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Effect of Liraglutide on Heart Frequency in Healthy Volunteers

Primary Purpose

Diabetes, Diabetes Mellitus, Type 2

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
liraglutide
placebo
moxifloxacin
placebo
electrocardiogram (ECG)
electrocardiogram (ECG)
Sponsored by
Novo Nordisk A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes

Eligibility Criteria

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

Inclusion Criteria:

  • Healthy
  • Fasting plasma glucose within normal limits (80-100 mg/dl)
  • BMI (Body Mass Index): 20.0-29.0 kg/m^2 (inclusive)
  • Heart rate within the range of 50-90 beats per minute (inclusive)
  • Subject is judged to be in good health on the basis of their medical history, physical examination, ECG (electrocardiogram), and routine laboratory data

Exclusion Criteria:

  • Any clinically significant disease history, in the opinion of the investigator, of systemic or organ disease
  • Any clinically significant disease history, in the opinion of the investigator, of cardiovascular disease
  • Clinically significant abnormalities on any pre-study clinical examination or any abnormal laboratory measurements during screening
  • A family history of sudden cardiac death at age less than 50 years old
  • T-wave abnormalities
  • Individual or familial history of long QT Syndrome
  • Positive results on Screening for Hepatitis B surface antigen, Hepatitis C antibody or HIV (human immunodeficiency virus) antibody
  • Positive results on the urine drug and alcohol screen
  • Any regular use of prescription or nonprescription drugs or vitamins and herbal/nutritional supplements that cannot be stopped at screening
  • Any strenuous exercise (as judged by the investigator) from 4 days prior to randomisation and during the entire trial period
  • Blood donation, trauma or surgery with blood loss exceeding 500 ml within the last 2 months prior to dosing
  • Subject is a smoker, occasional smoker or has a history of smoking (or use of any tobacco) within the last 3 months
  • Excessive use of methylxanthine-containing beverages (more than 8 cups/day of coffee, tea, soda or chocolate)
  • Females who are pregnant, breastfeeding, intend to become pregnant within the next 3 months, or who are judged to be using inadequate contraceptive measures
  • A history (within the last 2 years) of drug or alcohol abuse

Sites / Locations

  • Novo Nordisk Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Placebo Comparator

Active Comparator

Placebo Comparator

Arm Label

Double-blind / liraglutide

Double-blind / placebo

Open-label / moxifloxacin

Open-label / placebo

Arm Description

Outcomes

Primary Outcome Measures

Maximum time-matched mean difference between the baseline subtracted QTci intervals

Secondary Outcome Measures

QTc at liraglutide tmax (time to reach maximum concentration)
Percentage subjects with QTc at least 450, 480 and 500 milliseconds
Moxifloxacin maximum time-matched mean change QTc and QTci
Cmax, maximum concentration of liraglutide
tmax, time to reach Cmax of liraglutide
Vitals signs: Blood pressure
Vital signs: Pulse
Serial electrocardiography

Full Information

First Posted
January 19, 2012
Last Updated
January 24, 2017
Sponsor
Novo Nordisk A/S
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1. Study Identification

Unique Protocol Identification Number
NCT01516255
Brief Title
Effect of Liraglutide on Heart Frequency in Healthy Volunteers
Official Title
A Thorough QTc Evaluation of the Effect of Liraglutide on Cardiac Repolarization in Healthy Volunteers: A Randomized, Double-blind, Placebo-controlled, Two Period Crossover Study Followed by Open-label Moxifloxacin (Positive Control) Administration
Study Type
Interventional

2. Study Status

Record Verification Date
January 2017
Overall Recruitment Status
Completed
Study Start Date
July 2006 (undefined)
Primary Completion Date
November 2006 (Actual)
Study Completion Date
November 2006 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novo Nordisk A/S

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This trial is conducted in the United States of America (USA). The aim of this trial is to investigate if liraglutide effects the QTc interval. Moxifloxacin (Avelox®) is administered as positive control.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes, Diabetes Mellitus, Type 2

