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  4. Phase 1 safety, tolerability, pharmacokinetics and pharmacodynamic results of KCL-286, a novel retinoic acid receptor-β agonist for treatment of spinal cord injury, in male healthy participants

Phase 1 safety, tolerability, pharmacokinetics and pharmacodynamic results of KCL-286, a novel retinoic acid receptor-β agonist for treatment of spinal cord injury, in male healthy participants

British Journal of Clinical Pharmacology, 2023 · DOI: 10.1111/bcp.15854 · Published: December 1, 2023

Spinal Cord InjuryPharmacology

Simple Explanation

KCL-286 is a drug being developed to help treat spinal cord injuries by encouraging nerve cells to regrow. This study checks if KCL-286 is safe for humans. The study involved giving KCL-286 to healthy male volunteers to see how well they tolerated the drug, how it moved through their bodies, and if it affected the intended target in the body. The results showed that KCL-286 was generally well-tolerated and that it did interact with its target receptor in white blood cells, suggesting it could potentially work as intended in spinal cord injury patients.

Study Duration
July 2018 to December 2021
Participants
109 healthy male participants
Evidence Level
Level 1, Phase 1 clinical trial

Key Findings

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    KCL-286 was well tolerated by healthy human participants following doses that exceeded potentially clinically relevant plasma exposures based on preclinical in vivo models.
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    Target engagement shows the drug candidate activates its receptor.
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    These findings support further development of KCL-286 as a novel oral treatment for SCI.

Research Summary

This Phase 1 study evaluated the safety, tolerability, pharmacokinetics, and pharmacodynamic activity of KCL-286, an oral RARβ2 agonist, in healthy male volunteers. The study found that KCL-286 was well-tolerated at doses exceeding preclinical efficacy levels and that it engaged its target receptor in white blood cells. The results support further clinical development of KCL-286 as a potential treatment for spinal cord injuries and other CNS disorders.

Practical Implications

Further Clinical Studies

The positive safety and target engagement results warrant further clinical trials in patients with spinal cord injuries to assess efficacy.

Broader CNS Applications

The potential of KCL-286 extends beyond SCI to other CNS disorders such as stroke, traumatic brain injury, and multiple sclerosis, where axonal regeneration is desired.

Oral Treatment Option

KCL-286 represents a novel, orally available RARβ agonist, offering a convenient treatment option for nerve injuries.

Study Limitations

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