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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

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

      • Nottingham, Storbritannia, Ng7 2UH
        • Nottingham Digestive Diseases Centre

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
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.

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.
Over set time bins and recorded for up to 4 hours

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
Over set time bins and recorded for up to 4 hours

Andre resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
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
Over set time bins and recorded for up to 4 hours
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)
Over set time bins and recorded for up to 4 hours
Small bowel perfused manometry motility
Tidsramme: Over set time bins and recorded for up to 4 hours
Small bowel motility by perfused manometry (as above, in mmHg×second)
Over set time bins and recorded for up to 4 hours
Small bowel 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 small bowel motility contractions
Over set time bins and recorded for up to 4 hours
Bowel liquid volumes
Tidsramme: Recorded for up to 4 hours
Gastric, small bowel water and colonic freely mobile liquid volumes (in mL)
Recorded for up to 4 hours

Samarbeidspartnere og etterforskere

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

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

Andre studie-ID-numre

  • A14112016 MRI FDA

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

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