- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07644364
HJB647 Phase 1b Study in Japanese Healthy Participants With Elevated Blood Pressure and Patients With Hypertension
A Phase 1b, Randomized, Participant- and Investigator- Blinded, Placebo-controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of HJB647 Following Single Ascending Dose and Up-titration Multiple Dose Administration in Japanese Healthy Participants With Elevated Blood Pressure and Patients With Hypertension
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Randomized, placebo-controlled, participant- and investigator-blind study consisting of two parts:
- Part 1 (SAD part): Single oral dose in healthy participants. Sentinel dosing will be applied in each cohort.
- Part 2 (MAD part): Multiple oral doses in patients with hypertension. Safety reviews will guide dose escalation and up-titration.
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
- Navn: Novartis Pharmaceuticals
Undersøgelse Kontakt Backup
- Navn: Novartis Pharmaceuticals
- Telefonnummer: +81337978748
- E-mail: novartis.email@novartis.com
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Japanese healthy participants with elevated blood pressure (Part 1) and patients with mild-to-moderate hypertension (Part 2)
- Age: 18 to 55 years (Part 1) and 18 to 60 years (Part 2)
Body weight:
- Male: ≥ 50.0 kg
- Female: ≥ 45.0 kg
- Body Mass Index (BMI): 18.0 to 30.0 kg/m²
- Axillary body temperature: 35.0-37.5 °C
- Heart rate: 50-90 bpm
Blood pressure criteria are as follows:
- Part 1: Healthy Participants with Elevated Blood Pressure Screening: Systolic Blood Pressure (SBP): 120 ≤ SBP ≤ 139 mmHg; Diastolic Blood Pressure (DBP): 60 ≤ DBP ≤ 94 mmHg Baseline (Day -1): SBP: 120 ≤ SBP ≤ 179 mmHg; DBP: 60 ≤ DBP ≤ 109 mmHg
- Part 2: Patients with Hypertension Screening and Baseline (Day -1): SBP: 140 ≤ SBP ≤ 179 mmHg; DBP: 60 ≤ DBP ≤ 109 mmHg
Exclusion Criteria:
- Significant illness, including infectious diseases that have not resolved within 30 days prior to baseline
History or current diagnosis of ECG or cardiac abnormalities indicating significant risk of safety for participants such as:
- Concomitant clinically significant cardiac arrhythmias, e.g., sustained ventricular tachycardia, and clinically significant second- or third-degree AV block without a pacemaker.
- History of familial long QT syndrome or known family history of Torsades de Pointes
- Resting QT interval corrected by Fridericia's formula (QTcF) ≥ 450 msec (male) or ≥ 460 msec (female) at screening
- At screening, hypokalemia or hypomagnesemia defined as potassium or magnesium values below the LLN on repeat measurement, or laboratory abnormalities indicating hypothyroidism, as determined at the discretion of the investigator
- HbA1c ≥ 7.0% or LDL cholesterol ≥ 180 mg/dL or triglycerides ≥ 250 mg/dL
- Use of any prescription drugs or herbal supplements within 4 weeks prior to initial dosing, and/or OTC medication or dietary supplements (vitamins included) within 2 weeks prior to initial dosing
- Women of childbearing potential
Other protocol-defined inclusion/exclusion criteria may apply
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Part 1-1: HJB647 low dose
Single dose Day 1 in Part 1
|
HJB647 oral capsule
|
|
Eksperimentel: Part 1-2: HJB647 mid-dose
Single dose Day 1 in Part 1
|
HJB647 oral capsule
|
|
Eksperimentel: Part 1-3: HJB647 high dose
Single dose Day 1 in Part 1
|
HJB647 oral capsule
|
|
Placebo komparator: Part 1: Placebo
Single dose Day 1 in Part 1
|
Matchende oral placebo
|
|
Eksperimentel: Part 2-1: HJB647 multiple oral doses
Multiple oral doses of HJB647 with adaptive up-titration in Part 2
|
HJB647 oral capsule
|
|
Eksperimentel: Part 2-2: HJB647 multiple oral doses (optional cohort)
Multiple oral doses of HJB647 with adaptive up-titration in Part 2
|
HJB647 oral capsule
|
|
Eksperimentel: Part 2-3: HJB647 multiple oral doses (optional cohort)
Multiple oral doses of HJB647 with adaptive up-titration in Part 2
|
HJB647 oral capsule
|
|
Eksperimentel: Part 2-4: HJB647 multiple oral doses (optional cohort)
Multiple oral doses of HJB647 with adaptive up-titration in Part 2
|
HJB647 oral capsule
|
|
Eksperimentel: Part 2-5: HJB647 multiple oral doses (optional cohort)
Multiple oral doses of HJB647 with adaptive up-titration in Part 2
|
HJB647 oral capsule
|
|
Placebo komparator: Part 2: Placebo
Multiple oral doses of placebo with adaptive up-titration in Part 2
|
Matchende oral placebo
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Part 1: Cmax
Tidsramme: Part 1 on Day 1
|
Cmax: The maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration (mass x volume-1)
|
Part 1 on Day 1
|
|
Part 1: Tmax
Tidsramme: Part 1 on Day 1
|
Tmax: The time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration (time)
|
Part 1 on Day 1
|
|
Part 1: AUClast
Tidsramme: Part 1 on Day 1
|
AUClast: The AUC from time zero to the last measurable concentration sampling time (tlast) (mass x time x volume-1)
|
Part 1 on Day 1
|
|
Part 1: AUCinf
Tidsramme: Part 1 on Day 1
|
AUCinf: The AUC from time zero to infinity (mass x time x volume-1)
|
Part 1 on Day 1
|
|
Part 1: AUCtau
Tidsramme: Part 1 on Day 1
|
AUCtau: The AUC calculated to the end of a dosing interval (tau) at steady-state (amount x time x volume-1)
|
Part 1 on Day 1
|
|
Part 1: T1/2
Tidsramme: Part 1 on Day 1
|
T1/2: The elimination half-life associated with the terminal slope (λz) of a semi logarithmic concentration-time curve (time).
