- ICH GCP
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- Ensayo clínico NCT03745625
A Study Evaluating the Safety and Pharmacokinetics/Pharmacodynamics of HSK3486
A Single-center, Open-label, Randomized, Double-crossover, Propofol-controlled, Two-stage Study Evaluating the Safety and Pharmacokinetics/Pharmacodynamics of IV Maintenance Dose After An Initial Dose and IV Single Loade Dose Plus Maintenance Dose of HSK3486 Emulsion fo Injection in Healthy Subjects
Descripción general del estudio
Estado
Intervención / Tratamiento
Tipo de estudio
Inscripción (Actual)
Fase
- Fase 1
Contactos y Ubicaciones
Ubicaciones de estudio
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Chengdu, Porcelana
- West China Hospital,Sichuan University
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Healthy males or females with full capacity for civil conduct, aged ≥ 18 and ≤ 49 years old;
- Body weight > 45 kg, and body mass index (BMI) ≥ 19 and ≤26 kg/m2;
- Blood pressure between 90-140/60-90 mmHg; heart rate between 60-99 bpm; body temperature between 35.8-37.5 °C; respiration rate between 12-20 breaths per minute; SpO2 when inhaling > 95%;
- Normal physical examinations, laboratory examinations (routine blood test, blood biochemistry and routine urinalysis), and 12-Lead ECG, or abnormal but without clinical significance; no potential difficult airway (modified Mallampati score I-III);
- No previous history of major organ primary diseases, such as liver, kidneys, digestive tract, blood, and metabolic diseases; no history of malignant hyperthermia and other genetic conditions; no history of mental/neurological diseases; No history of epilepsy; no contraindications for deep sedation/general anesthesia; no clinically significant history of anesthesia accidents;
- Subjects must understand the procedures and methods of this study, and be willing to provide informed consent and to complete the trial in strict accordance with trial protocol.
Exclusion Criteria:
- Known sensitivity to propofol, excipients in propofol medium-/long-chain triglyceride emulsion injection, excipients in HSK3486 emulsion injection (soybean oil, glycerin, triglyceride, egg lecithin, sodium oleate, and sodium hydroxide); history of drug allergies (including anesthetics), allergic diseases, or those with hyperactive immune response;
- History of drug abuse or any signs of chronic benzodiazepines use (such as insomnia, anxiety, spasms) within 3 months prior to screening, or a positive urine drug test during screening;
- Participated in clinical trials involving any medications or medical devices within 3 months prior to screening, or subjects who have participated in 3 or more drug clinical trials within the past year;
- Serious infection, trauma or major surgery within 4 weeks before screening; or acute disease with clinical significance (determined by the investigator) within 2 weeks before screening, including GI diseases or infections (such as respiratory or CNS infections);
- In receipt of propofol, other sedatives/anesthetics and/or opioid analgesics or compounds containing analgesics within 3 days prior to screening;
- In receipt of prescription drugs, Chinese herbal medicines, over-the-counter drugs or food supplements (such as vitamins and calcium supplements) other than contraceptives, paracetamol, oral non-steroidal anti-inflammatory drugs, topical over-the-counter preparations, within 2 weeks prior to enrollment; unless the principal investigator (PI) and the sponsor agree that the medication has no effect on the safety and PK/PD results of the trial;
- History of cardiovascular diseases such as: postural hypotension, severe arrhythmia, heart failure, Adams-Stokes syndrome, unstable angina, myocardial infarction within 6 months before screening, tachycardia/bradycardia requiring medication, third-degree atrioventricular block or QTcF interval ≥ 450 ms (Fridericia's correction formula);
- Impaired respiratory function, history of obstructive pulmonary disease, history of asthma, sleep apnea syndromes; history of failed tracheal intubation; history of bronchospasm requiring treatment within 3 months prior to screening; acute upper respiratory tract infection, and with obvious symptoms such as fever, wheezing, nasal congestion and cough within 1 week prior to baseline;
- History of GI tract diseases: Gastrointestinal obstruction, active GI bleed, potential for reflux and aspiration;
Laboratory results that meet any of the following during screening/enrollment:
- Positive test for either HBsAg, HCV, HIV, or syphilis;
Abnormal hepatic or renal function confirmed after re-examination;
- ALT or AST > 1×ULN;
- Creatinine > 1×ULN;
- TBIL > 1.5×ULN;
- History of alcohol abuse within 3 months prior to screening, abuse defined as average of > 2 units of alcohol per day (1 unit = 360 mL beer or 45 mL liquor with 40% alcohol or 150 mL wine), or positive blood alcohol concentration during screening;
- Blood donation or blood loss ≥ 200 mL within 30 days before the trial; plasma donation or plasma exchange within 7 days before the trial;
- Subjects who continue to smoke, drink alcohol, or consume any food or beverages containing xanthine or caffeine, to participate in strenuous physical activities and other factors that may affect drug absorption, distribution, metabolism, and excretion within 2 days prior to enrollment; subjects who are unable to fast for 6 hours prior to dose administration;
- Subjects expected to have surgery or hospitalization during the trial;
- Women who are pregnant or breastfeeding; women of child-bearing potential or men who are unwilling to use contraception during the trial; subjects who are planning pregnancy within 1 month after the completion of the trial (including male subjects);
- Subjects judged by the investigator to be unsuitable for participating in this trial for any reason.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación cruzada
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: HSK3486
First-stage: 1mg/kg/h, 0.4mg/kg/h; Second-stage:Single loading dose: 0.2mg/kg, maintenance dose: 0.35mg/kg/h,
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First-stage:after an initial dose of 1mg/kg/h, If the BIS is in the range of 80 to 60 and the continuous RASS score = 3 or one time RASS score ≤ -4, the 0.4 mg/kg/h maintenance dose is administered. The total infusion time was 4h. Second-stage: a single loading dose of 0.2 mg/kg given over 1 minute, then a continuous infusion of maintenance dose 0.35 mg/kg/h for a total infusion time of 12h. |
