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In Vivo Predictive Dissolution 1 (iPD1)

15 de enero de 2019 actualizado por: 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.

Descripción general del estudio

Descripción detallada

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.

Tipo de estudio

De observación

Inscripción (Actual)

20

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Nottingham, Reino Unido, Ng7 2UH
        • Nottingham Digestive Diseases Centre

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 60 años (Adulto)

Acepta Voluntarios Saludables

Géneros elegibles para el estudio

Todos

Método de muestreo

Muestra de probabilidad

Población de estudio

Self-reporting, healthy adult participants, with no restrictions on gender, ethnicity or race, recruited by advertisement by poster and flyer

Descripción

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

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

Cohortes e Intervenciones

Grupo / Cohorte
Intervención / Tratamiento
Healthy participants
A group of 21 healthy adult participants studied twice (test-retest)
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.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Stomach MRI motility
Periodo de tiempo: Over set time bins and recorded for up to 4 hours
Area under the curve (AUC) of the stomach motility contractions (in mm×second) measured by MRI.
Over set time bins and recorded for up to 4 hours

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Stomach perfused manometry motility
Periodo de tiempo: Over set time bins and recorded for up to 4 hours
Area under the curve (AUC) of the stomach motility contractions (in mmHg×second) measured by perfused manometry
Over set time bins and recorded for up to 4 hours

Otras medidas de resultado

Medida de resultado
Medida Descripción
Periodo de tiempo
Stomach MRI and perfused manometry correlation
Periodo de tiempo: Over set time bins and recorded for up to 4 hours
Correlation between the area under the curves (AUCs) of the MRI and perfused manometry stomach motility contractions
Over set time bins and recorded for up to 4 hours
Small bowel MRI motility
Periodo de tiempo: Over set time bins and recorded for up to 4 hours
Small bowel motility by MRI (both in arbitrary units and, where possible, using actual diameter readings as above in mm×second)
Over set time bins and recorded for up to 4 hours
Small bowel perfused manometry motility
Periodo de tiempo: Over set time bins and recorded for up to 4 hours
Small bowel motility by perfused manometry (as above, in mmHg×second)
Over set time bins and recorded for up to 4 hours
Small bowel MRI and perfused manometry correlation
Periodo de tiempo: Over set time bins and recorded for up to 4 hours
Correlation between the area under the curves (AUCs) of the MRI and perfused manometry small bowel motility contractions
Over set time bins and recorded for up to 4 hours
Bowel liquid volumes
Periodo de tiempo: Recorded for up to 4 hours
Gastric, small bowel water and colonic freely mobile liquid volumes (in mL)
Recorded for up to 4 hours

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Investigadores

  • Investigador principal: Gordon L Amidon, PhD, University of Michigan
  • Investigador principal: Greg E Amidon, PhD, University of Michigan
  • Investigador principal: Maura Corsetti, MD, University of Nottingham
  • Investigador principal: Jeff Wright, PhD, University of Nottingham
  • Investigador principal: Paul Glover, PhD, University of Nottingham
  • Investigador principal: Geoffrey S Hebbard, PhD, Melbourne Health
  • Investigador principal: Caroline L Hoad, PhD, University of Nottingham
  • Investigador principal: Penny A Gowland, PhD, University of Nottingham
  • Investigador principal: Kerby Shedden, PhD, University of Michigan
  • Investigador principal: Joseph Dickens, PhD, University of Michigan

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

19 de julio de 2017

Finalización primaria (Actual)

1 de marzo de 2018

Finalización del estudio (Actual)

1 de marzo de 2018

Fechas de registro del estudio

Enviado por primera vez

15 de junio de 2017

Primero enviado que cumplió con los criterios de control de calidad

15 de junio de 2017

Publicado por primera vez (Actual)

19 de junio de 2017

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

17 de enero de 2019

Última actualización enviada que cumplió con los criterios de control de calidad

15 de enero de 2019

Última verificación

1 de enero de 2019

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • A14112016 MRI FDA

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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