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Human Mass Balance Study of Pyronaridine

Primary Purpose

Malaria

Status
Completed
Phase
Phase 1
Locations
Switzerland
Study Type
Interventional
Intervention
14C-labeled Pyronaridine
Sponsored by
Medicines for Malaria Venture
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Malaria focused on measuring Mass Balance, Accelerated Mass Spectrometry (AMS), microdose, Focus of the study: ADME

Eligibility Criteria

40 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Male subjects between the ages of 40 and 55 years with a body weight between 60 and 90 kg and a body mass index calculated using Quetelet's Index - weight (kg)/height2 (m2) between 18.5 - 30.0
  2. Signed and dated written informed consent form (ICF) before undergoing any study related activities, including discontinuation of any prohibited medications
  3. Medically normal subjects with no significant abnormal findings at the screening physical examination as evaluated by the investigator
  4. Strictly normal values of ALT, AST and bilirubin and normal or abnormal and clinically insignificant results (if agreed by the Investigator and the Sponsor on a case by case evaluation) of the other blood and urine laboratory parameters at screening
  5. All sexually active male subjects and their partners are willing to undergo contraception as follows:

    All male subjects, including those who are sterilised (i.e., vasectomy), should use a condom. Their female partner must also use at least 1 of the medically acceptable forms of contraceptives listed below. Male subjects must not donate sperm or have unprotected sex during the study and until 87 days after taking the dose of investigational product.

    Medically acceptable contraceptives for this study are:

    Condoms in addition to:

    • Intrauterine devices
    • Hormonal contraceptives (oral, depot, patch, injectable, or vaginal ring)
    • Diaphragms with spermicidal cream or gel
    • Cervical cap with spermicidal cream or gel
    • Spermicidal foam
  6. The ability to understand the requirements of the study and willingness to comply with all study procedures

Exclusion Criteria:

  1. Known history or evidence of clinically significant disorders such as cardiovascular (including arrhythmia, acute QTc interval greater or equal to 450 mseconds), respiratory (including active tuberculosis), hepatic, renal, gastrointestinal, immunological (including active HIV-AIDS), neurological (including auditory), endocrine, infectious, malignancy, psychiatric or other clinical abnormality
  2. Known history of hypersensitivity, allergic or adverse reactions to Pyronaridine
  3. Known active Hepatitis A IgM (HAV-IgM), Hepatitis B surface antigen (HBsAg) or Hepatitis C antibody (HCV Ab)
  4. Seropositive HIV antibody
  5. Previous participation in any clinical study with Pyramax
  6. Presence or recent history (last two years) of tobacco abuse (≥10 cigarettes/day)
  7. Known or suspected alcohol abuse or illicit drug use in the last 10 years before the study start or positive findings on urine drug screen
  8. Intake of grapefruit and grapefruit juice alcoholic beverages or caffeine-containing food or beverages, such as coffee, tea, chocolate, or cola, 48 hours before study drug administration
  9. Use of over-the-counter (OTC) medications, including vitamins, analgesics, or antacids, 1 week before the study start
  10. Use of prescription medications 14 days before the study start or required chronic use of any prescription medication
  11. Use of enzyme-altering agents (e.g., barbiturates, phenothiazines, cimetidine, etc.) within 30 days or 5 half lives, whichever the longer, before the study start
  12. Plasma donation 1 month before the study start
  13. Blood donation of 450 mL or more in the last 3 months before the study start
  14. Participation in other clinical trials during the previous month in which an investigational drug or a commercially available drug was tested
  15. Exposure to artificial ionizing radiation in the last 12 months (e.g., x-ray investigation, isotope studies)

Sites / Locations

  • Covance Clinical Research Unit AG

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Pyronaridine

Arm Description

All subjects will receive a single dose of Pyronaridine

Outcomes

Primary Outcome Measures

Analysis of 14C-Pyronaridine Total Radioactivity in Urine
Radioactivity recovery in urine as a percent of the administered dose. Continuous collection of samples was performed through 168 hours post-dose, with intermittent 48 hour collections occurring thereafter
Analysis of 14C-Pyronaridine Total Radioactivity in Feces
Radioactivity recovery in feces as a percent of the administered dose. Continuous collection of samples was performed through 168 hours post-dose, with intermittent 48 hour collections occurring thereafter

