The present study aims to evaluate the impact of 5 days oral administration of ronacaleret
100 miligram (mg) and 400 mg on changes in circulating CD34+ cells, when ronacaleret is
followed by the administration of a single dose of plerixafor in healthy human volunteers.
This single centre adaptive design study will be carried out in 2 parts. The part A will
evaluate the change in peripheral circulating CD34+ cells in response to two different 5 day
regimens of ronacaleret (100 mg or 400 mg once daily), given in conjunction with a single
dose of plerixafor (0. 24 mg/kilogram [kg]) sub-cutaneously (SC) on the evening of the final
days dosing approximately 12 hours before collection of CD34+ cells on day 6. Subjects (5
each) will be assigned to either one of the ronacaleret arms, in an open fashion.
Comparisons will be made in the change from baseline to end of treatment peripheral CD34+
cell counts. Part A will be conducted in two cohorts with 5 subjects being enrolled into
each of the 2 treatment arms making up the first cohort. Cohort 2 will involve up to 5
further subjects being enrolled into each treatment arm.
The structure of part B will be finalized following a review of data generated in part A.
The total study duration of Part A for each subject including the screening, treatment and
follow-up periods will be approximately 7 weeks.
Minimum age: 18 Years.
Maximum age: 65 Years.
Gender(s): Both.
Inclusion Criteria:
- A male or female between 18 and 65 years of age (inclusive).
- Healthy as determined by a physician, based on a medical evaluation and with an
estimated Glomerular Filtration Rate (GFR) of >=60 mL/min /1. 73 m^2 using the four
variable Modification of Diet in Renal Disease (MDRD) equation.
- Aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline
phosphatase and bilirubin <=1. 5 x upper limit of normal (ULN) (isolated bilirubin
>1. 5 x ULN is acceptable if bilirubin is fractionated and direct bilirubin <35%).
- Female of non-child bearing potential, or female subjects and male subjects with
female partners of child-bearing potential willing to use protocol-specified methods
of contraception to prevent pregnancy during the study.
- Body weight of 55 kg or more and body mass index (BMI) of 20. 0 to 35. 0 kg/m^2
(inclusive).
- Capable of giving written informed consent.
Exclusion Criteria:
- A positive pre-study drug/alcohol screen.
- A positive test for HIV, B surface antigen or positive Hepatitis C antibody result
within 3 months of screening.
- History of or therapy for osteoporosis
- Subject has had treatment for any condition relating to the thyroid/parathyroid gland
which in the opinion of the investigator may influence the subjects production of PTH
- Subjects with any contraindications or know allergies to receiving plerixafor
- Current or chronic history of liver disease, or known hepatic or biliary
abnormalities (with the exception of asymptomatic gallstones).
- Subjects taking calcium and/or vitamin D supplements, during or within 2 weeks of
study initiation
- Subjects taking any concomitant medications
- Specific laboratory abnormalities at screening like Serum calcium (total or
albumin-adjusted) outside the central laboratory reference range, PTH outside the
normal range, Creatine phosphokinase (CPK) outside the normal range
- Subjects with abnormal Vitamin D (Vitamin D, 25-Hydroxy) levels may be enroled if
repeat lab results, obtained within 14 days of initial screening assessments, are
within the normal range
- History of regular alcohol consumption within 6 months of the study defined as an
average weekly intake of >14 drinks for males or >7 drinks for females.
- Lactating or pregnant females as determined by positive serum human chorionic
gonadotropin (hCG) test at screening or prior to dosing.
- The subject has participated in a clinical trial within 30 days or 5 half-lives of
the IP prior to the first dosing day in the current study.
- Unable to refrain from consumption of red wine, Seville oranges, grapefruit or
grapefruit juice from 7 days prior to the first dose.
- Where participation in the study would result in donation of blood or blood products
in excess of 500 mL within a 56 day period.