search
Back to results

A Clinical Study in Healthy Subjects Which Aims to Investigate the Safety, the Tolerability and the Effects of GRT0151Y and How the Compound is Taken up and Excreted From the Body

Primary Purpose

Acute Pain

Status
Completed
Phase
Phase 1
Locations
France
Study Type
Interventional
Intervention
100 mg GRT0151Y
125 mg GRT0151Y
150 mg GRT0151Y
225 mg GRT0151Y
Matching placebo
Sponsored by
Grünenthal GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Pain

Eligibility Criteria

40 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male or female Caucasian.
  • Age 40-65 years.
  • Body mass index (BMI) between 18 and 30 kilograms/square meter (extremes included).
  • Extensive Cytochrome P450 2D6 (CYP2D6) metabolizer.
  • Healthy as determined by medical history, physical examination, vital signs, 12-lead electrocardiogram (ECG), and clinical laboratory parameters (haematology, Blood sedimentation rate (BSR), clotting, bio-chemistry, urinalysis and virus serology). Minor deviations of laboratory values and ECG parameters from the normal range may be accepted, if judged by the investigator as clinically not relevant and if not considered to interfere with the study objectives.
  • Adequate contraception. For females of childbearing potential (i.e. all females except surgically sterilized or at least 2 years postmenopausal) this is defined as follows: any form of hormonal contraception or intra-uterine device must be used, at least for 4 weeks prior to the first dosing AND she must give a consent to use an additional barrier contraception (condom or diaphragm) from 2 weeks prior to first dosing up to 4 weeks after the last dosing.
  • Written consent to participate in the study.
  • Negative Human immunodeficiency virus (HIV)1/2-antibodies, Hepatitis B surface (HBs)-antigen, Hepatitis B core (HBc)-antibodies, Hepatitis C virus (HCV)-antibodies determined at screening examination.
  • Negative drug abuse screening test determined at screening examination (the test will include screening for metamphetamine, opiate, cannabis, cocaine, amphetamine and benzodiazepine).
  • Negative beta-human chorion gonadotropin test for females of childbearing potential determined at screening examination (the test is not necessary in females who are in post-menopausal state for at least 2 years or in females with status after surgical sterilisation).
  • The participant must be able to tolerate the cold pressor test, i.e. he/she must be able to keep his/her hand for 120 seconds in cold water of about 2 degrees celsius.
  • The participant must be able to undergo the procedure of pupillometry.

Exclusion Criteria:

  • Pulse rate below 45 or above 100 Beats per minute (bpm). The measurement must be performed in supine position after a resting period of at least 5 minutes.
  • Systolic blood pressure below 100 or above 160 Millimeter mercury (mmHg), diastolic blood pressure below 50 or above 100 mmHg. The measurement must be performed in supine position after a resting period of at least 5 minutes.
  • History or presence of diseases or functional disorders of the Central nervous system (CNS), endocrinological system, gastrointestinal tract, hepatobiliary system, renal system, respiratory system or cardiovascular system or other conditions known to interfere with the absorption, distribution, metabolism or excretion of drugs.
  • Marked repolarisation abnormality (e.g. suspicious or definite congenital long QT syndrome) or co-medication that is known to influence cardiac repolarisation substantially.
  • History of seizures or at risk (epilepsy in family anamnesis, unclear loss of consciousness), head trauma requiring hospitalization.
  • Neurotic personality, psychiatric illness or suicide risk.
  • History of orthostatic hypotension.
  • Bronchial asthma.
  • Definite or suspected history of drug allergy or hypersensitivity.
  • History of Raynaud´s disease or phenomenon.
  • Malignancy.
  • Participation in another clinical study within three month prior to the start of this study (exception: characterization of metabolizer status).
  • Blood donation (more than 100 Milliliter(s) or a comparable blood loss within three month prior to the start of this study.
  • Excessive consumption of food or beverages containing caffeine or other xanthines (more than 1000 Milliliter(s) coffee or equivalent per day) within two weeks prior to the start of this study.
  • Evidence of alcohol, medication or drug abuse.
  • Smokers who are not able to abstain from smoking during the hospitalisation.
  • Intake of drugs that are inhibitors of CYP2D6 isoenzyme within the last 4 weeks prior to the start of this study. Use of any other medication within two weeks prior to the start of the study (self-medication or prescription), if not on a stable basis and known to interfere with study objectives.
  • Known or suspected of not being able to comply with the study protocol or of not being able to communicate meaningfully with the investigator and staff.
  • Opinion of the investigator the volunteer should not participate in the study.
  • Pregnant or breastfeeding.

