Safety and Tolerability of Single and Multiple Ascending Doses of GATE-101 in Normal Human Volunteers

Gate Neurosciences

Status and phase: Terminated; Phase 1

Conditions: Major Depressive Disorder; Excessive Sleepiness

Treatments: Drug: GATE-101

Study type: Interventional

Funder types: Industry

Identifiers

NCT04618263

GATE-101-C-101

Details and patient eligibility

About

To evaluate the safety, tolerability, and pharmacokinetics of single and multiple ascending doses of GATE-101 in normal human volunteers

Full description

Single ascending dose (SAD), multiple ascending dose (MAD), double-blind placebo-controlled study in normal human volunteers.

Secondary objectives:

To evaluate the pharmacokinetics (PK) of GATE-101 following increasing single and multiple doses of intravenously (IV) administered GATE-101.

GATE-101 or Placebo: Dose/Mode of Administration: Single or 5 Daily Doses;Intravenous

Enrollment: 18 patients

Sex: All

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Normal, healthy volunteer male and female subjects

2. Aged 18 to 40 years

3. For female subjects must meet one of the following:

   • Surgically sterile or at least 2 years menopausal, confirmed by follicle stimulating hormone (FSH) at screening visit, or,
   • If of childbearing potential, subject must use an acceptable method of birth control from date of screening to at least 30 days after the last dose of study drug. Must have a documented negative blood or urine pregnancy test within 24 hours prior to dosing. If reported sterile or postmenopausal, will be confirmed by FSH.

4. For male subjects, must meet one of the following:

   • Surgically sterile
   • If not surgically sterile then use of an acceptable form of contraception (condom) from the time of randomization through 30 days following the last dose of study drug. Male subjects are strongly advised to inform female partners of the need for them to use highly effective birth control during this time period.

5. Body mass index (BMI) < 30

6. Clinical laboratory values <2 times the upper limit of normal (ULN) or deemed not clinically significant by the Investigator.

7. Ability to understand the requirements of the study, provide written informed consent, abide by the study restrictions, and agree to return for the required assessments.

Exclusion criteria

1. Human immunodeficiency virus (HIV) infection, or hepatitis or other ongoing infectious disease
2. Evidence of alcohol abuse (greater than 4 units of alcohol on most days; 1 unit = 1/2 pint of beer, 1 glass of wine or 1 oz. of spirits). Alcohol consumption should be avoided for at least 24 hours prior to baseline/dosing visit. A positive alcohol breathalyzer at screening and baseline visit
3. Current abuse of illicit substances, using the Diagnostic and Statistical Manual (DSM) V definition of substance use disorder.
4. Current cigarette/tobacco smoker or use of other tobacco or nicotine products including ecigarettes or vaping (if formerly a smoker must not have smoked for at least one year prior to enrolling in this study). Nonsmoking will be confirmed by cotinine assay.
5. Currently pregnant, planning to become pregnant during the course of the study, or nursing mother
6. Impaired renal function (GFR < 90 ml/min)
7. Elevated systolic blood pressure (> 130 mmHg) or diastolic blood pressure (> 80 mmHg) and/or increased QTc (>450 msec for men or >470 msec for women) or additional risk factors for Torsades de Pointes including heart failure, hypokalemia, family history of Long QT Syndrome
8. Type I or Type II diabetes
9. Malignancy in the last 5 years, with the exception of nonmetastatic basal cell or squamous cell carcinoma of the skin or localized carcinoma in situ of the cervix
10. Currently taking prescription (except as listed in Section 7.4.1) or over-the-counter medications including herbal therapies, within 14 days of enrollment into the study.
11. History of allergy or sensitivity, or intolerance to NMDAR ligands including ketamine, dextromethorphan, memantine, methadone, dextropropoxyphene, or ketobemidone
12. Received another investigational drug or device within 30 days of enrollment in this study
13. Previously participated in this study
14. Psychiatric disease including major depression, bipolar disorder, anxiety, or schizophrenia, or other medical condition that, in the opinion of the Investigator, would interfere with the evaluation of study drug safety
15. For subjects in lumbar catheter Groups (6 and 7) has a history of excessive bleeding after invasive procedures or surgery or known coagulation or platelet abnormality, or has been on any blood thinner or medication affecting platelet function, such as aspirin, nonsteroidal anti-inflammatory medications, corticosteroids (except topical) or warfarin within the 7 days prior to enrollment, or has known allergy to any anesthetic agent that may be used for the lumbar puncture.
16. For subjects in lumbar catheter Groups (6 and 7) has a history of infection that required IV antibiotics within the 45 days or oral antibiotics within 30 days prior to enrollment, and, at the time of clinic admission, be febrile or have signs/symptoms consistent with an infection.
17. For subjects in lumbar catheter Groups (6 and 7) has a history of or physical examination evidence of a lumbar spine abnormality that may preclude placement of a spinal catheter, presence of intraspinal shunt devices (e.g. ventriculoperitoneal shunt), or history of elevated intracranial pressure, normal pressure hydrocephalus, or other neurological condition that in the opinion of the Investigator precludes safe study participation.
18. In the opinion of the Investigator, the Safety Monitor, or the Sponsor Study Monitor, has a history of severe renal or hepatic impairment, severe active hepatic disease, or other clinically significant medical condition that may preclude safe study participation.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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18 participants in 12 patient groups, including a placebo group

