A First-In-Human Study of Orally Administered JNJ-64417184 to Evaluate the Safety, Tolerability, and Pharmacokinetics of Single and Multiple Ascending Doses, and the Antiviral Activity of Multiple Doses in a Respiratory Syncytial Virus (RSV) Challenge Study in Healthy Participants

Healthy Clinical Trial

Official title:

A Randomized, Double-blind, Placebo-controlled, First-in-human, 6-Part Study of Orally Administered JNJ-64417184 to Evaluate the Safety, Tolerability, and Pharmacokinetics of Single and Multiple Ascending Doses, and the Antiviral Activity of Multiple Doses in a Respiratory Syncytial Virus (RSV) Challenge Study in Healthy Subjects

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03403348
• Other study ID #: JNJ-184-1401
• Secondary ID: 2017-004363-13JN
• Status: Completed
• Phase: Phase 1
• Start date: May 9, 2018
• Est. completion date: November 24, 2019

Study information

• Verified date: January 2020
• Source: Janssen BioPharma, Inc.
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of the study is to evaluate the safety and tolerability of single and multiple oral doses of JNJ-64417184 administered to healthy participants and the antiviral effect of multiple oral doses of JNJ-64417184 compared to placebo in participants infected through inoculation with respiratory syncytial virus (RSV)-A Memphis 37b (Part 4).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 130
• Est. completion date: November 24, 2019
• Est. primary completion date: November 24, 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 55 Years

Eligibility

Inclusion Criteria:

• Participant has provided written consent

• In the Investigator's opinion, the participant is able to understand and comply with protocol requirements, instructions, and protocol-stated restrictions and is likely to complete the study as planned

• Participant is in good health as deemed by the Investigator, based on the findings of a medical evaluation including medical history, physical examination, laboratory tests, and electrocardiogram (ECG). In case of an out-of-range clinical laboratory test, vital sign, or ECG value that will determine a participant's eligibility, a retest can be done. Results of this retest must be available prior to the first administration of the study drugs (Parts 1, 3, 5, and 6) or prior to inoculation (Part 4). The result of the retest will be considered for participant eligibility

• Body mass index (BMI) of 18 to 30 kilogram per meter square (kg/m^2) (inclusive), minimum weight of 50 kilogram (kg)

• A female participant is eligible to participate in this study if she is of non childbearing potential defined as either (i) premenopausal with a documented tubal ligation, bilateral oophorectomy, or hysterectomy; or (ii) postmenopausal defined by 12 months of spontaneous amenorrhea and follicle-stimulating hormone level within the laboratory's reference range for postmenopausal females. A postmenopausal female who is receiving hormone replacement therapy and who is willing to discontinue hormone therapy from 28 days before study drug dosing (Parts 1, 3, 5, and 6) or before inoculation (Part 4), and for the entire duration of the study, may be eligible for study participation. A male participant is eligible to participate in this study if (i) he is either surgically sterile or, (ii) in case of having a female partner of childbearing potential, the male participant and partner are practicing and willing to continue to practice highly effective forms of birth control until 90 days after the end of the study. Irrespective of the partner's form of birth control, a male participant must wear a condom when engaging in any activity that allows for passage of ejaculate to another person

Exclusion Criteria:

• Clinically significant cardiovascular, respiratory, renal, gastrointestinal, hematologic, neurologic, endocrinologic, oncologic, ophthalmologic, musculoskeletal, psychiatric or any other uncontrolled medical illness

• Positive human immunodeficiency virus (HIV), active hepatitis A virus (HAV), hepatitis B virus (HBV), or hepatitis C virus (HCV) test

• Creatinine clearance less than (<) 60 milliliter per minute (mL/min) (Cockcroft-Gault)

• Drug allergy such as, but not limited to, allergy to penicillins, including allergies experienced in previous studies with experimental drugs

• Any condition that, in the opinion of the Investigator, would compromise the study or the well-being of the participant or prevent the participant from meeting the study requirements

Related Conditions & MeSH terms

• Healthy

Intervention

Drug:
• JNJ-64417184
Participants will receive JNJ-64417184 in Parts 1, 2A, 2B, 3, 4, 5 and 6.
• Placebo
Participants will receive matching placebo to JNJ-64417184 in Parts 1, 2A, 2B, 3, 4, 5 and 6.

Locations

Country	Name	City	State
United Kingdom	Hammersmith Medicines Research Ltd	London
United Kingdom	hVIVO Services Limited	London

Sponsors (1)

Lead Sponsor	Collaborator
Janssen BioPharma, Inc.

