Title

Phase I, Escalating, Multiple-Dose, ST-246 Safety, Tolerability and Pharmacokinetics 21-Day Trial in Healthy Volunteers
Double-blind, Randomized, Placebo-controlled, Escalating, Multiple-dose, Phase I Trial to Assess Safety, Tolerability and Pharmacokinetics of ST-246 Administered as a Single Daily Dose for 21 Days in Healthy, Non-fasted Volunteers
  • Phase

    Phase 1
  • Study Type

    Interventional
  • Intervention/Treatment

    tecovirimat ...
  • Study Participants

    30
The purpose of this study was to assess the safety, tolerability, and pharmacokinetics of a single, daily, oral dose of ST-246 (either 250, 400 or 800mg) administered for 21 days to 30 healthy, fed volunteers.
This was a double-blind, placebo-controlled, dose-escalating, multiple-dose study of orally administered ST-246 to 30 healthy volunteers ages 18-50 years, randomized to receive either active drug (8 subjects) or placebo (2 subjects) in 1 of 3 dosing groups (250, 400 or 800mg groups). Each dose group of 10 was divided into two cohorts of 5 subjects (4 active and 1 placebo). The first cohort was dosed approximately 4-8 weeks before the second cohort of each dose group. Dose groups completed the study treatment approximately 5 weeks prior to the start of the following dose group. Study procedures included several overnight stays, medical history/exam, laboratory testing done by blood draw, and electrocardiograms.
Study Started
Feb 28
2007
Primary Completion
Feb 29
2008
Study Completion
Feb 29
2008
Results Posted
May 07
2010
Estimate
Last Update
Jul 27
2017

Drug ST-246

250 mg, 400 mg or 800 mg capsules given once daily for 21 days

  • Other names: Tecovirimat

Drug Placebo

Capsules to match experimental drug

  • Other names: Placebo to match ST-246

ST-246 Experimental

250 mg, 400 mg or 800 mg of ST-246 given once daily for 21 days

placebo Placebo Comparator

Placebo to match ST-246

Criteria

Subject Inclusion Criteria:

Healthy volunteers
Ability to Consent
Not taking any other medication
Adequate venous access
Using adequate birth control

Subject Exclusion Criteria:

Inability to swallow study medication.
Pregnant or breastfeeding
Received experimental drug within 30 days of study entry or will participate in any experimental study during the study period.
Current drug abuse, alcohol abuse, or homelessness.
Taking concomitant medication
Lactose Intolerance
Medical condition; e.g., asthma, diabetes, thyroid disease, angioedema, BMI >35 or <18, hypertension, bleeding disorder, malignancy, seizure, neutropenia, Hepatitis B or C, HIV or AIDS.
Any condition, occupational reason or other responsibility that, in the judgment of the Investigator, would jeopardize the safety or rights of a volunteer, or render the subject unable to comply with the protocol

Summary

ST-246 250 mg

ST-246 400mg

ST-246 800 mg

Placebo

All Events

Event Type Organ System Event Term ST-246 250 mg ST-246 400mg ST-246 800 mg Placebo

Number of Study Participants Who Tolerated ST-246 (250, 400 or 800mg) as Determined by Changes in Safety Parameters, According to the Division of Acquired Immunodeficiency Syndrome (DAIDS) Adverse Events (AE) Grading Table

Evaluated safety parameters included: physical examination/vital signs electrocardiograms (heart rate, PR interval, QRS duration, QT interval, and QTc Bazett) laboratory safety tests (hematology, chemistry, urinalysis) adverse events (AEs) For a)-c), statistical values (mean, standard deviation, median, minimum, maximum) and changes from baseline (Day 1 pre-dose) to each time-point, were compared to laboratory normal reference ranges. If values for a)-d) were a Grade 3 or higher (in DAIDS AE Table)and ST-246-related, they were considered severe and significant, respectively.

ST-246 250 mg

8.0
Participants

ST-246 400mg

8.0
Participants

ST-246 800 mg

7.0
Participants

Placebo

6.0
Participants

Evaluation of Pharmacokinetic Parameters to Assess Interventions: Cmax

Cmax: Maximum drug concentration in plasma determined directly from individual concentration-time data

ST-246 250 mg

985.0
ng/mL (Mean)
Standard Deviation: 346

ST-246 400mg

1392.0
ng/mL (Mean)
Standard Deviation: 411

ST-246 800 mg

2279.0
ng/mL (Mean)
Standard Deviation: 395

Placebo

Evaluation of Pharmacokinetic Parameters to Assess Interventions: Cmax

Cmax: Maximum drug concentration in plasma determined directly from individual concentration-time data

ST-246 250 mg

1212.0
ng/mL (Mean)
Standard Deviation: 350

ST-246 400mg

1298.0
ng/mL (Mean)
Standard Deviation: 277

ST-246 800 mg

2337.0
ng/mL (Mean)
Standard Deviation: 437

Placebo

Evaluation of Pharmacokinetic Parameters to Assess Interventions: Cmax

Cmax: Maximum drug concentration in plasma determined directly from individual concentration-time data

ST-246 250 mg

1101.0
ng/mL (Mean)
Standard Deviation: 378

ST-246 400mg

1457.0
ng/mL (Mean)
Standard Deviation: 451

ST-246 800 mg

2437.0
ng/mL (Mean)
Standard Deviation: 496

Placebo

Evaluation of Pharmacokinetic Parameters to Assess Interventions: Tmax

Tmax: Time to reach maximum drug concentration in plasma calculated from [plasma] versus time profiles.

