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Multiple Ascending Doses of ZP4207 Administered to HV to Evaluate the Safety, Tolerability, PKs and PDs of ZP4207

Primary Purpose

Hypoglycemia

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
ZP4207
Placebo
Sponsored by
Zealand Pharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypoglycemia

Eligibility Criteria

18 Years - 50 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Signed and dated informed consent obtained before any trial-related activities. (Trial-related activities are any procedures that would not have been performed during normal management of the subject).
  2. Caucasian
  3. Healthy male subject.
  4. Age between 18 and 50 years, both inclusive.
  5. Body weight between 70 and 90 kg (both inclusive)
  6. Fasting plasma glucose concentration <= 100 mg/dL.
  7. Considered generally healthy upon completion of medical history, physical examination, vital signs, ECG and analysis of laboratory safety variables, as judged by the Investigator.

Exclusion Criteria:

  1. Known or suspected hypersensitivity to IMP or related products.
  2. Previous participation in this trial. Participation is defined as randomized.
  3. Previous treatment with ZP4207.
  4. Receipt of any medicinal product in clinical development within 3 months before randomization in this trial.
  5. History of multiple and/or severe allergies to drugs or foods or a history of severe anaphylactic reaction.
  6. Any history or presence of cancer except basal cell skin cancer or squamous cell skin cancer as judged by the Investigator.
  7. Any history or presence of clinically relevant cardiovascular, pulmonary, respiratory, gastrointestinal, hepatic, renal, metabolic, endocrinological, haematological, dermatological, neurological, osteomuscular, articular, psychiatric, systemic, ocular, or infectious disease, or signs of acute illness as judged by the Investigator.
  8. Any serious systemic infectious disease during four weeks prior to first dosing of the study drug, as judged by the Investigator.
  9. Clinically significant abnormal values for haematology, biochemistry, coagulation, or urinalysis as judged by the Investigator.
  10. Supine blood pressure at screening (after resting for at least 5 min in supine position) outside the ranges for systolic 95-140 mmHg blood pressure and for diastolic greater than 90 mmHg or symptoms and a heart rate at rest outside the range of 50-90 beats per minute (excluding white-coat hypertension; therefore, if a repeated measurement shows values within the range, the subject can be included in the trial).
  11. Clinically significant abnormal standard 12-lead electrocardiogram (ECG) after 5 minutes resting in supine position at screening, as judged by the Investigator.
  12. Significant history of alcoholism or drug abuse as judged by the Investigator or consuming more than 21 units of alcohol per week (one unit of alcohol equals about 250 mL of beer, one glass of wine of 120 mL, or 20 mL spirits).
  13. A positive result in the alcohol and/or urine drug screen at the screening visit.
  14. Smoker (defined as a subject who is smoking more than 7 cigarettes or the equivalent per week) within the last month prior to screening and who is not able or willing to refrain from smoking and use of nicotine substitute products one day before first dosing and during the treatment period.
  15. Positive to the screening test for Hepatitis Bs antigen or Hepatitis C antibodies and/or a positive result to the test for HIV-1/2 antibodies or HIV-1 antigen.
  16. Any medication (prescription and non-prescription drugs) within 14 days before IMP administration, with the exception of paracetamol or acetylsalicylic acid for occasional use to treat acute pain.
  17. Blood donation or blood loss of more than 500 mL within the last 3 months.
  18. Mental incapacity, unwillingness, or language barriers precluding adequate understanding or co-operation.
  19. Male who is sexually active and not surgically sterilized who and whose partner(s) is not using adequate contraceptive methods (adequate contraceptive measures include surgical sterilisation, hormonal intrauterine devices [coil], oral hormonal contraceptives, each in combination with spermicide-coated condoms), or who is not willing to refrain from sexual intercourse from the first dosing until 1 month after last dosing in the trial.

Sites / Locations

  • Profil GmbH

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

ZP4207

Placebo

Arm Description

Five multiple doses of ZP4207 in ascending doses

Five multiple doses of corresponding placebo in ascending doses

Outcomes

Primary Outcome Measures

Number of participants with adverse events
Number of participants with adverse events
Number of participants with adverse events
Changes or findings from baseline (normal ranges) in clinical safety laboratory assessments (including haematology, biochemistry, coagulation and urinalysis).
Number of participants with adverse events
Changes or findings from baseline in physical examination including Head, ears, eyes, nose, throat (HEENT), incl. thyroid gland Heart, lung, chest Abdomen Skin and mucosae Musculoskeletal system Nervous system Lymph node Other findings)
Number of participants with adverse events
Changes or findings from baseline in vital signs (including systolic and diastolic blood pressure (mmHG) und heart rate (beats per minute), body temperature (°C), respiratory frequency (RF/min))
Number of participants with adverse events
Changes or findings from baseline in ECG Parameter (Heart rate, PQ, QRS, QT, QTcB)
Number of participants with adverse events
Findings in local tolerability by means of the following assessments: spontaneous pain pain on palpation itching redness oedema induration/infiltration other
Number of participants with adverse events
Immunogenicity (Anti-ZP4207 Antibodies)

