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Clinical Study to Evaluate the Safety, Tolerability and Pharmacokinetics (PKs) of ZYDPLA1 Following Oral Administration in Healthy Volunteers

1 de dezembro de 2015 atualizado por: Zydus Lifesciences Limited

A Randomized, Double-blind, Placebo-controlled Phase I Clinical Study to Evaluate the Safety, Tolerability and Pharmacokinetics of ZYDPLA1, a Novel DPP- IV Inhibitor, Following Oral Administration in Healthy Volunteers

This First in Human (FIH) Phase I study intends to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of ZYDPLA1 in normal healthy adult volunteers.

Visão geral do estudo

Status

Concluído

Condições

Descrição detalhada

Glucose-dependent insulinotropic polypeptide (GIP) and Glucagon-like peptide (GLP-1) are incretin hormones, which stimulate glucose dependent insulin secretion, inhibit glucagon secretion, delay gastric emptying, suppress appetite and improve peripheral glucose uptake and disposal. Dipeptidyl peptidase-IV (DPP-IV) is a serine protease, which selectively cleaves the first two amino acids of GIP and GLP-1 thereby making it inactive. Inhibition of DPP-IV activity elevates endogenous GIP, GLP-1 and insulin levels thereby improving glucose excursion and exhibits antidiabetic activity. Since no orally active GLP-1 agonists are available, clinically orally bioavailable DPP-IV inhibitors hold great potential for the treatment of type 2 diabetes mellitus.

Cadila Healthcare Ltd. developed a novel and orally bioavailable DPP-IV inhibitor (ZYDPLA1). In-vitro studies confirm selective DPPIV inhibitory activity of the ZYDPLA1. Pre-clinical in vivo pharmacodynamic, absorption, distribution, metabolism and excretion (ADME) & toxicological studies showed the promising antidiabetic activity, good exposure and safety profile of ZYDPLA1(in various animal models).

Hence a randomized, double-blind, placebo-controlled first in man trial proposed to evaluate the safety and tolerability of ZYDPLA1 in healthy volunteers.

This study included 4 plans:

i) single dose escalation study ii) multiple dose escalation study, iii) gender effect study and iv) food effect study.

Tipo de estudo

Intervencional

Inscrição (Real)

84

Estágio

  • Fase 1

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

    • California
      • Chula Vista, California, Estados Unidos, 91911
        • Profil Institute for Clinical Research

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

18 anos a 65 anos (Adulto, Adulto mais velho)

Aceita Voluntários Saudáveis

Sim

Gêneros Elegíveis para o Estudo

Tudo

Descrição

Inclusion Criteria:

  1. Healthy male or female between 18 and 65 years of age.
  2. Male subjects must agree to use one of the contraception methods during the study. Male contraceptive options include: Vasectomy, Abstinence requiring the use of contraceptives if becoming sexually active, or double barrier method (condom with spermicide, diaphragm or cervical cap). No Sperm donation for at least up to 90 days after last investigational product.
  3. BMI within the range 18.0 - 30.0 kg/m2 BMI value should be rounded off to one significant digit after decimal point. BMI values should be rounded to the nearest integer (ex. 30.4 rounds down to 30, while 17.5 rounds up to 18).
  4. Capable of giving written informed consent, which includes compliance with protocol.
  5. Corrected QT interval (QTc) interval < 450msec (as measured by QTcF)
  6. For gender effect study, only females with history of sterility or at least 1 year menopause or use of long acting non hormonal contraceptive measures (e.g., intrauterine device) will be recruited. Surgical sterility is defined as either bilateral tubal ligation/occlusion, bilateral oophorectomy or hysterectomy.
  7. Negative Urine drug screen including amphetamine, barbiturates, benzodiazepines, cannabinoid, cocaine, opiates, methadone and phencyclidine within 28 days prior to initiation of the study and prior to check-in.

