Crossover Study to Evaluate the ECG Effects of Telaglenastat in Adults

  • Research type

    Research Study

  • Full title

    A Three-Way Crossover Study to Evaluate the ECG Effects of Telaglenastat in Healthy Adult Subjects

  • IRAS ID

    286709

  • Contact name

    Sunu Valasseri

  • Contact email

    sunu.valasseri@celerion.com

  • Sponsor organisation

    Calithera Biosciences, Inc.

  • Eudract number

    2020-003189-38

  • Duration of Study in the UK

    0 years, 2 months, 16 days

  • Research summary

    Summary of Research
    Telaglenastat (also known as CB-839) is an investigational drug for the treatment of certain types of cancer. It has been tested in clinical studies up to a dose of 1000 mg three times a day in fasting state and 1000 mg two times a day in fed state.
    The main purpose of the study is to assess the effects of telaglenastat on the electrical activity of the heart.
    This will be a multiple-dose, randomized, double-blind (with respect to telaglenastat and placebo (dummy drug)), placebo- and positive( moxifloxacin will be used as positive control drug)-controlled, 3-way crossover thorough QT (TQT) study in healthy adult subjects.
    The study will have three treatment periods separated by 5 days. The three treatments are described as below.
    Treatment A:(Therapeutic dose)
    800 mg telaglenastat (4 x 200 mg tablets) administered twice daily (BID) on Days 1-3, with a single dose administered on the morning of Day 4.

    Treatment B:(Placebo control)
    Telaglenastat matching placebo (4 x matching placebo tablets) administered BID on Days 1-3, with a single dose administered on the morning of Day 4.

    Treatment C:(Positive control)
    Single dose of 400 mg moxifloxacin (1 x 400 mg tablet) administered on the morning of Day 4.

    All study drugs will be administered following a high-fat meal. All study drugs will be administered orally with approximately 240 mL of water.

    Screening of subjects will occur within 28 days prior to the first dosing.
    Thirty (30) healthy adult male and female subjects will be enrolled.

    In Treatments A and B, subjects will receive the assigned treatment on Day 1 through the morning of Day 4. In Treatment C, subjects will receive a single-dose administration of moxifloxacin in the morning of Day 4. There will be a washout period of at least 5 days between the last dose of a period and the first dose of the next period.

    Summary of Results
    Telaglenastat (also known as CB-839) is a potent inhibitor of the enzyme glutaminase. It is being developed for the treatment of cancer in humans. To support this development, the cardiovascular safety of the compound is being evaluated in this study in 30 healthy adult male and female subjects. Regulatory guidance has emphasized the need to obtain clear robust data on the effect of new chemical entities on the heart rate and electrocardiogram (ECG). The therapeutic dose of 800 mg telaglenastat or placebo twice a day was administered to healthy human subjects for 3 days, after which the ECG was evaluated in each subject. Telaglenastat at the studied dose had no clinically relevant effect on heart rate. No clinically significant ECG changes were observed

  • REC name

    HSC REC B

  • REC reference

    20/NI/0094

  • Date of REC Opinion

    13 Aug 2020

  • REC opinion

    Favourable Opinion