- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT03180762
A Study to Investigate Safety and Tolerability, Pharmacokinetics and Pharmacodynamics of JNJ-64140284 in Healthy Participants
A 3-Part, Randomized, Placebo-controlled, Double-blind, Single Ascending Dose Study to Investigate Safety and Tolerability, Pharmacokinetics and Pharmacodynamics of JNJ-64140284 in Healthy Subjects
Přehled studie
Postavení
Podmínky
Typ studie
Zápis (Aktuální)
Fáze
- Fáze 1
Kontakty a umístění
Studijní místa
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Merksem, Belgie, 2170
- Clinical Pharmacology Unit
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Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Inclusion Criteria:
Part 1 and 2:
- Healthy male participants between 18 and 58 years of age, inclusive
Part 1, 2 and 3:
- Participants must be healthy on the basis of clinical laboratory tests performed at screening. If the results of the serum chemistry panel, hematology, or urinalysis are outside the normal reference ranges, retesting of an abnormal lab value(s) that may lead to exclusion will be allowed once during the screening phase. The participant may be included only if the investigator judges the abnormalities or deviations from normal to be not clinically significant or to be appropriate and reasonable for the population under study according to both the investigator and to the Janssen Safety Physician, are acceptable
Part 3:
- Healthy male and female participants between 59 and 75 years of age, inclusive
- Participants must be healthy and medically stable on the basis of clinical laboratory tests (at screening) and physical and neurological examination (at screening and at admission to the clinical unit). If the participant is medically stable with medication, inclusion can be allowed on a case by case basis with written agreement of the sponsor's responsible safety physician
- Women must not be of childbearing potential (must be postmenopausal with amenorrhea for at least 12 months) or permanently sterilized (for example, tubal occlusion, hysterectomy, bilateral salpingectomy)
Exclusion Criteria:
Part 1, 2 and 3:
- Participants with a history of or current significant medical illness including (but not limited to) cardiac arrhythmias or other cardiac disease, hematological disease, lipid abnormalities, bronchospastic respiratory disease, diabetes mellitus, renal or hepatic insufficiency, thyroid disease, Parkinson's disease, infection, or any other illness that the Investigator considers should exclude the participant
- Participants with a serology positive for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibodies or human immunodeficiency virus (HIV) antibodies
- Participants with a clinically significant acute illness within 7 days prior to study drug administration
- Donation of 1 or more units (approximately 450 milliliter [mL]) of blood or acute loss of an equivalent amount of blood within 90 days prior to study drug administration
Part 3:
- participants having a contraindication for spinal puncture including:
- A relevant history of lower back pain or scoliosis or kyphosis and/or major (lumbar) back surgery (microdiscectomy is allowed) in the opinion of the investigator
- Allergy to local anesthetics and/or iodine/disinfectants
- Clinically significant abnormal values for coagulation at screening
- Use of aspirin (even low dose) within 5 days prior to lumbar puncture
- Use of low molecular weight heparin (LMWH) within 12 hours prior to lumbar puncture
- Use of any anticoagulant treatment (besides LMWH described above) within 1 week prior to lumbar puncture
- Has a topical infection or local dermatological condition at the puncture site prior to puncture
- Has papilloedema or signs of increased intracranial pressure based on fundoscopy at screening
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Jiný
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Dvojnásobek
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
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Experimentální: Part 1: Cohort 1 (JNJ-64140284 or Placebo)
Participants will receive 0.1 milligram (mg) JNJ-64140284 or matching placebo under fasted condition on Day 1.
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Bude podáváno odpovídající placebo.
0.1 mg of JNJ-64140284 will be administered as an oral solution.
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Experimentální: Part 1: Cohort 2 (JNJ-64140284 or Placebo)
Participants will receive 0.5 mg JNJ-64140284 or matching placebo under fasted condition on Day 1.
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Bude podáváno odpovídající placebo.
0.5 mg of JNJ-64140284 will be administered as an oral solution.
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Experimentální: Part 1: Cohort 3 (JNJ-64140284 or Placebo)
Participants will receive 2.5 mg JNJ-64140284 or matching placebo under fasted condition on Day 1.
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Bude podáváno odpovídající placebo.
2.5 mg of JNJ-64140284 will be administered as an oral solution.
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Experimentální: Part 1: Cohort 4 (JNJ-64140284 or Placebo)
Participants will receive 10 mg JNJ-64140284 or matching placebo under fasted condition on Day 1.
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Bude podáváno odpovídající placebo.
10 mg of JNJ-64140284 will be administered as an oral solution.
