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Race Difference Moxifloxacin-induced QT Prolongation Between Healthy Chinese and Caucasian Volunteers

Primary Purpose

Cardiac Toxicity

Status
Unknown status
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Moxifloxacin
Sponsored by
Haiyan Li
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cardiac Toxicity focused on measuring QT prolongation, Chinese, Caucasian, Moxifloxacin

Eligibility Criteria

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

Inclusion Criteria:

  1. Healthy Chinese subjects, male and female, 18 to 45 years of age, inclusive, and in good health as determined by past medical history, physical examination, vital signs, electrocardiogram, and laboratory tests at screening.(only for PUTH site) Or, healthy non-Hispanic Caucasian subjects, male and female, 18 to 45 years of age, inclusive, and in good health as determined by past medical history, physical examination, vital signs, electrocardiogram, and laboratory tests at screening (only for SCR site).
  2. At Screening and baseline day, vital signs (systolic and diastolic blood pressure and heart rate rate) will be assessed in the sitting position after the subject has rested for 5 minutes. All of vital signs should be within normal ranges:

    • Body temperature (Oral) between 35.0-37.0°C
    • 90 mm Hg ≤ systolic blood pressure <150 mm Hg
    • 50 mm Hg≤ diastolic blood pressure < 90 mm Hg
    • 50beats per minute≤ Heart rate ≤ 90 beats per minute
  3. Body weight need to be at least 50kg or above, 18Kg/m2≤ Body Mass Index(BMI) ≤31Kg/m2
  4. Be able to communicate well with the investigator, to understand and comply with the requirements of the study. Understand and sign the written informed consent forms prior to any screening procedures.

Exclusion Criteria:

  1. Subject has a 12 lead ECG result at Screening or Check in with evidence of any of the following abnormalities after the subject has rested for approximately10 minutes.

    • QTcF>450 ms for males and females
    • PR interval >240 ms or <110 ms
    • Second-degree or third-degree atrioventricular block(AVB)
    • Complete left or right bundle branch block or incomplete left bundle branch block
    • QRS duration >120 ms
    • Heart rate <50 beats per minute or >90 beats per minute
    • Pathological Q-waves (defined as Q-wave ≥40 ms)
    • Ventricular pre-excitation
  2. Subject has a history of unexplained syncope, structural heart disease, long QT syndrome, heart failure, myocardial infarction, angina, unexplained cardiac arrhythmia, torsades de points, or ventricular tachycardia. Subjects will also be excluded if there is a family history of long QT syndrome (genetically proven or suggested by sudden death of a close relative due to cardiac causes at a young age) or Brugada syndrome.
  3. Subject has hypokalemia, hypocalcemia, or hypomagnesemia according to lower limits of the reference ranges provided by the clinical laboratory.
  4. Subject has a history or current evidence of anaphylactic reactions or clinically significant (as determined by the investigator) allergic conditions (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing).
  5. Subject has a hypersensitivity or allergy to moxifloxacin or any drug in the fluoroquinolone class (eg, ciprofloxacin or levofloxacin).
  6. History or clinical manifestations of significant metabolic, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, urological, neurological, genetic or psychiatric disorders.
  7. Current or recent history (< 30 days prior to Screening) of a clinically significant illness.
  8. Use of any prescription drugs, herbal supplements, within 4 weeks prior to initial dosing, and/or over-the-counter (OTC) medication, dietary supplements (vitamins included) within 4 week prior to initial dosing.
  9. Positive results of human immunodeficiency virus, Hepatitis B surface antigen or Hepatitis C antibody testing.
  10. Current use of tobacco (> 10 tobacco/day) or nicotine-containing products. .
  11. History of drug or alcohol abuse within the 12 months prior to dosing, or evidence of such abuse as indicated by the laboratory assays conducted during the screening and/or at baseline.
  12. Dosing of study drug in any clinical investigation within 30 days prior to initial dosing.
  13. Donation or loss of 200 ml or more of blood within 30 days prior to participation, or donation of component blood within 30 days prior to participation.
  14. Consumption of alcohol-, caffeine -containing foods or beverages within 48 hours preceding study drug administration.
  15. Females are currently pregnant, breast-feeding or planning a pregnancy in the next 3 months.
  16. Other conditions which investigator deems potential harm to subjects if participate the study.