ST-246 250 mg

3.0
hours (Mean)
Standard Deviation: 1.1

ST-246 400mg

3.3
hours (Mean)
Standard Deviation: 1.0

ST-246 800 mg

2.9
hours (Mean)
Standard Deviation: 1.3

Placebo

Evaluation of Pharmacokinetic Parameters to Assess Interventions: Tmax

Tmax: Time to reach maximum drug concentration in plasma calculated from [plasma] versus time profiles.

ST-246 250 mg

2.6
hours (Mean)
Standard Deviation: 1.2

ST-246 400mg

3.7
hours (Mean)
Standard Deviation: 2.1

ST-246 800 mg

3.6
hours (Mean)
Standard Deviation: 2.3

Placebo

Evaluation of Pharmacokinetic Parameters to Assess Interventions: Tmax

Tmax: Time to reach maximum drug concentration in plasma calculated from [plasma] versus time profiles.

ST-246 250 mg

2.9
hours (Mean)
Standard Deviation: 1.1

ST-246 400mg

2.7
hours (Mean)
Standard Deviation: 1.0

ST-246 800 mg

3.2
hours (Mean)
Standard Deviation: 1.3

Placebo

Evaluation of Pharmacokinetic Parameters to Assess Interventions: t½

t½: Observed terminal elimination half-life determined after the last dose on Day 21

ST-246 250 mg

18.8
hours (Mean)
Standard Deviation: 10.4

ST-246 400mg

19.9
hours (Mean)
Standard Deviation: 8.9

ST-246 800 mg

20.7
hours (Mean)
Standard Deviation: 8.4

Placebo

Evaluation of Pharmacokinetic Parameters to Assess Interventions: AUCtau

AUCtau: Area under the plasma concentration-time curve for each dosing interval (from time 0 to 24 hours sample) determined using the linear trapezoidal rule

ST-246 250 mg

9101.0
ng*hr/mL (Mean)
Standard Deviation: 3492

ST-246 400mg

13146.0
ng*hr/mL (Mean)
Standard Deviation: 3626

ST-246 800 mg

20959.0
ng*hr/mL (Mean)
Standard Deviation: 6091

Placebo

Evaluation of Pharmacokinetic Parameters to Assess Interventions: AUCtau

AUCtau: Area under the plasma concentration-time curve for each dosing interval (from time 0 to 24 hours sample) determined using the linear trapezoidal rule

ST-246 250 mg

11892.0
ng*hr/mL (Mean)
Standard Deviation: 4389

ST-246 400mg

15432.0
ng*hr/mL (Mean)
Standard Deviation: 4708

ST-246 800 mg

23352.0
ng*hr/mL (Mean)
Standard Deviation: 4696

Placebo

Evaluation of Pharmacokinetic Parameters to Assess Interventions: AUCtau

AUCtau: Area under the plasma concentration-time curve for each dosing interval (from time 0 to 24 hours sample) determined using the linear trapezoidal rule

ST-246 250 mg

10083.0
ng*hr/mL (Mean)
Standard Deviation: 2843

ST-246 400mg

16182.0
ng*hr/mL (Mean)
Standard Deviation: 5534

ST-246 800 mg

22684.0
ng*hr/mL (Mean)
Standard Deviation: 4579

Placebo

Evaluation of Pharmacokinetic Parameters to Assess Interventions: Ae(0-24)

Ae(0-24): Cumulative amount of drug excreted unchanged in urine over 24 hours (three 8-hour collection periods), determined on Days 1 and 21

ST-246 250 mg

0.041
mg (Mean)
Standard Deviation: 0.031

ST-246 400mg

0.11
mg (Mean)
Standard Deviation: 0.066

ST-246 800 mg

0.157
mg (Mean)
Standard Deviation: 0.048

Placebo

Evaluation of Pharmacokinetic Parameters to Assess Interventions: Ae(0-24)

Ae(0-24): Cumulative amount of drug excreted unchanged in urine over 24 hours (three 8-hour collection periods), determined on Days 1 and 21

ST-246 250 mg

0.049
mg (Mean)
Standard Deviation: 0.026

ST-246 400mg

0.108
mg (Mean)
Standard Deviation: 0.046

ST-246 800 mg

0.213
mg (Mean)
Standard Deviation: 0.165

Placebo

Total

30
Participants

Age, Continuous

33.9
years (Mean)
Standard Deviation: 8.8

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

ST-246 250 mg

ST-246 400mg

ST-246 800 mg

Placebo

Drop/Withdrawal Reasons

ST-246 250 mg

ST-246 400mg

ST-246 800 mg

Placebo