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Safety & Tolerability of a Combination of Antidepressant and Peptic Ulcer Drug in Overweight Healthy Subjects

Primary Purpose

Obesity

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Sertraline plus Telenzepine
Sponsored by
Theracos
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Obesity focused on measuring Obesity, Overweight, Sertraline, Telenzepine, Decrease appetite, Reduce appetite, Lose weight

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • In good health based on medical history, physical examination, ECG, routine laboratory tests, and BMI >/= 30 kg/m2 and </=30 40 kg/m^2.
  • Males and females agree to use described birth control methods.
  • Non-smoker.
  • Willing and able to be confined to the clinical research facility.
  • Willing and able to comply with the protocol and able to communicate with investigators.
  • Able to comprehend and willing to provide written informed consent.

Exclusion Criteria:

  • Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, neurologic, or allergic disease (including drug allergies; patients with untreated, asymptomatic, seasonal allergies may be enrolled), surgical conditions, cancer or any other condition that might in the opinion of the investigator impair the ability of the subject to complete the study or significantly interfere with the absorption, distribution, metabolism, or excretion of the study drugs.
  • Evidence or history of clinically significant psychiatric disease including major depression, mania, or hypomania, and history of suicide attempts or suicidal ideation. Subjects with a Beck Depression Inventory-II (BDI-II) score >13 at screening are excluded.
  • Clinically relevant abnormal findings at the screening examination (including laboratory tests and ECG).
  • Screening ECG which demonstrates at least one of the following: heart rate > 100 bpm, QRS > 120 msec, QTc > 450 msec, PR > 220 msec or any rhythm other than sinus rhythm, sinus bradycardia, or sinus arrhythmia.
  • Change in weight > 5 kilograms within 3 months of screening.
  • History of alcohol consumption exceeding 14 drinks/week (1 drink equaling 5 ounces of wine, 12 ounces of beer, or 1.5 ounces of hard liquor) within the 6 months before study entry.
  • Sitting systolic blood pressure ≤90 millimeters of mercury (mmHg) or ≥140 mmHg, diastolic blood pressure </= 50 mmHg or >/= 90 mmHg and judged to be clinically significant by the investigator.
  • Positive result on drug screen, hepatitis B surface antigen (HBsAg), hepatitis C (HCV), or human immunodeficiency (HIV) tests.
  • Use of prescription or non-prescription drugs, vitamins, or dietary supplements within 14 days prior to the first dose of study medication. Subjects on oral contraceptives and subjects who have used acetaminophen at doses of < 2 grams/day are eligible for study entry. Any exception to this must be felt not to impact the integrity of the data and must be jointly agreed upon by the investigator and medical monitor.
  • Treatment with any investigational drug, use of any known CYP450 enzyme- inducing/inhibiting agents (e.g., barbiturates, phenothiazines, cimetidine, St. John's Wort) or herbal supplements within 30 days prior to the first dose of study medication.
  • Treatment with any psychotropic medication within 90 days of screening.
  • History of drug abuse or dependence within 180 days of screening.
  • Febrile illness within 5 days prior to the first dose of study medication.
  • Inadequate venous access.
  • Known allergy to sertraline or telenzepine.
  • History of an active eating disorder such as anorexia nervosa, bulimia or binge eating disorder.
  • Elevated ALT (> 2X ULN) or total bilirubin (> 1.6 mg/dL)
  • Have diabetes mellitus (fasting plasma glucose > 126 mg/dL)
  • Have been on weight loss medications in the past 6 months

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    Telenzepine - Group A

    Sertraline plus Telenzepine - Group B

    Sertraline plus Telenzepine - Group C

    Sertraline plus Telenzepine - Group D

    Arm Description

    Group A: No Sertraline; 0, 1, 2, 3 mg/day Telenzepine

    Sertraline 50 mg/day; 0, 1, 2, 3 mg/day Telenzepine

    Sertraline 50, 100 mg/day; 0, 1, 2, 3 mg/day Telenzepine

    Sertraline 50, 100, 150 mg/day; 0, 1, 2, 3 mg/day Telenzepine

    Outcomes

    Primary Outcome Measures

    Changes in the VAS Score From Baseline.
    The baseline VAS self-assessment was completed for each subject on day 7 of each dose combination. Appetite VAS was completed in the subject's room approximately 30 min before and 1 h after each meal serving. Appetite was not assessed prior to snacks. VAS assessment was based on response to the question: "How hungry are you now?" The anchor points of the 100mm scale were "I am not hungry at all" and "Never more hungry" corresponding to 0 mm and 100 mm respectively. The subjects' VAS scores were measured by the clinic staff and entered into the CRF. The description listed below (VAS after meal minus and VAS before meal) refers only to the mean VAS score of each group.
    Changes in the Meal Calories Consumed
    The changes in the meal calories consumed was measured upon telenzepine treatment at the dose of 1 mg, 2 mg and 3 mg (i.e. end of every 7 days). The baseline was defined as on day 7 of sertraline treatment with no telenzepine for the specified meal. Food consumption was measured as calories consumed for breakfast, lunch, and dinner for all treatment groups on day 7 of each dose combination.
    Safety of Sertraline and Telenzepine Combination
    safety of the drug combination was measured in terms of number of adverse events during the study period.

