Overview

Study to Evaluate Safety, Tolerability & PK of rhNGF in Healthy Volunteers

Status:
Completed
Trial end date:
2018-06-01
Target enrollment:
0
Participant gender:
All
Summary
The primary objective of this study is to assess the safety and tolerability of a single short-term and a multiple dose scheme of rhNGF when administered as eye drops in healthy subjects of Japanese ethnicity. The secondary objective of this study is to assess the pharmacokinetics of single and multiple doses of rhNGF when administered as eye drops in healthy subjects of Japanese ethnicity.
Phase:
Phase 1
Accepts Healthy Volunteers?
Accepts Healthy Volunteers
Details
Lead Sponsor:
Dompé Farmaceutici S.p.A
Collaborator:
Cromsource
Criteria
Inclusion Criteria:

To be eligible for inclusion into this study, each subject must fulfil the following
inclusion criteria.Each subject must meet all of the following inclusion criteria at the
pre-study Screening visit (within 20 days prior to admission in the Unit for the dosing
period) in order to participate in this study.

1. Male or female subjects of Japanese ethnicity, aged between 18 and 60 years inclusive,
who must have all four Japanese grandparents who were born in Japan.

2. Subject has to be able to communicate well with the investigator, understands and
complies with the requirements of the study, and understands and signs the written
volunteer informed consent form.

3. Subject's systemic and ocular medical history must be considered normal in the opinion
of the investigator at the Screening and Baseline visits.

4. Subject with Best corrected distance visual acuity (BCDVA) score ≥83 ETDRS letters, ≤
0.00 LogMAR [20/20 Snellen or 1.0 decimal fraction] in each eye at the Screening and
Baseline visits.

5. Normal anterior segment on external and slit lamp examination in both eyes at the
Screening and Baseline visits.

6. Normal posterior segment on fundus ophthalmoscopic examination in both eyes at the
Screening and Baseline visits.

7. Subject must be considered in good systemic health in the opinion of the investigator
at the Screening and Baseline visits, as determined by:

1. Subject's body mass index is between 18.5 and 30.4 kg/m2 inclusive

2. A pre-study physical examination with no clinically significant abnormalities.

3. Vital signs within clinically acceptable ranges for the purposes of the study
(sitting systolic blood pressure [BP] ≥ 90 mmHg and ≤ 150 mmHg; diastolic BP ≥ 50
mmHg and ≤ 95 mmHg; heart rate ≥ 40 and ≤ 100 beats per minute; oral body
temperature ≥ 35.5°C and ≤ 37.5°C).

4. An ECG with no clinically significant abnormalities.

5. Pre-study clinical laboratory findings within normal range or not deemed
clinically significant in the opinion of the investigator if outside of the
normal range

8. Woman subject who meets the criteria for post-menopausal stage (post menopause is
defined as the period following peri-menopause, i.e. postmenopausal after 12 months
without a menstrual period and with a serum FSH value within the reference range for
postmenopausal females at Screening) or permanently sterilised (e.g. tubal occlusion,
hysterectomy, bilateral salpingectomy) or woman subject using oral, injected or
implanted hormonal methods of contraception or with a double barrier methods of
contraception: condom and occlusive cap (diaphragm or cervical/vault caps) with
spermicidal foam/gel/film/cream/suppository. A female condom and a male condom should
not be used together as friction between the two can result in either product failing.

9. Male subjects with female partners of child-bearing potential must use 2 different
forms of highly effective contraception throughout the study and for a further 3
months after the follow-up visit and all male subjects must be willing to avoid
donating sperm during this time. The following methods of contraception are considered
to be highly effective: established use of oral, injected or implanted hormonal
contraception; placement of an intrauterine device or intrauterine system; use of a
barrier method of contraception (condom or occlusive cap with use of a spermicide);
male sterilisation (post-vasectomy documentation of the absence of sperm in the
ejaculate must be provided).

Exclusion Criteria:

Subjects meeting any of the following criteria at Screening will be excluded from entry
into the study:

1. Subject has had a clinically significant illness in the 6 weeks before screening in
the opinion of the investigator.

2. Subject is not suitable to participate in the study in the opinion of the investigator

3. Subject has participated in any clinical study with an investigational drug/device
within 3 months prior to the first day of dosing.

4. Subject has had a serious adverse reaction or significant hypersensitivity to any drug
or chemically related compounds or has a clinically significant allergy to drugs,
foods or other materials (in the opinion of the investigator).

5. Administration of any topical ocular (prescription or over the counter including
artificial tears) or systemic medication including herbal product or fish oil
preparations within 14 days before the first dose of study drug. Vitamins and mineral
supplements not containing other substances are allowed until 96 hours before each
dose if considered by the Investigator unlikely to interfere with the study results.
Paracetamol at doses of at most 2 grams per day and ibuprofen at doses of at most 1200
mg per day for no more than 3 consecutive days or 6 non-consecutive days are allowed.
Oral, injectable and implantable hormonal contraceptives are allowed without
restrictions for female subjects. Longer exclusion periods apply for:

1. amiodarone and hydroxychloroquine (210 days),

2. monoclonal antibodies/ immunoglobulins/ other therapeutic proteins (120 days)

3. Experimental drugs with a half life known to the Study Unit: Five half lives plus
2 weeks

4. Experimental drugs with a half-life unknown to the Study Unit: 120 days

5. chloroquine and flunarizine (100 days)

6. fluoxetine (75 days),

7. benzodiazepines different from midazolam, lorazepam and triazolam,
chlorpromazine, mephenytoin, nortryptyline, phenobarbital, primidone,
carbamazepine, phenytoin and phenprocoumon (35 days).

6. Subject has a significant history of drug/solvent abuse or a positive drugs of abuse
test at any time during the study.

7. Subject has a history of alcohol abuse or currently drinks in excess of 28 units per
week or has a positive alcohol breath test at any time during the study.

8. Subject is a smoker or has smoked in the 6 months prior to dosing.

9. Subject who has a positive human immunodeficiency virus (HIV) screen, hepatitis B
screen or hepatitis C screen.

10. Subject has donated blood or blood products (e.g., plasma or platelets) within the 3
months prior to screening.

11. Subject has a partner who will be pregnant or breastfeeding during the study

12. Pregnant or breastfeeding female or those with a positive pregnancy test or who will
not use a medically acceptable contraceptive method from selection and during the
study

13. Subject having used corticosteroid sporadically in the last 30 days whichever the
route of administration, or any medication by ocular or nasal administration route

14. Subjects diagnosed with any ocular disease other than refractive error

15. Subject with history of ocular surgery, including laser refractive surgery

16. Subject using a contact lens within 7 days prior administration of the first dose

17. Intraocular pressure (IOP) ≥ 22 mmHg in either eye at screening or baseline

18. Presence of any corneal opacity or corneal fluorescein staining >0.5 grade using the
modified Oxford scale in either eye at screening or baseline

19. Schirmer's test without anesthesia ≤ 9 mm/5 minutes in either eye at screening or
baseline

20. Tear film break up time (TFBUT) < 8 seconds in either eye at screening or baseline
Note: Alcoholic beverages should not be taken from 48 h before first drug
administration until discharge from the Study center.