Status:

TERMINATED

A First in Human, Dose Escalation Study to Evaluate the Safety and Tolerability of BBP-671 in Healthy Volunteers and Patients With Propionic Acidemia or Methylmalonic Acidemia

Lead Sponsor:

CoA Therapeutics, Inc., a BridgeBio company

Conditions:

Healthy Volunteers

Propionic Acidemia

Eligibility:

All Genders

15-55 years

Phase:

PHASE1

Brief Summary

The purpose of this study is to assess the safety, tolerability, PK and PD of BBP-671 in healthy volunteers and patients with Propionic Acidemia or Methylmalonic Acidemia.

Detailed Description

This is the first-in-human study with BBP-671 and is designed to provide healthy subjects single- and multiple-dose and patient multidose safety, tolerability, PK, and PD data regarding BBP-671 for fu...

Eligibility Criteria

Inclusion

  • Inclusion Criteria (Healthy Volunteers):
  • Subject is male or female 18 to 55 yrs old
  • Subject has a BMI 18 to 32 kg/m\^2
  • Female and male subjects must use effective method of birth control
  • Female subjects must have negative pregnancy test prior to first dose of study drug
  • Subject must not have any clinically significant history or presence of ECG findings
  • Subject must be in good general health
  • Inclusion Criteria (PA or MMA Patients):
  • Patient is male or female 15 to 55 yrs old
  • Patient has a BMI 18 to 32 kg/m\^2
  • Female and male patients must use effective method of birth control
  • Female patients must have negative pregnancy test prior to first dose of study drug
  • Patient must have confirmed PA or MMA diagnosis
  • Patient with MMA must have elevated plasma MMA levels
  • Patient is willing to provide access to medical records for the last 6-12 months of care prior to study initiation
  • Patient is on consistent disease management and treatment regimen is stable for at least 30 days prior to study initiation.
  • Exclusion Criteria (Healthy Volunteers):
  • Subject has used prescription drugs (contraceptive medications are allowed) within 4 weeks before first dose of study drug or over-the-counter medication within 7 days of the first dose of study drug
  • Subject who is unable or unwilling to refrain from wearing contact lenses during participation in the study.
  • Subject has a history of dry eye or eye surgery, including radial keratotomy and LASIK surgery.
  • Subject who has taken the COVID-19 vaccine, the last vaccine dose must be at least 14 days prior to first dose of study drug.
  • Subject has abnormal laboratory test results
  • Subject has a baseline eGFR \<90 mL/minute
  • Subject has positive result for Hepatitis B, Hepatitis C, or HIV
  • Female subject is non-pregnant and non-lactating
  • Subject is a smoker or has used nicotine or nicotine-containing products
  • Subject has a history of alcohol or drug abuse within 12 months prior to first dose of study drug and/or has a positive result prior to dosing or throughout the study
  • Subject has donated blood or blood products \>450mL within 30 days prior to study drug dosing
  • Subject has a history of relevant drug or food allergies
  • Subject has received study drug in another investigational study within 30 days of dosing
  • Subject has undergone prior liver and/ or kidney transplant.
  • Exclusion Criteria (PA or MMA Patients):
  • Patient has used prescription drugs (contraceptive medications are allowed) within 4 weeks before first dose of study drug or over-the-counter medication within 7 days of the first dose of study drug that is not part of their PA or MMA disease management and treatment
  • Patient who has taken the COVID-19 vaccine, the last vaccine dose (or booster) must be at least 14 days prior to first dose of study drug.
  • Patient is unable or unwilling to refrain from wearing contact lenses during participation in the study.
  • Patient has a history of dry eye or eye surgery, including radial keratotomy and LASIK surgery.
  • Patient has clinically significant abnormal laboratory test results unrelated to PA or MMA
  • Patient has a baseline eGFR \<60 mL/minute
  • Patient has positive result for Hepatitis B, Hepatitis C, or HIV
  • Female patient is non-pregnant and non-lactating
  • Patient has a history of alcohol or drug abuse within 12 months prior to first dose of study drug and/or has a positive result prior to dosing or throughout the study
  • Patient has donated blood or blood products \>450mL within 30 days prior to study drug dosing
  • Patient has a history of relevant drug or food allergies
  • Patient has received study drug in another investigational study within 30 days of dosing
  • PA patient has undergone prior liver and/ or kidney transplant. Prior liver and/or kidney transplant is allowed for patients with MMA.
  • Patient has had a recent infection requiring system antibiotics within 4 weeks of Baseline or any active infection that precludes the patient from participation
  • Patient has Grade 3 or 4 heart failure according to the Modified Ross Heart Failure Classification for Children or the New York Heart Association.
  • Patient has been exposed to gene therapy for PA or MMA at any time prior to study entry.
  • Patient is currently taking sensitive CYP3A4 substrates (e.g., tacrolimus or sirolimus)

Exclusion

    Key Trial Info

    Start Date :

    March 25 2021

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    November 20 2023

    Estimated Enrollment :

    79 Patients enrolled

    Trial Details

    Trial ID

    NCT04836494

    Start Date

    March 25 2021

    End Date

    November 20 2023

    Last Update

    December 21 2023

    Active Locations (3)

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    Page 1 of 1 (3 locations)

    1

    Community Health Clinic

    Topeka, Indiana, United States, 46571

    2

    UPMC Children's Hospital of Pittsburg

    Pittsburgh, Pennsylvania, United States, 15224

    3

    PPD Development, LP

    Austin, Texas, United States, 78744