    Secondary Outcome Measures

    Full Information

    First Posted
    June 22, 2010
    Last Updated
    June 4, 2019
    Sponsor
    Theracos
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01155531
    Brief Title
    Safety & Tolerability of a Combination of Antidepressant and Peptic Ulcer Drug in Overweight Healthy Subjects
    Official Title
    A Phase I, Single Center, Open Label, Intra Subject, Dose Escalation Study to Evaluate Safety and Tolerability of Sertraline Plus Telenzepine in Overweight Healthy Subjects
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    May 2010 (undefined)
    Primary Completion Date
    August 2010 (Actual)
    Study Completion Date
    August 2010 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Theracos

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The hypothesis of this study is that up to 150 mg of sertraline and up to 3 mg of telenzepine will be safe, tolerable, and have the effect of suppressing appetite, when taken in combination daily by mouth by healthy, overweight, adult men and women. In this study, up to 12 people will be assigned to one of 4 groups: A, B, C, and D, and will receive 0, 50, 100, or 150 mg of sertraline per day. People in Groups B, C, or D will receive an initial dose of 50 mg sertraline. People in Groups C and D will receive an additional 50 mg of sertraline per week. Up to 10 people from each group who were able to tolerate their sertraline dose for at least 5 days will begin taking 50 mg of sertraline plus doses of telenzepine that will increase from 1 mg to 2 mg to 3 mg over a 7-day period (they will receive each combination). On the day before they begin taking this combination of drugs, their appetite will be evaluated (on a visual scale of 0 to 100) before and after 3 meals. The appetites of each person, assessed by the visual scale, will be evaluated on the last day of the period (Day 7) before and after 3 meals of each combination treatment, while they are staying in the research unit. The amount of food they eat will be determined. Based on safety and tolerability assessments of individuals, and of the previous groups who received lower doses of the combination of drug, a decision will be made whether to further increase the dose of these drugs. Since the appetites of each person will be evaluated on the last day of the period (Day 7) before and after 3 meals of each combination treatment, people in this study will stay in the research unit for approximately 2½ days, starting on Day 6 of their previous treatment, so appetite evaluations can be made on Day 7 after a fixed meal in the evening of Day 6. These people will continue the stay in the research unit when they begin each telenzepine dose increase, so a 24 hour safety observation may be made immediately after the increase. After the final doses of telenzepine have been received, people in Groups C and D will continue to receive sertraline 50 mg per day for an additional 7 days or until the study physician decides when sertraline should be discontinued. People will return to the study unit for final visit, 2 weeks after they have received their last sertraline dose.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Obesity
    Keywords
    Obesity, Overweight, Sertraline, Telenzepine, Decrease appetite, Reduce appetite, Lose weight