Secondary Outcome Measures

Total Radioactivity in Blood: AUC0-t, AUC0-∞
Pharmacokinetic Parameters: AUC0-t: area under the plasma concentration-time curve from Hour 0 through the last quantifiable concentration time (LQCT), where LQCT is the time at which the last sample with a quantifiable concentration was collected AUC0-∞: area under the plasma concentration-time curve from Hour 0 to infinity PK sampling performed at predose, 0.5, 1, 2, 4, 8, 12 and 24 hours, and 2, 4, 6, 7, 14, 21, 28, 35 and 42 days post-dose
Total Radioactivity in Blood: Cmax
Pharmacokinetic Parameters: Cmax: maximum observed peak observed concentration PK sampling performed at predose, 0.5, 1, 2, 4, 8, 12 and 24 hours, and 2, 4, 6, 7, 14, 21, 28, 35 and 42 days post-dose
Total Radioactivity in Blood: Half-life, Tmax
Pharmacokinetic Parameters: Half-life: computed as ln (2) / Kel Tmax: time to maximum concentration PK sampling performed at predose, 0.5, 1, 2, 4, 8, 12 and 24 hours, and 2, 4, 6, 7, 14, 21, 28, 35 and 42 days post-dose

Full Information

First Posted
June 22, 2011
Last Updated
November 18, 2021
Sponsor
Medicines for Malaria Venture
Collaborators
Shin Poong Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01383109
Brief Title
Human Mass Balance Study of Pyronaridine
Official Title
A Human Mass Balance Study of Pyronaridine Using Accelerator Mass Spectrometry
Study Type
Interventional

2. Study Status

Record Verification Date
November 2021
Overall Recruitment Status
Completed
Study Start Date
June 2011 (undefined)
Primary Completion Date
September 2011 (Actual)
Study Completion Date
December 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medicines for Malaria Venture
Collaborators
Shin Poong Pharmaceuticals

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The combination of pyronaridine and artesunate is an antimalarial therapy in development. This mass balance study is intended to determine the rate and extent of excretion of total radioactivity in urine and feces following administration of a single oral micro-dose of 14C-pyronaridine in humans.
Detailed Description
This is a monocenter, open-label, non-placebo-controlled, single-group, single-dose study. Six male subjects will receive a single dose of Pyronaridine 720 mg orally administered together with 14C-Pyronaridine (approx. 100 µg, 800 nCi (29600 Bq)). Safety measurements (12-lead ECG, vital signs, blood chemistry and haematology) and adverse events will be monitored throughout the study. Subjects will come to the clinic the evening before the dosing of Pyronaridine. After the drug intake at day 1, subjects will have regular in-house periods for specimen collection up to 87 days after the drug administration. Blood, feces and urine will be collected during the hospitalisation periods. Samples will be analyzed for radioactivity by Accelerator Mass Spectrometry (AMS).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malaria
Keywords
Mass Balance, Accelerated Mass Spectrometry (AMS), microdose, Focus of the study: ADME

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
6 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pyronaridine
Arm Type
Experimental
Arm Description
All subjects will receive a single dose of Pyronaridine
Intervention Type
Drug
Intervention Name(s)
14C-labeled Pyronaridine
Intervention Description
Single dose of 720 mg Pyronaridine together with 14C-Pyronaridine (approx. 100 µg, 800 nCi).
Primary Outcome Measure Information:
Title
Analysis of 14C-Pyronaridine Total Radioactivity in Urine
Description
Radioactivity recovery in urine as a percent of the administered dose. Continuous collection of samples was performed through 168 hours post-dose, with intermittent 48 hour collections occurring thereafter
Time Frame
2064 hours
Title
Analysis of 14C-Pyronaridine Total Radioactivity in Feces
Description
Radioactivity recovery in feces as a percent of the administered dose. Continuous collection of samples was performed through 168 hours post-dose, with intermittent 48 hour collections occurring thereafter
Time Frame
2064 hours
Secondary Outcome Measure Information:
Title
Total Radioactivity in Blood: AUC0-t, AUC0-∞
Description
Pharmacokinetic Parameters: AUC0-t: area under the plasma concentration-time curve from Hour 0 through the last quantifiable concentration time (LQCT), where LQCT is the time at which the last sample with a quantifiable concentration was collected AUC0-∞: area under the plasma concentration-time curve from Hour 0 to infinity PK sampling performed at predose, 0.5, 1, 2, 4, 8, 12 and 24 hours, and 2, 4, 6, 7, 14, 21, 28, 35 and 42 days post-dose
Time Frame
42 days
Title
Total Radioactivity in Blood: Cmax
Description
Pharmacokinetic Parameters: Cmax: maximum observed peak observed concentration PK sampling performed at predose, 0.5, 1, 2, 4, 8, 12 and 24 hours, and 2, 4, 6, 7, 14, 21, 28, 35 and 42 days post-dose
Time Frame
42 days
Title
Total Radioactivity in Blood: Half-life, Tmax
Description
Pharmacokinetic Parameters: Half-life: computed as ln (2) / Kel Tmax: time to maximum concentration PK sampling performed at predose, 0.5, 1, 2, 4, 8, 12 and 24 hours, and 2, 4, 6, 7, 14, 21, 28, 35 and 42 days post-dose
Time Frame
42 days

