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A Two-part, Study to Compare the Pharmacokinetics and Dose Proportionality of up to 6 Chronocort Formulations

Primary Purpose

Adrenal Insufficiency, Congenital Adrenal Hyperplasia

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Chronocort
Sponsored by
Diurnal Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Adrenal Insufficiency

Eligibility Criteria

18 Years - 60 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy male volunteers between 18 and 60 years of age, inclusive (at screening).
  • Subjects with a Body Mass Index (BMI) of 21-28. Body Mass Index = Body weight (kg) / (Height (m))2.
  • Subjects with no clinically significant abnormal serum biochemistry, haematology and urine examination values within 14 days prior to the first dose.
  • Subjects with negative urinary drugs of abuse screen determined within 14 days prior to the first dose.
  • Subjects with negative HIV and Hepatitis B and C results.
  • Subjects with no clinically significant abnormalities in 12-lead electrocardiogram (ECG) determined within 14 days prior to the first dose.
  • Subjects with no clinically-significant deviation outside the normal ranges for blood pressure and pulse measurements.
  • Subjects and sexual partners used effective contraception methods during the trial and for 3 months after the last dose, for example:

    • Oral contraceptive and condom
    • Intra-uterine device (IUD) and condom
    • Diaphragm with spermicide and condom
  • Subjects were available to complete the study.
  • Subjects satisfied a medical examiner about their fitness to participate in the study.
  • Subjects provided written informed consent to participate in the study.
  • Subject continued to meet all screening inclusion criteria prior to dosing.
  • Subjects with no clinically significant abnormal serum biochemistry, haematology and urine examination values including negative urinary drugs of abuse screen (including alcohol) prior to dosing.

Exclusion Criteria:

  • A clinically significant history of gastrointestinal disorder likely to influence drug absorption.
  • Receipt of regular medication within 14 days prior to the first dose (including high dose vitamins, dietary supplements or herbal remedies).
  • Receipt of any vaccination within 14 days prior to the first dose.
  • Evidence of renal, hepatic, central nervous system, respiratory, cardiovascular or metabolic dysfunction.
  • Presence of clinically significant infections (systemic fungal and viral infections, acute bacterial infections)
  • Current or previous history of tuberculosis
  • A clinically significant history of previous allergy / sensitivity to Hydrocortisone and/or Dexamethasone.
  • A clinically significant history or family history of psychiatric disorders/illnesses.
  • A clinically significant history of drug or alcohol abuse.
  • Inability to communicate well with the Investigator (i.e., language problem, poor mental development or impaired cerebral function).
  • Participation in a New Chemical Entity clinical study within the previous 16 weeks or a marketed drug clinical study within the previous 12 weeks. (N.B. The washout period between trials was defined as the period of time elapsed between the last dose of the previous study and the first dose of the next study)
  • Subjects who have consumed more than 2 units of alcohol per day within seven (7) days prior to the first dose or have consumed any alcohol within the 48 hour period prior to the first dose.
  • Donation of 450ml or more of blood within the previous 12 weeks.
  • Subjects who smoked (or ex-smokers who had smoked within 6 months prior to first dose).
  • Subjects who worked shifts (i.e. regularly alternated between days, afternoons and nights).

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    Part A1

    Part A2

    Part B

    Arm Description

    Three formulations of Chronocort 30mg were administered to healthy volunteers, with a 7-day washout period between each dose. Each treatment was administered in a randomised, crossover manner.

    Three additional formulations of Chronocort 30mg were administered to healthy volunteers, with a 7-day washout period between each dose. Each treatment was administered in a randomised, crossover manner.

    The best formulation of Chronocort was then selected from Parts A1 & A2. This was then administered in four separate treatment periods, in dosages of 5mg, 10mg, 20mg and 30mg. Each treatment was administered in a randomised, crossover manner.

    Outcomes

    Primary Outcome Measures

    To compare the Tmax of six formulations of Chronocort® (30 mg, dosed at night) over an 18 hour period. Parts A1 & A2 only
    Time at maximum concentration in serum
    To compare the Cmax of six formulations of Chronocort® (30 mg, dosed at night) over an 18 hour period. Parts A1 & A2 only
    Maximum serum concentration
    To compare the AUC0-t of six formulations of Chronocort® (30 mg, dosed at night) over an 18 hour period.
    Area under the plasma concentration-time curve
    To compare the AUC0-∞ of six formulations of Chronocort® (30 mg, dosed at night) over an 18 hour period.
    Area under the plasma concentration-time curve from zero (0) hours to infinity (∞)
    To compare the CL of six formulations of Chronocort® (30 mg, dosed at night) over an 18 hour period.
    Drug clearance (CL) is defined as the volume of plasma in the vascular compartment cleared of drug per unit time

    Secondary Outcome Measures

    Full Information

    First Posted
    January 11, 2017
    Last Updated
    February 9, 2017
    Sponsor
    Diurnal Limited
    Collaborators
    Simbec Research
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03051893
    Brief Title
    A Two-part, Study to Compare the Pharmacokinetics and Dose Proportionality of up to 6 Chronocort Formulations
    Official Title
    A Two-part Open Label, Randomised, Single Dose, Crossover Study in Healthy Volunteers to: (Part A) Compare the Pharmacokinetics of up to 6 Chronocort® Formulations, and (Part B) Determine the Dose Proportionality of a Selected Chronocort® Formulation at Three Dose Levels With an Additional Comparison With the Selected Formulation Dosed on Two Occasions Over a 24 Hour Period
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2011 (undefined)
    Primary Completion Date
    April 2012 (Actual)
    Study Completion Date
    April 2012 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Diurnal Limited
    Collaborators
    Simbec Research

