Inclusion Criteria:
1. Provides written Ethics Committee approved informed consent prior to any study
procedures.
2. Male or female between 18 and 65 years old (inclusive) at the time of Screening.
3. In good general health at Screening, free from clinically significant unstable
and/or acute medical, surgical or psychiatric illness/es and a full physical
examination, at the discretion of the Investigator.
4. Clinical laboratory analytes at Screening and Day -1 (including hematology,
biochemistry, coagulation, and urinalysis) within normal range as specified by the
testing laboratory, unless deemed not clinically significant by the PI.
5. Subjects have a body mass index (BMI) between ≥ 18.0 and ≤ 35.0 kg/m2 and weigh at
least 50 kg at Screening.
6. Vital signs (measured in sitting position after 5 minutes' rest) at Screening and at
Day -1:
1. Systolic blood pressure ≥90 and ≤140 mmHg; and. 2. Diastolic blood pressure ≥40 and ≤ 90 mmHg; and. 3. Heart rate ≥40 and ≤100 beats per minute (bpm). Note: If vital signs are out of
range, the Investigator may obtain one additional reading, so that up to 2
consecutive assessments are made within 1 hour and with the subject seated
quietly during the 5 minutes preceding the assessment.
7. Adequate venous access in the left or right arm to allow collection of multiple
blood samples.
8. No relevant dietary restrictions, and willing to consume the entirety of the
standard meals provided.
9. Willing to comply with all study procedures and requirements.
10. Willing to abstain from direct whole body sun exposure from 2 days prior to dosing
and until EOS/Follow-up Visit.
11. Women of childbearing potential (WOCBP) must be non-pregnant and non-lactating, and
must use acceptable, highly effective contraception or be abstinent from
heterosexual intercourse if this is their usual sexual practice from Screening until
study completion, including the follow-up period and an additional 90 days after the
last dose of study drug. Effective forms of contraception are defined in Section
4.4.4 of the protocol. WOCBP must have a negative serum pregnancy test at Screening
and negative urine pregnancy test at Day -1 and be willing to have additional
pregnancy tests as required throughout the study.
12. Women not of childbearing potential must be post menopausal for ≥12 months (without
an alternative medical cause) or be surgically sterile (for which acceptable methods
include hysterectomy, bilateral salpingectomy, and bilateral oophorectomy).
Post-menopausal status will be confirmed through testing of follicle stimulating
hormone (FSH) levels ≥ 40 IU/L at Screening. Bilateral tubal ligation is acceptable
(if completed successfully and done at least one year prior to Screening [verbal
confirmation is permitted]), but condom use by male partner is required until study
completion including the follow-up period.
13. Male subjects must be surgically sterile (> 90 days since vasectomy with no viable
sperm confirmed by laboratory documentation), abstinent if this is their usual
sexual practice, or if engaged in sexual relations with a WOCBP, the subject and his
partner must be surgically sterile (e.g., tubal occlusion, hysterectomy, bilateral
salpingectomy, bilateral oophorectomy) or using an acceptable, highly effective
contraceptive method (See Section 4.4.4 of the protocol) from Screening until study
completion, including the follow-up period and an additional 90 days after the last
dose of study drug. Male subjects that have undergone a vasectomy must use a condom
from Screening until study completion, including the follow-up period and an
additional 90 days after the last dose of study drug.
14. Males must not donate sperm and females must not donate ova or oocytes (i.e., human
eggs) for at least 90 days after the last dose of study drug.
15. Subjects with same-sex partners (abstinence from penile-vaginal intercourse) or who
are abstinent from heterosexual intercourse are not required to use contraception
when this is their preferred and usual lifestyle.
Exclusion Criteria:
1. Pregnant or lactating at Screening or Day -1 or planning to become pregnant (self or
partner) at any time during the study, including the specified follow-up period.
2. History or presence of malignancy at Screening or Day -1, with the exception of
adequately treated localised skin cancer (basal cell or squamous cell carcinoma) or
carcinoma in-situ of the cervix.
3. History of migraine, whether treated or untreated, within 3 years prior to Screening. 4. Clinically significant infection within 28 days of the start of dosing, or
infections requiring parenteral antibiotics within the 6 months prior to Screening.
5. Clinically significant surgical procedure within 3 months of Screening, at the
discretion of the Investigator, or any planned significant surgical procedure prior
to the EOS/Follow-up visit.
6. Family history (biological relatives [i.e., parents, siblings]) of long or short QT
syndrome, or Torsades de Pointes.
7. Currently suffering from clinically significant systemic allergic disease at
Screening or Day -1 or has a history of significant drug allergies including a
history of anaphylactic reaction; allergic reaction due to any drug which led to
significant morbidity; prior allergic reaction to pirfenidone.