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of Participants With Adverse Events (AEs) as a Measure of Safety and Tolerability	An AE is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.	Approximately up to 8 months
Primary	Number of Participants With Laboratory Abnormalities	Number of participants with laboratory abnormalities will be reported.	Approximately up to 8 months
Primary	Number of Participants With Clinically Significant Changes in Vital Signs	Number of participants with clinically significant changes in vital signs will be reported.	Approximately up to 8 months
Primary	Number of Participants With Clinically Significant Changes in Physical Examination Findings	Number of participants with clinically significant changes in physical examination findings will be reported.	Approximately up to 8 months
Primary	Number of Participants With ECG Abnormalities	Number of participants with electrocardiogram (ECG) abnormalities will be reported.	Approximately up to 8 months
Primary	Change From Baseline in QT Interval Corrected According to Fridericia's Formula (QTcF) (Parts 1 and 3)	The QT interval corrected for heart rate (QTc interval) using Fridericia method will be measured by electrocardiograms (ECG) triplicates.	Baseline up to Day 31
Primary	Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) Absolute as Measured by Spirometry (Part 4)	FEV1 is the amount of air that can be exhaled in one second. FEV1 will be measured by spirometry. A positive change from baseline in absolute FEV1 indicates improvement in lung function.	Baseline up to Day 31
Primary	Change From Baseline in Forced Vital Capacity (FVC) Absolute as Measured by Spirometry (Part 4)	FVC is a standard pulmonary function test used to quantify respiratory muscle weakness. FVC is the volume of air that can forcibly be blown out after full inspiration in the upright position, in liters and will be measured by spirometry.	Baseline up to Day 31
Primary	Change From Baseline in Percent-Predicted FEV1 (Part 4)	FEV1 is the amount of air, measured in liters, forcibly exhaled in 1 second. Pulmonary function tests will be performed by participants in the morning before dosing. The percent predicted FEV1 equals the participant's observed FEV1 divided by the participant's predicted FEV1 (determined by height and race) and converted to a percentage by multiplying by 100 percent (%).	Baseline up to Day 31
Primary	Change From Baseline in Percent-Predicted FVC (Part 4)	Predicted FVC is based on a formula using sex, age and height of a person, and is an estimate of healthy lung capacity. Percent of predicted FVC = (observed value)/(predicted value) * 100 %.	Baseline up to Day 31
Primary	Area Under the Concentration-Time Curve Between Time of First Administration and Dosing Day 7 (AUC[0-Dosing Day 7]) of RSV-A Memphis 37b Viral Load in Participants Infected Through Inoculation With This Viral Strain (Part 4)	Area under the concentration-time curve between time of first administration and Dosing Day 7 (AUC[0-Dosing Day 7)] of respiratory syncytial virus (RSV)-A Memphis 37b viral load in participants infected through inoculation with this viral strain, as determined by a quantitative real-time polymerase chain reaction (qRT PCR) assay of nasal wash (Part 4) will be assessed.	Up to Day 7
Secondary	JNJ-64417184 Plasma Concentrations	Plasma concentration of JNJ-64417184 after a single oral dose and after multiple oral doses will be assessed.	Approximately up to 67 days
Secondary	JNJ-64417184 Urine Concentrations	Urine concentration of JNJ-64417184 after a single oral dose and after multiple oral doses will be assessed.	Approximately up to 67 days
Secondary	Corrected QT Interval (QTc) Duration (Parts 1 and 3)	QTc duration (as calculated from Holter extracts) after a single oral dose and after multiple oral doses administered to healthy participants will be reported.	Up to Day 2 (Part 1); Up to Day 8 (Part 3)
Secondary	AUC(0-Dosing Day 7) of RSV Viral Load From Treatment Onset (Part 4)	The AUC(0-Dosing Day 7) of RSV viral load from treatment onset, as determined by a qRT-PCR assay of nasal wash samples and by cell culture (plaque assay) will be reported.	Up to Day 7
Secondary	Time to Non-Detectability of RSV (Part 4)	Time to non-detectability of RSV as determined by a qRT-PCR assay of nasal wash samples and by cell culture (plaque assay) will be reported.	Up to Day 31
Secondary	Peak RSV Viral Load by Dosing Day (Part 4)	Peak RSV viral load by dosing day as determined by a qRT-PCR assay of nasal wash samples and by cell culture (plaque assay) will be reported.	Up to Day 31
Secondary	AUC(0-Dosing Day 7) of Total RSV Symptoms From Treatment Onset	The AUC(0-Dosing Day 7) of total RSV symptoms from treatment onset, using self reported symptoms on the symptom diary card (SDC) will be reported. Participants will assess any challenge virus-related symptoms using the symptom questionnaire in the SDC which will report the symptoms experienced by the participants at the moment on a scale of 0 to 3 where '0' implies 'no symptom' and '3' implies 'bothersome most or all of the time, stopping from participating in activities' OR 'less severe' to 'more severe' symptoms.	Up to Day 7
Secondary	Total Weight of Mucus (Part 4)	The total weight of mucus produced from treatment onset will be reported.	Up to Day 12
Secondary	Change From Baseline in the RSV L Protein-Encoding Gene Sequence After Treatment (Part 4)	Change from baseline in sequence of the RSV L protein encoding gene before and after treatment, for participants who show rebound, partial viral suppression or non-response to JNJ-64417184, will be assessed.	Baseline up to Day 11