Secondary Outcome Measures

Areas under the plasma concentration curve compared between first and last dosing
Areas under the plasma concentration curve from 0 until 300min
Areas under the plasma concentration curve compared between first and last dosing
Areas under the plasma concentration curve from 0 until infinity
Plasma concentration curve compared between first and last dosing
Maximum observed ZP4207 concentration
Plasma concentration curve compared between first and last dosing
Time to maximum observed ZP4207 concentration
Plasma concentration curve compared between first and last dosing
Terminal elimination rate constant of ZP4207
Plasma concentration curve compared between first and last dosing
Terminal plasma elimination half-life calculated as t½=ln2/λz
Plasma concentration curve compared between first and last dosing
Apparent volume of distribution of ZP4207 based on plasma concentration values, estimated during the terminal phase
Pharmacokinetic endpoints compared between first and last dosing
Apparent plasma clearance rate of ZP4207 estimated during the terminal phase
Pharmacokinetic endpoints compared between first and last dosing
Mean residence time for plasma ZP4207
Pharmacodynamic endpoints compared between first and last dosing
Area under the plasma glucose curve from 0 until 300min
Pharmacodynamic endpoints compared between first and last dosing
Maximum observed plasma glucose concentration
Pharmacodynamic endpoints compared between first and last dosing
Time to maximum plasma glucose concentration
Pharmacodynamic endpoints compared between first and last dosing
Delta (time to increase) of glucose of 2 mmol/

Full Information

First Posted
February 28, 2015
Last Updated
November 10, 2015
Sponsor
Zealand Pharma
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1. Study Identification

Unique Protocol Identification Number
NCT02390141
Brief Title
Multiple Ascending Doses of ZP4207 Administered to HV to Evaluate the Safety, Tolerability, PKs and PDs of ZP4207
Official Title
A Randomized, Placebo-controlled, Double-blind Trial of Multiple Ascending Doses of ZP4207 Administered to Healthy Volunteers to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ZP4207
Study Type
Interventional

2. Study Status

Record Verification Date
November 2015
Overall Recruitment Status
Completed
Study Start Date
April 2015 (undefined)
Primary Completion Date
July 2015 (Actual)
Study Completion Date
August 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Zealand Pharma

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The trial is a single-centre, randomized, double-blind, phase 1b trial of multiple ascending doses of ZP4207 administered s.c. to healthy volunteers (HV) to evaluate the safety, tolerability, pharmakocinetic (PK) and pharmacodynamic (PD). Three cohorts of 8 subjects are planned. Within each cohort, the subjects will be randomly assigned to five repeated doses of ZP4207 or placebo in a 3:1 treatment allocation at trial site.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypoglycemia

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
ZP4207
Arm Type
Experimental
Arm Description
Five multiple doses of ZP4207 in ascending doses
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Five multiple doses of corresponding placebo in ascending doses
Intervention Type
Drug
Intervention Name(s)
ZP4207
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Number of participants with adverse events
Description
Number of participants with adverse events
Time Frame
28 days
Title
Number of participants with adverse events
Description
Changes or findings from baseline (normal ranges) in clinical safety laboratory assessments (including haematology, biochemistry, coagulation and urinalysis).
Time Frame
28 days
Title
Number of participants with adverse events
Description
Changes or findings from baseline in physical examination including Head, ears, eyes, nose, throat (HEENT), incl. thyroid gland Heart, lung, chest Abdomen Skin and mucosae Musculoskeletal system Nervous system Lymph node Other findings)
Time Frame
28 days
Title
Number of participants with adverse events
Description
Changes or findings from baseline in vital signs (including systolic and diastolic blood pressure (mmHG) und heart rate (beats per minute), body temperature (°C), respiratory frequency (RF/min))
Time Frame
28 days
Title
Number of participants with adverse events
Description
Changes or findings from baseline in ECG Parameter (Heart rate, PQ, QRS, QT, QTcB)
Time Frame
28 days
Title
Number of participants with adverse events
Description
Findings in local tolerability by means of the following assessments: spontaneous pain pain on palpation itching redness oedema induration/infiltration other
Time Frame
28 days
Title
Number of participants with adverse events
Description
Immunogenicity (Anti-ZP4207 Antibodies)
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Areas under the plasma concentration curve compared between first and last dosing
Description
Areas under the plasma concentration curve from 0 until 300min
Time Frame
5h
Title
Areas under the plasma concentration curve compared between first and last dosing
Description
Areas under the plasma concentration curve from 0 until infinity
Time Frame
5 h
Title
Plasma concentration curve compared between first and last dosing
Description
Maximum observed ZP4207 concentration
Time Frame
5 h
Title
Plasma concentration curve compared between first and last dosing
Description
Time to maximum observed ZP4207 concentration
Time Frame
5 h
Title
Plasma concentration curve compared between first and last dosing
Description
Terminal elimination rate constant of ZP4207
Time Frame
5 h
Title
Plasma concentration curve compared between first and last dosing
Description
Terminal plasma elimination half-life calculated as t½=ln2/λz
Time Frame
5 h
Title
Plasma concentration curve compared between first and last dosing
Description
Apparent volume of distribution of ZP4207 based on plasma concentration values, estimated during the terminal phase
Time Frame
5 h
Title
Pharmacokinetic endpoints compared between first and last dosing
Description
Apparent plasma clearance rate of ZP4207 estimated during the terminal phase
Time Frame
5 h
Title
Pharmacokinetic endpoints compared between first and last dosing
Description
Mean residence time for plasma ZP4207
Time Frame
5 h
Title
Pharmacodynamic endpoints compared between first and last dosing
Description
Area under the plasma glucose curve from 0 until 300min
Time Frame
5 h
Title
Pharmacodynamic endpoints compared between first and last dosing
Description
Maximum observed plasma glucose concentration
Time Frame
5 h
Title
Pharmacodynamic endpoints compared between first and last dosing
Description
Time to maximum plasma glucose concentration
Time Frame
5 h
Title
Pharmacodynamic endpoints compared between first and last dosing
Description
Delta (time to increase) of glucose of 2 mmol/
Time Frame
5 h