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male subjects between the ages of 40 and 55 years with a body weight between 60 and 90 kg and a body mass index calculated using Quetelet's Index - weight (kg)/height2 (m2) between 18.5 - 30.0 Signed and dated written informed consent form (ICF) before undergoing any study related activities, including discontinuation of any prohibited medications Medically normal subjects with no significant abnormal findings at the screening physical examination as evaluated by the investigator Strictly normal values of ALT, AST and bilirubin and normal or abnormal and clinically insignificant results (if agreed by the Investigator and the Sponsor on a case by case evaluation) of the other blood and urine laboratory parameters at screening All sexually active male subjects and their partners are willing to undergo contraception as follows: All male subjects, including those who are sterilised (i.e., vasectomy), should use a condom. Their female partner must also use at least 1 of the medically acceptable forms of contraceptives listed below. Male subjects must not donate sperm or have unprotected sex during the study and until 87 days after taking the dose of investigational product. Medically acceptable contraceptives for this study are: Condoms in addition to: Intrauterine devices Hormonal contraceptives (oral, depot, patch, injectable, or vaginal ring) Diaphragms with spermicidal cream or gel Cervical cap with spermicidal cream or gel Spermicidal foam The ability to understand the requirements of the study and willingness to comply with all study procedures Exclusion Criteria: Known history or evidence of clinically significant disorders such as cardiovascular (including arrhythmia, acute QTc interval greater or equal to 450 mseconds), respiratory (including active tuberculosis), hepatic, renal, gastrointestinal, immunological (including active HIV-AIDS), neurological (including auditory), endocrine, infectious, malignancy, psychiatric or other clinical abnormality Known history of hypersensitivity, allergic or adverse reactions to Pyronaridine Known active Hepatitis A IgM (HAV-IgM), Hepatitis B surface antigen (HBsAg) or Hepatitis C antibody (HCV Ab) Seropositive HIV antibody Previous participation in any clinical study with Pyramax Presence or recent history (last two years) of tobacco abuse (≥10 cigarettes/day) Known or suspected alcohol abuse or illicit drug use in the last 10 years before the study start or positive findings on urine drug screen Intake of grapefruit and grapefruit juice alcoholic beverages or caffeine-containing food or beverages, such as coffee, tea, chocolate, or cola, 48 hours before study drug administration Use of over-the-counter (OTC) medications, including vitamins, analgesics, or antacids, 1 week before the study start Use of prescription medications 14 days before the study start or required chronic use of any prescription medication Use of enzyme-altering agents (e.g., barbiturates, phenothiazines, cimetidine, etc.) within 30 days or 5 half lives, whichever the longer, before the study start Plasma donation 1 month before the study start Blood donation of 450 mL or more in the last 3 months before the study start Participation in other clinical trials during the previous month in which an investigational drug or a commercially available drug was tested Exposure to artificial ionizing radiation in the last 12 months (e.g., x-ray investigation, isotope studies)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Isabelle Borghini Fuhrer, PhD
Organizational Affiliation
Medicines for Malaria Venture
Official's Role
Study Director
Facility Information:
Facility Name
Covance Clinical Research Unit AG
City
Allschwil
State/Province
Basel
ZIP/Postal Code
4123
Country
Switzerland

12. IPD Sharing Statement

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Human Mass Balance Study of Pyronaridine

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