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A Clinical Trial to Assess the Effects of Food on the Bioavailability of CKD-337

Primary Purpose

Dyslipidemias

Status
Completed
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
High fat diet
CKD-337
Sponsored by
Chong Kun Dang Pharmaceutical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dyslipidemias

Eligibility Criteria

19 Years - 45 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy male subjects between the ages of 19 and 45 years
  2. Body mass index between 17.5 and 30.5 kg/m², body weight more than 55kg
  3. Subject who doesn't have chronic disease, pathological symptoms or findings
  4. Subject who is suitable for the clinical trial determined by laboratory tests(serum test, hematology test, blood chemistry, urinalysis test etc.), Vital Sign, ECG test at the time of screening
  5. Subject who fully understand the clinical trial after in-depth explanation, decide to join the clinical trials and sign on an inform consent from willingly.

Exclusion Criteria:

  1. Subject who has a clinically significant disease such as hepatic, kidneys, neurological, respiratory, endocrine, hemato-oncology, urinary, cardiovascular, musculoskeletal or psychiatric diseases and who has medical histories listed below.

    • Gallbladder disease including cholelithiasis, severe hepatic impairment
    • Acute/chronic pancreatitis due to hypertriglyceridemia
    • Pulmonary embolism or interstitial lung disease
    • Genetic problems such as galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption
    • Hypoalbuminemia
    • Alcoholics
    • Predisposition to rhabdomyolysis
  2. Subject who has a history of gastrointestinal disease or gastrointestinal surgery which can affect drug absorption
  3. Subject who has hypersensitivity to the drugs containing choline fenofibrate, fenofibrate or atorvastatin, or other drugs such as aspirin, fenofibrate series, antibiotics
  4. Subject who has the following clinical significant findings in the EKG at the time of screening

    • QTc(Q-T interval corrected for heart rate) > 450ms
    • PR interval(The interval between the beginning of the P wave and the beginning of the QRS complex in ECG) > 200msec
    • QRS duration(The duration of the QRS wave in ECG) > 120msec
  5. Subject whose results of the clinical laboratory tests are included in the following categories

    • CPK(Creatinine Phospho-Kinase) > 2x upper limit of normal range
    • Liver function test (AST;Aspartate Transaminase, ALT;Alanine Transaminase, ALP;Alkaline phosphatase, Total bilirubin, γ-GT;Gamma-Glutamyl Transferase) > 2 x upper limit of normal range
    • eGFR(Estimated Glomerular Filtration Rate) < 60 mL/min/1.73m² Calculated by MDRD(Modification of Diet in Renal Disease)
  6. Systolic blood pressure ≥ 160mmHg(millimeter of mercury) or ≤ 100mmHg(millimeter of mercury) , Diastolic blood pressure ≥ 95mmHg(millimeter of mercury) or ≤ 60mmHg(millimeter of mercury) at the time of screening
  7. History of drug abuse or a positive reaction for drug abuse examined by urinalysis at the time of screening
  8. Subject who took medicines that are known to significantly induce or inhibit drug metabolizing enzymes, including barbiturates, within 30 days prior to the first dose of medication
  9. Those who has experienced photoallergy or phototoxicity during treatment with fibrates or ketoprofen
  10. Subject who took ETC(Ethical Drug), oriental medicine within 2 weeks and OTC(Over-the-counter Drug), vitamin within 10 days prior to the first dose of medication
  11. Subject who took the medication involved in other clinical trials within 3 months prior to the first dose of medication
  12. Subject who donated whole conducted blood donation within 2 months or component blood donation or blood transfusion within 1 month prior to the first dose of medication
  13. Subject who drinks alcohol more than 21 units per a week (1unit=10g of pure alcohol) continuously within 6 month prior to the first dose of medication or Who can not stop drinking alcohol during the clinical trial
  14. Smoker(> 10 cigarettes/day) for the last 3 months or who can not stop smoking during the clinical trial
  15. Subject who consumed food containing grapefruit within 48 hours prior to the first dose of medication or who can not stop consumption it until EOS(End of study)
  16. Subject who consumed food containing caffeine(e.g. coffee, green tea etc.) within 24 hours prior to the first dose of medication or who can not stop consumption it until discharge
  17. Subject who do not use a reliable contraception or who plans a pregnancy during the clinical trial
  18. Subject who has unsuitable conditions decided by investigator's judgement including clinical laboratory result

