The Pharmacokinetic Study of the Combination of Digoxin and Polythylene Glycol Loxenatide Injection in Healthy Subjects

An Open-label，Single-arm，Sequential，Single-center Clinical Trial of the Pharmacokinetic Study of the Combination of Digoxin and Polythylene Glycol Loxenatide Injection (PEX168) in Healthy Adult Subjects

The purpose of this study is to evaluate the pharmacokinetic study of the combination of digoxin and polythylene glycol loxenatide injection (PEX168) in healthy adults，and to provide scientific basis for clinical combination of PEX168 and drugs.This study is also to evaluate the safety and tolerability of mono-digoxin or digoxin plus PEX168.

Study Overview

• Status: Completed
• Conditions: Healthy
• Intervention / Treatment: Drug: Digoxin; Drug: PEX168

Detailed Description

This will be an open-label, single-arm, sequential, single-center clinical trial. 16 healthy males will be admitted to the clinical facility on Day -1, the day prior to the start of dosing. The subjects will be observed in clinic twice: Day -1 to 8 and Day 37 to 44. Subjects will receive a single dose of digoxin on Day 1 followed by 5 weekly subcutaneously injected doses of PEX168 and a second single dose of digoxin on Day 38. To determine the pharmacokinetic parameters of digoxin after drug administration alone and after multiple doses of PEX168, blood and urine samples will be collected after each dose of digoxin and tested by the laboratory.The subjects will be discharged on Day 8 and Day 44. Approximately 28 days after the last discharge, the subjects will be called for a post study visit.

• Study Type: Interventional
• Enrollment (Actual): 16
• Phase: Phase 1

Contacts and Locations

Study Locations

• China
  • Shaanxi
    • Xian, Shaanxi, China, 710061
      • The First Affiliated Hospital of Xi'An JiaoTong University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 45 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Male

Description

Inclusion Criteria:

1. Healthy males aged from 18 to 45 years
2. Have a body weight over 50kg, have a body mass index (BMI) 19-25 kg/m^2 (both inclusive)
3. Alanine aminotransferase<50 U/L, aspartate aminotransferase<50 U/L, alkaline phosphatase and total bilirubin <1.5x the upper limit of normal
4. According to Cockcroft-Gault, estimated Clcr≥90ml/min
5. Able to comprehend and willing to sign the informed consent form

Exclusion Criteria:

1. Hepatitis B surface antigen(+)， Hepatitis C virus antibody(+)，AIDS antibody（+）
2. History of syncope, palpitations, bradycardia and tachycardia (for example any degree of atrioventricular block, left bundle branch block, right bundle branch block), or have an abnormal result of overall physical examination (vital signs, physical examination), routine laboratory assessment (hematology, biochemistry and urinalysis), 12-lead ECG and abdominal sonography (liver, gallbladder, pancreas, spleen, kidney)
3. Have had an alcohol and substance abuse within 6 months of screening
4. History of smoking within 3 months of screening
5. BP>140/90 millimetres of mercury, or heart rate >100 bpm
6. QT interval >450ms
7. History of drug-induced allergy or of hypersensitivity for digoxin and PEX168
8. History of serious heart disease or lung disease
9. Fasting triglyceride>1.5x the upper limit of normal
10. Subjects with liver disease or have history of liver disease or abnormal liver and gallbladder conditions
11. Donation of blood in excess of 400 mL within the 3 months of screening; or donation of blood within 1 month of screening; or received blood transfusions within 1 month of screening.
12. Hypothyroidism
13. Surgery of gastrointestinal tract
14. History of pancreatitis
15. History of cholecystitis or other gallbladder disease
16. History of inflammatory bowel disease or irritable bowel syndrome
17. History of MEN type 2 syndrome
18. History of medullary thyroid carcinoma
19. A family history of MEN type 2 syndrome and medullary thyroid carcinoma
20. Have participated in clinical trials with drug or medical devices involved within 3 months of screening
21. Have received any drug that may affect the study drugs within 2 weeks of screening, including prescribed drugs, over-counted drugs, Chinese traditional medicine or multivitamins
22. History of grapefruit juice, cranberry, mango, foods and drinks of xanthine or caffeine, strenuous exercise, or any other factor affect the absorption, distribution, metabolism and excretion of the study drug within 2 days of screening
23. Have received any glucagon-like peptide-1 mimetic compound(e.g., exenatide)
24. Have been disagreed to use a reliable method of birth control during the study and for 6 months following the last dose of study drug
25. History of any other condition, which in the opinion of the investigator, may prevent the subject from following and completing the protocol

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Digoxin and PEX168; A single dose of 0.5mg digoxin administered on Day 1 followed by 5 weekly subcutaneous injections of a single dose of 200ug PEX168, followed by a further single dose of 0.5mg digoxin on Day 38.	Drug: Digoxin; Digoxin 0.5mg tablet by mouth on Day 1 and Day 38; Other Names: Lanoxin; Digoxine; Digoxinum; Vanoxin; Drug: PEX168; PEX168 in subcutaneous injection on Day8，15，22，29 and Day 36; Other Names: Polythylene Glycol Loxenatide Injection

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Composite of pharmacokinetic (PK) parameters of digoxin with and without PEX168 in plasma and urine (cmax, t 1/2)	Maximum observed concentration in plasma(cmax); apparent terminal elimination half-life in plasma(t1/2).	Day 1 through Day 44

Secondary Outcome Measures

Outcome Measure	Time Frame
Number of Participants with Adverse Events as a Measure of Safety and Tolerability	Day 1 through Day 44

Collaborators and Investigators

• Sponsor: First Affiliated Hospital Xi'an Jiaotong University
• Investigators: Principal Investigator: Bingyin Shi, MD, First Affiliated Hospital Xi'an Jiaotong University

Study record dates

Study Major Dates

• Study Start: May 1, 2015
• Primary Completion (Actual): September 1, 2015
• Study Completion (Actual): July 1, 2016

Study Registration Dates

• First Submitted: May 12, 2015
• First Submitted That Met QC Criteria: May 21, 2015
• First Posted (Estimate): May 22, 2015

Study Record Updates

• Last Update Posted (Estimate): November 30, 2016
• Last Update Submitted That Met QC Criteria: November 28, 2016
• Last Verified: August 1, 2016

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Physiological Effects of Drugs; Molecular Mechanisms of Pharmacological Action; Anti-Arrhythmia Agents; Enzyme Inhibitors; Protective Agents; Cardiotonic Agents; Digoxin
• Other Study ID Numbers: 2013L02060