Sites / Locations

  • Spaulding Clinical Research LLCRecruiting
  • Peking University Third Hospital Clinical Trial CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Moxifloxacin

Placebo

Arm Description

Single oral dose 400 mg

Single oral dose

Outcomes

Primary Outcome Measures

ΔΔQTcF
To compare the difference of ΔΔQTcF (Baseline-adjusted, placebo-corrected effect on QTcF) between Chinese group and Caucasian group under the same exposure (Cmax) of Moxifloxacin

Secondary Outcome Measures

Full Information

First Posted
April 15, 2014
Last Updated
April 17, 2014
Sponsor
Haiyan Li
Collaborators
Food and Drug Administration (FDA), Spaulding Clinical Research LLC, BioClinica, Inc., Peking University
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1. Study Identification

Unique Protocol Identification Number
NCT02119091
Brief Title
Race Difference Moxifloxacin-induced QT Prolongation Between Healthy Chinese and Caucasian Volunteers
Official Title
A Double-center, Randomized, Double-blinded, 2-way Crossover, Placebo-controlled Study: Comparison of Single Oral Dose 400mg Moxifloxacin-induced QT Prolongation Between Healthy Chinese Volunteers and Caucasian Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
April 2014
Overall Recruitment Status
Unknown status
Study Start Date
April 2014 (undefined)
Primary Completion Date
June 2014 (Anticipated)
Study Completion Date
December 2014 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Haiyan Li
Collaborators
Food and Drug Administration (FDA), Spaulding Clinical Research LLC, BioClinica, Inc., Peking University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A double-center, randomized, double-blinded, 2-way crossover, placebo-controlled Study: Comparison of single oral dose 400mg Moxifloxacin-induced QT prolongation between healthy Chinese volunteers and Caucasian Volunteers Study Objective:Primary Objective:To compare the difference of ΔΔQTcF (Baseline-adjusted, placebo-corrected effect on QTcF) between Chinese group and Caucasian group under the same exposure (Cmax) of Moxifloxacin.Secondary Objectives:1)To compare the difference of ΔΔQTcF, heart rate, PR, RR, QRS and Moxifloxacin plasma concentration between Chinese group and Caucasian group.2)To compare slopes of Moxifloxacin plasma Concentration/QTcF value between healthy Chinese volunteers and Caucasian Volunteers.
Detailed Description
A total 80 healthy subjects will be enrolled in both sites, both male and female, age 18-45 years old. Half of them will be healthy Chinese volunteers, both male and female; will be recruited to obtain at least 36 evaluable volunteers in Chinese site of CTC, PUTH. The other half will be healthy Caucasian volunteers, both male and female; will be recruited to obtain at least 36 evaluable volunteers in the U.S. site of Spaulding Clinical Research LLC. An evaluable subject is defined as a volunteer completing all study procedures from the screening period to the final ECG nominal time-point for QTc interval measurement and final blood sampling for plasma levels of Moxifloxacin on the last study day (Day 2 of the second period). Study Objective:Primary Objective:To compare the difference of ΔΔQTcF (Baseline-adjusted, placebo-corrected effect on QTcF) between Chinese group and Caucasian group under the same exposure (Cmax) of Moxifloxacin.Secondary Objectives:1)To compare the difference of ΔΔQTcF, heart rate, PR, RR, QRS and Moxifloxacin plasma concentration between Chinese group and Caucasian group.2)To compare slopes of Moxifloxacin plasma Concentration/QTcF value between healthy Chinese volunteers and Caucasian Volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cardiac Toxicity
Keywords
QT prolongation, Chinese, Caucasian, Moxifloxacin

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Moxifloxacin
Arm Type
Experimental
Arm Description
Single oral dose 400 mg
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Single oral dose
Intervention Type
Drug
Intervention Name(s)
Moxifloxacin
Primary Outcome Measure Information:
Title
ΔΔQTcF
Description
To compare the difference of ΔΔQTcF (Baseline-adjusted, placebo-corrected effect on QTcF) between Chinese group and Caucasian group under the same exposure (Cmax) of Moxifloxacin
Time Frame
2 months

