Item 8.01
Other Events
.
In the press release described above, on
August 10, 2017, the Company announced preliminary results of KP415.109.
The Phase 1 clinical trial, or KP415.109, was designed to assess the relative PK of three different co-formulations of the KP415 extended release, or ER, prodrug in combination with immediate release, or IR, d-methylphenidate, or d-MPH, compared with 54mg of Concerta
, after oral administration of once-daily doses for seven 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 ER characteristics, and 30% IR d-MPH resulted in a mean Day-7 d-MPH trough concentration, or C
min
; pre-dose on Day-7, of 3.3 ng/mL and a mean Day-7 d-MPH peak concentration, or C
max
, of 20.9 ng/mL, at a median T
max
of 1.5 hours.
On Day-7, the mean systemic exposure over the dosing interval, or AUC
0-24
, for d-MPH was 208 ng•hr/mL for all completers and the mean terminal elimination plasma half-life, or T
1/2
, of d-MPH was 8.9 hr. The mean accumulation ratios, or Day-7/Day-1 ratios, for C
min
, C
max
and AUC
0-24
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 T
1/2
on Day-7 was 5.1 hours.
Both treatments were generally well-tolerated and there were no serious adverse events.
Caution Concerning Forward Looking Statements
This Current Report on Form 8-K may contain forward-looking statements made in reliance upon the safe harbor provisions of Section 27A of the Securities Act and Section 21E of the Exchange Act.
Forward-looking statements include all statements that do not relate solely to historical or current facts, and can be identified by the use of words such as “may,” “will,” “expect,” “project,” “estimate,” “anticipate,” “plan,” “believe,” “potential,” “should,” “continue” or the negative versions of those words or other comparable words. These forward-looking statements include statements regarding the expected features and characteristics of KP415, the expected timing of the initiation and completion of any clinical trials of KP415 and the expected timing for any submission of a New Drug Application with the U.S. Food and Drug Administration for KP415. These forward-looking statements are not guarantees of future actions or performance. These forward-looking statements are based on information currently available to the Company and its current plans or expectations, and are subject to a number of uncertainties and risks that could significantly affect current plans. Actual results and performance could differ materially from those projected in the forward-looking statements as a result of many factors, including, without limitation, the risks and uncertainties associated with: the Company's financial resources and whether they will be sufficient to meet the Company's business objectives and operational requirements; results of earlier studies and trials may not be predictive of future clinical trial results; the protection and market exclusivity provided by the Company's intellectual property; risks related to the drug discovery and the regulatory approval process; the impact of competitive products and technological changes; and the FDA approval process under the Section 505(b)(2) regulatory pathway, including without limitation any timelines for related approval. The Company's forward-looking statements also involve assumptions that, if they prove incorrect, would cause its results to differ materially from those expressed or implied by such forward-looking statements. These and other risks concerning the Company’s business are described in additional detail in the Company's Annual Report on Form 10-K for the year ended December 31, 2016, and the Company’s other Periodic and Current Reports filed with the Securities and Exchange Commission. The Company is under no obligation to (and expressly disclaims any such obligation to) update or alter its forward-looking statements, whether as a result of new information, future events or otherwise
.