KemPharm Announces Preliminary Results from KP415 Pharmacokinetic Single and Multiple Dose Trial
- Category: Small Molecules
- Published on Friday, 11 August 2017 10:00
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Phase I Study Results Demonstrated Early Peak Exposure to d-Methylphenidate followed by Sustained Duration in both Single and Multiple Dose Settings
CORALVILLE, IA, USA I August 10, 2017 I KemPharm, Inc. (NASDAQ:KMPH), a clinical-stage specialty pharmaceutical company focused on the discovery and development of proprietary prodrugs, today announced preliminary results of KP415.109, a Phase I trial designed to assess the relative pharmacokinetics (PK) of three different formulations of KP415 vs. a methylphenidate-containing comparator product (Concerta®) at both single and multiple dose conditions. KP415 is KemPharm’s co-lead ADHD product candidate.
“We are very pleased to report that our proposed co-formulation of our proprietary extended release (ER) KP415 d-methylphenidate (d-MPH) prodrug together with immediate release (IR) d-MPH demonstrated expected PK parameters in this Phase I trial and is now being readied for further development in a safety and efficacy clinical trial later this year,” said Travis C. Mickle, Ph.D., President and Chief Executive Officer of KemPharm. “The trial demonstrated the expected early peak exposure due to the IR d-MPH component of the co-formulation, which was followed by sustained exposure to d-MPH from the ER KP415 prodrug over the course of the day, leading us to believe that our product candidate may have a longer total duration than current methylphenidate-based products. Steady state exposure was reached after a few days with a negligible accumulation of the prodrug and sustained a duration similar that of Concerta after the 12-hour time point.”
“There is a clear need for an extended-release methylphenidate product, with the potential benefit of early onset and longer total duration, as a treatment option for patients,” said Ann Childress, M.D., an attention deficit hyperactivity disorder (ADHD) expert, and President of the Center for Psychiatry and Behavioral Medicine. “Many patients prefer methylphenidate, but currently must take multiple doses of existing methylphenidate products. That means multiple prescriptions, multiple copays and the inconvenience of multiple daily doses. I am thrilled to see KP415 advance in development."
“Given that this Phase I study performed as anticipated, we remain on schedule to begin the single pivotal efficacy clinical trial of KP415 prior to the end of this year,” added Mickle. “Assuming the results of the pivotal trial are positive, we anticipate submitting a New Drug Application (NDA) with the FDA prior to the end of 2018. We are excited for the potential KP415 now has highlighted for us.”
Travis C. Mickle, Ph.D., will present the KP415 Phase I data today at the Canaccord Genuity 37th Annual Growth Conference being held at the InterContinental Boston Hotel, in the New York room at 2:00PM (EDT). The presentation will be webcast and available on the Investor Relations section of the Company's website at http://investors.kempharm.com/.
Summary of the Preliminary Results from Study KP415.109
The Phase 1 clinical trial (KP415.109) was designed to assess the relative pharmacokinetics (PK) of three different co-formulations of the KP415 ER prodrug in combination with IR d-MPH, compared with 54mg of Concerta (ER MPH), after oral administration of once-daily doses for 7-days under fasted conditions. Forty-eight healthy volunteers (12 per dosing group) were enrolled in and completed this open-label, multiple-dose, parallel-group PK clinical trial. Each co-formulation contained total equivalent amounts of 40 mg d-MPH. PK results were evaluated both on a single-dose basis (after the first day of dosing) and a multiple-dose basis over seven days.
Steady state was reached after a few days of dosing in all groups. The combination of 70% KP415 prodrug (the component with extended release (ER) characteristics) and 30% IR d-MPH resulted in a mean Day-7 d-MPH trough concentration (Cmin; pre-dose on Day-7) of 3.3 ng/mL and a mean Day-7 d-MPH peak concentration (Cmax) of 20.9 ng/mL, at a median Tmax of 1.5 hours.
On Day-7, the mean systemic exposure over the dosing interval (AUC0-24) for d-MPH was 208 ng•hr/mL for all completers and the mean terminal elimination plasma half-life (T1/2) of d-MPH was 8.9 hr. The mean accumulation ratios (Day-7/Day-1 ratios) for Cmin, Cmax and AUC0-24 were 1.31, 1.20 and 1.34, respectively. The combination of the 70%/30% KP415/d-MPH resulted in early peak d-MPH exposure followed by sustained d-MPH exposure, as desired for chronic, once-per-day treatment of ADHD in a pediatric population. Based on previously established PK of MPH-based products, KP415 may show an effect vs. placebo from 0.5 hours to 13 hours as substantial plasma concentrations of active MPH were measured during this time-period. This may provide both early onset of action with total duration that may exceed 12.5 hours based on available data.
Plasma concentrations of the inactive, intact KP415 prodrug molecule were measured after oral administration, which may contribute to the ER profile of KP415-derived d-MPH. Intact KP415 did not accumulate after multiple doses, and its mean T1/2 on Day-7 was 5.1 hours.
Both treatments were generally well-tolerated and there were no serious adverse events.
KemPharm is a clinical-stage specialty pharmaceutical company focused on the discovery and development of proprietary prodrugs to treat serious medical conditions through its LATTM (Ligand Activated Therapy) platform technology. KemPharm utilizes its LATTM platform technology to generate improved prodrug versions of FDA-approved drugs in the high need areas of pain, ADHD and other central nervous system disorders. KemPharm’s co-lead clinical development candidates are KP415 and KP484, both based on a prodrug of methylphenidate, but with differing extended-release profiles for the treatment of ADHD, and KP201/IR, an acetaminophen-free formulation of the company’s immediate release abuse deterrent hydrocodone product candidate, KP201. For more information on KemPharm and its pipeline of prodrug product candidates visit www.kempharm.com.