Assessment of the Safety, Tolerability and Pharmacokinetics of AV078 in Healthy Volunteers

Last updated: March 24, 2025
Sponsor: Aeovian Pharmaceuticals, Inc.
Overall Status: Completed

Phase

1

Condition

N/A

Treatment

Placebo

Itraconazole

Midazolam

Clinical Study ID

NCT06205381
CL-078-101
  • Ages 18-65
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

This Phase 1 study in healthy adult volunteers is planned to evaluate the safety, tolerability, and pharmacokinetics (PK) of AV078, a selective inhibitor of mammalian target of rapamycin complex 1 (mTORC1).

The study will begin with a standard exploration of safety and tolerability in sequential single ascending dose (SAD) and multiple ascending dose (MAD) cohorts. Subsequent cohorts will collect PK data to evaluate food effects and potential drug-drug interactions relevant to AV078.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Healthy male or female as determined by medical evaluation including medicalhistory, psychiatric history, and no clinically significant findings on physicalexamination, laboratory tests, and cardiac monitoring. Slight excursions outside ofnormal limits may be allowed provided they are considered not clinically significantby the investigator.

  2. Ages 18-65 years (inclusive), at the time of consent.

  3. At least 45 kg with a body mass index (BMI; Quetelet index) in the range 18.0-32.0,at screening.

  4. Sufficient intelligence to understand the nature of the trial and any hazards ofparticipating in it. Ability to communicate satisfactorily with the investigator andto participate in, and comply with the requirements of, the entire trial.

  5. Willingness to give written consent to participate after reading the information andconsent form, and after having the opportunity to discuss the trial with theinvestigator or their delegate.

  6. Agree not to donate blood or blood products during the study and for up to 3 monthsafter the last administration of the trial medication.

  7. Have received at least 2 doses of the COVID vaccine (1 dose of the Janssen-Cilagvaccine is acceptable).

Exclusion

Key Exclusion Criteria:

  1. Current, or past history of any clinically significant mental or physical illness orcondition that the Investigator concludes would create significant concern forparticipation in the study.

  2. Surgery (eg stomach bypass) or medical condition that might affect absorption ofmedicines (cholecystectomy is allowed).

  3. Presence or history of severe adverse reaction to any drug or a history ofsensitivity to midazolam (Part E only), fexofenadine (Part E only) and itraconazole (Part D only), or any excipients in the tablets/solutions.

  4. History of relevant atopy including any confirmed significant allergic reactionsagainst any drug, or multiple drug allergies (non-active hay fever is acceptable)

  5. History of suicidal behaviour or express or have any suicidal ideation on the C-SSRSat screening or admission.

  6. Employee of the Sponsor, the CRO and/or study site or their relatives.

  7. Unable or unwilling to eat a high-fat breakfast per study requirements (Part Conly).

Study Design

Total Participants: 89
Treatment Group(s): 5
Primary Treatment: Placebo
Phase: 1
Study Start date:
January 31, 2024
Estimated Completion Date:
February 08, 2025

Study Description

This Phase 1 study in healthy adult volunteers is planned to evaluate the safety, tolerability, and pharmacokinetics (PK) of AV078, a selective inhibitor of mammalian target of rapamycin complex 1 (mTORC1). The study will additionally explore the relationship between AV078 and pharmacodynamic biomarkers related to mTOR.

The study will begin with a standard exploration of safety and tolerability in sequential single ascending dose (SAD) and multiple ascending dose (MAD) cohorts, incorporating reviews by a dedicated Safety Review Group to guide dose escalation decisions. The study will also include a cohort using a 2-way crossover design to evaluate food effects on the PK of AV078. The study will additionally include cohorts evaluating potential drug-drug-interactions (DDIs) using coadministration of index substrates and index perpetrators typically used in DDI studies of the relevant enzymes. Specifically, one DDI cohort will assess the effects of administration of itraconazole (a strong inhibitor of CYP3A4) on the PK of AV078, and an additional DDI cohort will assess the effects of administration of AV078 on the PK of midazolam (a sensitive probe substrate for CYP3A4) and fexofenadine (a probe substrate for P-gp).

Connect with a study center

  • Q-Pharm

    Herston, Queensland 4006
    Australia

    Site Not Available

  • Nucleus Network Pty Ltd

    Melbourne, Victoria 3220
    Australia

    Site Not Available

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