Safety Study of GMDTC Injection in Participants With Excessive Cadmium
Phase Ib Clinical Study on the Safety, Tolerability and Pharmacokinetic Characteristics of GMDTC for Injection After Repeated Administration in People With Excessive Cadmium Levels
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Xiaojiang Tang, PhD
- Phone Number: 13719282259
- Email: river-t@126.com
Study Contact Backup
- Name: Wei Hu, PhD
- Phone Number: 15011814225
- Email: jeshuwei@163.com
Study Locations
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-
Hunan
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Changsha, Hunan, China, 410000
- Hunan Occupational Disease Prevention and Control Institute
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥18 years, both male and female are eligible;
- Male subjects must weigh at least 50.0 kg and female subjects must weigh at least 45.0 kg, with a body mass index (BMI) between 19 and 26 kg/m2, including the critical value;
- Urinary cadmium >5 μmol/mol creatinine for 2 consecutive days during the screening period (creatinine content is ≥0.3 μg/L and ≤3 μg/L).
- Subjects must voluntarily sign a written informed consent form.
Exclusion Criteria:
- Those who are currently suffering from any clinically serious disease and the researcher determines that there are safety risks in participating in this clinical trial;
- Those with eGFR<30 mL/min/1.73 m2 during screening (eGFR calculated using the Cockcroft-Gault formula: eGFR (mL/min/1.73 m2) =*(140-age) *weight (kg)/ [0.818*Cr (umol/L)] *0.85 (female));
- Those who have a history of allergies to 3 or more substances, or are allergic to any ingredients in this product;
- Those who have undergone surgical procedures within 4 weeks before screening or plan to undergo surgical procedures that affect pharmacokinetics and safety determination during the study period;
- Those who have taken any drugs or health care products that may interact with the experimental drugs within 14 days before screening (such as SGLT2 inhibitors such as dapagliflozin, canagliflozin, empagliflozin, empagliflozin, canagliflozin, etc.) Gliflozin, Henggliflozin, Ipagliflozin, Rupagliflozin, Togliflozin, and the natural compound phlorizin, etc.; GLUT2 inhibitors such as cytochalasin B, phloretin, Huoxiang Zhengqi Powder, and Mignonette herbalin and isoorientin, etc.);
- Those who have used any clinical trial drugs or enrolled in any drug/medical device clinical trials within 3 months before screening;
- Those who donated blood or suffered massive blood loss (≥200 mL, excluding female menstrual blood loss), received blood transfusions or used blood products within 3 months before screening;
- inability to tolerate venipuncture and/or history of fainting or needle phobia;
- pregnant or lactating women, and subjects who cannot adopt effective non-drug contraceptive measures during the study period;
- unable to adopt contraceptive measures within 6 months after the end of the study;
- have special dietary requirements and cannot adhere to a uniform diet;
- Alcoholics or regular drinkers within 6 months before screening, that is, drinking more than 14 units of alcohol per week (1 unit ≈ 200 mL of beer with an alcohol content of 5% or 25 mL of spirits with an alcohol content of 40%- or 85-mL wine with an alcohol content of 12%) or who cannot stop using any alcohol-containing products during the trial;
- unable to stop using any tobacco products during the study period;
- alcoholics or frequent drinkers within 6 months before screening, i.e., drinking more than 14 units of alcohol per week (1 unit - 360.5 mL of beer or 45 mL of 40% alcohol or 150 mL of wine) or unable to stop using any alcohol-containing products during the study period;
- drug abusers or those who used soft drugs (such as marijuana) within 3 months before screening or used hard drugs (such as cocaine, benzoyl peroxide, etc.) within 1 year before screening;
- Laboratory tests must meet one or more of the following during screening: white blood cell count<3.0×109/L, neutrophil count <1.5×109/L, red blood cell count <3.0×1012/L, hemoglobin<100 g/L , platelet count <1 × LLN, total bilirubin > 2 × ULN, alanine aminotransferase > 2 × ULN, aspartate aminotransferase >2 × ULN;
- The subjects may not be able to complete the study due to other reasons or the researchers believe that they should not be included.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: GMDTC group
The subjects assigned to the GMDTC group will be administered once every morning after eating a standard breakfast on D1-D3 and D8-D10.
