Pharmacokinetics, Safety and Tolerability of Single Sequential and Multiple Intravenous Infusions of Ulinastatin for Injection in Healthy Chinese Participants
A Placebo-Controlled, Double-Blind, Phase I Clinical Study to Evaluate Pharmacokinetic Characteristics, Safety and Tolerability of Single Sequential and Multiple Continuous Intravenous Infusions of Ulinastatin for Injection in Healthy Chinese Participants
This is a Phase 1 clinical study. The purpose of this study is to evaluate the pharmacokinetics, safety and tolerability of ulinastatin for injection after single sequential and multiple continuous intravenous infusions in healthy Chinese volunteers.
Key study questions:
- - How does ulinastatin behave in the body after single sequential and multiple continuous intravenous infusions?
- - What are the safety outcomes and side effects in healthy people receiving this investigational drug?
- Study participants will:
- - Complete screening assessments to check if they meet the study requirements.
- - Receive either ulinastatin for injection or placebo (inactive substance with no study drug) via intravenous drip.
- - Follow the study schedule for single sequential infusions and multiple continuous infusions.
- - Provide blood samples to measure drug concentration in the body.
- - Undergo safety evaluations including physical examinations, vital sign monitoring and laboratory tests throughout the study period.
- The study will compare data from participants receiving the study drug versus those receiving placebo to assess drug-related exposure and adverse reactions.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
This is a single-center, randomized, double-blind, placebo-controlled Phase 1 study of ulinastatin for injection in healthy Chinese adults. Approximately 40 participants will be enrolled sequentially into 4 cohorts and randomized 8:2 to ulinastatin or placebo, to evaluate single ascending doses of 100,000 to 8,000,000 units and multiple ascending doses of 400,000 or 1,600,000 units administered three times daily for 4 consecutive days. Serial blood samples will be collected for non-compartmental pharmacokinetic analysis, and safety and tolerability will be assessed throughout the study.
Type d'étude
Inscription (Estimé)
Phase
- La phase 1
Contacts et emplacements
Coordonnées de l'étude
- Nom: Mingjuan Hua
- Numéro de téléphone: +86-20-38972288
- E-mail: huamj@techpool.com.cn
Lieux d'étude
-
-
Anhui
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Hefei, Anhui, Chine, 230601
- The Second Affiliated Hospital of Anhui Medical University
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Contact:
- Wei Hu
- Numéro de téléphone: 0551-63869420
- E-mail: hwgcp@ayefy.com
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
Participants must meet all of the following criteria to be enrolled:
- Healthy Chinese male or female participants, as confirmed by medical history, physical examination, vital signs, 12-lead ECG, chest X-ray, and laboratory tests at screening.
- Age 18 to 55 years, inclusive.
- Body mass index (BMI) 19.0 to 28.0 kg/m2, inclusive; body weight at least 45.0 kg for women and at least 50.0 kg for men.
- Able to understand the procedures and methods of the study, willing to comply strictly with the protocol, and able to provide written informed consent.
Exclusion Criteria:
-
Participants meeting any of the following criteria are not eligible for enrollment:
- Smoking more than 5 cigarettes per day within 3 months before screening, or unable to abstain from smoking from 48 hours before dosing through the study period.
- Alcohol intake exceeding 14 units per week within 3 months before screening (1 unit = 360 mL of beer, 45 mL of spirits containing 40% alcohol, or 150 mL of wine), or consumption of alcohol-containing products within 48 hours before the first dose, or unable to abstain from alcohol during the study, or a positive blood alcohol test at screening or at admission (Day -2).
- History of drug abuse within 6 months before screening.
- History or presence of severe cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, or psychiatric disease.
- History of malignancy of any organ system within 5 years before screening, whether treated or untreated, and regardless of evidence of local recurrence or metastasis.
- History of clinically significant electrocardiographic abnormalities.
- History of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, or neurologic disorders that may alter the absorption, metabolism, or elimination of drugs.
- Clinically significant abnormalities in laboratory tests at screening.
- History or evidence of renal impairment, manifested as clinically significant abnormalities in creatinine, blood urea nitrogen, or urea, or abnormal urine composition (e.g., proteinuria).
- Severe illness, severe infection, or trauma within 2 weeks before dosing.
- Blood donation of 400 mL or more within 3 months before dosing, or significant blood loss of at least 400 mL.
- Allergic constitution, history of drug or food allergy, or known hypersensitivity to the study drug or to components of similar drugs.
- Participation in any other clinical trial and receipt of an investigational drug or device within 3 months before dosing.