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    40 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Telenzepine - Group A
    Arm Type
    Experimental
    Arm Description
    Group A: No Sertraline; 0, 1, 2, 3 mg/day Telenzepine
    Arm Title
    Sertraline plus Telenzepine - Group B
    Arm Type
    Experimental
    Arm Description
    Sertraline 50 mg/day; 0, 1, 2, 3 mg/day Telenzepine
    Arm Title
    Sertraline plus Telenzepine - Group C
    Arm Type
    Experimental
    Arm Description
    Sertraline 50, 100 mg/day; 0, 1, 2, 3 mg/day Telenzepine
    Arm Title
    Sertraline plus Telenzepine - Group D
    Arm Type
    Experimental
    Arm Description
    Sertraline 50, 100, 150 mg/day; 0, 1, 2, 3 mg/day Telenzepine
    Intervention Type
    Drug
    Intervention Name(s)
    Sertraline plus Telenzepine
    Intervention Description
    oral sertraline tablets at 0, 50, 100, or 150/day plus oral telenzepine capsules at 0, 1, 2, or 3 mg/day for 7 days in each combination
    Primary Outcome Measure Information:
    Title
    Changes in the VAS Score From Baseline.
    Description
    The baseline VAS self-assessment was completed for each subject on day 7 of each dose combination. Appetite VAS was completed in the subject's room approximately 30 min before and 1 h after each meal serving. Appetite was not assessed prior to snacks. VAS assessment was based on response to the question: "How hungry are you now?" The anchor points of the 100mm scale were "I am not hungry at all" and "Never more hungry" corresponding to 0 mm and 100 mm respectively. The subjects' VAS scores were measured by the clinic staff and entered into the CRF. The description listed below (VAS after meal minus and VAS before meal) refers only to the mean VAS score of each group.
    Time Frame
    The baseline was defined on day 7 of sertraline treatment with no telenzepine before and meal. Appetite VAS was measured 30 min before and 1hour after to meal
    Title
    Changes in the Meal Calories Consumed
    Description
    The changes in the meal calories consumed was measured upon telenzepine treatment at the dose of 1 mg, 2 mg and 3 mg (i.e. end of every 7 days). The baseline was defined as on day 7 of sertraline treatment with no telenzepine for the specified meal. Food consumption was measured as calories consumed for breakfast, lunch, and dinner for all treatment groups on day 7 of each dose combination.
    Time Frame
    The baseline was defined as on day 7 of sertraline treatment with no telenzepine. Food consumption was measured as calories consumed for breakfast, lunch, and dinner for all treatment groups on day 7 of each dose combination.
    Title
    Safety of Sertraline and Telenzepine Combination
    Description
    safety of the drug combination was measured in terms of number of adverse events during the study period.
    Time Frame
    7 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    45 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: In good health based on medical history, physical examination, ECG, routine laboratory tests, and BMI >/= 30 kg/m2 and </=30 40 kg/m^2. Males and females agree to use described birth control methods. Non-smoker. Willing and able to be confined to the clinical research facility. Willing and able to comply with the protocol and able to communicate with investigators. Able to comprehend and willing to provide written informed consent. Exclusion Criteria: Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, neurologic, or allergic disease (including drug allergies; patients with untreated, asymptomatic, seasonal allergies may be enrolled), surgical conditions, cancer or any other condition that might in the opinion of the investigator impair the ability of the subject to complete the study or significantly interfere with the absorption, distribution, metabolism, or excretion of the study drugs. Evidence or history of clinically significant psychiatric disease including major depression, mania, or hypomania, and history of suicide attempts or suicidal ideation. Subjects with a Beck Depression Inventory-II (BDI-II) score >13 at screening are excluded. Clinically relevant abnormal findings at the screening examination (including laboratory tests and ECG). Screening ECG which demonstrates at least one of the following: heart rate > 100 bpm, QRS > 120 msec, QTc > 450 msec, PR > 220 msec or any rhythm other than sinus rhythm, sinus bradycardia, or sinus arrhythmia. Change in weight > 5 kilograms within 3 months of screening. History of alcohol consumption exceeding 14 drinks/week (1 drink equaling 5 ounces of wine, 12 ounces of beer, or 1.5 ounces of hard liquor) within the 6 months before study entry. Sitting systolic blood pressure ≤90 millimeters of mercury (mmHg) or ≥140 mmHg, diastolic blood pressure </= 50 mmHg or >/= 90 mmHg and judged to be clinically significant by the investigator. Positive result on drug screen, hepatitis B surface antigen (HBsAg), hepatitis C (HCV), or human immunodeficiency (HIV) tests. Use of prescription or non-prescription drugs, vitamins, or dietary supplements within 14 days prior to the first dose of study medication. Subjects on oral contraceptives and subjects who have used acetaminophen at doses of < 2 grams/day are eligible for study entry. Any exception to this must be felt not to impact the integrity of the data and must be jointly agreed upon by the investigator and medical monitor. Treatment with any investigational drug, use of any known CYP450 enzyme- inducing/inhibiting agents (e.g., barbiturates, phenothiazines, cimetidine, St. John's Wort) or herbal supplements within 30 days prior to the first dose of study medication. Treatment with any psychotropic medication within 90 days of screening. History of drug abuse or dependence within 180 days of screening. Febrile illness within 5 days prior to the first dose of study medication. Inadequate venous access. Known allergy to sertraline or telenzepine. History of an active eating disorder such as anorexia nervosa, bulimia or binge eating disorder. Elevated ALT (> 2X ULN) or total bilirubin (> 1.6 mg/dL) Have diabetes mellitus (fasting plasma glucose > 126 mg/dL) Have been on weight loss medications in the past 6 months
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Jolene Berg, MD
    Organizational Affiliation
    Cetero Research, San Antonio
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Safety & Tolerability of a Combination of Antidepressant and Peptic Ulcer Drug in Overweight Healthy Subjects

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