitive impairment in healthy volunteers. A positive control, donepezil 10 mg, will be included, and additivity of BPN14770 50 mg to donepezil 10 mg in reversing scopolamine effects will also be evaluated.
A total of 38 subjects will be enrolled into the study. The study duration will be up to 12
weeks with 6 weeks of single-dose Treatment Visits. The study will consist of a Screening
Visit (up to 28 days prior to first study drug administration), six inpatient Treatment
Visits (Periods 1 through 6), and a Follow-Up/Early Termination Visit (7-10 days after the
last dose of study medication). An additional study visit may be necessary to complete the
required cognitive test familiarization if not completed during the Screening Visit. Each
Treatment Visit will occur approximately one week apart, allowing a 6 to 8 day washout
period.
Subjects will be randomized to 1 of 6 treatment sequences based on a computer-generated
randomization schedule. Subjects will receive all 6 treatments as specified by the treatment
sequence according to a 6 × 6 Williams Latin square design. The following treatments will be
administered:
A. Scopolamine placebo + BPN14770 placebo + donepezil placebo
B. Scopolamine 0.5 mg + BPN14770 placebo + donepezil placebo
C. Scopolamine 0.5 mg + BPN14770 10 mg + donepezil placebo
D. Scopolamine 0.5 mg + BPN14770 50 mg + donepezil placebo
E. Scopolamine 0.5 mg + donepezil 10 mg +BPN14770 placebo
F. Scopolamine 0.5 mg + BPN14770 50 mg + donepezil 10 mg
During each of the Treatment Visits (Periods 1 through 6), subjects will be admitted to the
Clinical Research Unit (CRU) the day prior to each study drug administration (Day -1) and
discharged the day after study drug administration (Day 2). On the morning of study drug
administration (Day 1), subjects will be given study drug (BPN14770, donepezil, or placebo)
with 240mL of room temperature water 2 hours prior to the scopolamine or scopolamine placebo
sc injection. The timing for study drug administration will be referred to as t-2 (Hour -2).
Breakfast should be available approximately 30 minutes following the morning drug
administration. Two hours after study drug administration, the scopolamine or scopolamine
placebo sc injection will be administered. The time at which the scopolamine or scopolamine
placebo sc injection is administered will be referred to as t0 (Hour 0).
Cognitive testing will be performed 30 minutes prior to treatment with scopolamine injection
and at hours 1, 2, 3, 4, and 6 post-scopolamine injection.
PK samples will be collected during the treatment period to confirm study drug is present.
Safety assessments throughout the study will include physical exams, ECGs, vital signs,
chemistry, hematology, and urinalysis.
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