1. Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of SPH3127: A Phase I, Randomized, Double-Blind, Placebo-Controlled Trial.
- Author
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Jing S, Xu R, Yang K, Liu W, Zhang L, Ke Y, Xia G, and Lin Y
- Subjects
- Area Under Curve, Dose-Response Relationship, Drug, Double-Blind Method, Humans, Morpholines adverse effects, Morpholines pharmacokinetics
- Abstract
Purpose: To evaluate the pharmacokinetics, pharmacodynamics, safety, and tolerability of single- and multiple-dose SPH3127 in healthy individuals., Methods: This was a randomized, double-blind, placebo-controlled, Phase I dose-escalation study., Findings: SPH3127 exposure, expressed as C
max , AUC0-t , and AUC0-∞ , was proportionally increased with dose for a range of 25-800 mg (single ascending dose [SAD]) and 100-400 mg daily (multiple ascending doses [MADs]). In an SAD, the Cmax values with 25, 50, 100, 200, 400, and 800 mg of SPH3127 were 90.67, 344.50, 523.50, 1239.50, 2445.00, and 5753.33 ng/mL, respectively. The corresponding AUC0-t values were 294.48, 843.62, 1109.33, 2858.56, 6697.50, and 13057.83 h × ng/mL. In MADs, after the first dose of SPH3127, the Cmax values with 100, 200, and 400 mg of SPH3127 were 421.50, 969.00, and 2468.33 ng/mL, respectively. The corresponding AUC0-t values were 1279.28, 2275.77, and 5934.26 h × ng/mL. At steady state, the Cmax values with 100, 200, and 400 mg of SPH3127 were 514.67, 1419.17, and 2513.33 ng/mL, respectively. The corresponding AUC0-24 values were 1638.14, 3096.20, and 7577.70 h × ng/mL. The median Tmax range from 0.33 to 1.0 h and the median t1/2 from 3 to 4 h. In an SAD, when the dose was >100 mg, plasma renin activity inhibition of up to 90% lasted up to 24 h. In MADs, renin activity was continuously inhibited by up to 90% in each group for 24 h after the last administration. Treatment-emergent adverse events (AEs) were reported in 29.2% of individuals receiving the SAD and 33.3% of those receiving MADs. Only mild adverse events occurred., Implications: SPH3127 was well tolerated and had robust and sustained suppression of plasma renin activity. CLINICALTRIALS., Gov Identifiers: NCT03128138 (SAD study) and NCT03255993 (MAD study)., Competing Interests: DISCLOSURES The authors have indicated that they have no conflicts of interest regarding the content of this article., (Copyright © 2021 Elsevier Inc. All rights reserved.)- Published
- 2021
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