An Open Label Study in Healthy Volunteers to Compare Chronocort® to Hydrocortisone

January 11, 2017 updated by: Diurnal Limited

An Open Label, Randomised, Single Dose, 3-period Crossover Study in Healthy Volunteers to: a) Compare the Pharmacokinetics of Chronocort® Formulations Versus Immediate Release Hydrocortisone, and (b) Determine the Dose Proportionality of Chronocort® Formulations

This was an open label, randomized, single dose, three period crossover pharmacokinetic study of Chronocort® in 30 healthy male volunteers. The study was conducted in smaller sub groups (Group 1, n=18 and Group 2, n=12).

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

30

Phase

  • Phase 1

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 60 years (ADULT)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

Male

Description

Inclusion Criteria:

  • Healthy male volunteers between 18 and 60 years of age, inclusive (at screening).
  • Subjects with a Body Mass Index (BMI) of 21-28. Body Mass Index = Body weight (kg) / (Height (m))2.
  • Subjects with no clinically significant abnormal serum biochemistry, haematology and urine examination values within 14 days of the start of the study. The parameters measured included those shown in Appendix 3 of the Study Protocol.
  • Subjects with a negative urinary drugs of abuse screen (including alcohol), determined within 14 days of the start of the study.
  • Subjects with negative HIV and Hepatitis B and C results.
  • Subjects with no clinically significant abnormalities in 12-lead electrocardiogram (ECG) determined within 14 days of the start of the study.
  • Subjects with no clinically-significant deviation outside the normal ranges for blood pressure and pulse measurements.
  • Subjects and sexual partners must have used effective contraception methods during the trial and for 3 months after the last dose, for example:

    • Oral contraceptive + condom
    • Intra-uterine device (IUD) + condom
    • Diaphragm with spermacide + condom
  • Subjects must have been available to complete the study.
  • Subjects must have satisfied a medical examiner about their fitness to participate in the study.
  • Subjects must have provided written informed consent to participate in the study.

Exclusion Criteria:

  • A clinically significant history of gastrointestinal disorder likely to influence drug absorption.
  • Receipt of regular medication within 14 days of the first study day (including high dose vitamins, dietary supplements or herbal remedies).
  • Evidence of renal, hepatic, central nervous system, respiratory, cardiovascular or metabolic dysfunction.
  • A clinically significant history of previous allergy / sensitivity to Hydrocortisone.
  • A clinically significant history of drug or alcohol abuse.
  • Inability to communicate well with the Investigator (i.e., language problem, poor mental development or impaired cerebral function).
  • Participation in a New Chemical Entity clinical study within the previous 16 weeks or a marketed drug clinical study within the previous 12 weeks.
  • Subjects who had consumed more than 2 units of alcohol per day within seven (7) days prior to the first dose or had consumed any alcohol within the 48 hour period prior to the first dose.
  • Donation of 450ml or more blood within the previous 12 weeks.
  • Subjects who worked shifts (i.e. regularly alternated between days, afternoons and nights).

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: CROSSOVER
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Group 1

Volunteers in group 1 received the following interventions:

Chronocort® 30 mg given at night (~ 23:00h) as a combination of one 10mg capsule and one 20mg capsule (n=18).

Chronocort® 30mg given as one 20mg capsule at night (~ 23:00h) and as one 10mg capsule in the morning (~ 7:00h) following the initial night-time dose (n=18).

Hydrocortisone 30mg given at night (~ 23:00h) given as three 10mg tablets (n=18).

Each administration of IMP was separated by a washout period of at least 7 days.

Modified formulation of hydrocortisone
Generic hydrocortisone
EXPERIMENTAL: Group 2

Volunteers in group 2 received the following interventions:

Chronocort® 5mg given at night (~ 23:00h) as one 5mg capsule (n=12).

Chronocort® 10mg given at night (~ 23:00h) as one 10mg capsule (n=12).

Chronocort® 20mg given at night (~ 23:00h) as one 20mg capsule (n=12).

Each administration of IMP was separated by a washout period of at least 7 days.

Modified formulation of hydrocortisone

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Derived pharmacokinetic parameter: Tmax
Time Frame: 24 hours
Tmax measures the time at which Cmax - maximum serum concentration - is observed
24 hours
Derived pharmacokinetic parameter: Tlag
Time Frame: 24 hours
Tlag measures the delay between dosing and being able to observe the drug/metabolite within the sampling area (e.g., blood serum)
24 hours
Derived pharmacokinetic parameter: Cmax
Time Frame: 24 hours
Cmax measures the time taken for the drug/metabolite to reach maximum serum concentration
24 hours
Derived pharmacokinetic parameter: AUC(0 - t) (Area under the curve)
Time Frame: 24 hours
Area under the serum concentration versus time curve from time
24 hours
Derived pharmacokinetic parameter: AUC(0-∞)(Area under the curve)
Time Frame: 24 hours
Area under the serum concentration versus time curve from time = 0h extrapolated to infinity
24 hours
Derived pharmacokinetic parameter: CL
Time Frame: 24 hours
Time to drug clearance
24 hours
Derived pharmacokinetic parameter: T1/2
Time Frame: 24 hours
Time required to reach 1/2 Cmax
24 hours

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Principal Investigator: Salvatore Febbraro, Simbec Research

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2010

Primary Completion (ACTUAL)

April 1, 2010

Study Completion (ACTUAL)

April 1, 2010

Study Registration Dates

First Submitted

January 11, 2017

First Submitted That Met QC Criteria

January 11, 2017

First Posted (ESTIMATE)

January 12, 2017

Study Record Updates

Last Update Posted (ESTIMATE)

January 12, 2017

Last Update Submitted That Met QC Criteria

January 11, 2017

Last Verified

January 1, 2017

More Information

Terms related to this study

Other Study ID Numbers

  • DIUR-001

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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