Pulmonary Disease, Chronic Obstructive Clinical Trial
Official title:
A Randomised, Double-blind, Placebo-controlled, Multi-way Crossover Study to Assess the Effects of Single Oral Doses of SRT2104 and Prednisolone on Biomarkers in Blood in Healthy Volunteers
The primary purpose of this study is to assess the pharmacodynamic effect of single, oral
doses of SRT2104 (250 mg, 500 mg, 1000 mg, 2000 mg) and prednisolone as measured by levels of
ex vivo LPS-induced TNF-alpha production in whole blood of healthy adult subjects.
The secondary purposes of this study are to assess the pharmacodynamic effects of single,
oral doses of SRT2104 (250 mg, 500 mg, 1000 mg, 2000 mg) and prednisolone (30mg) as measured
by levels of IL-6, IL-8 and IL-1beta in whole blood of healthy adult subjects. In addition,
plasma pharmacokinetics, safety and tolerability of SRT2104 following the administration of
single, oral doses of SRT2104 (250 mg, 500 mg, 1000 mg, 2000 mg) in healthy adult subjects
will also be assessed. As exploratory endpoints, transcriptomic profiles, biomarker
exploration, and relationships between plasma SRT2104 levels and ex vivo LPS-induced
TNF-alpha production may also be examined.
This is a prospective, single center, non-therapeutic clinical study of SRT2104 administered
orally as 250 mg capsules. Randomized, double-blind study to evaluate and compare the
sensitivity of systemic biomarkers, such as ex-vivo LPS-induced TNF-alpha, IL-6, IL-8, and
IL-1beta, to treatment with four-single oral doses of SRT2104 (250 mg, 500 mg, 1000 mg, and
2000 mg), prednisolone (30 mg), and placebo in healthy adult volunteers. Twenty (20) subjects
(males and females of non-childbearing potential) aged 18-60, who fulfill the
inclusion/exclusion criteria, will be enrolled in this study to achieve a minimum of 15
evaluable subjects. Each subject will participate in 6 treatment periods. For each treatment
period subjects will fast for at least 10 hours overnight. After pre-dosing procedures,
subjects will consume a standard, non-high-fat (approximately 650 kcal with approximately 30%
of calories derived from fat) meal 15-30 minutes prior to receiving test material. During the
first five treatment periods, subjects will receive a single dose of SRT2104 or matched
placebo; during the last treatment period, subjects will receive 30 mg open-label
prednisolone. Assessments will be performed until 24 hours post dose in each treatment
period.
Subjects will be asked to sign the informed consent form(s) at the screening visit. If
eligible and willing to participate, subjects will enter into the study. Subjects will be
required to attend the research unit in a fasted state (at least 10 hours without food) on
six separate occasions (treatment visits) during the study. There will be at least a 7-day
washout period between treatment visits.
During the first five treatment visits, subjects will receive one of the following five
treatments:
A. 250 mg SRT2104 administered as eight oral capsules (one active SRT2104 250 mg capsule +
seven placebo capsules) B. 500 mg SRT2104 administered as eight oral capsules (two active
SRT2104 250 mg capsules + six placebo capsules) C. 1000 mg SRT2104 administered as eight oral
capsules (four active SRT2104 250 mg capsules + four placebo capsules) D. 2000 mg SRT2104
administered as eight oral capsules (eight active SRT2104 250 mg capsules + zero placebo
capsules) E. Eight placebo capsules
During the last treatment visit, subjects will receive 30 mg of open-label prednisolone
tablets.
Subjects will be required to return to the research unit 24 hours after dosing in each
treatment period in order to gather the required PK and PD samples. Subjects will be asked to
return to the study center for an End of Study safety assessment 7 to 10 days after the last
treatment visit.
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