NCT04547361

Brief Summary

The primary objective of this study is to evaluate the safety, tolerability, and pharmacokinetic (PK) of E2511 following single ascending oral doses in healthy adult and elderly participants.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
45

participants targeted

Target at P50-P75 for phase_1 healthy-volunteers

Timeline
Completed

Started Sep 2020

Typical duration for phase_1 healthy-volunteers

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 7, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 14, 2020

Completed
Same day until next milestone

Study Start

First participant enrolled

September 14, 2020

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 26, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 26, 2021

Completed
Last Updated

July 12, 2021

Status Verified

January 1, 2021

Enrollment Period

8 months

First QC Date

September 7, 2020

Last Update Submit

July 7, 2021

Conditions

Keywords

E2511Healthy Participants

Outcome Measures

Primary Outcomes (25)

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Number of Participants Reporting one or More Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    From screening up to 28 days after last dose of study drug (up to 63 days)

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Number of Participants With Markedly Abnormal Laboratory Values

    From screening up to 28 days after last dose of study drug (up to 63 days)

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Number of Participants With Clinically Significant Change From Screening in Vital Signs Values

    From screening up to 28 days after last dose of study drug (up to 63 days)

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Number of Participants With Clinically Significant Change From Screening in Electrocardiograms (ECGs) Findings

    From screening up to 28 days after last dose of study drug (up to 63 days)

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Number of Participants With Treatment-emergent Suicidal Ideation or Suicidal Behavior as Measured Using Columbia-Suicide Severity Rating Scale (C-SSRS)

    The C-SSRS (mapped to Columbia Classification Algorithm of Suicide Assessment \[C-CASA\]) is an interview-based rating scale to systematically assess any suicidality, suicidal behavior, or suicidal ideation. Any suicidality is emergence of any suicidal ideation or suicidal behavior. Any suicidal behavior is indicated when response is "yes" for any these questions- actual attempt to suicide, engaged in non-suicidal self-injurious behavior, interrupted attempt, aborted attempt, preparatory acts. Any suicidal ideation is indicated when response is "yes" for any of these questions- wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with methods without intent to act or some intent to act, without specific plan or with specific plan and intent to suicide.

    From screening up to 28 days after last dose of study drug (up to 63 days)

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Number of Participants With Clinically Significant Change From Screening in Physical Examination Findings

    From screening up to 28 days after last dose of study drug (up to 63 days)

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Number of Participants With Clinically Significant Change From Screening in Neurological Exam Findings

    Cohorts 1, 2, 4, 5, 6, 7: Screening up to Day 1 (approximately 28 days); Cohort 3: Screening up to Day 7 (approximately 35 days)

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Number of Participants With Clinically Significant Change From Screening in Psychiatric Assessment

    Number of participants with clinically significant change in psychiatric assessment will be evaluated by a psychiatrist as a measure of mental health assessment.

    From screening up to 28 days after last dose of study drug (up to 63 days)

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Number of Participants With Clinically Significant Change From Screening in Electroencephalogram (EEG) Measurements

    From screening up to Day 2 (approximately 30 days)

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Maximum Observed Plasma Concentration (Cmax) for E2511 on Day 1

    Day 1: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohort 3: Maximum Observed Plasma Concentration (Cmax) for E2511 on Day 7

    Day 7: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Time to Reach Cmax (tmax) for E2511 on Day 1

    Day 1: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohort 3: Time to Reach Cmax (tmax) for E2511 on Day 7

    Day 7: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Area Under the Plasma Concentration-time Curve (AUC(0-t)) From Time Zero to the Last Quantifiable Plasma Concentration for E2511 on Day 1

    Day 1: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohort 3: Area Under the Plasma Concentration-time Curve (AUC(0-t)) From Time Zero to the Last Quantifiable Plasma Concentration for E2511 on Day 7

    Day 7: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Area Under the Plasma Concentration-time Curve (AUC(0-inf)) From Time Zero to Infinity for E2511 on Day 1

