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Pilot Study to Assess the Effects of AV608 on Irritable Bowel Syndrome

15. februar 2008 oppdatert av: Avera Pharmaceuticals

A Randomized, Double-Blind, Placebo-Controlled, Cross-Over Pilot Study to Assess the Effects of AV608 on Central Processing of Visceral Stimuli in Subjects With Irritable Bowel Syndrome

The purpose of this study is to assess the effects of AV608, a neurokinin 1 (NK-1) antagonist, in subjects with Irritable Bowel Syndrome.

Studieoversikt

Status

Avsluttet

Intervensjon / Behandling

Detaljert beskrivelse

This is a single-center, randomized, double-blind, placebo-controlled, cross-over study to assess the effects of AV608 on brain processing of visceral stimuli and emotional visual cues in subjects with IBS. Female subjects between 18 and 65 years of age who meet diagnostic criteria for Irritable Bowel Syndrome will be eligible for the study.

Eligible subjects will complete a baseline fMRI imaging procedure that includes both emotional visual cues and visceral stimulation. All subjects who participate in the study will receive 3 weeks of treatment with AV608 and 3 weeks of treatment with placebo during the course of the study; the order of the two treatments for each subject will be randomly determined.

Studietype

Intervensjonell

Registrering (Forventet)

24

Fase

  • Fase 1

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • California
      • Los Angeles, California, Forente stater, 90095
        • UCLA Center for Neurovisceral Sciences and Women's Health

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år til 65 år (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Hunn

Beskrivelse

Inclusion Criteria:

  • Female, 18 to 65 years of age, inclusive
  • Current diagnosis of Irritable Bowel Syndrome (IBS)
  • Subjects 50 years of age or older must have had a barium enema and flexible sigmoidoscopy or a colonoscopy and provide a record of this test
  • Willing to participate in this study as evidenced by a signed, written informed consent form (ICF)
  • If female and of child-bearing potential, willing to avoid pregnancy and practice adequate birth control from the time of study enrollment through at least 30 days after the final dose of study medication
  • If female, negative pregnancy test results
  • Right handed
  • Ambulatory outpatient
  • Agrees to refrain from blood donation during the course of the study
  • Written and oral fluency in the English language

Exclusion Criteria:

  • Evidence of structural abnormality of the gastrointestinal tract or GI diseases/conditions
  • Current evidence or diagnosis of peptic ulcer
  • Endoscopic bowel evaluation with evidence of cancer, inflammatory bowel disease, or other structural disease
  • History of abdominal surgery such as adhesion lysis or any gastrointestinal surgery
  • History of gastroesophageal reflux disease not controlled by a stable dose of medication
  • Any evidence of or treatment of malignancy within the previous 5 years
  • Clinical evidence of any disease that may interfere with participation in the study
  • Existence of surgical or medical conditions which interfere with the absorption, distribution, metabolism and excretion of the study drug
  • Symptoms of a significant clinical illness within the 2 weeks prior to Screening
  • Type 1 diabetes mellitus, insulin-dependent Type 2 diabetes mellitus, and thyroid disorders or other endocrine disorders that are not well controlled by appropriate therapy
  • A QTc interval of greater than or equal to 450 msec at Screening
  • Presence of a psychotic disorder, bipolar disorder, alcohol or substance dependence (other than nicotine dependence) or eating disorder within the previous year according to DSM-IV-TR criteria
  • Seizure disorder
  • Subjects who have previously participated in a clinical trial for AV608 (previously known as NKP608 and CGP608)
  • Positive drug test result at Screening
  • Use of investigational drugs, products or devices within 30 days prior to Screening
  • Planned use of certain drugs during the study that affect the central nervous system, gastrointestinal motility, autonomic activity or pain sensation
  • Use of pimozide, terfenadine, astemizole, or cisapride during the study
  • Presence of moderate or severe allergy
  • Regular intake of more than 2 units of alcohol per day
  • Pregnant or breast feeding
  • Subjects with morbid obesity
  • Subjects with metal implants or large tattoo
  • Any clinically significant abnormalities on the Screening physical examination, ECG or laboratory tests
  • Members of the investigative staff or their immediate family members
  • Any other condition that the investigator believes would jeopardize the safety or rights of the subject or would render the subject unable to comply with the study protocol
  • Regular use of more than 10 cigarettes per day

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Crossover-oppdrag
  • Masking: Dobbelt

Hva måler studien?

Primære resultatmål

Resultatmål
The primary efficacy endpoint is the effect of AV608 on regional brain responses as measured by fMRI during conditioned and unconditioned visceral pain due to rectal distension.

Sekundære resultatmål

Resultatmål
The effect of AV608 on regional brain responses to emotional visceral cues as measured by fMRI and the visceral pain threshold during rectal distension will be evaluated as secondary efficacy endpoints.

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Studieleder: Joao Siffert, MD, Avera Pharmaceuticals, Inc.
  • Hovedetterforsker: Kirsten Tillisch, MD, UCLA Center for Neurovisceral Sciences and Women's Health

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. april 2006

Primær fullføring (Faktiske)

1. juni 2007

Studiet fullført (Faktiske)

1. september 2007

Datoer for studieregistrering

Først innsendt

19. april 2006

Først innsendt som oppfylte QC-kriteriene

19. april 2006

Først lagt ut (Anslag)

21. april 2006

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

25. februar 2008

Siste oppdatering sendt inn som oppfylte QC-kriteriene

15. februar 2008

Sist bekreftet

1. februar 2008

Mer informasjon

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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