研究性天花药物的 I 期试验
I 期随机、双盲、交叉、探索性研究单次口服 I 型抗正痘病毒化合物 ST-246® 胶囊与 V 型胶囊在进食正常健康志愿者中的药代动力学
The purpose of this study was to evaluate the pharmacokinetic parameters and safety of a single dose of ST-246 400mg Form I versus ST-246 400mg Form V capsules in fed normal healthy volunteers.
研究概览
详细说明
This was a Phase I, double-blind, cross-over, single-dose study of the orally administered anti-orthopoxvirus compound, ST-246, to 12 healthy, fed volunteers between the ages of 18 and 50 years. Subjects were randomized such that 6 subjects received either ST-246 Form I (monohydrate) followed 10 days later after a wash-out period by Form V (hemihydrate), and 6 subjects received ST-246 Form V followed by Form I, as for the previous group.
Both forms of ST-246 were similar in the way they were manufactured. The only difference between Form I and Form V may be related to how it dissolves, and this may affect the way that it is absorbed in the human body. Information about any side-effects that may occur will also be collected in this study.
研究类型
注册 (实际的)
阶段
- 阶段1
联系人和位置
学习地点
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Florida
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Orlando、Florida、美国、32809
- Orlando Clinical Research Center
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- 18 to 50 years
- Available for clinical follow-up duration of study.
- Able/willing to give written consent.
- Good general health; no clinically significant medical history.
- Refrain from taking any medications from screening through 72 hours after last dose.
- Adequate venous access.
- PE and lab results without clinically significant findings within 28 days prior to receipt of drug.
- Meet Lab Criteria within 28 days prior to receipt of drug.
- Negative pregnancy test
- Non smokers
- No alcohol or caffeine
- Participant or partner has undergone surgical sterilization, or the participant agrees either to be abstinent or use two non-hormonal methods of contraception for duration of the study
Exclusion Criteria:
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Marked baseline prolongation of QT/corrected QT interval (QTc) interval (
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History of additional risk factors for Torsade de Pointes
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Clinically significant abnormal ECG
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Personal history of cardiac disease, symptomatic or asymptomatic arrhythmias, syncopal episodes, or prolongation of the PR interval
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Family history of Sudden Cardiac Death not clearly due to acute myocardial infarction.
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History of any clinically significant conditions including:
- Asthma
- Diabetes mellitus
- History of thyroidectomy or thyroid disease
- Serious angioedema episodes
- Head trauma resulting in a diagnosis of TBI other than concussion
- Seizure or history of seizure
- Bleeding disorder diagnosed by a doctor or significant bruising or bleeding difficulties with intramuscular injections or blood draws
- Malignancy
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Family history of idiopathic seizures
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History or presence of neutropenia or other blood dyscrasia
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Known Hepatitis B or Hepatitis C infection
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Known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome illness.
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Current or recent history of a clinically significant bacterial, fungal, or mycobacterial infection.
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Known clinically significant chronic viral infection (or current clinically significant viral infection
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History of frequent or severe headaches or migraines
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Known chronic bacterial, mycobacterial, fungal, parasitic, or protozoal infection
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Woman who is pregnant or is breast-feeding or planning to become pregnant
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On any concomitant medications
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History of drug allergy that, in the opinion of the PI, contraindicates participation in the trial.
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Inability to swallow medication
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Body Mass Index above 35 or below 18,
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Current drug abuse or alcohol abuse.
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Inability to refrain from physical exercise for a period of 24 hr before and after a PK day or refrain from consuming xanthines, grapefruit or grapefruit juice
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Clinically significant lactose intolerance
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Received experimental drug within 30 days
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Vaccination within 30 days
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Total of more than 350 milliliters (mL) of blood drawn in 2 months
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Treatment with any immunosuppressant or immunomodulatory medication in 3 months
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Any condition occupational reason or other responsibility that, in the judgment of the PI, would jeopardize the safety or rights of a subject participating in the trial or would render the subject unable to comply with the protocol
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History or diagnosis that would affect absorption of study medication
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:交叉作业
- 屏蔽:三倍
武器和干预
参与者组/臂 |
干预/治疗 |
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有源比较器:Group ST-246 Form I (followed by Form V)
Each of six subjects receive a single oral 400 mg dose (2×200 mg) of ST-246 Form I (monohydrate) in the first intervention period, followed 10 days later (3 days post-treatment monitoring and 7 days wash-out period) in the second intervention period by a single oral 400 mg dose (2×200 mg) of ST-246 Form V (hemihydrate). Both forms of drug are orally administered within 30 minutes after a standard light meal consisting of 400-450 calories and approximately 25% fat. |
First Intervention is on Days 1 - 3, and includes 6 patients dosed once orally with ST-246 Form I (Arm 1), and 6 patients dosed once orally with ST-246 Form V (Arm 2).
其他名称:
Second Intervention is on Days 11 - 13 (after a 3 day post-treatment monitoring and 7 day wash-out period) where the 6 patients previously given ST-246 Form I (Arm 1) are now dosed once orally with ST-246 Form V, and the 6 patients previously given ST-246 Form V (Arm 2) are now dosed once orally with ST-246 Form I.
其他名称:
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有源比较器:Group ST-246 Form V (followed by Form I)
Each of six subjects receive a single oral 400 mg dose (2×200 mg) of ST-246 Form V (hemihydrate) in the first intervention period, followed 10 days later (3 days post-treatment monitoring and 7 days wash-out period) in the second intervention period by a single oral 400 mg dose (2×200 mg) of ST-246 Form I (monohydrate). Both forms of drug are orally administered within 30 minutes after a standard light meal consisting of 400-450 calories and approximately 25% fat. |
First Intervention is on Days 1 - 3, and includes 6 patients dosed once orally with ST-246 Form I (Arm 1), and 6 patients dosed once orally with ST-246 Form V (Arm 2).
其他名称:
Second Intervention is on Days 11 - 13 (after a 3 day post-treatment monitoring and 7 day wash-out period) where the 6 patients previously given ST-246 Form I (Arm 1) are now dosed once orally with ST-246 Form V, and the 6 patients previously given ST-246 Form V (Arm 2) are now dosed once orally with ST-246 Form I.
其他名称:
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: t½
大体时间:Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
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Mean terminal half-life (t½; hrs) for Forms I and V were calculated from [plasma] vs time profiles. |
Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
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Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: AUC0-τ
大体时间:Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
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Area under the drug concentration-time curve from time zero to time t, where t is the last timepoint with a drug concentration ≥ lowest obtainable quantification (AUC0-τ; ng*hr/mL). |
Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
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Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: AUC0-∞
大体时间:Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
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Area under the drug concentration-time curve from time zero to infinity (AUC0-∞; ng*hr/mL). |
Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
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Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: Cmax
大体时间:Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
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Maximum drug concentration in plasma, determined directly from individual concentration-time data (Cmax) |
Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
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Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: Tmax
大体时间:Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
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Time to maximum plasma concentration(Tmax; hrs) for Forms I and V were calculated from [plasma] vs time profiles. |
Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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Number of Study Participants Who Tolerated a Single Dose of ST-246 Form I vs. Form V as Determined by No Clinically Significant Changes in Safety Parameters
大体时间:4 weeks
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Evaluated safety parameters included:
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4 weeks
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合作者和调查者
调查人员
- 首席研究员:Thomas C Marbury, MD、Orlando Clinical Research Center
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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