8. Chronic administration (defined as more than 14 consecutive days) of
immunosuppressants or other immune-modifying drugs within 3 months prior to study
drug administration; corticosteroids are permitted at the discretion of the
Investigator). Topical agents are not exclusionary.
9. History or presence at Screening or Day -1 of a condition associated with
significant immunosuppression.
10. Positive result of a RT-qPCR diagnostic test for SARS-CoV-2 at Screening or Day -1.
11. Positive test for hepatitis C antibody (HCV), hepatitis B surface antigen (HBsAg),
or human immunodeficiency virus (HIV) antibody at Screening. Subjects who are
positive for HCVAb will be tested for hepatitis C ribonucleic acid (HCV RNA) by
polymerase chain reaction (PCR) and, if HCV RNA PCR is positive, will be excluded.
12. Symptoms of dysphagia at Screening or Day -1 or known difficulty in swallowing
capsules.
13. History or presence of gastrointestinal (including a previous episode of
pancreatitis), hepatic or renal disease, or any other conditions known to interfere
with absorption, distribution, metabolism, or excretion of drugs.
14. Any condition at Screening or Day -1 (e.g., chronic diarrhoea, inflammatory bowel
disease or prior surgery of the gastrointestinal tract) that would interfere with
drug absorption or any disease or condition that is likely to affect drug metabolism
or excretion, at the discretion of the Investigator.
15. History or presence at Screening or Day -1 of cardiac arrhythmia or congenital long
QT syndrome.
16. QT interval corrected using Fridericia's formula (QTcF) > 450 msec (male) or 470
msec (female) demonstrated by two ECGs 30 to 60 minutes apart at Screening or Day -1
visits. The average of the 2 QTcF intervals should be used to determine the
subject's eligibility.
17. Use of smoked tobacco or nicotine containing products in the previous 3 months prior
to dosing or use of other tobacco or nicotine containing products in the previous 2
weeks prior to dosing, or a positive urine cotinine test at Screening or Day -1.
18. Lack of willingness to abstain from the consumption of tobacco or
nicotine-containing products throughout the duration of the study and until the
EOS/Follow-up visit.
19. Lack of willingness to abstain from the use of alcohol throughout the study
(Treatment through EOS/Follow-up visit).
20. Positive toxicology screening panel (urine test, including qualitative
identification of barbiturates, tetrahydrocannabinol [THC], amphetamines,
benzodiazepines, opiates and cocaine) or alcohol breath test at Screening or Day -1,
at any time during the Study. One repeat urine toxicology screen may be conducted,
within 48 h of the first, if the first is considered by the Investigator to be
invalid.
21. History of substance abuse or dependency or history of recreational intravenous (IV)
drug use, over the last 2 years.
22. Use of any prescription drugs, over the counter (OTC) medication, nonsteroidal
anti-inflammatory agents (NSAIDs), herbal remedies, supplements or vitamins within
the 14 days prior to dosing or throughout the duration of the study, without prior
approval of the Investigator and written approval of the Medical Monitor.
23. Paracetamol/acetaminophen may be utilised, provided that the dose of paracetamol
does not exceed 2 g in any 24 h period.
24. Use of any of the any drugs listed in Section 4.4.1 within 28 days or 5 half-lives
of that drug, whichever is longer, prior to study drug administration.
25. Vaccination with a live vaccine within the 4 weeks prior to Screening or that is
planned prior to the EOS visit, and any non-live vaccination within the 2 weeks
prior to Screening or that is planned within 2 weeks of dosing (including those for
COVID-19)
26. Exposure to any significantly immune suppressing drug within the 3 months prior to
Screening or 5 half lives, whichever is longer.
27. Use of any investigational drug or device within 3 months prior to Screening.
28. Consumption of soy, grapefruit, grapefruit juice, Seville oranges, Seville orange
juice, or any foods containing these ingredients, within 7 days prior to dosing
until 24 hours after the final dose of study drug or unwilling to abstain from these
throughout the duration of the study, until the EOS visit.
29. Clinically significant blood loss, blood or blood product donation >250 mL within 28
days of Screening.
30. Subject is unwilling to refrain from strenuous exercise which significantly exceeds
the subject's usual level of physical activity from 48 h prior to admission to the
clinical trial unit and until completion of the final onsite follow-up visit, where
strenuous exercise is defined as a significant increase in the Subject's usual level
of physical activity or lifting weights or running uphill.
31. Any other reason that, in the opinion of the Investigator, might interfere with the
evaluation required by the study.
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