Sites / Locations

  • ASTER

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Group 1 (100 mg GRT0151Y)

Group 2 (125 mg GRT0151Y)

Group 3 (150 mg GRT0151Y)

Group 4 (225 mg GRT0151Y)

Arm Description

The dose of 100 mg will be administered twice (b.i.d.) on Day 1 (titration day). On Days 2, 3 and 4, the treatment regimen will be changed to a triple daily (t.i.d) medication with 100 mg. On Day 5 the last dose of 100 mg will be administered in the morning. Matching placebo using the same dosing regimen as defined in the treatment group.

The dose of 125 mg will be administered twice (b.i.d.) on Day 1 (titration day). On Days 2, 3 and 4, the treatment regimen will be changed to a triple daily (t.i.d) medication with 125 mg. On Day 5 the last dose of 125 mg will be administered in the morning. Matching placebo using the same dosing regimen as defined in the treatment group

The dose of 150 mg will be administered twice (b.i.d.) on Day 1 (titration day). On Days 2, 3 and 4, the treatment regimen will be changed to a triple daily (t.i.d) medication with 150 mg. On Day 5 the last dose of 150 mg will be administered in the morning. Matching placebo using the same dosing regimen as defined in the treatment group

The dose of 150 mg will be administered twice (b.i.d.) on Day 1 (titration day). On Days 2, 3 and 4, the dose of 225 mg will be administered twice (b.i.d.). On Day 5 the last dose of 225 mg will be administered in the morning. Matching placebo using the same dosing regimen as defined in the treatment group

Outcomes

Primary Outcome Measures

Incidence of adverse events.
Number of adverse events and number of participants with adverse events.

Secondary Outcome Measures

Pupillometry parameter: Initial pupil diameter
Pupil size (in mm) will be measured using a Compact Integrated Pupillograph (CIP). Measurements will be performed always in the same eye of the individual (preferably the left eye). The measurements will be performed under standard low-light conditions (10-15 lux).
Pupillometry parameter: Amplitude of constriction
Amplitude of constriction (difference between initial pupil diameter and minimum pupil diameter [mm])
Pupillometry parameter: Onset latency of miosis
Onset latency of miosis (the time between begin of light stimulus and the onset of constriction [ms])
Pupillometry parameter: Constriction time
Constriction time (time for maximum pupil contraction [s])
Minimum plasma concentration during dosing interval τ at steady-state (Css,min)
Maximum plasma concentration during dosing interval τ at steady-state (Css,max)
Time to reach maximum plasma concentration during dosing interval τ at steady-state (tss,max)
Area under the concentration vs. time curve after the last dose (AUC)
Average plasma concentration during dosing interval τ at steady-state (Css,ave)
Peak-trough fluctuation at steady-state (PTF%)
Rate constant for the terminal log-linear phase of the concentration time data, computed as the negative slope of the regression line for the terminal linear phase of the logarithmic concentration versus time plot (λss,z)
Half-life for the terminal log-linear phase of the concentration time data (tss,1/2,z)
Apparent terminal half-life after last dose (t1/2,Z)
Apparent terminal elimination rate constant after last dose (λz)
Area under the concentration vs. time curve in dosing interval τ at steady-state (AUCss,τ)
Extrapolated part to infinity of AUCss at steady-state (AUCextr)
Extrapolated part to infinity of AUCss in percent at steady-state (AUC%extr)
Area under the concentration-time data for dosing interval τ (AUC0-τ)
Total mean time in the total volume of distribution (MRTvsys)
Relative total clearance (CL/F)ss
Relative volume of distribution for the terminal log-linear phase of the concentration time data (Vz/F)ss
Cold Pressor Test (CPT) (AUC of pain assessment)
The dominant hand will be plunged into a 1-3 degrees Celsius circulating cold water quench for 2 minutes. By using a computer mouse with the other hand, the participant adjusted a visual analogue scale on a computer screen facing them. The scale was labelled "no pain" at one end and "maximum pain" at the other end.