    Day 1: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohort 3: Area Under the Plasma Concentration-time Curve (AUC(0-inf)) From Time Zero to Infinity for E2511 on Day 7

    Day 7: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Area Under the Plasma Concentration-time Curve (AUC(0-24)) From Time Zero to 24 Hours Postdose for E2511 on Day 1

    Day 1: pre-dose up to a potential maximum of 24 hours post-dose

  • Cohort 3: Area Under the Plasma Concentration-time Curve (AUC(0-24)) From Time Zero to 24 Hours Postdose for E2511 on Day 7

    Day 7: pre-dose up to a potential maximum of 24 hours post-dose

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Terminal Elimination Phase Half-Life (t1/2) for E2511 on Day 1

    Day 1: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohort 3: Terminal Elimination Phase Half-Life (t1/2) for E2511 on Day 7

    Day 7: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Apparent Total Clearance (CL/F) for E2511 on Day 1

    Day 1: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohort 3: Apparent Total Clearance (CL/F) for E2511 on Day 7

    Day 7: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohorts 1, 2, 3, 4, 5, 6, 7: Apparent Volume of Distribution at Terminal Phase (Vz/F) for E2511 on Day 1

    Day 1: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohort 3: Apparent Volume of Distribution at Terminal Phase (Vz/F) for E2511 on Day 7

    Day 7: pre-dose up to a potential maximum of 120 hours post-dose

Secondary Outcomes (7)

  • Cohort 3: Geometric Mean Ratio of Cmax Between the Fasted and Fed State for E2511 20 mg

    Days 1 and 7: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohort 3: Geometric Mean Ratio of AUC(0-t) Between the Fasted and fed State for E2511 20 mg

    Days 1 and 7: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohort 3: Geometric Mean Ratio of AUC(0-inf) Between the Fasted and fed State for E2511 20 mg

    Days 1 and 7: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohort 3 and Cohort 7: Geometric Mean Ratio of Cmax Between the Healthy Elderly and Adult Participants for E2511 20 mg

    Cohort 3: Days 1 and 7: pre-dose up to a potential maximum of 120 hours post-dose; Cohort 7: Day 1: pre-dose up to a potential maximum of 120 hours post-dose

  • Cohort 3 and Cohort 7: Geometric Mean Ratio of AUC(0-t) Between the Healthy Elderly and Adult Participants for E2511 20 mg

    Cohort 3: Days 1 and 7: pre-dose up to a potential maximum of 120 hours post-dose; Cohort 7: Day 1: pre-dose up to a potential maximum of 120 hours post-dose

  • +2 more secondary outcomes

Study Arms (7)

Cohort 1: Dose 1 E2511 or Placebo

EXPERIMENTAL

Participants will receive Dose 1 of E2511 or E2511 matched placebo, tablets, orally, once on Day 1 under fasted condition.

Drug: E2511Drug: E2511 Matched Placebo

Cohort 2: Dose 2 E2511 or Placebo

EXPERIMENTAL

Participants will receive Dose 2 of E2511 or E2511 matched placebo, tablets, orally, once on Day 1 under fasted condition.

Drug: E2511Drug: E2511 Matched Placebo

Cohort 3: Dose 3 E2511 or Placebo

EXPERIMENTAL

Participants will receive Dose 3 of E2511 or E2511 matched placebo, tablets, orally, once on Day 1 (Treatment Period 1) under fasted condition followed by Dose 3 of E2511 or E2511 matched placebo, tablets, orally, once on Day 7 (Treatment Period 2) under fed condition. A washout period of 6 days will be maintained between the doses.

Drug: E2511Drug: E2511 Matched Placebo

Cohort 4: Dose 4 E2511 or Placebo

EXPERIMENTAL

Participants will receive Dose 4 of E2511 or E2511 matched placebo, tablets, orally, once on Day 1 under fasted condition.

Drug: E2511Drug: E2511 Matched Placebo

Cohort 5: Dose 5 E2511 or Placebo

EXPERIMENTAL

Participants will receive Dose 5 of E2511 or E2511 matched placebo, tablets, orally, once on Day 1 under fasted condition.

