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Single Ascending Doses of ZP4207 Administered in HV and in T1D to Evaluate Safety, Tolerability PKs and PDs of ZP4207 Compared to a Comparator

2016年1月21日 更新者:Zealand Pharma

A Randomized, Double-blinded Trial of Single Ascending Doses of ZP4207 Administered s.c. or i.m. to HV and a SD of ZP4207 Administered s.c. to Hypoglycemic T1D to Evaluate the Safety, Tolerability, PKs and PDs of ZP4207 as Compared to an Active Comparator

The trial is a randomized, double-blind First in Human trial to evaluate the safety and tolerability of ZP4207 in healthy volunteers (HV) and in insulin-induced hypoglycemic T1D (type 1 diabetes) subjects as compared to native glucagon. The trial includes two parts.

Part 1 includes dose escalation of ZP4207 in cohorts of 8 subjects. In each cohort, subjects will be randomized 3:1 to receive either a single ascending dose of ZP4207 (6 subjects) or a single fixed dose (SD) of native glucagon (2 subjects). The doses will be administered s.c. in 4-5 cohorts and i.m. in 3 cohorts.

Part 2 includes two sequence groups of 10 hypoglycemic T1D subjects. The subjects will be treated with fixed single doses of ZP4207 and native glucagon s.c. in a sequential cross-over design in a randomized treatment order.

調査の概要

状態

完了

条件

研究の種類

介入

入学 (実際)

111

段階

  • フェーズ 1

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

      • Neuss、ドイツ、41460
        • Profil GmbH

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年~50年 (大人)

健康ボランティアの受け入れ

はい

受講資格のある性別

男

説明

Inclusion Criteria:

  1. Informed consent obtained before any trial-related activities. (Trial-related activities are any procedure that would not have been performed during normal management of the subject).
  2. Male subjects which are healthy for part 1; for part 2 male subjects with T1D
  3. Age between 18 and 50 years, both inclusive.
  4. Body weight between 70 and 90 kg, both inclusive.
  5. Subjects must be in good health according to age (medical history, physical examination, vital signs, ECG, lab assessments), as judged by the investigator
  6. A subject who is surgically sterilized or must be willing to refrain from sexual intercourse during the trial and until one month after completion of the trial or if sexually active, using condom and partner practices contraception during the trial and until one month after completion of the trial.

    For part 2, in addition:

  7. Male subjects with T1D for at least one year, as defined by the American Diabetes Association.
  8. Having been treated with insulin for T1D for at least 1 year.
  9. Stable disease with HbA1c < 8.5 %.
  10. Stable insulin treatment during participation in trial and 3 month prior to the screening visit.

Exclusion Criteria:

  1. Known or suspected allergy to trial product(s) or related products.
  2. Previous participation (randomization) in this trial.
  3. Receipt of any investigational drug within 3 months prior to screening.
  4. A history or presence of cancer, diabetes (part 1 only), or any clinically significant cardiovascular, respiratory, metabolic, renal, hepatic, gastrointestinal, endocrinological, hematological, dermatological, venereal, neurological, psychiatric diseases or other major diseases.
  5. Clinically significant illness within 4 weeks before screening, as judged by the investigator
  6. Carrier of Hepatitis B surface antigen (HBsAg) or Hepatitis C antibodies.
  7. Positive result of test for HIV antibodies.
  8. Any clinically significant abnormal hematology,biochemistry or urinalysis screening tests, as judged by the Investigator.
  9. Clinically significant abnormal ECG at screening as evaluated by Investigator.
  10. Donation of blood or plasma in the past month, or in excess of 500 ml within 12 weeks prior to screening.
  11. A significant history of alcoholism or drug/chemical abuse, or who has a positive result in the urine drug screen, or who consumes more than 28 units of alcohol per week (one unit of alcohol equals about 250 ml of beer, 1 glass of wine, or 20 ml of spirits).
  12. Habitual smoking, i.e., daily smoking or more than 7 cigarettes/week within the last 3 months prior to screening. Subjects have to accept refraining from smoking while at the clinical site.
  13. Subjects with mental incapacity or language barriers which preclude adequate understanding or cooperation, who are unwilling to participate in the trial, or who in the opinion of the Investigator should not participate in the trial.
  14. Surgery or trauma with significant blood loss within the last 2 months prior to screening.
  15. Any condition interfering with trial participation or evaluation or that may be hazardous to the subject.

