- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT03191045
In Vivo Predictive Dissolution 1 (iPD1)
15. januar 2019 opdateret af: Luca Marciani, University of Nottingham
Development of MRI Protocols to Assess Gastrointestinal Motility With Concomitant Perfused Manometry Validation in Healthy Volunteers
This study will: 1. validate MRI motility method with concomitant perfused manometry method in healthy adult participants.
2. measure exploratory endpoints of interest including GI fluid volumes in 21 adult healthy volunteers studied twice.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
The gastrointestinal (GI) environment where drug products dissolve has not been studied in detail due to limitations, especially invasiveness of existing techniques.
Hence little in vivo data on GI fluids and motility is available to improve relevance of predictive dissolution models and bench dissolution techniques.
Recent advances in magnetic resonance imaging (MRI) methods could provide novel data and insights.
On-going studies at the University of Michigan and at the University of Nottingham, using advanced, validated, quantitative MRI techniques have already shown that GI fluid (water) volumes can be measured.
The classical method for measuring GI motility is via a manometric method involving intubation, but it is possible to measure GI motility with MRI.
Based on our MRI motility pilot data and on the literature available, this study aims to test the main hypotheses that in healthy adult participants the new MRI method has the potential to replace current manometric study protocols and will allow a simultaneous measurement of gastrointestinal motility and fluid volumes in the gut during the fasted state.
This will establish a solid and unprecedented base of in vivo results upon which to base advances in oral pharmaceutical product science.
For this initial study, the study objectives are therefore: 1.
To validate the MRI motility method with concomitant perfused manometry method in healthy adult participants.
2. To measure exploratory endpoints of interest including GI fluid volumes.
Twenty one adult healthy volunteers will participate in this replicated study.
We will pass a thin perfused manometry tube via the nose into the gut of the participants and then take MRI images of abdominal areas while bowel motility is being measured via a tube manometric method to see how they compare.
We will be able also to measure the volume of fluids in the gut.
Undersøgelsestype
Observationel
Tilmelding (Faktiske)
20
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Nottingham, Det Forenede Kongerige, Ng7 2UH
- Nottingham Digestive Diseases Centre
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år til 60 år (Voksen)
Tager imod sunde frivillige
Ja
Køn, der er berettiget til at studere
Alle
Prøveudtagningsmetode
Sandsynlighedsprøve
Studiebefolkning
Self-reporting, healthy adult participants, with no restrictions on gender, ethnicity or race, recruited by advertisement by poster and flyer
Beskrivelse
Inclusion Criteria:
- Aged 18-60
- Healthy
- Male or female
- Able to give informed written consent and willing to comply with required study procedures
Exclusion Criteria:
- Any history of serious, unstable medical condition, unstable/uncontrolled diabetes mellitus, and/ or major psychiatric diagnosis such as attention deficit hyperactivity disorder, obsessive compulsive disorder, panic attacks and generalized anxiety disorder.
- Any reported history of gastrointestinal disease
- Any significant respiratory disease such as asthma
- Any conditions requiring daily intake of any prescription and/or over-the-counter medications
- Any reported history of surgery that could affect gastrointestinal function (e.g. colectomy, small bowel resection)
- Reported alcohol dependence
- Abnormal screening procedures and laboratory results that are clinically significant in the opinion of the study medically qualified researcher
- Pregnancy
- Contraindications for MRI scanning i.e. metallic implants, pacemakers, history of metallic foreign body in eye(s) and penetrating eye injury
- Inability to lie flat
- Weight exceeding scanner limits of 120kg
- Poor understanding of English language
- Any conditions causing fidgeting
- Claustrophobia
- Participation of any medical trials for the past 3 months
- Judgement by the study medically qualified researcher that the candidate will be unable to comply with the full study protocol e.g. severe chronic obstructive pulmonary disease
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
Intervention / Behandling |
|---|---|
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Healthy participants
A group of 21 healthy adult participants studied twice (test-retest)
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We will carry out serial cine MRI of the bowel.
At the same time we will record perfused manometry readings of the bowel in healthy adult participants.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Stomach MRI motility
Tidsramme: Over set time bins and recorded for up to 4 hours
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Area under the curve (AUC) of the stomach motility contractions (in mm×second) measured by MRI.
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Over set time bins and recorded for up to 4 hours
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Stomach perfused manometry motility
Tidsramme: Over set time bins and recorded for up to 4 hours
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Area under the curve (AUC) of the stomach motility contractions (in mmHg×second) measured by perfused manometry
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Over set time bins and recorded for up to 4 hours
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Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Stomach MRI and perfused manometry correlation
Tidsramme: Over set time bins and recorded for up to 4 hours
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Correlation between the area under the curves (AUCs) of the MRI and perfused manometry stomach motility contractions
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Over set time bins and recorded for up to 4 hours
|
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Small bowel MRI motility
Tidsramme: Over set time bins and recorded for up to 4 hours
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Small bowel motility by MRI (both in arbitrary units and, where possible, using actual diameter readings as above in mm×second)
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Over set time bins and recorded for up to 4 hours
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Small bowel perfused manometry motility
Tidsramme: Over set time bins and recorded for up to 4 hours
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Small bowel motility by perfused manometry (as above, in mmHg×second)
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Over set time bins and recorded for up to 4 hours
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Small bowel MRI and perfused manometry correlation
Tidsramme: Over set time bins and recorded for up to 4 hours
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Correlation between the area under the curves (AUCs) of the MRI and perfused manometry small bowel motility contractions
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Over set time bins and recorded for up to 4 hours
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Bowel liquid volumes
Tidsramme: Recorded for up to 4 hours
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Gastric, small bowel water and colonic freely mobile liquid volumes (in mL)
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Recorded for up to 4 hours
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Efterforskere
- Ledende efterforsker: Gordon L Amidon, PhD, University of Michigan
- Ledende efterforsker: Greg E Amidon, PhD, University of Michigan
- Ledende efterforsker: Maura Corsetti, MD, University of Nottingham
- Ledende efterforsker: Jeff Wright, PhD, University of Nottingham
- Ledende efterforsker: Paul Glover, PhD, University of Nottingham
- Ledende efterforsker: Geoffrey S Hebbard, PhD, Melbourne Health
- Ledende efterforsker: Caroline L Hoad, PhD, University of Nottingham
- Ledende efterforsker: Penny A Gowland, PhD, University of Nottingham
- Ledende efterforsker: Kerby Shedden, PhD, University of Michigan
- Ledende efterforsker: Joseph Dickens, PhD, University of Michigan
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Faktiske)
19. juli 2017
Primær færdiggørelse (Faktiske)
1. marts 2018
Studieafslutning (Faktiske)
1. marts 2018
Datoer for studieregistrering
Først indsendt
15. juni 2017
Først indsendt, der opfyldte QC-kriterier
15. juni 2017
Først opslået (Faktiske)
19. juni 2017
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
17. januar 2019
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
15. januar 2019
Sidst verificeret
1. januar 2019
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- A14112016 MRI FDA
Plan for individuelle deltagerdata (IPD)
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