- Use of prescription drugs, over-the-counter drugs, herbal medicines, or food supplements (including vitamins), or any drug that may interfere with the interpretation of safety data, or any drug or herbal medicine with known common toxicity to major organs, within 2 weeks before dosing.
- Surgery within 3 months before the first dose, or planned surgery during the study period.
- Pregnant or lactating women, or men or women of reproductive potential who are unwilling to use effective contraception from the start of the study through 90 days after dosing.
- Positive test for hepatitis B surface antigen, hepatitis C virus antibody, human immunodeficiency virus (HIV) antibody, or Treponema pallidum antibody.
- Difficulty with intravenous administration or blood sampling, or history of needle phobia or hematophobia.
- Any other condition that, in the opinion of the investigator, may prevent the participant from completing the study or may place the participant at significant risk.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Science basique
- Répartition: Randomisé
- Modèle interventionnel: Affectation séquentielle
- Masquage: Double
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: Cohort 1: Ulinastatin single ascending dose (100,000, 2,000,000, and 6,000,000 units)
Participants receive a single 2-hour intravenous infusion of ulinastatin 100,000 units on Day 1, 2,000,000 units on Day 4, and 6,000,000 units on Day 7. |
Name Ulinastatin for injection Type Drug Other Names Ulinastatin; UTI Lyophilized powder for injection, 100,000 units per vial; white to slightly yellow lyophilized cake or powder. Reconstituted and diluted in 250 mL of 5% glucose injection, then administered by intravenous infusion over 2 hours (±5 minutes). Single doses of 100,000 to 8,000,000 units were administered in the single-ascending-dose cohorts; doses of 400,000 or 1,600,000 units were administered three times daily for 4 consecutive days in the multiple-ascending-dose cohorts. Manufactured by Guangdong Techpool Biochemical Pharmaceutical Co., Ltd. |
|
Comparateur placebo: Cohort 1: Placebo
Participants receive a single 2-hour intravenous infusion of placebo (5% glucose injection) on Days 1, 4, and 7, matching the ulinastatin schedule in Cohort 1. |
Name Placebo Type Drug Other Names 5% glucose injection 250 mL of 5% glucose injection, prepared and administered so as to be indistinguishable in appearance from the reconstituted study drug. Contains no active ingredient. |
|
Expérimental: Cohort 2: Ulinastatin single ascending dose (1,000,000, 4,000,000, and 8,000,000 units)
Participants receive a single 2-hour intravenous infusion of ulinastatin 1,000,000 units on Day 1, 4,000,000 units on Day 4, and 8,000,000 units on Day 7. |
Name Ulinastatin for injection Type Drug Other Names Ulinastatin; UTI Lyophilized powder for injection, 100,000 units per vial; white to slightly yellow lyophilized cake or powder. Reconstituted and diluted in 250 mL of 5% glucose injection, then administered by intravenous infusion over 2 hours (±5 minutes). Single doses of 100,000 to 8,000,000 units were administered in the single-ascending-dose cohorts; doses of 400,000 or 1,600,000 units were administered three times daily for 4 consecutive days in the multiple-ascending-dose cohorts. Manufactured by Guangdong Techpool Biochemical Pharmaceutical Co., Ltd. |
|
Comparateur placebo: Cohort 2: Placebo
Participants receive a single 2-hour intravenous infusion of placebo (5% glucose injection) on Days 1, 4, and 7, matching the ulinastatin schedule in Cohort 2. |
Name Placebo Type Drug Other Names 5% glucose injection 250 mL of 5% glucose injection, prepared and administered so as to be indistinguishable in appearance from the reconstituted study drug. Contains no active ingredient. |
|
Expérimental: Cohort 3: Ulinastatin multiple ascending dose (400,000 units three times daily for 4 days)
Participants receive 2-hour intravenous infusions of ulinastatin 400,000 units three times daily (at 8:00, 16:00, and 23:00, ±1 hour) on Days 1 to 3, and one morning dose on Day 4 (last dose). |
Name Ulinastatin for injection Type Drug Other Names Ulinastatin; UTI Lyophilized powder for injection, 100,000 units per vial; white to slightly yellow lyophilized cake or powder. Reconstituted and diluted in 250 mL of 5% glucose injection, then administered by intravenous infusion over 2 hours (±5 minutes). Single doses of 100,000 to 8,000,000 units were administered in the single-ascending-dose cohorts; doses of 400,000 or 1,600,000 units were administered three times daily for 4 consecutive days in the multiple-ascending-dose cohorts. Manufactured by Guangdong Techpool Biochemical Pharmaceutical Co., Ltd. |
|
Comparateur placebo: Cohort 3: Placebo
Participants receive infusions of placebo (5% glucose injection) three times daily on Days 1 to 3 and one morning dose on Day 4, matching the ulinastatin schedule in Cohort 3. |
