PMID- 38204407 OWN - NLM STAT- MEDLINE DCOM- 20240305 LR - 20240305 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 26 IP - 4 DP - 2024 Apr TI - First-in-human study of CPL207280, a novel G-protein-coupled receptor 40/free fatty acid receptor 1 agonist, in healthy volunteers after single and multiple administration. PG - 1376-1385 LID - 10.1111/dom.15439 [doi] AB - AIM: To assess the safety, tolerability and pharmacokinetic (PK) profile of single and multiple doses of CPL207280, a new G-protein-coupled receptor 40 agonist developed to treat type 2 diabetes (T2D). METHODS: The phase 1 study in healthy volunteers (White, age 18-55 years, body mass index 18.5-29.9 kg/m(2) ) was performed after single (24 subjects, 5-480 mg) and multiple (32 subjects, 60-480 mg) once-daily administration of CPL207280. The effect of food intake and interaction with metformin were evaluated in additional cohort (12 subjects, 120 mg). The primary objective was the safety and tolerability of CPL207280. Secondary objectives included PK and pharmacodynamic (PD) characteristics (glucose, insulin, C-peptide, proinsulin, glucagon levels) observed during the 14-day treatment period. RESULTS: No deaths or serious adverse events (AEs) were reported. All reported AEs were classified as unrelated to the study product. No clinically significant differences in safety parameters were observed between cohorts and no food or metformin effect on safety parameters was identified. The ascending dose of CPL207280 caused an increase in the PK parameters maximum observed plasma concentration (C(max) ) or area under the plasma concentration-time curve up to 24 h. However, dose-normalized C(max) decreased with ascending dose. There was no relationship between the CPL207280 dose or prandial state and terminal elimination half-life and terminal elimination rate constant. No clear relationship between CPL207280 dose and PD area under the effect curve values was observed. CONCLUSIONS: CPL207280 was found to be safe and well tolerated by healthy volunteers (with a low risk of hepatotoxicity) for up to 14 days of administration. The PK profile of CPL207280 supports single-daily administration and justifies further development of this therapy for patients with T2D. CI - (c) 2024 Celon Pharma. Diabetes, Obesity and Metabolism published by John Wiley & Sons Ltd. FAU - Bazydlo-Guzenda, Katarzyna AU - Bazydlo-Guzenda K AUID- ORCID: 0000-0002-7970-3926 AD - R&D Center, Celon Pharma S.A., Kazun Nowy, Poland. FAU - Jarus-Dziedzic, Katarzyna AU - Jarus-Dziedzic K AD - BioResearch Group, Clinical Site, Kajetany, Poland. FAU - Gierczak-Pachulska, Agnieszka AU - Gierczak-Pachulska A AUID- ORCID: 0009-0005-6508-5759 AD - R&D Center, Celon Pharma S.A., Kazun Nowy, Poland. FAU - Buda, Pawel AU - Buda P AUID- ORCID: 0000-0002-1304-6871 AD - R&D Center, Celon Pharma S.A., Kazun Nowy, Poland. FAU - Rudzki, Piotr J AU - Rudzki PJ AUID- ORCID: 0000-0002-4622-4849 AD - R&D Center, Celon Pharma S.A., Kazun Nowy, Poland. FAU - Bus-Kwasnik, Katarzyna AU - Bus-Kwasnik K AUID- ORCID: 0000-0003-4484-7142 AD - Lukasiewicz Research Network, Industrial Chemistry Institute, Warsaw, Poland. FAU - Juszczyk, Ewelina AU - Juszczyk E AUID- ORCID: 0000-0001-5629-5635 AD - R&D Center, Celon Pharma S.A., Kazun Nowy, Poland. FAU - Tratkiewicz, Ewa AU - Tratkiewicz E AD - R&D Center, Celon Pharma S.A., Kazun Nowy, Poland. FAU - Rabczenko, Daniel AU - Rabczenko D AUID- ORCID: 0000-0002-9746-2003 AD - CleanDataLabs, Warsaw, Poland. FAU - Segiet-Swiecicka, Agnieszka AU - Segiet-Swiecicka A AUID- ORCID: 0000-0001-7978-3893 AD - CleanDataLabs, Warsaw, Poland. FAU - Wieczorek, Maciej AU - Wieczorek M AD - R&D Center, Celon Pharma S.A., Kazun Nowy, Poland. LA - eng GR - POIR.01.01.01-00-0334/17-00/Narodowe Centrum Badan i Rozwoju/ PT - Journal Article DEP - 20240111 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Fatty Acids, Nonesterified) RN - 0 (CPL207280) RN - 9100L32L2N (Metformin) RN - 0 (Caproates) SB - IM MH - Humans MH - Adolescent MH - Young Adult MH - Adult MH - Middle Aged MH - Fatty Acids, Nonesterified MH - *Diabetes Mellitus, Type 2/drug therapy MH - Healthy Volunteers MH - Area Under Curve MH - *Metformin/adverse effects MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - *Caproates OTO - NOTNLM OT - GPR40/FFAR1 OT - drug development OT - pharmacodynamics OT - pharmacokinetics OT - phase I-II study OT - type 2 diabetes EDAT- 2024/01/11 07:42 MHDA- 2024/03/05 06:47 CRDT- 2024/01/11 03:51 PHST- 2023/12/11 00:00 [revised] PHST- 2023/09/13 00:00 [received] PHST- 2023/12/18 00:00 [accepted] PHST- 2024/03/05 06:47 [medline] PHST- 2024/01/11 07:42 [pubmed] PHST- 2024/01/11 03:51 [entrez] AID - 10.1111/dom.15439 [doi] PST - ppublish SO - Diabetes Obes Metab. 2024 Apr;26(4):1376-1385. doi: 10.1111/dom.15439. Epub 2024 Jan 11.