Evaluating the Safety, Pharmacokinetics and Haemodynamic Effect of a Slow Release Oral Formulation of Milrinone
Healthy, Heart Failure
About this trial
This is an interventional treatment trial for Healthy
Eligibility Criteria
Inclusion Criteria:
- Part A: Healthy volunteers; Part B: Heart failure patients Inclusion Criteria - Part A Healthy Volunteers
Participants must:
- Provide written informed consent prior to any study procedure and agree to adhere to all protocol requirements
- Be aged between 18 to 45 years old inclusive at the time of consent
- Be in good general health without clinically significant medical history
- Have a body mass index (BMI) between 19- 30 kg/m2 inclusive
- Documented 12-lead ECG with no clinically significant abnormalities, as determined by the Investigator
- No clinically significant abnormalities in screening or Day 0 laboratory tests, as determined by the Investigator;
- Female subjects of reproductive potential must have a negative serum pregnancy (β-HCG) test at screening and a negative urine pregnancy test at Day 0 prior to dosing. Female subjects must also be non-lactating
- Negative Human Immunodeficiency Virus (HIV), Hepatitis B and Hepatitis C Screening test results
Inclusion Criteria - Part B Heart Failure Patients
Participants must:
- Provide written informed consent prior to any study procedure and agree to adhere to all protocol requirements
- Heart Failure patients with LVEF less than45%
- NYHA II-III
- Stable medications (for greater than 48hrs)
- Systolic BP greater than 90
Exclusion Criteria:
- Exclusion Criteria - Part A Healthy Volunteers
Participants will not be enrolled if they meet any of the following criteria:
- If female, pregnant or lactating
- Receipt of any investigational agent or drug within 30 days or 5 half-lives (whichever is longer) prior to the first dose of Investigational product
- Use of prescription drugs within 4 weeks prior to first dosing. Subjects who have used over the counter medication excluding paracetamol, topical over the counter medications and routine vitamins but including megadose (intake of 20 to 600 times the recommended daily dose) vitamin therapy within 7 days of first dosing, unless agreed as non-clinically relevant by the Principal Investigator
- No clinically relevant findings in the medical history, laboratory examination and physical examination, especially with regards to cardiovascular system and renal function
- A positive urine test for drugs of abuse or alcohol at Screening or on the day of admittance to the Study Unit
- Normal dietary habits
- Any major surgical procedure within one month of entry into the study
- Have difficulties communicating reliably with the Investigator or unlikely to co-operate with the requirements of the study.
- Any other condition which in the view of the Investigator is likely to interfere with study or put the subject at risk.
Exclusion Criteria - Part B Heart Failure Patients
- Unstable heart failure including NYHA IV symptoms
- Treatment with intravenous inotropes or mechanical circulatory support.
- Unstable rhythm including frequent non-sustained ventricular tachycardia or poorly controlled atrial fibrillation (ventricular rate >100).
- Severe renal impairment Cr>200umol/L or dialysis.
- Life-threatening haematological, hepatic or pulmonary disease.
Sites / Locations
- Alfred Hospital
- Nucleus Network
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Active Comparator
Milrinone 6mg
Milrinone 10mg ER
Milrinone 14mg
single oral dose of 6mg ER milrinone tablet (Part A). 1. single intravenous infusion of milrinone (per Alfred Hospital protocol. 50ug/kg loading dose over 15 mins followed by infusion at 0.375 ug/kg/min for 6 hrs) - Part B.
single oral dose of 10 mg ER milrinone tablet (Part A) single oral dose of 10 mg ER milrinone tablet (Part B)
single oral dose of 14 mg ER milrinone tablet (Part A) single dose of 14 mg ER milrinone tablet 4. single oral dose of 18 mg ER milrinone tablet (if the group average plasma milrinone levels is less than 150 ug/L with 15 mg dose) - (Part B)