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Experimentální: Part 1: Cohort 5 (JNJ-64140284 or Placebo)
Participants will receive 50 mg JNJ-64140284 or matching placebo under fasted condition on Day 1.
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Bude podáváno odpovídající placebo.
50 mg of JNJ-64140284 will be administered as an oral solution.
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Experimentální: Part 1: Cohort 6 (JNJ-64140284 or Placebo)
Participants will receive 150 mg JNJ-64140284 or matching placebo under fasted condition on Day 1.
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Bude podáváno odpovídající placebo.
150 mg of JNJ-64140284 will be administered as an oral solution.
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Experimentální: Part 2: Cohort 7 (JNJ-64140284)
Participants will receive JNJ-64140284 (dose to be determined - the dose of JNJ-64140284 will be determined on the basis of acceptable safety, tolerability and pharmacokinetics [PK] of preceding dose levels; no more than 50 percent (%) of the highest dose tested [though as high as possible within this restriction] and considered well tolerated in Part 1) under fed conditions on Day 1.
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JNJ-64140284 (dose to be determined) will be administered as an oral solution.
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Experimentální: Part 3: Cohort 8 (JNJ-64140284 or Placebo)
Participants will receive JNJ-64140284 or matching placebo (dose to be determined - dose will be determined based on PK data from previous cohorts and which will be well-tolerated in Part 1) under fasted condition on Day 1.
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Bude podáváno odpovídající placebo.
JNJ-64140284 (dose to be determined) will be administered as an oral solution.
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Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Number of Participants With Adverse Events (AEs) as a Measure of Safety and Tolerability: Part 1, Part 2, and Part 3
Časové okno: Approximately 40 days
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An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.
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Approximately 40 days
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Maximum Plasma Concentration (Cmax) of JNJ-64140284: Part 1, Part 2, and Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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The Cmax is the maximum observed plasma concentration.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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Maximum Cerebrospinal Fluid (CSF) Concentration (Cmax) of JNJ-64140284: Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
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The Cmax is the maximum observed CSF concentration.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
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Last Quantifiable Plasma Concentration (Clast) of JNJ-64140284: Part 1, Part 2, and Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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The Clast is the last quantifiable plasma concentration.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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Last Quantifiable CSF Concentration (Clast) of JNJ-64140284: Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
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The Clast is the last quantifiable CSF concentration.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
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Time to Reach Maximum Plasma Concentration (Tmax) of JNJ-64140284: Part 1, Part 2, and Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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The Tmax is defined as actual sampling time to reach maximum observed plasma concentration.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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Time to Reach Maximum CSF Concentration (Tmax) of JNJ-64140284: Part 1, Part 2, and Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
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The Tmax is defined as actual sampling time to reach maximum observed CSF concentration.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
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Time of the Last Quantifiable Plasma Concentration (Tlast) of JNJ-64140284: Part 1, Part 2, and Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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The Tlast is defined as the time of the last quantifiable plasma concentration.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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Time of the Last Quantifiable CSF Concentration (Tlast) of JNJ-64140284: Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
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The Tlast is defined as the time of the last quantifiable CSF concentration.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
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Area Under the Plasma Concentration-Time Curve From Time Zero to Time of the Last Quantifiable Concentration (AUC [0-last]) of JNJ-64140284: Part 1, Part 2, and Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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The (AUC [0-last]) is the area under the plasma concentration-time curve from time 0 to time of the last quantifiable concentration.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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Area Under the CSF Concentration-Time Curve From Time Zero to Time of the Last Quantifiable Concentration (AUC [0-last]) of JNJ-64140284: Part 1, Part 2, and Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
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The (AUC [0-last]) is the area under the CSF concentration-time curve from time 0 to time of the last quantifiable concentration.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
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Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC [0-infinity]) of JNJ-64140284: Part 1, Part 2, and Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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The AUC (0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC(0-last) and C(0-last)/lambda(z), wherein AUC(0-last) is the area under the plasma concentration-time curve from time 0 to time of the last quantifiable concentrations; C(0-last) is the last observed quantifiable concentration; and lambda(z) is elimination rate constant.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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Area Under the CSF Concentration-Time Curve From Time Zero to Infinite Time (AUC [0-infinity]) of JNJ-64140284: Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
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The AUC (0-infinity) is the area under the CSF concentration-time curve from time zero to infinite time, calculated as the sum of AUC(0-last) and C(0-last)/lambda(z), wherein AUC(0-last) is the area under the CSF concentration-time curve from time 0 to time of the last quantifiable concentrations; C(0-last) is the last observed quantifiable concentration; and lambda(z) is elimination rate constant.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
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Elimination Rate Constant (Lambda[z]) of JNJ-64140284: Part 1, Part 2, and Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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Lambda(z) is first-order rate constant associated with the terminal portion of the curve, determined as the negative slope of the terminal log-linear phase of the drug concentration-time curve.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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Elimination Half-life (t1/2) of JNJ-64140284: Part 1, Part 2, and Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, and 96 hours post dose
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The t1/2 is the time measured for the plasma concentration to decrease by 1 half to its original concentration.
