1Summary
1.1Background
Disease aetiology and available treatments
1.2Overviewofinvestigationalproduct
What is it? What’s it do? How’sit work? Administered how/
Similarity toother compounds
1.3Chemistry, Manufacturing and Controls
The IP has been manufactured in accordancewith Good Laboratory Practice(GLP) and Good
Manufacturing Practice (GMP) for toxicological andclinicalstudies respectively. The IP is produced utilising a process involving
1.4NonclinicalStudies
1.4.1Pharmacology
There are nofully validated animal models for XXXX. Noinvivoassessment of the efficacy ofIP has been conducted.
1.4.2Pharmacokinetics
Pharmacokineticstudieswere conducted in
1.4.3Toxicology
1.5Clinical Experience
As of the date of this Investigator’s Brochure, the IP has not been administered to humans.
1.6Development plan
Initial PhaseI investigations in healthy volunteers will be used to assessthesafety and tolerability of IP when administered weekly up to doses ofXX mg/kg. Data derived from preliminary pharmacokinetic information will be used to designa subsequent Phase Ib study …..
2Introduction
Overviewof targeted disease and indication
2.1Investigational product
2.2Rationale for clinical development
2.3Dose justification
Table 2-1: Safetyratios forsingleoraldoses
Human SingleDose / Rat NOAELXXmg/kg/day / DogNOAEL XXXmg/kg/day3Physical,ChemicalandPharmaceuticalPropertiesANDFormulation
Drug substance
The active pharmaceutical ingredient is
API isstructurally similar to (add info)
Table 3-1: Composition and characteristics of activeingredient
NAMEINTERNATIONAL NOMENCLATURE
SPONSORNAME
CAS NUMBER
STRUCTURE
MOLECULAR FORMULA
MOLECULAR WEIGHT
DESCRIPTION / EXAMPLE:IPISA SYNTHETICXXXX.THEACTIVEIS PRODUCEDIN A SINGLESTEPFROMXXXWITHA PURITY TYPICALLYGREATER THAN 99%.
IPISA WHITETOOFF-WHITECRYSTALLINE XXXXSALTWITH A PKA OFXX.THEMELTINGPOINTISAROUND XX°C. THEACTIVEHAS A WATER SOLUBILITYOFXXMG/ML(AT PH XX).
ODOUR
SOLUBILITY
PROPERTIES
3.1.1Manufacture
The active pharmaceutical ingredient XXX, is manufactured and purified through aseries of proprietary processing steps which have been validated and performed inaccordance with GLP/GMP under license at:
State name and address of manufacturer.
3.1.2Analysis and characterisation of IP
The identity of IPisconfirmed by HPLC and MS with a retention time of XXmin inchromatograms etc. Purity isconfirmed by XXX and analyticalassay.Impurities are assessed by …
3.1.3Stability
3.2Investigationalproduct
3.2.1Formulation
The clinical product is formulated in combinationwith the ingredients shown in Table 3-1 using a series of proprietary processing steps prior to sterilisationby XXX anddispensing into XXXX.IP is formulated to contain XX% active pharmaceutical ingredient.
Table 3-2: General investigational drugproduct Information
INGREDIENT / SPECIFICATION / PURPOSE / CONC (MG/ML)ACTIVE / BP/USP?? / ACTIVE
EXCIPIENT / EXCIPIENT
EXCIPIENT / EXCIPIENT
EXCIPIENT / EXCIPIENT
SOLUTE / SOLVENT
3.2.2Manufacturer
3.2.3Finaldosageform andpresentation
The IP is supplied in a 5mL glass vial and is formulated at XX%of API and stored at RT.
3.2.4Posology
Information on exact dose and dosing regimen is provided in the applicable approved study protocol.
3.2.5Containerandpackaging
5 mL glass vials are packaged in cartons of 5 …..and shipped under ambient conditions to the clinical trialsite.
3.2.6Storage andhandling
The vials areto be storedat RT [15°–30°C (59°–86°F)], protected from light in a secure area with limited access to appropriate pharmacists or studypersonnel.
3.2.7Stability
Current stability information utilising the GMP material has demonstrated that the IP isstable at RT for up to 12 months.
The stabilityprogram iscurrently ongoing.
3.3Development pharmaceutics
If required
4Non-clinicalstudies
NonclinicalPharmacology
4.1.1Summary
4.1.2InvitroPharmacology
4.1.2.1 Individual study summaries
4.1.3In vivo Pharmacology
4.1.3.1 Individual study summaries
Animal models for XXX have not been validated forthe prediction of XXXX efficacy in humans. In vivo
studiestoassessefficacy of XXX inXXX have not been conducted to date.
4.1.4Mechanism ofaction
Brief overview…
Further information regarding the mechanismof action is provided in Section XX.
4.2Pharmacokinetics andProductMetabolisminAnimals
4.2.1Summary
Nonclinical pharmacokineticstudies have characterised basic pharmacokinetic parameters in mice, rats and beagle dogs after single IVdose administration of IP.