Full Information

First Posted
November 30, 2018
Last Updated
November 30, 2018
Sponsor
Grünenthal GmbH
search

1. Study Identification

Unique Protocol Identification Number
NCT03761407
Brief Title
A Clinical Study in Healthy Subjects Which Aims to Investigate the Safety, the Tolerability and the Effects of GRT0151Y and How the Compound is Taken up and Excreted From the Body
Official Title
A Phase-I Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Multiple Escalating Oral Doses of GRT0151Y in Healthy Male and Female Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
November 2018
Overall Recruitment Status
Completed
Study Start Date
December 30, 2004 (Actual)
Primary Completion Date
July 26, 2005 (Actual)
Study Completion Date
July 26, 2005 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Grünenthal GmbH

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 aim of this clinical study in healthy participants is to investigate the safety and tolerability of GRT0151Y after multiple oral intake of different increasing doses and to evaluate the pharmacological effects (action of the compound) by means of pupillometry (measuring the pupil size of the eye) and Cold Presser Test (measuring the pain when immersing the hand in 2 degree Celsius cold water). An additional aim of the study is to investigate the pharmacokinetics of GRT0151Y (how it is taken up into the body and how it is excreted from the body)."

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Model Description
Twelve volunteers (6 males and 6 females) per dose group will be randomly assigned to two treatment sequences (placebo-verum and verum-placebo, within dose-group randomized) in a ratio of 1:1. There will be a washout period of 7 to 11 days between the treatment sequences.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1 (100 mg GRT0151Y)
Arm Type
Experimental
Arm Description
The dose of 100 mg will be administered twice (b.i.d.) on Day 1 (titration day). On Days 2, 3 and 4, the treatment regimen will be changed to a triple daily (t.i.d) medication with 100 mg. On Day 5 the last dose of 100 mg will be administered in the morning. Matching placebo using the same dosing regimen as defined in the treatment group.
Arm Title
Group 2 (125 mg GRT0151Y)
Arm Type
Experimental
Arm Description
The dose of 125 mg will be administered twice (b.i.d.) on Day 1 (titration day). On Days 2, 3 and 4, the treatment regimen will be changed to a triple daily (t.i.d) medication with 125 mg. On Day 5 the last dose of 125 mg will be administered in the morning. Matching placebo using the same dosing regimen as defined in the treatment group
Arm Title
Group 3 (150 mg GRT0151Y)
Arm Type
Experimental
Arm Description
The dose of 150 mg will be administered twice (b.i.d.) on Day 1 (titration day). On Days 2, 3 and 4, the treatment regimen will be changed to a triple daily (t.i.d) medication with 150 mg. On Day 5 the last dose of 150 mg will be administered in the morning. Matching placebo using the same dosing regimen as defined in the treatment group
Arm Title
Group 4 (225 mg GRT0151Y)
Arm Type
Experimental
Arm Description
The dose of 150 mg will be administered twice (b.i.d.) on Day 1 (titration day). On Days 2, 3 and 4, the dose of 225 mg will be administered twice (b.i.d.). On Day 5 the last dose of 225 mg will be administered in the morning. Matching placebo using the same dosing regimen as defined in the treatment group
Intervention Type
Drug
Intervention Name(s)
100 mg GRT0151Y
Intervention Description
100 mg capsule (1 x 100 mg capsule)
Intervention Type
Drug
Intervention Name(s)
125 mg GRT0151Y
Intervention Description
125 mg (1 x 100 mg capsule and 1 x 25 mg capsule)
Intervention Type
Drug
Intervention Name(s)
150 mg GRT0151Y
Intervention Description
150 mg (1 x 100 mg capsule and 1 x 50 mg capsule)
Intervention Type
Drug
Intervention Name(s)
225 mg GRT0151Y
Intervention Description
Day 1: 150 mg (1 x 100 mg capsule and 1 x 50 mg capsule) Day 2 - 5: 225 mg (2 x 100 mg capsules and 1 x 25 mg capsule)
Intervention Type
Drug
Intervention Name(s)
Matching placebo
Intervention Description
Matching placebo capsules using the same dosing regimen as defined in the treatment groups.
Primary Outcome Measure Information:
Title
Incidence of adverse events.
Description
Number of adverse events and number of participants with adverse events.
Time Frame
From the first IMP administration (Day 1) to the Final Examination (Day 4 to 11 after last period).
Secondary Outcome Measure Information:
Title
Pupillometry parameter: Initial pupil diameter
