Absorption and Pharmacokinetics of Nitroglycerin to a New Formulation
Primary Purpose
Angina Pectoris
Status
Unknown status
Phase
Phase 4
Locations
Denmark
Study Type
Interventional
Intervention
Nitroglycerin 0.4 MG
Sponsored by
About this trial
This is an interventional treatment trial for Angina Pectoris
Eligibility Criteria
Inclusion Criteria:
- Normal healthy volunteers
- Must be able to swallow tablets
Exclusion Criteria:
- Insulin dependent diabetes
- Thyroid disease
- any medial treatment
Sites / Locations
- Kolfding Sygehus, SLB
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
"NTG1523", rapid absorbable capsule
Arm Description
Nitroglycerine 0.4 milligram taken as ordinary tablets or "NTG1523" rapid absorbable capsule once in the morning, and subsequently blood samples and observations for 2 hours are performed
Outcomes
Primary Outcome Measures
Peak Plasma Concentration of Nitroglycerine as a tablet or in the form of rapidly degradable capsule "NTG1523" in young healthy controls
Peak Plasma Concentration (Cmax)(ng(ml) of nitroglycerine
Secondary Outcome Measures
Blood pressure in response to Nitroglycerine
Blood pressure (mmHg)
Puls rate in response to Nitroglycerine
puls rate (beat/min)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03777605
Brief Title
Absorption and Pharmacokinetics of Nitroglycerin to a New Formulation
Official Title
Absorption and Pharmacokinetics of Nitroglycerin as a Tablet or in the Form of Rapidly Degradable Capsule in Young Healthy
Study Type
Interventional
2. Study Status
Record Verification Date
December 2018
Overall Recruitment Status
Unknown status
Study Start Date
December 23, 2018 (Anticipated)
Primary Completion Date
December 5, 2020 (Anticipated)
Study Completion Date
December 23, 2020 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Kolding Sygehus
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The study evaluate the absorption rate of different sublingual formulation of nitroglycerine (NTG) either in the form of available tablets or a new rapid absorbable gelation capsule formulation "NTG1523" by determining T-max and area under the response curve of nitoglycerine in blood concentration as well as from clinical effects after intake. Data is entered on data sheet in anonymous form and processed. The results are presented in anonymous form by publication and lecture. Experts are given the supplement: "The applicant's rights in a biomedical research project
Detailed Description
Ten healthy young volunteers are recruited,, and the experiments begin at 07:45 after an overneight fast. BMI and blod pressure are recorded and a catheter is inserted in an anticubical vein for blood samples.
At 08.00 a sublingual tablet (Takeda, nitroglycerin 0.4 milligrams) tablet or a "NTG1523" capsule with 0.4 milligrams of nitroglycerine is placed under the tongue in random order. Subsequently, blood samples are taken every minute for 10 minutes, then every 10 minutes the following two hours. In addition, blood pressure and puls rate are measured every second minute the first ten minutes, and then every 10 minutes.Side effects and time to the participants registrate any effect of the drugs are assessed in a prefabricated scheme.
The disadvantages associated with the experiment are sought monitored by adverse event registration which ends at the end of the trial. The trial day lasts 2 hours in which blood samples are taken as described above, and blood pressure and records are stored .
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Angina Pectoris
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Model Description
A randomized, cross over design
Masking
None (Open Label)
Masking Description
All tablets are processed, marked and coded by a pharmacist,
Allocation
N/A
Enrollment
10 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
"NTG1523", rapid absorbable capsule
Arm Type
Experimental
Arm Description
Nitroglycerine 0.4 milligram taken as ordinary tablets or "NTG1523" rapid absorbable capsule once in the morning, and subsequently blood samples and observations for 2 hours are performed
Intervention Type
Drug
Intervention Name(s)
Nitroglycerin 0.4 MG
Other Intervention Name(s)
"NTG1523"
Intervention Description
The study evaluate absorption rate of nitroglycerine 0.4 milligrams as tablets or a quickly absorbable capsuel "NTG1523" determined by T-max and area under the response curve in the blood of NTG as well as from clinical effects.
Data is entered on data sheet in anonymous form and processed. The results are presented in anonymous form by publication and lecture. Experts are given the supplement: "The applicant's rights in a biomedical research project
Primary Outcome Measure Information:
Title
Peak Plasma Concentration of Nitroglycerine as a tablet or in the form of rapidly degradable capsule "NTG1523" in young healthy controls
Description
Peak Plasma Concentration (Cmax)(ng(ml) of nitroglycerine
Time Frame
From 2 weeks up til 5 weeks
Secondary Outcome Measure Information:
Title
Blood pressure in response to Nitroglycerine
Description
Blood pressure (mmHg)
Time Frame
From 2 weeks up til 5 weeks
Title
Puls rate in response to Nitroglycerine
Description
puls rate (beat/min)
Time Frame
From 2 weeks up til 5 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
28 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Normal healthy volunteers
Must be able to swallow tablets
Exclusion Criteria:
Insulin dependent diabetes
Thyroid disease
any medial treatment
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
ole W Rasmussen, M.D., Dr.Sci
Phone
+4550506930
Email
olew.rasmussen@dadlnet.dk
First Name & Middle Initial & Last Name or Official Title & Degree
Poul H Madsen, M.D., Ph.D.
Phone
+45 76362000
Email
Poul.Henning.Madsen@rsyd.dk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
ole W Rasmussen, M.D. Dr.Sci
Organizational Affiliation
Medical Dept.,Kolding Hospital, SLB, Denmark
Official's Role
Principal Investigator
Facility Information:
Facility Name
Kolfding Sygehus, SLB
City
Kolding
ZIP/Postal Code
6000
Country
Denmark
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
2111749
Citation
Nakashima E, Rigod JF, Lin ET, Benet LZ. Pharmacokinetics of nitroglycerin and its dinitrate metabolites over a thirtyfold range of oral doses. Clin Pharmacol Ther. 1990 May;47(5):592-8. doi: 10.1038/clpt.1990.80.
Results Reference
background
PubMed Identifier
3085698
Citation
McAllister A, Mosberg H, Settlage JA, Steiner JA. Plasma levels of nitroglycerin generated by three nitroglycerin patch preparations, Nitradisc, Transiderm-Nitro and Nitro-Dur and one ointment formulation, Nitrobid. Br J Clin Pharmacol. 1986 Apr;21(4):365-9. doi: 10.1111/j.1365-2125.1986.tb05208.x.
Results Reference
result
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Absorption and Pharmacokinetics of Nitroglycerin to a New Formulation
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