Multi-national Cirrhosis Study to Characterise the Association Between the Pharmacokinetics of NRL972 and Disease Severity.
Primary Purpose
Hepatic Cirrhosis
Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
NRL972
Sponsored by
About this trial
This is an interventional diagnostic trial for Hepatic Cirrhosis
Eligibility Criteria
Inclusion Criteria:
Subjects meeting the following conditions will be eligible for enrolment:
- Patient has given his or her written informed consent to the study participation, prior to study specific procedures
- Male and female (non-child-bearing potential = post-menopausal or medically adequate contraception)
- Ethnicity: any
- Age: 18 to 80 years of age
- Patients with histologically established diagnosis of hepatic cirrhosis and available histological material for review by the central histopathologist or a CTP score greater than or equal to 10 points plus an objective imaging study (CT or NMR scan) within 3 months of the screening visit with a confirmation of hepatic cirrhosis (scans are collected and reviewed), but excluding patients with the diagnosis of primary biliary cirrhosis, primary sclerosing cholangitis and cystic fibrosis-associated liver disease
- Present CTP-class A, B or C
- Medically fit to undergo the protocol-defined procedures without undue risk and discomfort
- Predicted life-expectancy greater than or equal to 6 months by clinical judgement
Exclusion Criteria:
Subjects of any of the following categories will be excluded from enrolment:
- Previous participation in this trial (except for scheduled re-testing in relation to technical difficulties with initial test)
- Participant in any other trial during the last 90 days
- Donation of blood during the last 60 days or a history of blood loss exceeding 300 mL within the last 3 months
- Any donation of germ cells, blood, organs, or bone marrow during the course of the study
- History of any clinically relevant allergy (including hypersensitivity to the trial medications)
- Presence of clinical relevant acute or chronic infection (other than chronic viral hepatitis, if applicable)
- Use of confounding concomitant medication
- Presence or history of any end-stage (co-)morbidity (excluding the effects of hepatic cirrhosis) such as: malignancy and clinically relevant systemic diseases
- Suspicion or evidence that the subject is not trustworthy and reliable
- Suspicion or evidence that the subject is not able to make a free consent or to understand the information in this regard
- Primary biliary cirrhosis and primary sclerosing cholangitis
- Cystic fibrosis
- Previous liver transplantation or intended liver transplantation within 6 months after enrolment
- Patients having undergone previous transjugular intrahepatic portosystemic shunt (TIPS) or portocaval anastomosis (PCA)
- Patients who are employees at the investigational site, relatives or spouses of the investigator
- Current drug, or medication abuse
Special restrictions for female patients:
- Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation.
- Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, including women whose career, lifestyle, or sexual orientation precludes intercourse with a male partner and women whose partners have been sterilized by vasectomy or other means, unless they meet the following definition of post-menopausal: 12 months of natural (spontaneous) amenorrhea or 6 months of spontaneous amenorrhea with serum FSH levels greater than 40 mIU/m or 6 weeks post surgical bilateral oophorectomy with or without hysterectomy or hysterectomy or are using one or more of the following acceptable methods of contraception: surgical sterilization (e.g., bilateral tubal ligation, vasectomy), hormonal contraception (implantable, patch, oral), and double-barrier methods (any double combination of: IUD, male or female condom with spermicidal gel, diaphragm, sponge, cervical cap)
Sites / Locations
- University Hospital
Outcomes
Primary Outcome Measures
Influence of CTP staging on the pharmacokinetics of NRL972 in patients with cirrhosis.
Secondary Outcome Measures
Inter-subject relationship between the pharmacokinetics of NRL972 and other parameters used to define the severity of hepatic cirrhosis
To assess the safety and tolerability of 2mg NRL972 administered by intravenous injection to patients with hepatic cirrhosis
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00794482
Brief Title
Multi-national Cirrhosis Study to Characterise the Association Between the Pharmacokinetics of NRL972 and Disease Severity.
Official Title
A Multi-centre, Multi-national Open Study in Patients With Hepatic Cirrhosis to Characterise the Association Between the Pharmacokinetics of NRL972 and Disease Severity.