Description
Pupil size (in mm) will be measured using a Compact Integrated Pupillograph (CIP). Measurements will be performed always in the same eye of the individual (preferably the left eye). The measurements will be performed under standard low-light conditions (10-15 lux).
Time Frame
Day 1 at 0 hour, 4, 11 and 23 hours, on Day 2 at 11 and 23 hours and on Day 5 at 0 hour, 1 hour, 4, 11, 23, 35 and 47 hours
Title
Pupillometry parameter: Amplitude of constriction
Description
Amplitude of constriction (difference between initial pupil diameter and minimum pupil diameter [mm])
Time Frame
Day 1 at 0 hour, 4, 11 and 23 hours, on Day 2 at 11 and 23 hours and on Day 5 at 0 hour, 1 hour, 4, 11, 23, 35 and 47 hours
Title
Pupillometry parameter: Onset latency of miosis
Description
Onset latency of miosis (the time between begin of light stimulus and the onset of constriction [ms])
Time Frame
Day 1 at 0 hour, 4, 11 and 23 hours, on Day 2 at 11 and 23 hours and on Day 5 at 0 hour, 1 hour, 4, 11, 23, 35 and 47 hours
Title
Pupillometry parameter: Constriction time
Description
Constriction time (time for maximum pupil contraction [s])
Time Frame
Day 1 at 0 hour, 4, 11 and 23 hours, on Day 2 at 11 and 23 hours and on Day 5 at 0 hour, 1 hour, 4, 11, 23, 35 and 47 hours
Title
Minimum plasma concentration during dosing interval τ at steady-state (Css,min)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Maximum plasma concentration during dosing interval τ at steady-state (Css,max)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Time to reach maximum plasma concentration during dosing interval τ at steady-state (tss,max)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Area under the concentration vs. time curve after the last dose (AUC)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Average plasma concentration during dosing interval τ at steady-state (Css,ave)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Peak-trough fluctuation at steady-state (PTF%)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Rate constant for the terminal log-linear phase of the concentration time data, computed as the negative slope of the regression line for the terminal linear phase of the logarithmic concentration versus time plot (λss,z)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Half-life for the terminal log-linear phase of the concentration time data (tss,1/2,z)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Apparent terminal half-life after last dose (t1/2,Z)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Apparent terminal elimination rate constant after last dose (λz)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Area under the concentration vs. time curve in dosing interval τ at steady-state (AUCss,τ)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Extrapolated part to infinity of AUCss at steady-state (AUCextr)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Extrapolated part to infinity of AUCss in percent at steady-state (AUC%extr)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Area under the concentration-time data for dosing interval τ (AUC0-τ)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Total mean time in the total volume of distribution (MRTvsys)
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Relative total clearance (CL/F)ss
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Relative volume of distribution for the terminal log-linear phase of the concentration time data (Vz/F)ss
Time Frame
predose on Day 1, during 4 consecutive days of multiple dosing and up to 72 hours after the last dosing on Day 5
Title
Cold Pressor Test (CPT) (AUC of pain assessment)
Description
The dominant hand will be plunged into a 1-3 degrees Celsius circulating cold water quench for 2 minutes. By using a computer mouse with the other hand, the participant adjusted a visual analogue scale on a computer screen facing them. The scale was labelled "no pain" at one end and "maximum pain" at the other end.
Time Frame