It is associated with the terminal slope of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z).
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, and 96 hours post dose
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Total Clearance (CL/F) of JNJ-64140284: Part 1, Part 2, and Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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CL/F is the total clearance of drug after extravascular administration, uncorrected for absolute bioavailability.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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Creatinine Clearance (CLcr) of JNJ-64140284: Part 1, Part 2, and Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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CLcr will be determined with the Cockcroft-Gault formula.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
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Amount of Drug Excreted in Urine From Time Zero to Infinite Time (Aeinf): Part 1
Časové okno: 0-1, 1-2, 2-4, 4-12, and 12-24 hours post dose
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Aeinf is the cumulative amount of study drug excreted into urine from time of dosing extrapolated to time infinity.
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0-1, 1-2, 2-4, 4-12, and 12-24 hours post dose
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Renal Clearance (CLr): Part 1
Časové okno: 0-1, 1-2, 2-4, 4-12, and 12-24 hours post dose
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The CLr is the renal clearance of the drug.
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0-1, 1-2, 2-4, 4-12, and 12-24 hours post dose
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Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Bond & Lader Visual Analogue Scale (VAS) Score: Part 1 and Part 3
Časové okno: Days -1, 1, 2 and 3
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The VAS is a participant rated scale, made up of 16 (items) pairs of alternative descriptors of mood and attention at either end of a 10 cm line.
The item score ranges from 0 to 100, with a high score reflecting a high level of anxiety, sedation or dysphoria.
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Days -1, 1, 2 and 3
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Karolinska Sleepiness Scale (KSS) Score: Part 1 and Part 3
Časové okno: Days -1, 1, 2 and 3
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The KSS is a participant-reported assessment used to rate sleepiness on a scale of 1 to 9, ranging from 'extremely alert' (1) to 'very sleepy, great effort to keep awake, fighting sleep' (9).
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Days -1, 1, 2 and 3
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Profile of Mood States (POMS) Score: Part 1 and Part 3
Časové okno: Days -1, 1, 2 and 3
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The POMS is a self-administered scale that assesses individuals' mood states.
This is a validated scale to measure positive and negative mood states.
The POMS contains 30 items describing the feeling/mood state rated by participants on a 5-point scale (where, 0=not at all and 4=extremely).
The greater the score, the greater the corresponding mood state.
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Days -1, 1, 2 and 3
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Body Sway: Part 1
Časové okno: Days -1, 1, 2 and 3
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Body sway will be used to measure body movements, providing a measure of postural stability.
The method has been used to demonstrate effects of sleep deprivation, alcohol, and benzodiazepines.
It will be measured either using a stabilometric platform or a pot string meter based on the Wright ataxiameter.
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Days -1, 1, 2 and 3
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Cognitive Test Battery: International Shopping List Test (ISLT): Part 1
Časové okno: Days -21 to -2, Day -1, and Day 1 (6 hours post dose)
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The ISLT is a measure of Verbal Learning.
The test measures total number of correct responses remembering the word list on 3 consecutive trials at a single assessment.
Higher score indicates better performance.
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Days -21 to -2, Day -1, and Day 1 (6 hours post dose)
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Cognitive Test Battery: Groton Maze Learning Test (GMLT): Part 1
Časové okno: Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
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GMLT is a measure of Executive Function and Spatial Learning.
The test measures total number of errors made while locating and learning 28 step pathway hidden beneath a 10*10 grid on 5 consecutive trials during a single session.
Lower score indicates better performance.
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Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
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Cognitive Test Battery: Detection Task (DET): Part 1
Časové okno: Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
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DET is a measure of Psychomotor Function.
The test measures speed of performance; mean of the log10 transformed reaction times for correct responses.
Lower score indicates better performance.
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Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
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Cognitive Test Battery: Identification Task (IDN): Part 1
Časové okno: Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
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IDN is a measure of Attention.
The test measures speed of performance; mean of the log10 transformed reaction times for correct responses.
Lower score indicates better performance.
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Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
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Cognitive Test Battery: One Card Learning Task (OCL): Part 1
Časové okno: Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
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OCL is a measure of Visual Learning.
The test measures accuracy of performance; arcsine transformation of the square root of the proportion of correct responses.
Higher score indicates better performance.
