A Dose-Escalation Study to Evaluate Safety, Tolerability and Pharmacokinetics of Single Doses of Q203 in Normal, Healthy, Male and Female Volunteers



Status:Completed
Conditions:Healthy Studies
Therapuetic Areas:Other
Healthy:No
Age Range:18 - 55
Updated:8/3/2016
Start Date:August 2015
End Date:July 2016

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A Phase 1, Randomized, Placebo-Controlled, Double-Blind, Dose-Escalation Study to Evaluate Safety, Tolerability and Pharmacokinetics of Single Doses of Q203 in Normal, Healthy, Male and Female Volunteers

Randomized, double-blind, placebo-controlled, dose-escalation study in healthy male and
female volunteers. Subjects will be randomly assigned to 1 of 7 treatment cohorts (Cohorts 1
- 7) of 8 subjects each, to receive either Q203 or placebo (6 active treatment : 2 placebo)
in a fasting state.

Dose escalation to the next cohort may be considered when at least 6 out of 8 subjects, in a
cohort, completes all procedures and none of the subjects has a clinically significant
adverse event (AE) that is being followed, or at the discretion of the PI if no drug-related
serious adverse events (SAEs) have occurred.

A food effect cohort will be enrolled to test administration of Q203 in a fed state, at 100
mg dose level (this dose level may change based on PK analysis results). Subjects who
received 100mg dose in a fasting state will return and receive the second dose, with food.

Subjects will be followed up for AEs, SAE or pregnancy for 30 days postdrug administration.

Randomized, double-blind, placebo-controlled, dose-escalation study in healthy male and
female volunteers. Subjects will be randomly assigned to 1 of 7 treatment cohorts (Cohorts 1
- 7) of 8 subjects each, to receive either Q203 or placebo in a fasting state. Every attempt
will be made to include at least 2 females in each cohort, at least one of whom will be
assigned to receive Q203.

Dose escalation to the next cohort may be considered when at least 6 out of 8 subjects, in a
cohort, completes all procedures and none of the subjects has a clinically significant
adverse event (AE) that is being followed, or at the discretion of the PI if no drug-related
SAEs have occurred. A food effect cohort will be enrolled to test administration of Q203 in
a fed state, at 100 mg dose level (this dose level may change based on PK analysis results).
Subjects who received 100mg dose in a fasting state will return and receive the second dose,
with food. In this cohort, all eight subjects will proceed to receive either Q203 or placebo
in a six to two ratio (six active treatment : 2 placebo). Every attempt will be made to
include at least 2 females in this cohort, at least one of whom will be assigned to receive
Q203.

Subjects will be followed up for AEs, SAE or pregnancy for 30 days postdrug administration.

Inclusion Criteria:

1. Able to understand and sign an informed consent form.

2. Healthy adult males and females of non-childbearing potential, ages 18 to 55 years,
inclusive at the time of screening.

3. Body mass index of 18 to 32 kg/m2, inclusive, and weighing at least 50 kg.

4. Female subjects must be of non-childbearing potential (postmenopause or surgical
sterilization). Postmenopausal status will be confirmed by a follicle-stimulating
hormone (FSH) test at screening.

5. Male subjects must agree to use a condom with spermicide when engaging in sexual
intercourse during the study period and for 30 days after study drug dosing, if they
have not had a vasectomy at least 6 months before study start.

6. Male subjects must not donate sperm during the study and for 30 days after study drug
dosing.

7. Able to understand and comply with all of the study requirements.

8. Able to swallow 8 tablets in succession.

9. Willing to fast a minimum of 8 hours before check-in.

10. Agree not to donate blood, plasma, platelets or any other blood components for 1
month after receiving study drug.

11. Willing to abstain from alcohol use from 48 hours before check-in through the end of
the study.

12. Willing to forgo sunbathing and prolonged exposure to sunlight during the study
period.

13. Willing to forgo strenuous exercise during the study period.

Exclusion Criteria:

1. Any known chronic systemic viral infection (including a positive serological test for
HIV, HBsAg or HCAb that indicates infection).

2. History of or current active tuberculosis (TB).

3. Any systemic infection or other systemic illness, including persistent cough,
respiratory, or flu-like symptoms, in the previous 30 days before screening.

4. History of histoplasmosis, coccidioidomycosis, or similar opportunistic fungal
infection.

5. Vaccination in the previous 30 days before screening.

6. History of, or clinically significant evidence of, bradycardia, syncope, or ECG
abnormality or any other cardiovascular abnormality.

7. Resting heart rate (HR) during screening or baseline ECG fewer than 50 beats per
minute (bpm).

8. History of seizures.

9. History of drug (including amphetamines, barbiturates, benzodiazepines, cocaine,
opiates, phencyclidines, and cannabinoids) or alcohol abuse or addiction within the
past 2 years or, if male, consumes more than 28 units of alcohol per week or, if
female, consumes more than 21 units of alcohol per week (1 unit of alcohol equals 250
mL of beer, 100 mL of wine, or 25 mL of spirits).

10. Any history of abnormal pulmonary function (e.g., asthma or related respiratory
illnesses).

11. Current or recent (within the past 3 months) use of tobacco or other
nicotine-containing product or positive results for nicotine testing at screening or
check-in.

12. Use of any prescription or over-the-counter (OTC) drug or herbal product within 14
days before dosing.

13. Use of any known drug metabolism enzyme-altering drug (inducers or inhibitors) or
supplement (e.g., St. John's wort) within 14 days before dosing or consumption of
foods or beverages containing alcohol or grapefruit within 48 hours before dosing.

14. Use of any QT-prolonging agents, including, but not limited to, azithromycin,
bepridil chloroquine, chlorpromazine, cisapride, clarithromycin, disopyramide
dofetilide, domperidone, droperidol, erythromycin, Halofantrine, haloperidol,
ibutilide, levomethadyl, lumefantrine, mefloquine, mesoridazine, methadone,
moxifloxacin, pentamidine, pimozide, procainamide, quinidine, quinine, roxithromycin,
sotalol, sparfloxacin, terfenadine, or thioridazine, from within 28 days before
dosing through end of study.

15. Any prior exposure to Q203 or participation in another investigational drug study
within the previous 30 days before screening.

16. Any donation of blood, plasma, or platelets or significant loss of blood within 56
days before dosing.

17. Laboratory results outside the normal range, if considered clinically significant by
the PI or his designee.

18. Hemoglobin concentration < LLN.

19. Any condition that might interfere with the absorption of the study medications.

20. History of hypersensitivity or idiosyncratic reaction to any of the products
administered during the study.

21. History of unexplained syncope or fainting from the collection of blood, i.e.,
autonomic dysfunction.

22. History of hypotension, including orthostatic hypotension.

23. Inability to understand verbal and/or written English.

24. Subjects with glucose-6-phosphate-dehydrogenase (G6PD) deficiency.
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