GATE-101, 5 mg IV, Single Dose

Experimental group

Description:

GATE-101, 5 mg IV, Single Dose, with follow up of 28 days

Treatment:

Drug: GATE-101

GATE-101, 15 mg IV, Single Dose

Experimental group

Description:

GATE-101, 15 mg IV, Single Dose, with follow up of 28 days

Treatment:

Drug: GATE-101

GATE-101, 50 mg IV, Single Dose

Experimental group

Description:

GATE-101, 50 mg IV, Single Dose, with follow up of 28 days

Treatment:

Drug: GATE-101

GATE-101, 150 mg IV, Single Dose

Experimental group

Description:

GATE-101, 150 mg IV, Single Dose, with follow up of 28 days

Treatment:

Drug: GATE-101

GATE-101, 450 mg IV, Single Dose

Experimental group

Description:

GATE-101, 450 mg IV, Single Dose, with follow up of 28 days

Treatment:

Drug: GATE-101

GATE-101, 15 mg IV, Single Dose, Lumbar Catheter

Experimental group

Description:

GATE-101, 15 mg IV, Single Dose, with Lumbar Catheter for collection of cerebrospinal fluid (CSF) PK samples, with follow up of 28 days

Treatment:

Drug: GATE-101

GATE-101, 50 mg IV, Single Dose, Lumbar Catheter

Experimental group

Description:

GATE-101, 50 mg IV, Single Dose, with Lumbar Catheter for collection of cerebrospinal fluid (CSF) PK samples, with follow up of 28 days

Treatment:

Drug: GATE-101

GATE-101 5 mg IV, Five Daily Doses

Experimental group

Description:

GATE-101 5 mg IV, Five Daily Doses, with follow up for 28 days from first dose

Treatment:

Drug: GATE-101

GATE-101 15 mg IV, Five Daily Doses

Experimental group

Description:

GATE-101 15 mg IV, Five Daily Doses, with follow up for 28 days from first dose

Treatment:

Drug: GATE-101

GATE-101 150 mg IV, Five Daily Doses

Experimental group

Description:

GATE-101 150 mg IV, Five Daily Doses, with follow up for 28 days from first dose

Treatment:

Drug: GATE-101

Placebo Comparator, Single Dose

Placebo Comparator group

Description:

Placebo Comparator, Single Dose, with follow up for 28 days

Treatment:

Drug: GATE-101

Placebo Comparator, Five Daily Doses

Placebo Comparator group

Description:

Placebo Comparator, Five Daily Doses, with follow up for 28 days from first dose

Treatment:

Drug: GATE-101