Comparador activo: Propofol
First-stage: 5mg/kg/h, 2mg/kg/h; Second-stage:Single load ing dose: 1mg/kg, maintenance dose: 1.75mg/kg/h
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First-stage: after an initial dose of 5mg/kg/h, If the BIS is in the range of 80 to 60 and the continuous RASS score = 3 or one time RASS score ≤ -4, the 0.4 mg/kg/h maintenance dose is administered. The total infusion time was 4h. Second-stage: loading dose of 1mg/kg given over 1 minute, then a continuous infusion of maintenance dose 1.75 mg/kg/h for a total infusion time of 12h. |
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
presión arterial (presión arterial sistólica, diastólica y media)
Periodo de tiempo: desde la selección hasta 3 días después de la dosis
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puntos finales de seguridad
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desde la selección hasta 3 días después de la dosis
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heart rate
Periodo de tiempo: from the screening to 3 days post-dose
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safety endpoits
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from the screening to 3 days post-dose
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respiratory rate
Periodo de tiempo: from the screening to 3 days post-dose
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safety endpoits
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from the screening to 3 days post-dose
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blood oxygen saturation
Periodo de tiempo: from the screening to 3 days post-dose
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safety endpoits
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from the screening to 3 days post-dose
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Number of patients with adverse events
Periodo de tiempo: from the baseline to 3 days post-dose
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safety endpoits
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from the baseline to 3 days post-dose
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Liquidación total
Periodo de tiempo: -30 minutos antes de la administración hasta 24 horas después de la administración el día 1
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-30 minutos antes de la administración hasta 24 horas después de la administración el día 1
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Volumen de distribución
Periodo de tiempo: -30 minutos antes de la administración hasta 24 horas después de la administración el día 1
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-30 minutos antes de la administración hasta 24 horas después de la administración el día 1
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Richmond Agitation Sedation Scale( scores:+4~-5)
Periodo de tiempo: -30 minutes before administration until the subject is completely awakened post administration on day 1
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Change from baseline in Richmond Agitation Sedation Scale(RASS) score
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-30 minutes before administration until the subject is completely awakened post administration on day 1
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Bispectral index
Periodo de tiempo: -30 minutes before administration until the subject is completely awakened post administration on day 1
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-30 minutes before administration until the subject is completely awakened post administration on day 1
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Sedation/anesthesia satisfaction, satisfaction assessment of subjects, anesthesiologists, and endoscopic physicians
Periodo de tiempo: -30 minutes before administration until the subject is completely awakened post administration on day 1
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-30 minutes before administration until the subject is completely awakened post administration on day 1
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Terminal elimination half life
Periodo de tiempo: -30 minutes before administration until 24 hours post administration on day 1
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-30 minutes before administration until 24 hours post administration on day 1
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plasma concentration at the end of infusion
Periodo de tiempo: -30 minutes before administration until 24 hours post administration on day 1
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-30 minutes before administration until 24 hours post administration on day 1
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Otras medidas de resultado
Medida de resultado |
Periodo de tiempo |
---|---|
area under curve from time 0 to the last measurable blood sampling time (AUC0-last)
Periodo de tiempo: -30 minutes before administration until 24 hours post administration on day 1
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-30 minutes before administration until 24 hours post administration on day 1
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area under curve from time 0 to infinite time (AUC0-inf)
Periodo de tiempo: -30 minutes before administration until 24 hours post administration on day 1
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-30 minutes before administration until 24 hours post administration on day 1
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Peak concentration
Periodo de tiempo: -30 minutes before administration until 24 hours post administration on day 1
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-30 minutes before administration until 24 hours post administration on day 1
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time to peak observed (Tmax)
Periodo de tiempo: -30 minutes before administration until 24 hours post administration on day 1
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-30 minutes before administration until 24 hours post administration on day 1
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Colaboradores e Investigadores
Patrocinador
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- HSK3486-102
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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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