Sites / Locations

  • Dong-A University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Group A

Group B

Arm Description

Period 1: 1 capsule of test drug(CKD-337) administered under fasting condition Period 2: 1 capsule of test drug(CKD-337) under high fat diet condition

Period 1: 1 capsule of test drug(CKD-337) under high fat diet fed condition Period 2: 1 capsule of test drug (CKD-337) administered under fasting condition

Outcomes

Primary Outcome Measures

AUC0-t of Atorvastatin
Area under the plasma concentration of Atorvastatin versus time curve from time zero to time of last quantifiable concentration
Cmax of Atorvastatin
Maximum plasma concentration of Atorvastatin
AUCt of Fenofibric acid
Area under the plasma concentration of Fenofibric acid versus time curve from time zero to time of last quantifiable concentration
Cmax of Fenofibric acid
Maximum plasma concentration of Fenofibric acid

Secondary Outcome Measures

AUCinf of Atorvastatin
Area under the plasma concentration of Atorvastatin versus time curve from time zero to time infinity
Tmax of Atorvastatin
Time to maximum concentration of of Atorvastatin
T 1/2 of Atorvastatin
Apparent terminal half-life of Atorvastatin
CL/F of Atorvastatin
Total body clearance of Atorvastatin
Vd/F of Atorvastatin
Apparent volume of distribution of Atorvastatin
AUCinf of Fenofibric acid
Area under the plasma concentration of Fenofibric acid versus time curve from time zero to time infinity
Tmax of Fenofibric acid
Time to maximum concentration of Fenofibric acid
T 1/2 of Fenofibric acid
Apparent terminal half-life of Fenofibric acid
CL/F of Fenofibric acid
Total body clearance of Fenofibric acid
Vd/F of Fenofibric acid
Apparent volume of distribution of Fenofibric acid
AUC0-t of 2-hydroxy atorvastatin
Area under the plasma concentration of 2-hydroxy atorvastatin versus time curve from time zero to time of last quantifiable concentration
Cmax of 2-hydroxy atorvastatin
Maximum concentration attained of 2-hydroxy atorvastatin
AUCinf of 2-hydroxy atorvastatin
Area under the plasma concentration of 2-hydroxy atorvastatin versus time curve from time zero to time infinity
Tmax of 2-hydroxy atorvastatin
Time to maximum concentration 2-hydroxy atorvastatin
T 1/2 of 2-hydroxy atorvastatin
Apparent terminal half-life of 2-hydroxy atorvastatin
CL/F of 2-hydroxy atorvastatin
Total body clearance of 2-hydroxy atorvastatin
Vd/F of 2-hydroxy atorvastatin
Apparent volume of distribution of 2-hydroxy atorvastatin

Full Information

First Posted
December 19, 2017
Last Updated
December 25, 2017
Sponsor
Chong Kun Dang Pharmaceutical
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1. Study Identification

Unique Protocol Identification Number
NCT03382756
Brief Title
A Clinical Trial to Assess the Effects of Food on the Bioavailability of CKD-337
Official Title
A Cross-over, Randomized and Open-label Clinical Trial to Evaluate the Effects of Food on the Bioavailability of CKD-337 After a Single Oral Dose in Healthy Male Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
December 2017
Overall Recruitment Status
Completed
Study Start Date
October 12, 2017 (Actual)
Primary Completion Date
November 2, 2017 (Actual)
Study Completion Date
November 7, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chong Kun Dang Pharmaceutical

