Alzheimer Disease Clinical Trial
Official title:
Four-Period, Single-Dose, Sequential Study in Healthy Adults, to Assess Pharmacokinetics of ALZ-801 and Tramiprosate From ALZ-801 Prototype Tablets and Effect of Food on Bioavailability of ALZ-801 and Tramiprosate for Selected Prototype Tablet
Phase 1, single-center, open-label, non-randomized, sequential single dose 4-period study in 12 healthy subjects to assess the pharmacokinetics of ALZ-801, tramiprosate and the primary metabolite of tramiprosate, NRM5074, from prototype drug product formulations of ALZ-801, and to assess effect of food on the bioavailability of ALZ-801 and tramiprosate of the prototype tablet formulation.
This is a single-center, open-label, non-randomized, sequential, single-dose, 4-period study
in 12 healthy adult subjects. Subjects are to receive a single oral dose of ALZ-801 in each
of the 4 study periods (Regimens A, B, C and D) in a non-randomized, sequential manner,
separated by a minimum washout period of 7 days. The washout period is expected to last
approximately 14 days to permit interim decisions to take place and to allow for the
selection of the formulation of the subsequent regimen. Periods of interim analysis will take
place following dosing with prototype formulations Regimens A, B, and C, during which the PK
and safety data are reviewed to determine the dose to be administered in the subsequent
treatment period. Interim decisions aim to identify a prototype ALZ-801 immediate release
tablet formulation that provides a similar tramiprosate AUC and Cmax to that of historical
values after administration of a 100 mg loose-filled tramiprosate capsule in the fasted
state.
Optimization of the required tramiprosate exposure will be made by adjusting the dose of
ALZ-801 in the prototype tablets using a formulation design space with a target dose range,
per tablet, of 171 to 514 mg ALZ-801 (equivalent to 100 mg to 300 mg tramiprosate). Dose
selection will be made after a complete review of all data collected from the previous dose
group. For dose selection to occur, data is required to be available from a minimum of 8
evaluable subjects with complete safety assessments up to 24 h post-dose, and required safety
and PK data (AEs, plasma concentrations of ALZ-801, tramiprosate and NRM5074, and Tmax, Cmax
and AUC estimates for ALZ-801 and tramiprosate).
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