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This was an open label, randomised, single dose study, comprising Part A (undertaken in two separate three-period crossover cohorts denoted as A1 and A2) and Part B (undertaken in one four-period crossover cohort), to evaluate the PK of Chronocort® in healthy male volunteers. The washout interval in both Part A and Part B was 1-week in between each treatment period.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Adrenal Insufficiency, Congenital Adrenal Hyperplasia

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Crossover Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    28 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Part A1
    Arm Type
    Experimental
    Arm Description
    Three formulations of Chronocort 30mg were administered to healthy volunteers, with a 7-day washout period between each dose. Each treatment was administered in a randomised, crossover manner.
    Arm Title
    Part A2
    Arm Type
    Experimental
    Arm Description
    Three additional formulations of Chronocort 30mg were administered to healthy volunteers, with a 7-day washout period between each dose. Each treatment was administered in a randomised, crossover manner.
    Arm Title
    Part B
    Arm Type
    Experimental
    Arm Description
    The best formulation of Chronocort was then selected from Parts A1 & A2. This was then administered in four separate treatment periods, in dosages of 5mg, 10mg, 20mg and 30mg. Each treatment was administered in a randomised, crossover manner.
    Intervention Type
    Drug
    Intervention Name(s)
    Chronocort
    Intervention Description
    Modified formulation of hydrocortisone
    Primary Outcome Measure Information:
    Title
    To compare the Tmax of six formulations of Chronocort® (30 mg, dosed at night) over an 18 hour period. Parts A1 & A2 only
    Description
    Time at maximum concentration in serum
    Time Frame
    18 hours
    Title
    To compare the Cmax of six formulations of Chronocort® (30 mg, dosed at night) over an 18 hour period. Parts A1 & A2 only
    Description
    Maximum serum concentration
    Time Frame
    18 hours
    Title
    To compare the AUC0-t of six formulations of Chronocort® (30 mg, dosed at night) over an 18 hour period.
    Description
    Area under the plasma concentration-time curve
    Time Frame
    18 hours
    Title
    To compare the AUC0-∞ of six formulations of Chronocort® (30 mg, dosed at night) over an 18 hour period.
    Description
    Area under the plasma concentration-time curve from zero (0) hours to infinity (∞)
    Time Frame
    18 hours
    Title
    To compare the CL of six formulations of Chronocort® (30 mg, dosed at night) over an 18 hour period.
    Description
    Drug clearance (CL) is defined as the volume of plasma in the vascular compartment cleared of drug per unit time
    Time Frame
    18 hours

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    60 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Healthy male volunteers between 18 and 60 years of age, inclusive (at screening). Subjects with a Body Mass Index (BMI) of 21-28. Body Mass Index = Body weight (kg) / (Height (m))2. Subjects with no clinically significant abnormal serum biochemistry, haematology and urine examination values within 14 days prior to the first dose. Subjects with negative urinary drugs of abuse screen determined within 14 days prior to the first dose. Subjects with negative HIV and Hepatitis B and C results. Subjects with no clinically significant abnormalities in 12-lead electrocardiogram (ECG) determined within 14 days prior to the first dose. Subjects with no clinically-significant deviation outside the normal ranges for blood pressure and pulse measurements. Subjects and sexual partners used effective contraception methods during the trial and for 3 months after the last dose, for example: Oral contraceptive and condom Intra-uterine device (IUD) and condom Diaphragm with spermicide and condom Subjects were available to complete the study. Subjects satisfied a medical examiner about their fitness to participate in the study. Subjects provided written informed consent to participate in the study. Subject continued to meet all screening inclusion criteria prior to dosing. Subjects with no clinically significant abnormal serum biochemistry, haematology and urine examination values including negative urinary drugs of abuse screen (including alcohol) prior to dosing. Exclusion Criteria: A clinically significant history of gastrointestinal disorder likely to influence drug absorption. Receipt of regular medication within 14 days prior to the first dose (including high dose vitamins, dietary supplements or herbal remedies). Receipt of any vaccination within 14 days prior to the first dose. Evidence of renal, hepatic, central nervous system, respiratory, cardiovascular or metabolic dysfunction. Presence of clinically significant infections (systemic fungal and viral infections, acute bacterial infections) Current or previous history of tuberculosis A clinically significant history of previous allergy / sensitivity to Hydrocortisone and/or Dexamethasone. A clinically significant history or family history of psychiatric disorders/illnesses. A clinically significant history of drug or alcohol abuse. Inability to communicate well with the Investigator (i.e., language problem, poor mental development or impaired cerebral function). Participation in a New Chemical Entity clinical study within the previous 16 weeks or a marketed drug clinical study within the previous 12 weeks. (N.B. The washout period between trials was defined as the period of time elapsed between the last dose of the previous study and the first dose of the next study) Subjects who have consumed more than 2 units of alcohol per day within seven (7) days prior to the first dose or have consumed any alcohol within the 48 hour period prior to the first dose. Donation of 450ml or more of blood within the previous 12 weeks. Subjects who smoked (or ex-smokers who had smoked within 6 months prior to first dose). Subjects who worked shifts (i.e. regularly alternated between days, afternoons and nights).
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Girish Sharma
    Organizational Affiliation
    Simbec Research
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    A Two-part, Study to Compare the Pharmacokinetics and Dose Proportionality of up to 6 Chronocort Formulations

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