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
A cross-over, randomized and open-label clinical trial to evaluate the effects of food on the bioavailability of CKD-337 after a single oral dose in healthy male subjects
Detailed Description
This clinical trial is to evaluate the effects of food on pharmacokinetics of CKD-337. Sixteen male subjects are divided into two groups. A group of subjects are administered a single oral dose of CKD-337 after ingesting high fat meal and the other take same investigational product (IP) in fasting condition. Then their blood is drawn on a fixed schedule to analyse bioavailability of CKD-337. Finishing the first treatment period, the two groups switch food conditions and initiate the second period. The group of people that were administered CKD-337 with food are then dosed the same IP in fasting condition, and the other group undergo vice versa. Each treatment period was separated by a washout period of at least 7 days.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Group A
Arm Type
Experimental
Arm Description
Period 1: 1 capsule of test drug(CKD-337) administered under fasting condition Period 2: 1 capsule of test drug(CKD-337) under high fat diet condition
Arm Title
Group B
Arm Type
Experimental
Arm Description
Period 1: 1 capsule of test drug(CKD-337) under high fat diet fed condition Period 2: 1 capsule of test drug (CKD-337) administered under fasting condition
Intervention Type
Dietary Supplement
Intervention Name(s)
High fat diet
Intervention Description
A diet consisting of more than 900kcal and 35% of fat
Intervention Type
Drug
Intervention Name(s)
CKD-337
Other Intervention Name(s)
Atorvastatin Calcium Trihydrate + Choline Fenofibrate
Intervention Description
Test Drug
Primary Outcome Measure Information:
Title
AUC0-t of Atorvastatin
Description
Area under the plasma concentration of Atorvastatin versus time curve from time zero to time of last quantifiable concentration
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration
Title
Cmax of Atorvastatin
Description
Maximum plasma concentration of Atorvastatin
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration
Title
AUCt of Fenofibric acid
Description
Area under the plasma concentration of Fenofibric acid versus time curve from time zero to time of last quantifiable concentration
Time Frame
Predose(0hr), 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, 48, 72, and 96hr after drug administration
Title
Cmax of Fenofibric acid
Description
Maximum plasma concentration of Fenofibric acid
Time Frame
Predose(0hr), 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, 48, 72, and 96hr after drug administration
Secondary Outcome Measure Information:
Title
AUCinf of Atorvastatin
Description
Area under the plasma concentration of Atorvastatin versus time curve from time zero to time infinity
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration
Title
Tmax of Atorvastatin
Description
Time to maximum concentration of of Atorvastatin
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration
Title
T 1/2 of Atorvastatin
Description
Apparent terminal half-life of Atorvastatin
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration
Title
CL/F of Atorvastatin
Description
Total body clearance of Atorvastatin
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration
Title
Vd/F of Atorvastatin
Description
Apparent volume of distribution of Atorvastatin
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration
Title
AUCinf of Fenofibric acid
Description
Area under the plasma concentration of Fenofibric acid versus time curve from time zero to time infinity
Time Frame
Predose(0hr), 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, 48, 72, and 96hr after drug administration
Title
Tmax of Fenofibric acid
Description
Time to maximum concentration of Fenofibric acid
Time Frame
Predose(0hr), 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, 48, 72, and 96hr after drug administration
Title
T 1/2 of Fenofibric acid
Description
Apparent terminal half-life of Fenofibric acid
Time Frame
Predose(0hr), 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, 48, 72, and 96hr after drug administration
Title
CL/F of Fenofibric acid
Description
Total body clearance of Fenofibric acid
Time Frame
Predose(0hr), 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, 48, 72, and 96hr after drug administration
Title
Vd/F of Fenofibric acid
Description
Apparent volume of distribution of Fenofibric acid
Time Frame
Predose(0hr), 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, 48, 72, and 96hr after drug administration
Title
AUC0-t of 2-hydroxy atorvastatin
Description
Area under the plasma concentration of 2-hydroxy atorvastatin versus time curve from time zero to time of last quantifiable concentration
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration
Title
Cmax of 2-hydroxy atorvastatin
Description
Maximum concentration attained of 2-hydroxy atorvastatin
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration
Title
AUCinf of 2-hydroxy atorvastatin
Description
Area under the plasma concentration of 2-hydroxy atorvastatin versus time curve from time zero to time infinity
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration
Title
Tmax of 2-hydroxy atorvastatin
Description
Time to maximum concentration 2-hydroxy atorvastatin
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration
Title
T 1/2 of 2-hydroxy atorvastatin
Description
Apparent terminal half-life of 2-hydroxy atorvastatin
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration
Title
CL/F of 2-hydroxy atorvastatin
Description
Total body clearance of 2-hydroxy atorvastatin
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration
Title
Vd/F of 2-hydroxy atorvastatin
Description
Apparent volume of distribution of 2-hydroxy atorvastatin
Time Frame
Predose(0hr), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 24, and 48hr after drug administration

