Assessing serotonin transporter occupancy in healthy adults using PET imaging

A Non-Randomized, Open-Label, Exploratory Mechanistic Validation (PoM) Clinical Trial of LV232 Capsule Assessing Serotonin Transporter Occupancy in the Healthy Adult Brain Using 11C-DASB Positron Emission Tomography (PET)

This study is testing how well a new drug affects serotonin levels in the brains of healthy adults to help improve treatments for depression.

Quick facts

• Phase: Phase 1
• Study type: Interventional
• Enrollment: 16 (estimated)
• Ages: 18 Years to 45 Years
• Sex: All
• Sponsor: Vigonvita Life Sciences (Industry-sponsored)
• Drugs / interventions: radiation
• Locations: 1 site (Shanghai)
• Trial ID: NCT06476509 on ClinicalTrials.gov

What this trial studies

This clinical trial is designed to evaluate serotonin transporter occupancy in the brains of healthy adults through the use of 11C-DASB positron emission tomography (PET). It is a single-center, non-randomized, open-label study that plans to enroll 16 participants, divided into groups receiving different doses of the investigational drug LV232 and a positive control group receiving escitalopram. The study aims to gather data that may inform future treatments for major depressive disorder by understanding how these drugs interact with serotonin transporters in the brain.

Who should consider this trial

Good fit: Ideal candidates for this study are healthy adults aged 18 to 45 years with a body mass index between 19.0 and 26.0 kg/m2.

Not a fit: Patients with a history of allergies to the investigational product or similar drugs may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance the understanding of serotonin transporter dynamics, potentially leading to improved treatments for major depressive disorder.

How similar studies have performed: While this approach is novel in assessing serotonin transporter occupancy in healthy adults, similar studies have shown promise in understanding the pharmacodynamics of antidepressants.

Eligibility criteria

Inclusion Criteria:

* Those who voluntarily participate in and sign the informed consent form after understanding the purpose, content, process and possible risks of the trial;
* Male and female, aged 18 to 45 years at the time of signing the informed consent form;
* Body weight, male≥ 50.0 kg ,female≥ 45.0 kg ,and body mass index (BMI) 19.0 \~ 26.0 kg/m2 (including the boundary value) at screening;
* Able to maintain good communication with the investigator and comply with the lifestyle restrictions specified in the protocol and various requirements of the clinical trial (scheduled visits, laboratory tests and other trial procedures);
* Subjects and their partners must use effective non-pharmacological contraception (e.g., abstinence and condom with intravaginal spermicide) throughout the study and for 6 months after the end of the study, and must not donate sperm.

Exclusion Criteria:

* Known to have a history of allergy to any component of the investigational product or similar drugs, or allergic constitution (previous allergy to two or more foods or drugs);
* The subject with skin diseases or has a history of skin allergies;
* The subject has a current or past medical history judged by the investigator that may affect the clinical trial or dysfunction, including but not limited to a past or present central nervous system, cardiovascular system, digestive system, respiratory system, urinary system, blood system, metabolic disorders, etc. that require medical intervention or other diseases that are not suitable for clinical trials (such as a history of mental illness);
* Individuals with a history of epileptic seizures, or those with any (acute or chronic) history of mental illness and family history of mental illness, or those with a history of neurodegenerative diseases and family history of neurodegenerative diseases, such as Alzheimer's disease;
* Any surgical condition or condition that may significantly affect the absorption, distribution, metabolism and excretion of the drug, or may pose a hazard to the subjects participating in the trial; such as history of gastrointestinal surgery (gastrectomy, gastrointestinal anastomosis, intestinal resection, etc.), urinary tract obstruction or dysuria, gastroenteritis, gastrointestinal ulcers, gastrointestinal bleeding, etc.;
* Abnormal vital signs (resting pulse rate\<55 beats/minute or\>100 beats/minute; Systolic blood pressure\<90 mmHg or ≥ 140 mmHg; Diastolic blood pressure\<60 mmHg or ≥ 90 mmHg), laboratory tests (blood routine , blood biochemistry, urine routine, thyroid Function), 12 electrocardiogram (ECG, male QTcF\>450 ms，female QTcF\>460 ms), MRI (magnetic resonance imaging) examination indicators, judged by the investigator as abnormal and clinically significant;
* Use of any prescription medication within 28 days prior to dosing; Use of any over-the-counter medications, including health products, within 7 days prior to dosing; Receipt of any contrast agent or radiopharmaceutical within 7 days prior to, or application of contrast agent within 24 hours after, administration of the trial drug;
* Contraindications to PET or MRI (magnetic resonance imaging) (including claustrophobia, alcohol allergy, cardiac pacemaker and nerve stimulator in the body, metal foreign body in the body or tracer component allergy, etc.);
* Any positive result of hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV-Ab), HIV antibody (HIV-Ab) and Toluidine red unheated serum test (Trust);
* Smoking habit (an average daily smoking of ≥ 5 cigarettes per day within 3 months before administration), drinking habit (an average weekly drinking of more than 14 standard units within 3 months before administration, 1 unit = 360 mL of beer or 45 mL of 40% spirits or 150 mL of wine). Subjects who cannot quit smoking or drinking in clinical trials.
* Individuals who have a history of drug dependence (including drug use) within one year prior to administration, or who have tested positive for urinary drug abuse screening (benzodiazepines, cocaine, methamphetamine, amphetamine, methadone, tetrahydrocannabinol acid, barbiturates, morphine, phencyclidine, tricyclic antidepressants);
* Those who have special requirements for food and cannot abide by the unified diet or have dysphagia;
* Consumption of xanthine-rich foods or beverages (e.g., tea, coffee, cola, or chocolate) or foods or beverages containing grapefruit and/or pomelo within 3 days before dosing;
* Significant occupational exposure to ionizing radiation (e.g., more than 50 millivolts per year) or exposure to radioactive substances or ionizing radiation for therapeutic or research purposes within the past year;
* Blood donation or blood loss ≥ 400 mL within 3 months before administration, or blood donation or blood loss ≥ 200 mL within one month;
* Those who have participated in other clinical trials within 3 months before administration (including drug and medical device clinical trials, the time is based on the last visit, except for those who have failed screening in other clinical trials and have not received any treatment);
* Pregnant, lactating women or male subjects whose spouses have a parenting plan within 3 months;
* Individuals who cannot tolerate intravenous administration ;
* Personnel directly related to this clinical trial;
* Patients with poor compliance or other problems who are not suitable for participating in this trial in the opinion of the investigator.

Where this trial is running

Shanghai

• Shanghai Mental Health Center Ethics Committee — Shanghai, China (Recruiting)

Study contacts

• Principal investigator: Yifeng SHEN, MD — Shanghai Mental Health Center
• Study coordinator: Huaqing Duan

Conditions Major Depressive Disorder