Study Type
Interventional
2. Study Status
Record Verification Date
October 2009
Overall Recruitment Status
Completed
Study Start Date
March 2008 (undefined)
Primary Completion Date
June 2009 (Actual)
Study Completion Date
June 2009 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Norgine
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a multi-centre, multi-national, open study to assess the pharmacokinetics of NRL972 in patients with hepatic cirrhosis CTP-classes A, B, and C (histologically confirmed by liver biopsy). The pharmacokinetics of NRL972 will be referenced to a Clinical Staging Matrix obtained during a clinical work-up of patients with hepatic cirrhosis. Patients to be studied will have histologically established hepatic cirrhosis or confirmed hepatic cirrhosis by an objective imaging study without confounding end-stage co-morbidity. Within 14 days of confirming eligibility, the investigations will be conducted over 2-5 days with the test procedures (clinical laboratory tests, ultrasound (US)-investigations, gastroscopy, NRL972- and MEGX'-test). Up to one week after the NRL972-test, a follow-up telephone call will be made.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatic Cirrhosis
7. Study Design
Primary Purpose
Diagnostic
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
1200 (Anticipated)
8. Arms, Groups, and Interventions
Intervention Type
Drug
Intervention Name(s)
NRL972
Intervention Description
Single dose of 2 mg NRL972 administered intravenously. Total volume 5 mL.
Primary Outcome Measure Information:
Title
Influence of CTP staging on the pharmacokinetics of NRL972 in patients with cirrhosis.
Time Frame
Single dose, 2-5 day follow-up
Secondary Outcome Measure Information:
Title
Inter-subject relationship between the pharmacokinetics of NRL972 and other parameters used to define the severity of hepatic cirrhosis
Time Frame
2-5 days
Title
To assess the safety and tolerability of 2mg NRL972 administered by intravenous injection to patients with hepatic cirrhosis
Time Frame
2-5 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subjects meeting the following conditions will be eligible for enrolment:
Patient has given his or her written informed consent to the study participation, prior to study specific procedures
Male and female (non-child-bearing potential = post-menopausal or medically adequate contraception)
Ethnicity: any
Age: 18 to 80 years of age
Patients with histologically established diagnosis of hepatic cirrhosis and available histological material for review by the central histopathologist or a CTP score greater than or equal to 10 points plus an objective imaging study (CT or NMR scan) within 3 months of the screening visit with a confirmation of hepatic cirrhosis (scans are collected and reviewed), but excluding patients with the diagnosis of primary biliary cirrhosis, primary sclerosing cholangitis and cystic fibrosis-associated liver disease
Present CTP-class A, B or C
Medically fit to undergo the protocol-defined procedures without undue risk and discomfort
Predicted life-expectancy greater than or equal to 6 months by clinical judgement
Exclusion Criteria:
Subjects of any of the following categories will be excluded from enrolment:
Previous participation in this trial (except for scheduled re-testing in relation to technical difficulties with initial test)
Participant in any other trial during the last 90 days
Donation of blood during the last 60 days or a history of blood loss exceeding 300 mL within the last 3 months
Any donation of germ cells, blood, organs, or bone marrow during the course of the study
History of any clinically relevant allergy (including hypersensitivity to the trial medications)
Presence of clinical relevant acute or chronic infection (other than chronic viral hepatitis, if applicable)
Use of confounding concomitant medication
Presence or history of any end-stage (co-)morbidity (excluding the effects of hepatic cirrhosis) such as: malignancy and clinically relevant systemic diseases
Suspicion or evidence that the subject is not trustworthy and reliable
Suspicion or evidence that the subject is not able to make a free consent or to understand the information in this regard
Primary biliary cirrhosis and primary sclerosing cholangitis
Cystic fibrosis
Previous liver transplantation or intended liver transplantation within 6 months after enrolment
Patients having undergone previous transjugular intrahepatic portosystemic shunt (TIPS) or portocaval anastomosis (PCA)
Patients who are employees at the investigational site, relatives or spouses of the investigator
Current drug, or medication abuse
Special restrictions for female patients:
Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation.
Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, including women whose career, lifestyle, or sexual orientation precludes intercourse with a male partner and women whose partners have been sterilized by vasectomy or other means, unless they meet the following definition of post-menopausal: 12 months of natural (spontaneous) amenorrhea or 6 months of spontaneous amenorrhea with serum FSH levels greater than 40 mIU/m or 6 weeks post surgical bilateral oophorectomy with or without hysterectomy or hysterectomy or are using one or more of the following acceptable methods of contraception: surgical sterilization (e.g., bilateral tubal ligation, vasectomy), hormonal contraception (implantable, patch, oral), and double-barrier methods (any double combination of: IUD, male or female condom with spermicidal gel, diaphragm, sponge, cervical cap)
Facility Information:
Facility Name
University Hospital
City
Essen
ZIP/Postal Code
D-45147
Country
Germany
12. IPD Sharing Statement
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Multi-national Cirrhosis Study to Characterise the Association Between the Pharmacokinetics of NRL972 and Disease Severity.
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