10. Eligibility

Sex
Male
Gender Based
Yes
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male subjects between the ages of 19 and 45 years Body mass index between 17.5 and 30.5 kg/m², body weight more than 55kg Subject who doesn't have chronic disease, pathological symptoms or findings Subject who is suitable for the clinical trial determined by laboratory tests(serum test, hematology test, blood chemistry, urinalysis test etc.), Vital Sign, ECG test at the time of screening Subject who fully understand the clinical trial after in-depth explanation, decide to join the clinical trials and sign on an inform consent from willingly. Exclusion Criteria: Subject who has a clinically significant disease such as hepatic, kidneys, neurological, respiratory, endocrine, hemato-oncology, urinary, cardiovascular, musculoskeletal or psychiatric diseases and who has medical histories listed below. Gallbladder disease including cholelithiasis, severe hepatic impairment Acute/chronic pancreatitis due to hypertriglyceridemia Pulmonary embolism or interstitial lung disease Genetic problems such as galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption Hypoalbuminemia Alcoholics Predisposition to rhabdomyolysis Subject who has a history of gastrointestinal disease or gastrointestinal surgery which can affect drug absorption Subject who has hypersensitivity to the drugs containing choline fenofibrate, fenofibrate or atorvastatin, or other drugs such as aspirin, fenofibrate series, antibiotics Subject who has the following clinical significant findings in the EKG at the time of screening QTc(Q-T interval corrected for heart rate) > 450ms PR interval(The interval between the beginning of the P wave and the beginning of the QRS complex in ECG) > 200msec QRS duration(The duration of the QRS wave in ECG) > 120msec Subject whose results of the clinical laboratory tests are included in the following categories CPK(Creatinine Phospho-Kinase) > 2x upper limit of normal range Liver function test (AST;Aspartate Transaminase, ALT;Alanine Transaminase, ALP;Alkaline phosphatase, Total bilirubin, γ-GT;Gamma-Glutamyl Transferase) > 2 x upper limit of normal range eGFR(Estimated Glomerular Filtration Rate) < 60 mL/min/1.73m² Calculated by MDRD(Modification of Diet in Renal Disease) Systolic blood pressure ≥ 160mmHg(millimeter of mercury) or ≤ 100mmHg(millimeter of mercury) , Diastolic blood pressure ≥ 95mmHg(millimeter of mercury) or ≤ 60mmHg(millimeter of mercury) at the time of screening History of drug abuse or a positive reaction for drug abuse examined by urinalysis at the time of screening Subject who took medicines that are known to significantly induce or inhibit drug metabolizing enzymes, including barbiturates, within 30 days prior to the first dose of medication Those who has experienced photoallergy or phototoxicity during treatment with fibrates or ketoprofen Subject who took ETC(Ethical Drug), oriental medicine within 2 weeks and OTC(Over-the-counter Drug), vitamin within 10 days prior to the first dose of medication Subject who took the medication involved in other clinical trials within 3 months prior to the first dose of medication Subject who donated whole conducted blood donation within 2 months or component blood donation or blood transfusion within 1 month prior to the first dose of medication Subject who drinks alcohol more than 21 units per a week (1unit=10g of pure alcohol) continuously within 6 month prior to the first dose of medication or Who can not stop drinking alcohol during the clinical trial Smoker(> 10 cigarettes/day) for the last 3 months or who can not stop smoking during the clinical trial Subject who consumed food containing grapefruit within 48 hours prior to the first dose of medication or who can not stop consumption it until EOS(End of study) Subject who consumed food containing caffeine(e.g. coffee, green tea etc.) within 24 hours prior to the first dose of medication or who can not stop consumption it until discharge Subject who do not use a reliable contraception or who plans a pregnancy during the clinical trial Subject who has unsuitable conditions decided by investigator's judgement including clinical laboratory result
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Min Kyu Park, Professor
Organizational Affiliation
Dong-A University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Dong-A University Hospital
City
Busan
State/Province
Seo-gu
ZIP/Postal Code
602-812
Country
Korea, Republic of

12. IPD Sharing Statement

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A Clinical Trial to Assess the Effects of Food on the Bioavailability of CKD-337

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