    For part 2, in addition

  16. Severe hypoglycemic events within one year prior to screening, as judged by the investigator.
  17. Significant changes in basal insulin within 3 weeks before screening, as judged by the investigator.
  18. Clinically relevant diabetic complications (macrovascular disease with symptoms of coronary artery disease or peripheral vascular disease, microvascular disease with symptoms of neuropathy, gastroparesis, retinopathy, nephropathy, or poor blood glucose control with polyuria, polydipsia, or weight loss), as judged by the investigator.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:処理
  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:ダブル

武器と介入

参加者グループ / アーム
介入・治療
実験的:ZP4207
single dose of ZP4207 in ascending doses (s.c. and i.m.)
アクティブコンパレータ:native glucagon
single fixed dose of glucagon

この研究は何を測定していますか?

主要な結果の測定

結果測定
時間枠
Safety and Tolerability: Number of participants with adverse events
時間枠:28 days
28 days
Safety and Tolerability: Changes or findings from baseline in clinical safety laboratory assessments
時間枠:28 days
28 days
Safety and Tolerability: Changes or findings from baseline in physical examination
時間枠:28 days
28 days
Safety and Tolerability: Changes or findings from baseline in vital signs
時間枠:28 days
28 days
Safety and Tolerability: Changes or findings from baseline in ECG
時間枠:28 days
28 days
Safety and Tolerability: Findings in local tolerability
時間枠:28 days
28 days

二次結果の測定

結果測定
時間枠
Pharmacokinetics (PK): Area under the curve (AUC) from time-point 0 until 300min
時間枠:5 hours
5 hours
Pharmacokinetics: maximum observed concentration of ZP4207 (Cmax)
時間枠:5 hours
5 hours
Pharmacokinetics: time to maximum observed concentration of ZP4207 (tmax)
時間枠:5 hours
5 hours
Pharmacokinetics: terminal elimination rate constant estimated during the terminal phase of ZP4207 (λz)
時間枠:5 hours
5 hours
Pharmacokinetics: the terminal plasma elimination half-life of ZP4207 (t½),
時間枠:5 hours
5 hours
Pharmacokinetics: apparent volume of distribution of ZP4207 based on plasma concentration values (Vz), estimated during the terminal Phase (f): (Vz/f)
時間枠:5 hours
5 hours
Pharmacokinetics: apparent plasma clearance rate of ZP4207(CL) estimated during the terminal Phase (f)
時間枠:5 hours
5 hours
Pharmacokinetics: mean residence time for plasma ZP4207 (MRT)
時間枠:5 hours
5 hours
Pharmacodynamics (PD): Area under the Plasma glucose curve from time-point 0 until 300 min (AUCgluc 0-300)
時間枠:5 hours
5 hours
Pharmacodynamics: maximum observed concentration (Cmax)
時間枠:5 hours
5 hours
Pharmacodynamics: time to maximum observed concentration (tmax)TPG≥70mg/dL
時間枠:5 hours
5 hours
Pharmacodynamics: Time to plasma glucose equal or above (70 mg/dL)
時間枠:5 hours
5 hours

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

捜査官

  • 主任研究者:Thomas Jax, MD/PhD、Profil GmbH

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始

2014年12月1日

一次修了 (実際)

2015年4月1日

研究の完了 (実際)

2015年4月1日

試験登録日

最初に提出

2015年2月3日

QC基準を満たした最初の提出物

2015年2月19日

最初の投稿 (見積もり)

2015年2月20日

学習記録の更新

投稿された最後の更新 (見積もり)

2016年1月22日

QC基準を満たした最後の更新が送信されました

2016年1月21日

最終確認日

2016年1月1日

詳しくは

この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。

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