4.2.2MethodofAnalysis
4.2.3Single-doseAbsorption,Distribution,MetabolismandExcretion
Table 4-1: Mean plasma pharmacokinetic parameters for IP after single-dose administration
Species / Ref / Dose(mg/kg) / Route / AUCinf
(μg.h/mL) / Cmax
(μg/mL) / CL
(mL/kg/min) / Vss
(L/kg) / T1/2
(h) / F%
Mouse Rat Rabbit
Dog
Monkey
4.2.3.1 Individual study summaries
4.2.3.2 Absorption
4.2.3.3 Distribution
4.2.3.4 Metabolism
4.2.3.5 Excretion
4.2.4Multiple-doseAbsorption,Distribution,Metabolismand Elimination
4.2.4.1 Individual study summaries
4.2.5Drug interactions
Investigator’s BrochureCONFIDENTIAL
InvestigationalProduct
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Table 4-2: Summary tableof Pharmacology studies
Studynumber/Title / GLP / Species/strain / No/sex/
group / Formulation / Dose/Regimen / Route of admin. / Duration / Results
4.3Toxicologyandsafetystudies
4.3.1Summary
4.3.2Acute toxicology
4.3.2.1 Individual study summaries
4.3.3 Repeat dose toxicology
4.3.3.1 Individual study summaries
Good to include table of dosing for repeated studies, group, dose, number/sex for main study, TK and
PDarms.
4.3.3.2 Toxicokinetic parameters
4.3.3.3 Mortality and clinical observations
4.3.3.4 Clinical pathology and organ weights
4.3.3.5 Histopathological changes
4.3.4Toxicokinetics
4.3.4.1 Individual study summaries
4.3.5Chronictoxicology
4.3.5.1 Individual study summaries
No studies on chronic toxicologyhave been conducted on IPtodate. Provide justification such as clinicalstudy design.
4.3.6Reproductivetoxicology
No studies on reproductive toxicity have been conducted on IP to date.Provide justification. Repeat dose testing, discuss results of reproductive organs.
4.3.6.1 Individual study summaries
4.3.7Safetypharmacology
4.3.7.1 Individual study summaries
Investigator’s BrochureCONFIDENTIAL
InvestigationalProduct
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Table 4-3: Summary tableof Toxicologystudies
Studynumber/Title / GLP / Species/strain / No/sex/
group / Formulation / Dose/Regimen / Route of admin. / Duration / Results
Date:;Version;Page 64 of 69
4.3.8Genotoxicity(Mutagenicity)
4.3.8.1 Individual study summaries
4.3.9Carcinogenicity
4.3.9.1 Individual study summaries
No studies on carcinogenicityhave been conducted on IP to date. Provide justification.
4.3.10Specialstudies
4.3.10.1Individual study summaries
5Effectsinhumans
Introduction
5.1Clinical Development Program
The initial clinical study will be a randomised, double-blind, single dose, dose escalation study to evaluate the safety, tolerability and pharmacokinetics of IP following IV infusion in healthy male volunteers. Doses will start at 100 mg, escalating to 500 mg after evaluation of resultsfrom lower dose investigations. Doses willnot exceed 500 mg.
Consideration of the data will lead to a safety, tolerability,pharmacokinetic and pharmacodynamic
Phase Ib study utilising multipleascending doses in XXX participants.
5.2Pharmacokinetics, PharmacodynamicsandProductMetabolisminHumans
Single doses of XX mg IP in healthy participants resulted in linear and neardose-proportional increases in plasma concentrations ofIP with increasing dose(mean Cmaxand AUC values increased XX-fold, respectively, overall). The mean CmaxofIP ranged from XX–XXµg/mL, and the mean AUC0–infranged from XX-XXµg·h/mL.The mean Tmaxwas XX–XXhours after dosing, with amean terminal half-life
(T1/2) ofXX–XX hours. IP was the major component excreted in urine at all dose levels. Approximately
XX–XX% (molecular equivalent) of administered IP was recovered in urine asIP,suggesting that at
least that percentage of IP is absorbed.
Table 5-1: Pharmacokinetic parameters of IPfollowing single-doseadministration in study no.
Parameter / IP200 mg (n=6) / 500 mg (n=6) / 1000 mg (n=6)
Cmax(μg.h/mL) Tmax(h)
T1/2(h)
AUC0–24 (µg·h/mL) AUC0–inf(µg·h/mL) CL (L/h)
5.3Clinicalexperience
5.3.1Dose response
5.3.2SafetyandEfficacy
5.3.3Laboratorydata andother safetyparameters
5.3.4Individual study summaries
5.3.4.1 Study no.
5.3.4.2 Study no. (ongoing)
5.3.5Benefit – Risk Assessment
5.4RegistrationandMarketing experience
Ta date, IP has not been registered foruse or marketed in any jurisdiction.
6Summaryofdataandguidancefortheinvestigator
Composition
6.1Presentation
IP is presented in 10 mL vials for reconstitution prior to administration.
6.2Posologyandrouteofadministration
6.3Storage andstability
6.4Pharmacokinetics ofinvestigationalproduct
6.5Bioanalytical evaluation
6.6Mitigationofoverdose risk
6.7ExpeditedSafetyReports
6.8Warnings,precautions
Insufficient experience exists with IPto provide comprehensivewarning guidance. The pharmacokinetics of IP iscurrently unknown. The investigational product will be administered at a dose of XXXmg etc.Some brief information on putative drug-drug interactions as related to dosing with similar classof compoundand potential CYT inhibition criteria.
6.9Contraindications
IP iscontraindicated for use in participants with known hypersensitivity totheactive substance or any of the excipients.
6.10Adverse events
6.11Participantpopulations
The investigational compound XXXXX must only be administered in accordance with the approved study protocol inclusion/exclusion criteria.
6.11.1Pregnancy and Breast-Feeding
No studies of IPin pregnant or lactating women have been conducted. Pregnant and nursing women should not receive IP until further information becomes available. Women of childbearingpotential are excluded fromparticipating in IP clinical studies.Sexually active men must use contraception and inform their partners of the possible risks described in this document whereand if applicable.
6.11.2PaediatricUse
No studies on the use of IP inpaediatric participants have beenconducted.
6.11.3Geriatric Use
No studies on the use of IP in geriatricparticipantshave been conducted.
References