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A Study of SHR4010 in Patients With Hemodialysis

Primary Purpose

Pruritus

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
SHR0410
Sponsored by
Jiangsu HengRui Medicine Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pruritus

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Able to understand the study procedures, the risks involved and obtain written informed consent before any study related activity;
  2. Male or female between the ages of 18 and 65 years, inclusive;
  3. A total body weight ≥ 50 kg;
  4. End stage of renal disease (ESRD) participants who have been on hemodialysis (including hemodiafiltration) for at least six months and are currently on hemodialysis (including hemodiafiltration) three times a week.
  5. Male subjects with a partner of childbearing potential must be willing to use a condom when sexually active, throughout the study period and for 28 days following last study drug dosing. Female subjects must be post-menopausal for at least 1 year, permanently sterilized (e.g., tubal occlusion, hysterectomy,bilateral salpingectomy) or, if of childbearing potential, must be willing to use a highly effective method of contraception throughout the study period and for 28 days following last study drug dosing, and enter the trial only after menstruation is confirmed..

Exclusion Criteria:

  1. Anticipated to receive a kidney transplant during the study;
  2. Known history of allergic reaction to opiates such as hives (Note: side effects related to the use of opioids such as constipation or nausea would not exclude the participants from the study);
  3. History of drug abuse in the past;
  4. Nicotine test positive;
  5. Alcohol breath test was positive;
  6. The average daily intake of alcohol in the three months before screening was more than 15 g (15 g alcohol equivalent to 450 ml beer or 150 ml wine or 50 ml low-alcohol liquor).
  7. Could not obey the unified dietary arrangements and avoid taking coffee or tea during the study period;
  8. Blood pressure of upper limbs in supine position was : systolic pressure < 110 mmHg, diastolic pressure < 70 mmHg or systolic pressure > 180 mmHg, diastolic pressure > 110 mmHg at screening or pre-dosing after confirmation in a repeat test;
  9. New York Heart Function Classification (NYHA) > III in the screening stage, or abnormal electrocardiogram with clinical significance judged by researchers in the screening stage , including QTcF > 480ms;
  10. Screening alanine aminotransferase, aspartate aminotransferase, gamma glutamyl transferase > 1.5 × ULN, or total bilirubin> 1.5 × ULN.
  11. Positive at screening for human immunodeficiency virus (HIV) antibody, Hepatitis B surface antigen (HBsAg), or Hepatitis C virus (HCV) antibody.
  12. Undergone major surgery within 3 months prior to screening.
  13. Total blood loss ≥ 200 ml within 30 days prior to screening, excluding female bleeding during physiological period.
  14. Blood human chorionic gonadotropin (hCG) test was positive.
  15. Opioids were used within a week before screening, or opioids other than research drugs could not be avoided during the study period.
  16. Previous participation in this trial, as defined by signing informed consent form;
  17. Participation defined as administration of investigational drugs in another clinical trial (including trial with medical devices) 3 months before screening, or currently participating in another clinical trial (including medical device trials);
  18. Any other medical or psychological condition, which in the opinion of the Investigator, might create undue risk to the participant or interfere with the participant's ability to comply with the protocol requirements, or to complete the study.

Sites / Locations

  • Zhongda Hospital Affiliated to Southeast University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

SHR0410

Arm Description

Experimental: SHR0410 dose escalation.

Outcomes

Primary Outcome Measures

Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability])

Secondary Outcome Measures

Assessment of PK parameter-Area under drug-time curve (AUC0-t)
Assessment of PK parameter-Area under drug-time curve (AUC0-∝)
Assessment of PK parameter-peak time (Tmax)
Assessment of PK parameter-peak concentration (Cmax)
Assessment of PK parameter-half-life (t1/2)
Assessment of PK parameter-pparent clearance rate (CL)
Assessment of PK parameter-apparent distribution volume (Vz)
Pharmacokinetic-The ratio of AUC0-t after the first and last administration.
The renal clearance rate of SHR0410 in urine after each administration.
The cumulative excretion rate of SHR0410 in urine after each administration.

Full Information

First Posted
August 28, 2019
Last Updated
August 17, 2022
Sponsor
Jiangsu HengRui Medicine Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04099927
Brief Title
A Study of SHR4010 in Patients With Hemodialysis
Official Title
A Phase I, Open-label Clinical Study on Safety and Pharmacokinetics of SHR0410 Injection for Multiple Administration in Hemodialysis Patients
Study Type
Interventional

2. Study Status

Record Verification Date
May 2020
Overall Recruitment Status
Completed
Study Start Date
July 28, 2019 (Actual)
Primary Completion Date
April 20, 2020 (Actual)
Study Completion Date
June 15, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu HengRui Medicine Co., Ltd.