Exclusion Criteria:

  1. Presence or history of pancreatitis at any time {Serum Amylase/Serum Lipase more than significant upper normal limit (≥1.5 times UNL)}
  2. Presence or history of severe gastrointestinal disease in the last 6 months
  3. Presence or history of renal insufficiency at any time {Serum creatinine more than upper normal limit (UNL)}
  4. Active liver disease and/or liver transaminases greater than 1.5 times UNL
  5. History or presence of other systemic disorders or diseases (e.g., respiratory, gastrointestinal, endocrine, immunological, dermatological, neurological, psychiatric disease or any other body system involvement)
  6. History or presence of any medication in the last 14 days
  7. History or presence of significant alcoholism or drug abuse within the past 1 year
  8. History or presence of significant smoking (more than 10 cigarettes per day) or consumption of tobacco products (more than 10 times per day)
  9. Difficulty with donating blood or difficulty in accessibility of veins.
  10. Intolerance to venipuncture.
  11. Systolic blood pressure more than 150 mmHg and less than 100 mmHg and diastolic blood pressure more than 90 mmHg
  12. Pulse rate less than 50/minute and more than 100/minute
  13. Any clinically significant laboratory findings during screening
  14. History or presence of any clinically significant electrocardiogram (ECG) abnormalities during screening as determined by the Principal Investigator.
  15. Major illness and/or major surgery in last 3 months
  16. Volunteers who have participated in any drug research study other than the present trial within the past 30 days (Subjected to Insurance that subject has not participated in long acting drug including new biological entities/new chemical entities/biosimilar products).
  17. Volunteers who have donated one unit (450 mL) of blood in the past 3 months
  18. Positive Alcohol breath analyzer at the time of Screening and Check-in
  19. A positive hepatitis screen (includes subtype B and C) and/or a positive test result for HIV antibody.
  20. Any food allergy, intolerance, restriction or special diet that, in the opinion of the Principal investigator or Sub-investigator, could contraindicate the study participant's participation in this study.
  21. For gender effect study, female volunteers with following criteria will not be recruited:

    • History of pregnancy or lactation in the past 3 months
    • Fertile female volunteers not protected against pregnancy by adequate long-term anti-fertility measures
    • History of less than 1 year of menopause and not using adequate long-term antifertility measures
    • Using hormonal contraceptives
    • Using hormone replacement therapy
    • Unable to give assurance for protection against pregnancy for 3 months after the participation in this trial
    • Positive urine pregnancy test on the day of check-in (women of child bearing potential)
    • Positive serum β-human chorionic gonadotropin (hCG) level at the screening visit (women of child bearing potential)

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Quadruplicar

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Comparador Ativo: ZYDPLA1 tablet
ZYDPLA1 tablets: Route of administration: Oral Dosage (Single Ascending Study): 1 mg, 5mg, 20mg, 50mg, 100mg, 200mg Multiple Ascending Study: 100mg, 200mg Food effect and Gender effect study: 200mg
The oral dose of ZYDPLA1 tablet administered with 240 ± 10 mL of water at ambient temperature.
Comparador de Placebo: Placebo
Placebo tablets: Route of administration: Oral Dosage (Single Ascending Study): 1 mg, 5mg, 20mg, 50mg, 100mg, 200mg Multiple Ascending Study: 100mg, 200mg Food effect and Gender effect study: 200mg
The oral dose of placebo tablet administered with 240 ± 10 mL of water at ambient temperature.

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Prazo
Safety and tolerability assessed by monitoring adverse events, clinical, laboratory, electrocardiogram, and vital signs examinations.
Prazo: 14 Days (Plan 1, III, and IV);
14 Days (Plan 1, III, and IV);
Safety and tolerability assessed by monitoring adverse events, clinical, laboratory, electrocardiogram, and vital signs examinations.
Prazo: 28 Days (Plan II)
28 Days (Plan II)