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Signed and dated informed consent obtained before any trial-related activities. (Trial-related activities are any procedures that would not have been performed during normal management of the subject). Caucasian Healthy male subject. Age between 18 and 50 years, both inclusive. Body weight between 70 and 90 kg (both inclusive) Fasting plasma glucose concentration <= 100 mg/dL. Considered generally healthy upon completion of medical history, physical examination, vital signs, ECG and analysis of laboratory safety variables, as judged by the Investigator. Exclusion Criteria: Known or suspected hypersensitivity to IMP or related products. Previous participation in this trial. Participation is defined as randomized. Previous treatment with ZP4207. Receipt of any medicinal product in clinical development within 3 months before randomization in this trial. History of multiple and/or severe allergies to drugs or foods or a history of severe anaphylactic reaction. Any history or presence of cancer except basal cell skin cancer or squamous cell skin cancer as judged by the Investigator. Any history or presence of clinically relevant cardiovascular, pulmonary, respiratory, gastrointestinal, hepatic, renal, metabolic, endocrinological, haematological, dermatological, neurological, osteomuscular, articular, psychiatric, systemic, ocular, or infectious disease, or signs of acute illness as judged by the Investigator. Any serious systemic infectious disease during four weeks prior to first dosing of the study drug, as judged by the Investigator. Clinically significant abnormal values for haematology, biochemistry, coagulation, or urinalysis as judged by the Investigator. Supine blood pressure at screening (after resting for at least 5 min in supine position) outside the ranges for systolic 95-140 mmHg blood pressure and for diastolic greater than 90 mmHg or symptoms and a heart rate at rest outside the range of 50-90 beats per minute (excluding white-coat hypertension; therefore, if a repeated measurement shows values within the range, the subject can be included in the trial). Clinically significant abnormal standard 12-lead electrocardiogram (ECG) after 5 minutes resting in supine position at screening, as judged by the Investigator. Significant history of alcoholism or drug abuse as judged by the Investigator or consuming more than 21 units of alcohol per week (one unit of alcohol equals about 250 mL of beer, one glass of wine of 120 mL, or 20 mL spirits). A positive result in the alcohol and/or urine drug screen at the screening visit. Smoker (defined as a subject who is smoking more than 7 cigarettes or the equivalent per week) within the last month prior to screening and who is not able or willing to refrain from smoking and use of nicotine substitute products one day before first dosing and during the treatment period. Positive to the screening test for Hepatitis Bs antigen or Hepatitis C antibodies and/or a positive result to the test for HIV-1/2 antibodies or HIV-1 antigen. Any medication (prescription and non-prescription drugs) within 14 days before IMP administration, with the exception of paracetamol or acetylsalicylic acid for occasional use to treat acute pain. Blood donation or blood loss of more than 500 mL within the last 3 months. Mental incapacity, unwillingness, or language barriers precluding adequate understanding or co-operation. Male who is sexually active and not surgically sterilized who and whose partner(s) is not using adequate contraceptive methods (adequate contraceptive measures include surgical sterilisation, hormonal intrauterine devices [coil], oral hormonal contraceptives, each in combination with spermicide-coated condoms), or who is not willing to refrain from sexual intercourse from the first dosing until 1 month after last dosing in the trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ulrike Hövelmann, MD
Organizational Affiliation
Profil GmbH
Official's Role
Principal Investigator
Facility Information:
Facility Name
Profil GmbH
City
Neuss
ZIP/Postal Code
41460
Country
Germany

12. IPD Sharing Statement

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Multiple Ascending Doses of ZP4207 Administered to HV to Evaluate the Safety, Tolerability, PKs and PDs of ZP4207

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