- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02172339
The Pharmacokinetic, Safety and Tolerability of Tiotropium in Outpatients With Renal Impairment in Comparison to Healthy Subjects
The Pharmacokinetic, Safety and Tolerability of Tiotropium (4.8 mcg, Single i.v. Dose) in Outpatients With Renal Impairment in Comparison to Healthy Subjects (Open Label, Group Comparison, Two-center Study)
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 1
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Subjects:
Subject with normal renal function ( creatinine clearance of 80% of predicted creatinine clearance in healthy volunteers), as confirmed by normal physical examination including vital signs, ECG and laboratory values
Calculated creatinine clearance (male);
= ((140 - age(yr)) x (Wt (kg))) / (72 x predicted serum creatinine (mg/dL))
Calculated creatinine clearance (female);
= ((140 - age(yr)) x (Wt(kg))) / (85 x predicted serum creatinine (mg/dL))
- Subject with impaired renal function must be of age related good health and without clinically significant abnormalities as assessed during the physical examination. Mildly impaired renal patients were defined as those with creatinine clearance of 40 - 80% of predicted creatinine clearance; moderately impaired renal patients were defined as those with creatinine clearance of 10 - 40% of predicted creatinine clearance. Laboratory values of subjects with renal impairment could have been outside the normal range if the deviations were due to the underlying renal disease.
- Male or female, age between 40 and 70 years with normal body - weight index (+/- 25%, Broca-index)
- Subjects with normal 12 - lead ECG recording
- Subjects with normal physical examination
- Subjects with normal clinical and laboratory tests (except for indicators of renal impairment)
- Female of child bearing potential must have a negative pregnancy test
- All subjects must have a negative HIV-Ab test and negative Hepatitis B test
- All subjects must have a negative drug screening
- All subjects must sign a written informed consent prior to enrollment
Exclusion Criteria:
- Subjects with a history of more then moderate alcohol consumption (more than 1 litre of beer per day or the equivalent amount of alcohol in any other alcoholic beverage, approximately 50 g of alcohol per day). 24 hours before dosing and 24 hours post dosing, alcohol was not permitted
- Present or past participation in a drug detoxification program
- Smokers
- Subjects requiring any concomitant medication not compatible with this study
- Subjects with hypotension (systolic blood pressure less than 100 mmHg, diastolic less than 60 mmHg) or hypertension (systolic blood pressure more than 165 mmHg or diastolic more than 100 mmHg) under adequate medication
- Subjects who participated in a clinical trial of any other investigational drug within two months prior to the start of this study
- Pregnant or lactating women or women of child bearing potential not using a medically approved means contraception. (i.e., oral contraceptives, intrauterine devices, diaphragm)
- Subjects who donated blood within three months prior to the start of the study
- Subjects with a history of chronic or recurrent convulsive disorders or ongoing hepatic dysfunction
- Subjects with ongoing acute systemic illness or recovery from acute systemic illness
- Subjects with a history of cancer within the last five years
- Subjects with known hypersensitivity to anticholinergic drugs
- Subjects with known symptomatic prostatic hypertrophy or bladder neck obstruction
- Subjects with known narrow-angle glaucoma
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Tiotropium
group comparison (healthy, renal impairment)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Area under the curve (AUC (0-4h) of plasma levels of tiotropium after dosing)
Time Frame: pre-dose, 7, 15 , 20, 25, 35, 45 minutes and 1, 2, 4 and 8 hours after drug administration
|
pre-dose, 7, 15 , 20, 25, 35, 45 minutes and 1, 2, 4 and 8 hours after drug administration
|
Renal clearance of tiotropium (CLren )
Time Frame: Day 1, 2, 3, 7, 11, 15, 18, 22 and 25 (0-4h, 4-8h), additionally -4 -0 h on day 1
|
Day 1, 2, 3, 7, 11, 15, 18, 22 and 25 (0-4h, 4-8h), additionally -4 -0 h on day 1
|
Terminal half-life of tiotropium
Time Frame: pre-dose, 7, 15 , 20, 25, 35, 45 minutes and 1, 2, 4 and 8 hours after drug administration
|
pre-dose, 7, 15 , 20, 25, 35, 45 minutes and 1, 2, 4 and 8 hours after drug administration
|
Urinary excretion (0-4h) of tiotropium, Ae 0-4h
Time Frame: Day 1, 2, 3, 7, 11, 15, 18, 22 and 25 (0-4h, 4-8h), additionally -4 -0 h on day 1
|
Day 1, 2, 3, 7, 11, 15, 18, 22 and 25 (0-4h, 4-8h), additionally -4 -0 h on day 1
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change from baseline in Pulse Rate (PR)
Time Frame: baseline, day 1, 2, 3, 7,11, 15,18, 22 and 25
|
baseline, day 1, 2, 3, 7,11, 15,18, 22 and 25
|
Change from baseline in Blood pressure (BP)
Time Frame: baseline, day 1, 2, 3, 7,11, 15,18, 22 and 25
|
baseline, day 1, 2, 3, 7,11, 15,18, 22 and 25
|
Number of Participants with Serious and Non-Serious Adverse Events
Time Frame: up to day 25
|
up to day 25
|
Change from baseline in electrocardiogram (ECG)
Time Frame: baseline, day 1, 2, 7, 15 and 25
|
baseline, day 1, 2, 7, 15 and 25
|
Maximum measured concentration of the analyte in plasma (Cmax )
Time Frame: pre-dose, 7, 15 , 20, 25, 35, 45 minutes and 1, 2, 4 and 8 hours after drug administration
|
pre-dose, 7, 15 , 20, 25, 35, 45 minutes and 1, 2, 4 and 8 hours after drug administration
|
Time from dosing to the maximum concentration of the analyte in plasma (tmax)
Time Frame: pre-dose, 7, 15 , 20, 25, 35, 45 minutes and 1, 2, 4 and 8 hours after drug administration
|
pre-dose, 7, 15 , 20, 25, 35, 45 minutes and 1, 2, 4 and 8 hours after drug administration
|
Change in FEV1 (Forced expiratory volume in one second)
Time Frame: baseline, day 1, 2, 3, 7,11, 15,18, 22 and 25
|
baseline, day 1, 2, 3, 7,11, 15,18, 22 and 25
|
Change in FVC (Forced vital capacity)
Time Frame: baseline, day 1, 2, 3, 7,11, 15,18, 22 and 25
|
baseline, day 1, 2, 3, 7,11, 15,18, 22 and 25
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Kidney Diseases
- Urologic Diseases
- Renal Insufficiency
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Parasympatholytics
- Autonomic Agents
- Peripheral Nervous System Agents
- Cholinergic Antagonists
- Cholinergic Agents
- Bronchodilator Agents
- Anti-Asthmatic Agents
- Respiratory System Agents
- Tiotropium Bromide
Other Study ID Numbers
- 205.134
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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