新型选择性S1P1受体调节剂HE009的药代动力学、药效学和安全性研究

IF 4.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY
Jie Ding, Qian Zhang, Qin Yang, Qin Zhang, Sihui Tu, Yangyang Zuo, Zhiwei Yao, Peng Deng, Lin Tao, Liang Zheng, Hu Wei
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引用次数: 0

摘要

目的:研究新型选择性鞘氨醇-1-磷酸受体-1(S1P1)调节剂HE009在中国健康受试者体内的药代动力学、药效学和安全性。研究设计和方法:该随机、安慰剂对照的I期研究包括单次递增剂量(SAD, 0.05-4.0 mg)、多次递增剂量(MAD, 0.5-3.0 mg)、剂量滴定和食物效应成分。结果:HE009呈剂量比例暴露,tmax为4-6小时,tmax为16-24小时的t1/2,支持每日一次给药。第7天达到稳态,积累最少(1.7-2.0倍)。观察到明显的浓度-效应关系,最大淋巴细胞计数减少58% (SAD)和70-80% (MAD)。值得注意的是,HE009显示出良好的心脏安全性,通过剂量滴定可以缓解短暂的无症状心动过缓。在研究期间未观察到与高血压相关的事件。结论:这些研究结果表明,与现有的S1P受体调节剂相比,HE009在治疗系统性红斑狼疮等自身免疫性疾病方面具有潜在的疗效、安全性和剂量灵活性优势。试验注册:该试验已在中国临床试验注册中心注册,注册编号:ChiCTR2200066345),于2022年12月1日注册。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pharmacokinetics, pharmacodynamics, and safety of HE009, a novel selective S1P1 receptor modulator, in healthy Chinese subjects.

Objective: HE009,a novel selective sphingosine-1-phosphate receptor-1(S1P1) modulator, was evaluated in healthy Chinese subjects to assess itspharmacokinetics, pharmacodynamics, and safety profile.

Research design and methods: This randomized, placebo-controlled phase I studycomprised single ascending dose (SAD, 0.05-4.0 mg), multiple ascending dose(MAD, 0.5-3.0 mg), dose titration, and food effect components.

Results: HE009 exhibited dose-proportional exposure, with Tmaxof 4-6 hours and t1/2 of 16-24 hours, supporting once-daily dosing.Steady-state was achieved by day 7 with minimal accumulation (1.7-2.0 fold). Aclear concentration-effect relationship was observed, with maximum lymphocytecount reductions of 58% (SAD) and 70-80% (MAD). Notably, HE009 demonstrated afavorable cardiac safety profile, with transient, asymptomatic bradycardiamitigated by dose titration. No events related to hypertension were observedduring the study period.

Conclusion: Thesefindings suggest HE009 offers potential advantages in efficacy, safety, anddosing flexibility compared to existing S1P receptor modulators for treatingautoimmune disorders like systemic lupus erythematosus.

Trial registration: The trial was registered on the ChineseClinical Trial Registry, (Identifier No. ChiCTR2200066345), Registered December1, 2022.

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来源期刊
CiteScore
10.00
自引率
0.00%
发文量
71
审稿时长
6-12 weeks
期刊介绍: Expert Opinion on Investigational Drugs (ISSN 1354-3784 [print], 1744-7658 [electronic]) is a MEDLINE-indexed, peer-reviewed, international journal publishing review articles and original papers on drugs in preclinical and early stage clinical development, providing expert opinion on the scope for future development. The Editors welcome: Reviews covering preclinical through to Phase II data on drugs or drug classes for specific indications, and their potential impact on future treatment strategies Drug Evaluations reviewing the clinical and pharmacological data on a particular drug Original Research papers reporting the results of clinical investigations on agents that are in Phase I and II clinical trials The audience consists of scientists, managers and decision-makers in the pharmaceutical industry, and others closely involved in R&D.
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