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Double-blind / liraglutide
Arm Type
Experimental
Arm Title
Double-blind / placebo
Arm Type
Placebo Comparator
Arm Title
Open-label / moxifloxacin
Arm Type
Active Comparator
Arm Title
Open-label / placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
liraglutide
Intervention Description
0.6 mg daily for 7 days followed by 1.2 mg daily for 7 days followed by 1.8 mg daily for 7 days. Injected subcutaneously. Subjects are randomly allocated to two treatment sequences
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Injected subcutaneously. Subjects are randomly allocated to two treatment sequences
Intervention Type
Drug
Intervention Name(s)
moxifloxacin
Intervention Description
Following the double-blinded period and a wash-out period of 7 days, subjects are re-randomised to an open-label, parallel period where a single dose of 400 mg moxifloxacin (tablets) is administered as positive control
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Following the double-blinded period and a wash-out period of 7 days, subjects are re-randomised to an open-label, parallel period where single dose of oral placebo is administered
Intervention Type
Procedure
Intervention Name(s)
electrocardiogram (ECG)
Intervention Description
24 hours serial ECG is collected before initial dose of 0.6 mg liraglutide, on the last dosing day of 1.2 mg liraglutide and on the last dosing day of 1.8 mg liraglutide
Intervention Type
Procedure
Intervention Name(s)
electrocardiogram (ECG)
Intervention Description
Six hours after moxifloxacin or placebo single dose, 1 hour serial ECG is collected
Primary Outcome Measure Information:
Title
Maximum time-matched mean difference between the baseline subtracted QTci intervals
Secondary Outcome Measure Information:
Title
QTc at liraglutide tmax (time to reach maximum concentration)
Title
Percentage subjects with QTc at least 450, 480 and 500 milliseconds
Title
Moxifloxacin maximum time-matched mean change QTc and QTci
Title
Cmax, maximum concentration of liraglutide
Title
tmax, time to reach Cmax of liraglutide
Title
Vitals signs: Blood pressure
Title
Vital signs: Pulse
Title
Serial electrocardiography

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: Healthy Fasting plasma glucose within normal limits (80-100 mg/dl) BMI (Body Mass Index): 20.0-29.0 kg/m^2 (inclusive) Heart rate within the range of 50-90 beats per minute (inclusive) Subject is judged to be in good health on the basis of their medical history, physical examination, ECG (electrocardiogram), and routine laboratory data Exclusion Criteria: Any clinically significant disease history, in the opinion of the investigator, of systemic or organ disease Any clinically significant disease history, in the opinion of the investigator, of cardiovascular disease Clinically significant abnormalities on any pre-study clinical examination or any abnormal laboratory measurements during screening A family history of sudden cardiac death at age less than 50 years old T-wave abnormalities Individual or familial history of long QT Syndrome Positive results on Screening for Hepatitis B surface antigen, Hepatitis C antibody or HIV (human immunodeficiency virus) antibody Positive results on the urine drug and alcohol screen Any regular use of prescription or nonprescription drugs or vitamins and herbal/nutritional supplements that cannot be stopped at screening Any strenuous exercise (as judged by the investigator) from 4 days prior to randomisation and during the entire trial period Blood donation, trauma or surgery with blood loss exceeding 500 ml within the last 2 months prior to dosing Subject is a smoker, occasional smoker or has a history of smoking (or use of any tobacco) within the last 3 months Excessive use of methylxanthine-containing beverages (more than 8 cups/day of coffee, tea, soda or chocolate) Females who are pregnant, breastfeeding, intend to become pregnant within the next 3 months, or who are judged to be using inadequate contraceptive measures A history (within the last 2 years) of drug or alcohol abuse
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Global Clinical Registry (GCR, 1452)
Organizational Affiliation
Novo Nordisk A/S
Official's Role
Study Director
Facility Information:
Facility Name
Novo Nordisk Investigational Site
City
Fargo
State/Province
North Dakota
ZIP/Postal Code
58104
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
19737980
Citation
Chatterjee DJ, Khutoryansky N, Zdravkovic M, Sprenger CR, Litwin JS. Absence of QTc prolongation in a thorough QT study with subcutaneous liraglutide, a once-daily human GLP-1 analog for treatment of type 2 diabetes. J Clin Pharmacol. 2009 Nov;49(11):1353-62. doi: 10.1177/0091270009339189. Epub 2009 Sep 8.
Results Reference
result
Links:
URL
http://novonordisk-trials.com
Description
Clinical Trials at Novo Nordisk

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Effect of Liraglutide on Heart Frequency in Healthy Volunteers

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