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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

21 januari 2016 uppdaterad av: 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.

Studieöversikt

Status

Avslutad

Betingelser

Studietyp

Interventionell

Inskrivning (Faktisk)

111

Fas

  • Fas 1

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

      • Neuss, Tyskland, 41460
        • Profil GmbH

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 50 år (Vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Manlig

Beskrivning

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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Dubbel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: ZP4207
single dose of ZP4207 in ascending doses (s.c. and i.m.)
Aktiv komparator: native glucagon
single fixed dose of glucagon

Vad mäter studien?

Primära resultatmått

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

Sekundära resultatmått

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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Utredare

  • Huvudutredare: Thomas Jax, MD/PhD, Profil GmbH

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart

1 december 2014

Primärt slutförande (Faktisk)

1 april 2015

Avslutad studie (Faktisk)

1 april 2015

Studieregistreringsdatum

Först inskickad

3 februari 2015

Först inskickad som uppfyllde QC-kriterierna

19 februari 2015

Första postat (Uppskatta)

20 februari 2015

Uppdateringar av studier

Senaste uppdatering publicerad (Uppskatta)

22 januari 2016

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

21 januari 2016

Senast verifierad

1 januari 2016

Mer information

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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