Use qualifier for other half-lives
|
Part 1 on Day 1
|
|
Part 2: Number of participants with AEs
Tidsramme: Up to 51 days
|
Number of participants with adverse events (AEs) including abnormal vital signs, ECG, and safety laboratory parameters
|
Up to 51 days
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Part 1: Number of participants with AEs
Tidsramme: Up to 27 days
|
Number of participants with adverse events (AEs) including abnormal vital signs, ECG, and safety laboratory parameters
|
Up to 27 days
|
|
Part 2: Cmax
Tidsramme: Part 2 Day 1, Day 7, Day 8, Day 14, Day 15 and Day 21
|
Cmax: The maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration (mass x volume-1)
|
Part 2 Day 1, Day 7, Day 8, Day 14, Day 15 and Day 21
|
|
Part 2: Tmax
Tidsramme: Part 2 Day 1, Day 7, Day 8, Day 14, Day 15 and Day 21
|
Tmax: The time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration (time)
|
Part 2 Day 1, Day 7, Day 8, Day 14, Day 15 and Day 21
|
|
Part 2: AUClast
Tidsramme: Part 2 Day 1, Day 7, Day 8, Day 14, Day 15 and Day 21
|
AUClast: The AUC from time zero to the last measurable concentration sampling time (tlast) (mass x time x volume-1)
|
Part 2 Day 1, Day 7, Day 8, Day 14, Day 15 and Day 21
|
|
Part 2: AUCinf
Tidsramme: Part 2 Day 1, Day 7, Day 8, Day 14, Day 15 and Day 21
|
AUCinf: The AUC from time zero to infinity (mass x time x volume-1)
|
Part 2 Day 1, Day 7, Day 8, Day 14, Day 15 and Day 21
|
|
Part 2: AUCtau
Tidsramme: Part 2 Day 1, Day 7, Day 8, Day 14, Day 15 and Day 21
|
AUCtau: The AUC calculated to the end of a dosing interval (tau) at steady-state (amount x time x volume-1)
|
Part 2 Day 1, Day 7, Day 8, Day 14, Day 15 and Day 21
|
|
Part 2: T1/2
Tidsramme: Part 2 Day 1, Day 7, Day 8, Day 14, Day 15 and Day 21
|
T1/2: The elimination half-life associated with the terminal slope (λz) of a semi logarithmic concentration-time curve (time).
Use qualifier for other half-lives
|
Part 2 Day 1, Day 7, Day 8, Day 14, Day 15 and Day 21
|
|
Part 2: Office blood pressure change from baseline
Tidsramme: Baseline to Day 27 of part 2
|
Baseline to Day 27 of part 2
|
|
|
Part 2: Heart rate change from baseline
Tidsramme: Baseline to Day 27 of part 2
|
Baseline to Day 27 of part 2
|
|
|
Part 2: Change in 24-hr mean SBP/DBP
Tidsramme: Part 2 Day 1, Day 7, Day 8, Day 14, Day 15, Day 21 and Day 22
|
Change in 24-hr mean Systolic Blood Pressure (SBP)/Diastolic Blood Pressure (DBP), daytime and night time mean Blood Pressure (BP)
|
Part 2 Day 1, Day 7, Day 8, Day 14, Day 15, Day 21 and Day 22
|
|
Part 2: Mean Blood Pressure
Tidsramme: 27 days
|
Daytime mean BP, and nighttime mean BP (ambulatory blood pressure monitoring)
|
27 days
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studieleder: Novartis Pharmaceuticals, Novartis Pharmaceuticals
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- CHJB647A11101
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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