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 Chinese subjects, male and female, 18 to 45 years of age, inclusive, and in good health as determined by past medical history, physical examination, vital signs, electrocardiogram, and laboratory tests at screening.(only for PUTH site) Or, healthy non-Hispanic Caucasian subjects, male and female, 18 to 45 years of age, inclusive, and in good health as determined by past medical history, physical examination, vital signs, electrocardiogram, and laboratory tests at screening (only for SCR site). At Screening and baseline day, vital signs (systolic and diastolic blood pressure and heart rate rate) will be assessed in the sitting position after the subject has rested for 5 minutes. All of vital signs should be within normal ranges: Body temperature (Oral) between 35.0-37.0°C 90 mm Hg ≤ systolic blood pressure <150 mm Hg 50 mm Hg≤ diastolic blood pressure < 90 mm Hg 50beats per minute≤ Heart rate ≤ 90 beats per minute Body weight need to be at least 50kg or above, 18Kg/m2≤ Body Mass Index(BMI) ≤31Kg/m2 Be able to communicate well with the investigator, to understand and comply with the requirements of the study. Understand and sign the written informed consent forms prior to any screening procedures. Exclusion Criteria: Subject has a 12 lead ECG result at Screening or Check in with evidence of any of the following abnormalities after the subject has rested for approximately10 minutes. QTcF>450 ms for males and females PR interval >240 ms or <110 ms Second-degree or third-degree atrioventricular block(AVB) Complete left or right bundle branch block or incomplete left bundle branch block QRS duration >120 ms Heart rate <50 beats per minute or >90 beats per minute Pathological Q-waves (defined as Q-wave ≥40 ms) Ventricular pre-excitation Subject has a history of unexplained syncope, structural heart disease, long QT syndrome, heart failure, myocardial infarction, angina, unexplained cardiac arrhythmia, torsades de points, or ventricular tachycardia. Subjects will also be excluded if there is a family history of long QT syndrome (genetically proven or suggested by sudden death of a close relative due to cardiac causes at a young age) or Brugada syndrome. Subject has hypokalemia, hypocalcemia, or hypomagnesemia according to lower limits of the reference ranges provided by the clinical laboratory. Subject has a history or current evidence of anaphylactic reactions or clinically significant (as determined by the investigator) allergic conditions (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing). Subject has a hypersensitivity or allergy to moxifloxacin or any drug in the fluoroquinolone class (eg, ciprofloxacin or levofloxacin). History or clinical manifestations of significant metabolic, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, urological, neurological, genetic or psychiatric disorders. Current or recent history (< 30 days prior to Screening) of a clinically significant illness. Use of any prescription drugs, herbal supplements, within 4 weeks prior to initial dosing, and/or over-the-counter (OTC) medication, dietary supplements (vitamins included) within 4 week prior to initial dosing. Positive results of human immunodeficiency virus, Hepatitis B surface antigen or Hepatitis C antibody testing. Current use of tobacco (> 10 tobacco/day) or nicotine-containing products. . History of drug or alcohol abuse within the 12 months prior to dosing, or evidence of such abuse as indicated by the laboratory assays conducted during the screening and/or at baseline. Dosing of study drug in any clinical investigation within 30 days prior to initial dosing. Donation or loss of 200 ml or more of blood within 30 days prior to participation, or donation of component blood within 30 days prior to participation. Consumption of alcohol-, caffeine -containing foods or beverages within 48 hours preceding study drug administration. Females are currently pregnant, breast-feeding or planning a pregnancy in the next 3 months. Other conditions which investigator deems potential harm to subjects if participate the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jingchuan Guo, MD
Phone
+86-13811161216
Email
guojingchuan1029@126.com
First Name & Middle Initial & Last Name or Official Title & Degree
Lin Xu, BS
Phone
8610-82265509
Email
xulin0028@sina.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Haiyan Li, MD
Organizational Affiliation
Director of Clinical Trial Center,Peking University Third Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Spaulding Clinical Research LLC
City
West Bend
State/Province
Wisconsin
ZIP/Postal Code
53025
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jody hammonds, MS
Phone
262-334-6020
Email
jody.hammonds@spauldingclinical.com
First Name & Middle Initial & Last Name & Degree
Jay Mason, MD
Facility Name
Peking University Third Hospital Clinical Trial Center
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100191
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jingchuan Guo, MD
Phone
+86-13811161216
Email
guojingchuan1029@126.com
First Name & Middle Initial & Last Name & Degree
Lin Xu, BS
Phone
8610-82265509
Email
xulin0028@sina.com
First Name & Middle Initial & Last Name & Degree
Haiyan Li, MD

12. IPD Sharing Statement

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Race Difference Moxifloxacin-induced QT Prolongation Between Healthy Chinese and Caucasian Volunteers

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