Name Placebo Type Drug Other Names 5% glucose injection 250 mL of 5% glucose injection, prepared and administered so as to be indistinguishable in appearance from the reconstituted study drug. Contains no active ingredient. |
|
Expérimental: Cohort 4: Ulinastatin multiple ascending dose (1,600,000 units three times daily for 4 days)
Participants receive 2-hour intravenous infusions of ulinastatin 1,600,000 units three times daily (at 8:00, 16:00, and 23:00, ±1 hour) on Days 1 to 3, and one morning dose on Day 4 (last dose). |
Name Ulinastatin for injection Type Drug Other Names Ulinastatin; UTI Lyophilized powder for injection, 100,000 units per vial; white to slightly yellow lyophilized cake or powder. Reconstituted and diluted in 250 mL of 5% glucose injection, then administered by intravenous infusion over 2 hours (±5 minutes). Single doses of 100,000 to 8,000,000 units were administered in the single-ascending-dose cohorts; doses of 400,000 or 1,600,000 units were administered three times daily for 4 consecutive days in the multiple-ascending-dose cohorts. Manufactured by Guangdong Techpool Biochemical Pharmaceutical Co., Ltd. |
|
Comparateur placebo: Cohort 4: Placebo
Participants receive infusions of placebo (5% glucose injection) three times daily on Days 1 to 3 and one morning dose on Day 4, matching the ulinastatin schedule in Cohort 4. |
Name Placebo Type Drug Other Names 5% glucose injection 250 mL of 5% glucose injection, prepared and administered so as to be indistinguishable in appearance from the reconstituted study drug. Contains no active ingredient. |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Peak plasma concentration(Cmax)
Délai: Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
Descriptive statistics by dose level; non-compartmental analysis.Blood samples were also collected at matching time points on Day -1 (baseline) for endogenous baseline correction. |
Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
|
Area under the plasma concentration-time curve from time zero to the last quantifiable
Délai: Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
Descriptive statistics by dose level; non-compartmental analysis.Blood samples were also collected at matching time points on Day -1 (baseline) for endogenous baseline correction. |
Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
|
Area under the plasma concentration-time curve from time zero to infinity (AUC0-inf)
Délai: Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
Descriptive statistics by dose level; non-compartmental analysis.Blood samples were also collected at matching time points on Day -1 (baseline) for endogenous baseline correction. |
Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
|
Time to reach peak plasma concentration (Tmax)
Délai: Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
Descriptive statistics by dose level; non-compartmental analysis.Blood samples were also collected at matching time points on Day -1 (baseline) for endogenous baseline correction. |
Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
|
Terminal elimination half-life (t1/2)
Délai: Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
|
|
Apparent clearance (CL)
Délai: Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
|
|
Apparent volume of distribution (Vz)
Délai: Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
Up to 24 hours after the start of each infusion on Days 1, 4, and 7
|
|
|
Peak plasma concentration at steady state (Cmax,ss)
Délai: Up to 24 hours after the start of the Day 4 infusion (last dose)
|
Up to 24 hours after the start of the Day 4 infusion (last dose)
|
|
|
Trough plasma concentration at steady state (Cmin,ss)
Délai: Predose on Day 4
|
Predose on Day 4
|
|
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Time to reach peak plasma concentration at steady state (Tmax,ss)
Délai: Up to 24 hours after the start of the Day 4 infusion (last dose)
|
Up to 24 hours after the start of the Day 4 infusion (last dose)
|
|
|
Area under the plasma concentration-time curve during a dosing interval at steady state (AUC0-tau,ss)
Délai: Up to 24 hours after the start of the Day 4 infusion (last dose)
|
Up to 24 hours after the start of the Day 4 infusion (last dose)
|
|
|
Accumulation ratio based on Cmax and AUC0-tau (Rac)
Délai: Up to 24 hours after the start of the Day 4 infusion (last dose)
|
Up to 24 hours after the start of the Day 4 infusion (last dose)
|
Mesures de résultats secondaires
Mesure des résultats |
Délai |
|---|---|
|
Incidence and severity of adverse events (AEs)
Délai: From the first dose up to 7 days (±1 day) after the last dose
|
From the first dose up to 7 days (±1 day) after the last dose
|
Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- HJG-WSTD-GDTP
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime IPD
Individual participant data will not be shared. The data are proprietary to the sponsor and are not made available to external parties.
Informations sur les médicaments et les dispositifs, documents d'étude
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