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GMDTC for injection with a specification of 0.5g/vial, 500mg,1000mg,2000mg, and administered by intravenous infusion.
Using 0.9% physiological saline (0.5g will be prepared with 250mL injection solution to achieve a concentration of 2mg/mL).
Using an infusion pump at a rate of 4mL/min according to the dosage, and any infusion reactions will be recorded.
The injection solution for both the experimental and placebo groups should be prepared by a non-blind investigator independent of the trial.
Other Names:
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Placebo Comparator: Normal saline group
The subjects assigned to the placebo group will be administered once every morning after eating a standard breakfast on D1-D3 and D8-D10.
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0.9% physiological saline for injection with a specification of 250ml/bag, and administered by intravenous infusion.
Using an infusion pump at a rate of 4mL/min according to the dosage, and any infusion reactions will be recorded.
The injection solution for both the experimental and placebo groups should be prepared by a non-blind investigator independent of the trial
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Adverse events
Time Frame: Up to 30 days
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Adverse events will be evaluated according to the NCI Common Terminology Criteria for Adverse Events (CTCAE, V5.0), which includes spontaneously reported adverse events as well as clinically significant changes in vital signs, physical examination, laboratory tests, electrocardiogram, and other examinations conducted during the trial.
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Up to 30 days
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Pharmacokinetic parameters,Tmax
Time Frame: Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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Peak time, reflecting the absorption, distribution, metabolism and excretion characteristics of drugs in the body.
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Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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Pharmacokinetic parameters, Cmax
Time Frame: Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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Peak concentrations, reflecting the absorption, distribution, metabolism and excretion characteristics of drugs in the body.
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Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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Pharmacokinetic parameters, λz
Time Frame: Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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The apparent terminal elimination rate constant, obtained by taking a half-log linear regression at the elimination phase concentration point, reflecting the absorption, distribution, metabolism and excretion characteristics of drugs in the body.
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Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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Pharmacokinetic parameters, t1/2
Time Frame: Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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the apparent terminal elimination half-life, calculated according to the following equation:t1/2= Ln(2)/ λz,reflecting the absorption, distribution, metabolism and excretion characteristics of drugs in the body.
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Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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Pharmacodynamic parameters, blood cadmium
Time Frame: Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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blood cadmium concentration before and after drug administration
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Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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Pharmacodynamic parameters, urine cadmium
Time Frame: Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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urine cadmium level before and after drug administration (μmol/mol creatinine)
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Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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Pharmacodynamic parameters, 24-hour urine cadmium
Time Frame: Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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24-hour urine cadmium excretion before and after drug administration
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Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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Pharmacodynamic parameters,serum electrolyte and trace element
Time Frame: Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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serum electrolyte and trace element concentrations before and after drug administration
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Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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Pharmacodynamic parameters, other blood heavy metals
Time Frame: Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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whole blood heavy metal levels before and after drug administration
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Evaluated at baseline, during drug infusion, and within 24 hours after drug administration
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Fang Pei, PhD-c, Hunan Occupational Disease Prevention and Control Institute
- Principal Investigator: Yan Lai, Hunan Occupational Disease Prevention and Control Institute
Publications and helpful links
General Publications
- Tang X, Zhu J, Zhong Z, Luo M, Li G, Gong Z, Zhang C, Fei F, Ruan X, Zhou J, Liu G, Li G, Olson J, Ren X. Mobilization and removing of cadmium from kidney by GMDTC utilizing renal glucose reabsorption pathway. Toxicol Appl Pharmacol. 2016 Aug 15;305:143-152. doi: 10.1016/j.taap.2016.06.001. Epub 2016 Jun 6.
- Li Guangxian. Study on the efficacy of GMDTC in removing cadmium and its toxic side effects in chronic cadmium-poisoned mice and rats [D]. Guangdong Pharmaceutical University, 2015.
- Guidelines for the management of Phase I clinical trials of drugs (trial implementation)
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- JianerShengPharmaTCIb
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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