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 is being conducted to evaluate the safety and pharmacokinetics of SHR0410 in patients with hemodialysis.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Model Description
SHR0410 monotherapy
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SHR0410
Arm Type
Experimental
Arm Description
Experimental: SHR0410 dose escalation.
Intervention Type
Drug
Intervention Name(s)
SHR0410
Other Intervention Name(s)
KOR agonist
Intervention Description
SHR0410 monotherapy,given intravenously
Primary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability])
Time Frame
Pre-dose to Day13
Secondary Outcome Measure Information:
Title
Assessment of PK parameter-Area under drug-time curve (AUC0-t)
Time Frame
Pre-dose to Day 6
Title
Assessment of PK parameter-Area under drug-time curve (AUC0-∝)
Time Frame
Pre-dose to Day 6
Title
Assessment of PK parameter-peak time (Tmax)
Time Frame
Pre-dose to Day 6
Title
Assessment of PK parameter-peak concentration (Cmax)
Time Frame
Pre-dose to Day 6
Title
Assessment of PK parameter-half-life (t1/2)
Time Frame
Pre-dose to Day 6
Title
Assessment of PK parameter-pparent clearance rate (CL)
Time Frame
Pre-dose to Day 6
Title
Assessment of PK parameter-apparent distribution volume (Vz)
Time Frame
Pre-dose to Day 6
Title
Pharmacokinetic-The ratio of AUC0-t after the first and last administration.
Time Frame
Pre-dose to Day 6
Title
The renal clearance rate of SHR0410 in urine after each administration.
Time Frame
Pre-dose to Day 6
Title
The cumulative excretion rate of SHR0410 in urine after each administration.
Time Frame
Pre-dose to Day 6

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Able to understand the study procedures, the risks involved and obtain written informed consent before any study related activity; Male or female between the ages of 18 and 65 years, inclusive; A total body weight ≥ 50 kg; End stage of renal disease (ESRD) participants who have been on hemodialysis (including hemodiafiltration) for at least six months and are currently on hemodialysis (including hemodiafiltration) three times a week. Male subjects with a partner of childbearing potential must be willing to use a condom when sexually active, throughout the study period and for 28 days following last study drug dosing. Female subjects must be post-menopausal for at least 1 year, permanently sterilized (e.g., tubal occlusion, hysterectomy,bilateral salpingectomy) or, if of childbearing potential, must be willing to use a highly effective method of contraception throughout the study period and for 28 days following last study drug dosing, and enter the trial only after menstruation is confirmed.. Exclusion Criteria: Anticipated to receive a kidney transplant during the study; Known history of allergic reaction to opiates such as hives (Note: side effects related to the use of opioids such as constipation or nausea would not exclude the participants from the study); History of drug abuse in the past; Nicotine test positive; Alcohol breath test was positive; The average daily intake of alcohol in the three months before screening was more than 15 g (15 g alcohol equivalent to 450 ml beer or 150 ml wine or 50 ml low-alcohol liquor). Could not obey the unified dietary arrangements and avoid taking coffee or tea during the study period; Blood pressure of upper limbs in supine position was : systolic pressure < 110 mmHg, diastolic pressure < 70 mmHg or systolic pressure > 180 mmHg, diastolic pressure > 110 mmHg at screening or pre-dosing after confirmation in a repeat test; New York Heart Function Classification (NYHA) > III in the screening stage, or abnormal electrocardiogram with clinical significance judged by researchers in the screening stage , including QTcF > 480ms; Screening alanine aminotransferase, aspartate aminotransferase, gamma glutamyl transferase > 1.5 × ULN, or total bilirubin> 1.5 × ULN. Positive at screening for human immunodeficiency virus (HIV) antibody, Hepatitis B surface antigen (HBsAg), or Hepatitis C virus (HCV) antibody. Undergone major surgery within 3 months prior to screening. Total blood loss ≥ 200 ml within 30 days prior to screening, excluding female bleeding during physiological period. Blood human chorionic gonadotropin (hCG) test was positive. Opioids were used within a week before screening, or opioids other than research drugs could not be avoided during the study period. Previous participation in this trial, as defined by signing informed consent form; Participation defined as administration of investigational drugs in another clinical trial (including trial with medical devices) 3 months before screening, or currently participating in another clinical trial (including medical device trials); Any other medical or psychological condition, which in the opinion of the Investigator, might create undue risk to the participant or interfere with the participant's ability to comply with the protocol requirements, or to complete the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jianjun Zou
Organizational Affiliation
Jiangsu HengRui Medicine Co., Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Zhongda Hospital Affiliated to Southeast University
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210009
Country
China

12. IPD Sharing Statement

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A Study of SHR4010 in Patients With Hemodialysis

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