Drug: E2511Drug: E2511 Matched Placebo

Cohort 6: Dose 6 E2511 or Placebo

EXPERIMENTAL

Participants will receive Dose 6 of E2511 or E2511 matched placebo, tablets, orally, once on Day 1 under fasted condition.

Drug: E2511Drug: E2511 Matched Placebo

Cohort 7: Dose 3 E2511 (Elderly Participants) or Placebo

EXPERIMENTAL

Elderly participants will receive Dose 3 of E2511 or E2511 matched placebo, tablets, orally, once on Day 1 under fasted condition.

Drug: E2511Drug: E2511 Matched Placebo

Interventions

E2511DRUG

E2511 tablets.

Cohort 1: Dose 1 E2511 or PlaceboCohort 2: Dose 2 E2511 or PlaceboCohort 3: Dose 3 E2511 or PlaceboCohort 4: Dose 4 E2511 or PlaceboCohort 5: Dose 5 E2511 or PlaceboCohort 6: Dose 6 E2511 or PlaceboCohort 7: Dose 3 E2511 (Elderly Participants) or Placebo

Placebo tablets matching E2511 tablets.

Cohort 1: Dose 1 E2511 or PlaceboCohort 2: Dose 2 E2511 or PlaceboCohort 3: Dose 3 E2511 or PlaceboCohort 4: Dose 4 E2511 or PlaceboCohort 5: Dose 5 E2511 or PlaceboCohort 6: Dose 6 E2511 or PlaceboCohort 7: Dose 3 E2511 (Elderly Participants) or Placebo

Eligibility Criteria

Age18 Years - 85 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Non-smoking, age greater than or equal to (\>=) 18 years and less than (\<) 55 years old adult male or female (Cohorts 1 - 6) or age \>=65 years and less than or equal to (\<=) 85 years old elderly male or female (Cohort 7) at the time of informed consent
  • Weight of at least 50 kilogram (kg) and body mass index \>=18 and \<30 kilogram per square meter (kg/m\^2) at Screening

You may not qualify if:

  • Males who have not had a successful vasectomy (confirmed azoospermia) or they and their female partners do not meet the criteria (that is, not of childbearing potential or practicing highly effective contraception throughout the study period plus 90 days after study drug discontinuation). No sperm donation is allowed during the study period plus 90 days after discharge from the study.
  • Females who are breastfeeding or pregnant at Screening or Baseline
  • Females of childbearing potential who:
  • Within 28 days before study entry, did not use a highly effective method of contraception,
  • Do not agree to use a highly effective method of contraception (as described above) throughout the entire study period and for 28 days after study drug discontinuation.
  • Clinically significant illness that requires medical treatment within 8 weeks or a clinically significant infection that requires medical treatment within 4 weeks of dosing
  • Evidence of disease that may influence the outcome of the study within 4 weeks before dosing
  • Evidence of disease related to chronic headaches, migraines, joint pain or other disorders or disease resulting in chronic or intermittent pain within 4 weeks before dosing
  • Any personal or family history of seizures (including febrile seizures) or diagnosis of epilepsy or episode of unexplained loss of consciousness
  • Any history of neurological or other medical conditions which in the opinion of the investigator has the potential to reduce seizure threshold
  • Any epileptiform discharges in EEG at Screening
  • A prolonged QT/ QT interval corrected for heart rate (QTc) interval \>450 millisecond \[ms\]) A history of risk factors for torsade de pointes
  • History of prolonged QT/QTc interval
  • Left bundle branch block
  • History of myocardial infarction or active ischemic heart disease
  • +3 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Worldwide Clinical Trials

San Antonio, Texas, 78217, United States

Location

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 7, 2020

First Posted

September 14, 2020

Study Start

September 14, 2020

Primary Completion

May 26, 2021

Study Completion

May 26, 2021

Last Updated

July 12, 2021

Record last verified: 2021-01

Data Sharing

IPD Sharing
Will share

Eisai's data sharing commitment and further information on how to request data can be found on our website http://eisaiclinicaltrials.com/.

Locations