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Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
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Cognitive Test Battery: One Back Task (ONB): Part 1
Časové okno: Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
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ONB is a measure of Working Memory.
The test measures speed of performance; mean of the log10 transformed reaction times for correct responses.
Lower score indicates better performance.
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Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
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Cognitive Test Battery: Groton Maze Learning Test (GMLT) Delayed Recall: Part 1
Časové okno: Days -21 to -2, Day -1, and Day 1 (6 hours post dose)
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GMLT delayed recall is a measure of Delayed Spatial Memory.
The test measures number of errors made while locating 28 step pathway hidden beneath a 10*10 grid after a delay.
Lower score indicates better performance.
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Days -21 to -2, Day -1, and Day 1 (6 hours post dose)
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Cognitive Test Battery: International Shopping List Test Delayed (ISLT-D): Part 1
Časové okno: Days -21 to -2, Day -1, Predose, Day 1 (6 hours post dose), and Day 2 (24 hours post dose)
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ISLT-D is a measure of Delayed Verbal Memory.
The test measures total number of correct responses recalling the word list learned initially.
Higher score indicates better performance.
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Days -21 to -2, Day -1, Predose, Day 1 (6 hours post dose), and Day 2 (24 hours post dose)
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Sheehan Irritability Scale (SIS) Score: Part 1 and Part 3
Časové okno: Day -1, Day 1 (6 and 12 hours post dose), and Day 2 (24 hours post dose)
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The SIS is a 7-item self-report rating scale that assess symptoms of irritability, frustration, edginess/impatience, moodiness, anger with self, anger with others and temper during the past hour.
Each item is assessed on an 11-point numeric rating scale ranging from 0 (not at all) to 10 (extremely).
The SIS total score is calculated by summing of the scores for each of the 7 individual items and ranges from 0 to 70.
A higher score indicates greater symptomatology.
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Day -1, Day 1 (6 and 12 hours post dose), and Day 2 (24 hours post dose)
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Cerebrospinal Fluid (CSF) Biomarkers Level: Brain Derived Neurotrophic Factor (BDNF): Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 hours post dose
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BDNF level in the CSF (a CSF biomarker) will be analyzed to evaluate the pharmacodynamic effect of JNJ-64140284.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 hours post dose
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Cerebrospinal Fluid (CSF) Biomarkers Level: Monoaminergic Neurotransmitters and Their Metabolites: Part 3
Časové okno: Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 hours post dose
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Monoaminergic neurotransmitters (such as dopamine, serotonine and [nor]adrenaline) and their metabolites (such as homovanillic acid [HVA], 3,4-dihydroxyphenyl glycol [DHPG], 5-hydroxyindoleacetic acid [5-HIAA], 3,4-dihydroxyphenylalanine [DOPA], and 3,4-dihydroxyphenylacetic acid [DOPAC]) in the CSF (CSF biomarkers) will be analyzed to evaluate the pharmacodynamic effect of JNJ-64140284.
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Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 hours post dose
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Spolupracovníci a vyšetřovatelé
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Primární dokončení (Aktuální)
Dokončení studie (Aktuální)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další identifikační čísla studie
- CR108318
- 2017-000283-16 (Číslo EudraCT)
- 64140284EDI1001 (Jiný identifikátor: Janssen Research & Development, LLC)
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
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Seattle Children's HospitalEunice Kennedy Shriver National Institute of Child Health and Human Development... a další spolupracovníciZatím nenabírámePreventivní zdravotní služby (PREV HEALTH SERV)Spojené státy
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University of WashingtonNational Institute of Environmental Health Sciences (NIEHS)Aktivní, ne náborTeplo | Havarijní připravenost | Extrémní teplo | Health Health | Extrémní tepelné vlny | Řízení katastrof | Plánování katastrof | KatastrofySpojené státy
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Kliniek ViaSanaSt. Anna Ziekenhuis, Geldrop, NetherlandsDokončenoBolest | Užívání opioidů | Totální náhrada kolena | Aplikace E-healthHolandsko
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Universidad de ZaragozaNáborProfesionální integrace nově odstupňovaných pracovních terapeutů | Peer Mentorship in Health Professions | Přechod včasného kariéry a profesní identitaŠpanělsko
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Gümüşhane UniversıtyKaradeniz Technical UniversityDokončenoRegistrováno u Kelkit District State Hospital Home Health Unit | Být pacientem domácí péčeKrocan
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FIDMAG Germanes HospitalàriesUniversity of BarcelonaDokončenoPorucha duševního zdraví | Duševní zdraví wellness 1 | Role sestry | Care Acceptor, Health | Vztah, sestra pacientaŠpanělsko