Day 1 at 0 hour, 4, 11 and 23 hours, on Day 2 at 11 and 23 hours and on Day 5 at 0 hour, 1, 4, 11, 23, 35 and 47 hours.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female Caucasian. Age 40-65 years. Body mass index (BMI) between 18 and 30 kilograms/square meter (extremes included). Extensive Cytochrome P450 2D6 (CYP2D6) metabolizer. Healthy as determined by medical history, physical examination, vital signs, 12-lead electrocardiogram (ECG), and clinical laboratory parameters (haematology, Blood sedimentation rate (BSR), clotting, bio-chemistry, urinalysis and virus serology). Minor deviations of laboratory values and ECG parameters from the normal range may be accepted, if judged by the investigator as clinically not relevant and if not considered to interfere with the study objectives. Adequate contraception. For females of childbearing potential (i.e. all females except surgically sterilized or at least 2 years postmenopausal) this is defined as follows: any form of hormonal contraception or intra-uterine device must be used, at least for 4 weeks prior to the first dosing AND she must give a consent to use an additional barrier contraception (condom or diaphragm) from 2 weeks prior to first dosing up to 4 weeks after the last dosing. Written consent to participate in the study. Negative Human immunodeficiency virus (HIV)1/2-antibodies, Hepatitis B surface (HBs)-antigen, Hepatitis B core (HBc)-antibodies, Hepatitis C virus (HCV)-antibodies determined at screening examination. Negative drug abuse screening test determined at screening examination (the test will include screening for metamphetamine, opiate, cannabis, cocaine, amphetamine and benzodiazepine). Negative beta-human chorion gonadotropin test for females of childbearing potential determined at screening examination (the test is not necessary in females who are in post-menopausal state for at least 2 years or in females with status after surgical sterilisation). The participant must be able to tolerate the cold pressor test, i.e. he/she must be able to keep his/her hand for 120 seconds in cold water of about 2 degrees celsius. The participant must be able to undergo the procedure of pupillometry. Exclusion Criteria: Pulse rate below 45 or above 100 Beats per minute (bpm). The measurement must be performed in supine position after a resting period of at least 5 minutes. Systolic blood pressure below 100 or above 160 Millimeter mercury (mmHg), diastolic blood pressure below 50 or above 100 mmHg. The measurement must be performed in supine position after a resting period of at least 5 minutes. History or presence of diseases or functional disorders of the Central nervous system (CNS), endocrinological system, gastrointestinal tract, hepatobiliary system, renal system, respiratory system or cardiovascular system or other conditions known to interfere with the absorption, distribution, metabolism or excretion of drugs. Marked repolarisation abnormality (e.g. suspicious or definite congenital long QT syndrome) or co-medication that is known to influence cardiac repolarisation substantially. History of seizures or at risk (epilepsy in family anamnesis, unclear loss of consciousness), head trauma requiring hospitalization. Neurotic personality, psychiatric illness or suicide risk. History of orthostatic hypotension. Bronchial asthma. Definite or suspected history of drug allergy or hypersensitivity. History of Raynaud´s disease or phenomenon. Malignancy. Participation in another clinical study within three month prior to the start of this study (exception: characterization of metabolizer status). Blood donation (more than 100 Milliliter(s) or a comparable blood loss within three month prior to the start of this study. Excessive consumption of food or beverages containing caffeine or other xanthines (more than 1000 Milliliter(s) coffee or equivalent per day) within two weeks prior to the start of this study. Evidence of alcohol, medication or drug abuse. Smokers who are not able to abstain from smoking during the hospitalisation. Intake of drugs that are inhibitors of CYP2D6 isoenzyme within the last 4 weeks prior to the start of this study. Use of any other medication within two weeks prior to the start of the study (self-medication or prescription), if not on a stable basis and known to interfere with study objectives. Known or suspected of not being able to comply with the study protocol or of not being able to communicate meaningfully with the investigator and staff. Opinion of the investigator the volunteer should not participate in the study. Pregnant or breastfeeding.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Grünenthal Study Director
Organizational Affiliation
Grünenthal GmbH
Official's Role
Study Director
Facility Information:
Facility Name
ASTER
City
Paris
ZIP/Postal Code
75015
Country
France

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Clinical Study in Healthy Subjects Which Aims to Investigate the Safety, the Tolerability and the Effects of GRT0151Y and How the Compound is Taken up and Excreted From the Body

We'll reach out to this number within 24 hrs