- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT03191045
In Vivo Predictive Dissolution 1 (iPD1)
15. januar 2019 oppdatert av: 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.
Studieoversikt
Status
Fullført
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
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.
Studietype
Observasjonsmessig
Registrering (Faktiske)
20
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Nottingham, Storbritannia, Ng7 2UH
- Nottingham Digestive Diseases Centre
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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 60 år (Voksen)
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
Alle
Prøvetakingsmetode
Sannsynlighetsprøve
Studiepopulasjon
Self-reporting, healthy adult participants, with no restrictions on gender, ethnicity or race, recruited by advertisement by poster and flyer
Beskrivelse
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
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
Kohorter og intervensjoner
Gruppe / Kohort |
Intervensjon / Behandling |
|---|---|
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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.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Stomach MRI motility
Tidsramme: 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.
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Over set time bins and recorded for up to 4 hours
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Stomach perfused manometry motility
Tidsramme: 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
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Over set time bins and recorded for up to 4 hours
|
Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Stomach MRI and perfused manometry correlation
Tidsramme: 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
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Over set time bins and recorded for up to 4 hours
|
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Small bowel MRI motility
Tidsramme: 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)
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Over set time bins and recorded for up to 4 hours
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Small bowel perfused manometry motility
Tidsramme: Over set time bins and recorded for up to 4 hours
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Small bowel motility by perfused manometry (as above, in mmHg×second)
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Over set time bins and recorded for up to 4 hours
|
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Small bowel MRI and perfused manometry correlation
Tidsramme: Over set time bins and recorded for up to 4 hours
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Correlation between the area under the curves (AUCs) of the MRI and perfused manometry small bowel motility contractions
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Over set time bins and recorded for up to 4 hours
|
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Bowel liquid volumes
Tidsramme: Recorded for up to 4 hours
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Gastric, small bowel water and colonic freely mobile liquid volumes (in mL)
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Recorded for up to 4 hours
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Etterforskere
- Hovedetterforsker: Gordon L Amidon, PhD, University of Michigan
- Hovedetterforsker: Greg E Amidon, PhD, University of Michigan
- Hovedetterforsker: Maura Corsetti, MD, University of Nottingham
- Hovedetterforsker: Jeff Wright, PhD, University of Nottingham
- Hovedetterforsker: Paul Glover, PhD, University of Nottingham
- Hovedetterforsker: Geoffrey S Hebbard, PhD, Melbourne Health
- Hovedetterforsker: Caroline L Hoad, PhD, University of Nottingham
- Hovedetterforsker: Penny A Gowland, PhD, University of Nottingham
- Hovedetterforsker: Kerby Shedden, PhD, University of Michigan
- Hovedetterforsker: Joseph Dickens, PhD, University of Michigan
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
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 (Faktiske)
19. juli 2017
Primær fullføring (Faktiske)
1. mars 2018
Studiet fullført (Faktiske)
1. mars 2018
Datoer for studieregistrering
Først innsendt
15. juni 2017
Først innsendt som oppfylte QC-kriteriene
15. juni 2017
Først lagt ut (Faktiske)
19. juni 2017
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
17. januar 2019
Siste oppdatering sendt inn som oppfylte QC-kriteriene
15. januar 2019
Sist bekreftet
1. januar 2019
Mer informasjon
Begreper knyttet til denne studien
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
NEI
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Nei
Studerer et amerikansk FDA-regulert enhetsprodukt
Nei
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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