Medidas de resultados secundários

Medida de resultado
Prazo
Pharmacokinetic assessment: Maximum plasma concentration (Cmax)
Prazo: 14 Days (Plan I, III, and IV)
14 Days (Plan I, III, and IV)
Maximum plasma concentration (Cmax)
Prazo: 28 Days (Plan II)
28 Days (Plan II)
Time to reach maximum plasma concentration (Tmax)
Prazo: 14 Days (Plan I, III, and IV)
14 Days (Plan I, III, and IV)
Time to reach maximum plasma concentration (Tmax)
Prazo: 28 Days (Plan II)
28 Days (Plan II)
Area under the curve from the time of dosing to the last measurable concentration (AUC0-t)
Prazo: 14 Days (Plan I, III, and IV)
14 Days (Plan I, III, and IV)
Area under the curve from the time of dosing to the last measurable concentration (AUC0-t)
Prazo: 28 Days (Plan II)
28 Days (Plan II)
Area under the curve from the time of dosing to the infinity (AUC 0-inf)
Prazo: 14 Days (Plan I, III, and IV)
14 Days (Plan I, III, and IV)
Area under the curve from the time of dosing to the infinity (AUC 0-inf)
Prazo: 28 Days (Plan II)
28 Days (Plan II)
Terminal half life (t1/2)
Prazo: 14 Days (Plan I, III, and IV)
14 Days (Plan I, III, and IV)
Terminal half life (t1/2)
Prazo: 28 Days (Plan II)
28 Days (Plan II)
Elimination rate constant (λz)
Prazo: 14 Days (Plan I, III, and IV)
14 Days (Plan I, III, and IV)
Elimination rate constant (λz)
Prazo: 28 Days (Plan II)
28 Days (Plan II)
Clearance (CL)
Prazo: 14 Days (Plan I, III, and IV)
14 Days (Plan I, III, and IV)
Clearance (CL)
Prazo: 28 Days (Plan II)
28 Days (Plan II)
Volume of distribution (Vd)
Prazo: 14 Days (Plan I, III, and IV)
14 Days (Plan I, III, and IV)
Volume of distribution (Vd)
Prazo: 28 Days (Plan II)
28 Days (Plan II)
Accumulation index
Prazo: 28 Days (Plan II)
28 Days (Plan II)
Pharmacodynamic effect (Plan I, III, and IV) assessment by monitoring primary parameters: Plasma DPPIV
Prazo: 14 Days
14 Days
Pharmacodynamic effect (Plan II) assessment by monitoring primary parameters: Plasma DPPIV
Prazo: 28 Days
28 Days
Glucagon-like peptide-1 (active and total)
Prazo: 14 Days
14 Days
Glucagon-like peptide-1 (active and total)
Prazo: 28 Days
28 Days
Secondary parameters: Plasma glucose
Prazo: 14 Days
14 Days
Plasma glucose
Prazo: 28 Days
28 Days
Serum insulin
Prazo: 14 Days
14 Days
Serum insulin
Prazo: 28 Days
28 Days
C-peptide
Prazo: 14 Days
14 Days
C-peptide
Prazo: 28 Days
28 Days
Glucagon
Prazo: 14 Days
14 Days
Glucagon
Prazo: 28 Days
28 Days

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Investigadores

  • Diretor de estudo: Rajendrakumar H Jani, Ph.D.,, Zydus Lifesciences Limited

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo

1 de outubro de 2014

Conclusão Primária (Real)

1 de outubro de 2015

Conclusão do estudo (Real)

1 de outubro de 2015

Datas de inscrição no estudo

Enviado pela primeira vez

24 de novembro de 2015

Enviado pela primeira vez que atendeu aos critérios de CQ

1 de dezembro de 2015

Primeira postagem (Estimativa)

3 de dezembro de 2015

Atualizações de registro de estudo

Última Atualização Postada (Estimativa)

3 de dezembro de 2015

Última atualização enviada que atendeu aos critérios de controle de qualidade

1 de dezembro de 2015

Última verificação

1 de novembro de 2015

Mais Informações

Termos relacionados a este estudo

Outros números de identificação do estudo

  • ZYDPLA1 1001

Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .

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