E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
PSI-697 is an orally active inhibitor of the cellular adhesion molecule P-selectin that offers a unique, first in class mechanism for preventing the vascular atherothrombotic state that is driven by the accumulation leukocytes and platelets in the vascular wall. |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess the pharmacodynamics (PD) of a single oral dose of PSI-697 in healthy subjects who smoke. |
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E.2.2 | Secondary objectives of the trial |
To obtain additional safety and pharmacokinetics (PK) data concerning PSI-697in healthy subjects who smoke. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Signed and dated an institutional review board (IRB)/independent ethics committee (IEC)-approved informed consent form before any study-specific screening procedures are performed. 2. Men, aged 18 to 55 years inclusive at screening. Sexually active men must agree to use a medically acceptable form of contraception during the study and continue it for 12 weeks after test article administration. 3. Body mass index (BMI) in the range of 18.0 to 30.0 kg/m2 and body weight ≥50 kg. BMI is calculated by taking the subject’s weight, in kilograms, divided by the square of the subject’s average height, in meters, at screening: BMI = weight (kg)/[height (m)]2 4. Healthy as determined by the investigator on the basis of medical history, physical examination, clinical laboratory test results, vital signs, and 12-lead electrocardiogram (ECG). 5. Smoker of at least 1 pack or more of cigarettes per day (20 +/- 3 cigarettes) for > 1 year as determined by history. 6. Have a high probability for compliance with and completion of the study. |
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E.4 | Principal exclusion criteria |
Medical History 1. Presence or history of any disorder that may prevent the successful completion of the study. 2. Any significant cardiovascular, hepatic, renal, respiratory, gastrointestinal, endocrine, immunologic, dermatologic, hematologic, neurologic, or psychiatric disease. 3. Any diagnosed bleeding disorder. 4. Any surgical or medical condition that may interfere with the absorption, distribution, metabolism, or excretion of the test article. 5. Any major surgical procedure within 6 months before study day 1. 6. Any history of major bleeding (eg, bleeding peptic ulcer) within 1 year before study day 1. 7. Acute disease state (eg, nausea, vomiting, fever, or diarrhea) within 7 days before study day 1. 8. History of drug abuse within 1 year before study day 1. 9. History of alcoholism within 1 year of day 1, admitted alcohol abuse, or consumption of more than 50 g of ethanol per day (12.5 cL glass of 10° [10%] wine = 12 g; 4 cL glass of aperitif; 42° [42%] whiskey = 17 g; 25 cL glass of 3° [3%] beer = 7.5 g; 25 cL glass of 6° [6%] beer = 15 g). Physical and Laboratory Findings 10. Any clinically important deviation from normal limits in physical examination, vital signs, 12-lead ECGs, or clinical laboratory test results. 11. Positive findings of urine drug screen (eg, amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, opiates, and phencyclidine [PCP]). 12. Positive serologic findings for human immunodeficiency virus antibodies, hepatitis B surface antigen, and/or hepatitis C virus antibodies. Allergies and Adverse Drug Reactions 13. History of any clinically important drug allergy or adverse drug reaction. Prohibited Treatments 14. Use of any investigational or prescription drug within 30 days before test article administration. 15. Consumption of any caffeine-containing products (eg, coffee, tea, chocolate, or soda) or alcoholic beverages within 24 hours before study day 1 (period 1 and 2). 16. Consumption of grapefruit or grapefruit-containing products within 72 hours before study day 1 (period 1 and 2). 17. Use of any over-the-counter drugs, including herbal supplements (except for the occasional use of paracetamol and vitamins ≤100% of the recommended daily allowance) within 14 days before study day 1 (period 1). 18. Donation of blood within 90 days before study day 1. Others 19. Total annual amount of compensation earned from participating in clinical trials exceeding 3200 stirling pounds |
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E.5 End points |
E.5.1 | Primary end point(s) |
To determine the effect of a single, 600-mg oral dose of PSI-697 on platelet monocyte aggregates in healthy volunteers who smoke |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | No |
E.8.5.1 | Number of sites anticipated in the EEA | 1 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |