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Evaluation of the PK of NRL972 Following Pre- and co-Administration of Ursodeoxycholic Acid and Cloxacillin

Primary Purpose

Hepatic Cirrhosis

Status
Completed
Phase
Phase 1
Locations
Bulgaria
Study Type
Interventional
Intervention
NRL972
NRL972
NRL972
Sponsored by
Norgine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Hepatic Cirrhosis

Eligibility Criteria

21 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Males or females (females of non-childbearing potential or of childbearing potential while taking medically appropriate contraception)
  2. Caucasian
  3. Age: 21 - 40 years
  4. BW 50 - 100 kg
  5. BMI 20 - 26 kg.m-2
  6. healthy based on the pre-study examination
  7. willing and able to provide informed consent

Exclusion Criteria:

General - all subjects

  1. Previous participation in the trial
  2. Participant in any other trial during the last 90 days
  3. Donation of blood during the last 60 days or a history of blood loss exceeding 300 mL within the last 3 months
  4. History of any clinically relevant allergy (including hypersensitivity to the trial medications)
  5. Presence of acute or chronic infection
  6. Presence or history of any relevant co-morbidity
  7. Resting systolic blood pressure > 160 or < 90 mmHg, diastolic blood pressure > 95 or < 50 mmHg
  8. Clinically relevant ECG-abnormalities, prolonged QTc with > 450 msec in males and > 460 msec in females in particular
  9. Presence of any relevant abnormality in the laboratory safety tests, especially low haemoglobin, increased liver enzymes
  10. Positive serology for HBsAg, anti HBc and anti HCV
  11. Positive HIV test
  12. Positive alcohol or urine drug test on recruitment (and upon admission)
  13. History of alcohol and/or drug abuse and/or daily use of > 30 gr alcohol
  14. Smoking more than 15 cigarettes/day or equivalent of other tobacco products
  15. Use of prohibited medication
  16. Suspicion or evidence that the subject is not trustworthy and reliable
  17. Suspicion or evidence that the subject is not able to make a free consent or to understand the information in this regard

    General - all females

  18. Positive pregnancy test
  19. Lactating
  20. Not using appropriate contraception in pre-menopausal women (note: under the conditions of the present study, women using hormonal contraceptives will be informed that this method is not sufficient during the study and that further i.e. mechanical methods [condom, diaphragm with spermicidal gel] should be us

Sites / Locations

  • MHAPT "Zarita Johanna" University Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Reference

T1

T2

Arm Description

No pre-treatment

Cloxacillin pre- and co-treatment

UDCA pre-treatment

Outcomes

Primary Outcome Measures

Total clearance by non-compartmental analysis. Apparent terminal disposition half-life t½ by non-compartmental analysis

Secondary Outcome Measures

Non-compartmental PK-analysis based on the extensive profile (up to last quantifiable data point), the 'short' profile (over the first hour after injection), and the two-point profile based on selected data-pairs over the 1st hour after dosing

Full Information

First Posted
March 5, 2009
Last Updated
March 6, 2009
Sponsor
Norgine
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1. Study Identification

Unique Protocol Identification Number
NCT00857480
Brief Title
Evaluation of the PK of NRL972 Following Pre- and co-Administration of Ursodeoxycholic Acid and Cloxacillin
Official Title
A Single-Centre, Open, Controlled, Randomised Cross-Over Study in Healthy Male and Female Volunteers to Evaluate the Pharmacokinetics of Cholyl-Lysyl-Fluorescein (NRL972) in the Presence of Medication-Induced Changes in Cytochrome P450 or Biliary Transporter Proteins. Part B: Interaction With Ursodeoxycholic Acid and Cloxacillin
Study Type
Interventional

2. Study Status

Record Verification Date
March 2009
Overall Recruitment Status
Completed
Study Start Date
June 2006 (undefined)
Primary Completion Date
August 2006 (Actual)
Study Completion Date
October 2006 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Norgine

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A study in healthy volunteers to determine whether different drugs metabolised by the liver have any effects on how NRL972 is processed within the body.

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 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Reference
Arm Type
Experimental
Arm Description
No pre-treatment
Arm Title
T1
Arm Type
Experimental
Arm Description
Cloxacillin pre- and co-treatment
Arm Title
T2
Arm Type
Experimental
Arm Description
UDCA pre-treatment
Intervention Type
Drug
Intervention Name(s)
NRL972
Intervention Description
Single intravenous administration of 2 mg NRL972
Intervention Type
Drug
Intervention Name(s)
NRL972
Intervention Description
Pre-treatment and co-treatment with 1 g Cloxacillin t.i.d. for three days from the morning of D-3 until the morning of Day D01 0:30 hour before the intravenous administration of NRL972.
Intervention Type
Drug
Intervention Name(s)
NRL972
Intervention Description
Three week pre-treatment with daily doses of 500 mg b.i.d ursodeoxycholic acid from the morning of D-20 until the evening of Day D-1
Primary Outcome Measure Information:
Title
Total clearance by non-compartmental analysis. Apparent terminal disposition half-life t½ by non-compartmental analysis
Time Frame
4 hours post-dose
Secondary Outcome Measure Information:
Title
Non-compartmental PK-analysis based on the extensive profile (up to last quantifiable data point), the 'short' profile (over the first hour after injection), and the two-point profile based on selected data-pairs over the 1st hour after dosing
Time Frame
4 hours post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Males or females (females of non-childbearing potential or of childbearing potential while taking medically appropriate contraception) Caucasian Age: 21 - 40 years BW 50 - 100 kg BMI 20 - 26 kg.m-2 healthy based on the pre-study examination willing and able to provide informed consent Exclusion Criteria: General - all subjects Previous participation in the trial 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 History of any clinically relevant allergy (including hypersensitivity to the trial medications) Presence of acute or chronic infection Presence or history of any relevant co-morbidity Resting systolic blood pressure > 160 or < 90 mmHg, diastolic blood pressure > 95 or < 50 mmHg Clinically relevant ECG-abnormalities, prolonged QTc with > 450 msec in males and > 460 msec in females in particular Presence of any relevant abnormality in the laboratory safety tests, especially low haemoglobin, increased liver enzymes Positive serology for HBsAg, anti HBc and anti HCV Positive HIV test Positive alcohol or urine drug test on recruitment (and upon admission) History of alcohol and/or drug abuse and/or daily use of > 30 gr alcohol Smoking more than 15 cigarettes/day or equivalent of other tobacco products Use of prohibited medication 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 General - all females Positive pregnancy test Lactating Not using appropriate contraception in pre-menopausal women (note: under the conditions of the present study, women using hormonal contraceptives will be informed that this method is not sufficient during the study and that further i.e. mechanical methods [condom, diaphragm with spermicidal gel] should be us
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hans-Jürgen Gruss, MD
Organizational Affiliation
Norgine
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Emil Gatchev, PD Dr med
Organizational Affiliation
MHAPT "Zarita Johanna" University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
MHAPT "Zarita Johanna" University Hospital
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria

12. IPD Sharing Statement

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Evaluation of the PK of NRL972 Following Pre- and co-Administration of Ursodeoxycholic Acid and Cloxacillin

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