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Comparison of Plasma Concentration Changes Between Two Types of Tablets of FK949E Administration to Patients With Major Depressive Disorder

Primary Purpose

Major Depressive Disorder

Status
Completed
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
FK949E
Sponsored by
Astellas Pharma Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Major Depressive Disorder focused on measuring FK949E, Pharmacokinetics, Major Depressive Disorder

Eligibility Criteria

20 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients considered to be able to understand and follow subject requirements, as judged by the investigator/sub-investigator.
  • Patients diagnosed with major depressive disorder according to the DSM-IV-TR by means of M.I.N.I.
  • BMI: 17.6 (inclusive) to 26.4 (exclusive).

Exclusion Criteria:

  • Current or past history of DSM-IV-TR Axis I disorder, except major depressive disorder, within the past 6 months before informed consent.
  • Concurrent DSM-IV-TR Axis II disorder that is considered to greatly affect patient's current mental status.
  • Current or past history of dependence of substances (other than caffeine and nicotine) or history of abuse or dependence of alcohol.
  • Unable to suspend treatment with inducers or inhibitors of the drug-metabolizing enzyme, cytochrome P450 3A4 (CYP3A4), for 14 days before the screening assessment and throughout the study.
  • Patients who could not use an appropriate contraception (condoms) during the study. Patients who were pregnant or lactating.
  • Patients (carriers) with documented or suspected renal failure, hepatic failure, serious cardiac disease,

hepatitis B, hepatitis C, or acquired immunodeficiency syndrome (AIDS).

  • Patients receiving treatment for hypertension, or patients with concurrent hypertension or unstable angina that may worsen with the study or may affect the study results based on the clinical judgment of the investigator/sub-investigator.
  • Patients with concurrent hypotension (criterion for hypotension: a systolic blood pressure of less than 100 mmHg), or orthostatic hypotension
  • Patients with a mean QTcF interval of ≥450 ms on a 12-lead ECG at the screening assessment
  • Patients with the risk of torsades de pointe (e.g., those with a history of QT prolongation, those with familial long QT syndrome).
  • Concurrent malabsorption syndrome, hepatic disease, or other conditions that may affect the absorption and/or metabolism of the study drug.
  • Concurrent malignancy or history of cured malignancy within 5 years
  • Current or past history of cerebrovascular disease or transient ischemic attack (TIA).
  • Received electroconvulsive therapy within 90 days before the screening assessment

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Group 1 (FK949E low dose tablet-first group)

Group 2 (FK949E high dose tablet-first group)

Arm Description

Days 1 and 2: One FK949E low dose tablet Days 3 to 6: Three FK949E low dose tablets Days 7 to 10: One FK949E high dose tablet

Days 1 and 2: One FK949E low dose tablet Days 3 to 6: One FK949E high dose tablet Days 7 to 10: Three FK949E low dose tablets

Outcomes

Primary Outcome Measures

Maximum plasma concentration (Cmax) of unchanged quetiapine
Frequent blood sampling on Day 6 and Day 10
AUC24h (area under the curve for 24hr) of unchanged quetiapine
Frequent blood sampling on Day 6 and Day 10

Secondary Outcome Measures

Trough value of plasma concentration of unchanged quetiapine
Frequent blood sampling on Day 6 and Day 10
t1/2 of plasma concentration of unchanged quetiapine
Frequent blood sampling on Day 6 and Day 10
Maximum plasma concentration (Cmax) of quetiapine metabolites
Frequent blood sampling on Day 6 and Day 10
AUC (area under the curve) of quetiapine metabolites
Frequent blood sampling on Day 6 and Day 10
trough value of plasma concentration of quetiapine metabolites
Frequent blood sampling on Day 6 and Day 10
tmax of plasma concentration of quetiapine metabolites
Frequent blood sampling on Day 6 and Day 10
t1/2 of plasma concentration of quetiapine metabolites
Frequent blood sampling on Day 6 and Day 10
Safety assessed by the incidence of adverse events, clinical tab tests, vital signs, 12-lead ECGs and physical exam

Full Information

First Posted
August 6, 2013
Last Updated
July 22, 2019
Sponsor
Astellas Pharma Inc
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1. Study Identification

Unique Protocol Identification Number
NCT01919008
Brief Title
Comparison of Plasma Concentration Changes Between Two Types of Tablets of FK949E Administration to Patients With Major Depressive Disorder
Official Title
Phase I Study of FK949E - Comparison of Pharmacokinetics Between FK949E 50 mg Tablets and FK949E 150 mg Tablets in Patients With Major Depressive Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
July 2019
Overall Recruitment Status
Completed
Study Start Date
March 26, 2012 (Actual)
Primary Completion Date
June 22, 2012 (Actual)
Study Completion Date
June 22, 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Astellas Pharma Inc

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is to compare the pharmacokinetics of FK949E low dose tablets and FK949E high dose tablets in non-elderly patients with major depressive disorder. The safety of FK949E in the population was also evaluated.
Detailed Description
The objective of the study is to compare the pharmacokinetics of FK949E low dose tablets and FK949E high dose tablets in non-elderly patients with major depressive disorder in a 2 × 2 crossover design. The safety of FK949E in the population is also evaluated.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Major Depressive Disorder
Keywords
FK949E, Pharmacokinetics, Major Depressive Disorder

7. Study Design

Primary Purpose
Other
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 1 (FK949E low dose tablet-first group)
Arm Type
Experimental
Arm Description
Days 1 and 2: One FK949E low dose tablet Days 3 to 6: Three FK949E low dose tablets Days 7 to 10: One FK949E high dose tablet
Arm Title
Group 2 (FK949E high dose tablet-first group)
Arm Type
Experimental
Arm Description
Days 1 and 2: One FK949E low dose tablet Days 3 to 6: One FK949E high dose tablet Days 7 to 10: Three FK949E low dose tablets
Intervention Type
Drug
Intervention Name(s)
FK949E
Other Intervention Name(s)
extended release formulation of quetiapine
Intervention Description
Oral
Primary Outcome Measure Information:
Title
Maximum plasma concentration (Cmax) of unchanged quetiapine
Description
Frequent blood sampling on Day 6 and Day 10
Time Frame
For 24 hours after dosing
Title
AUC24h (area under the curve for 24hr) of unchanged quetiapine
Description
Frequent blood sampling on Day 6 and Day 10
Time Frame
For 24 hours after dosing
Secondary Outcome Measure Information:
Title
Trough value of plasma concentration of unchanged quetiapine
Description
Frequent blood sampling on Day 6 and Day 10
Time Frame
For 24 hours after dosing
Title
t1/2 of plasma concentration of unchanged quetiapine
Description
Frequent blood sampling on Day 6 and Day 10
Time Frame
For 24 hours after dosing
Title
Maximum plasma concentration (Cmax) of quetiapine metabolites
Description
Frequent blood sampling on Day 6 and Day 10
Time Frame
For 24 hours after dosing
Title
AUC (area under the curve) of quetiapine metabolites
Description
Frequent blood sampling on Day 6 and Day 10
Time Frame
For 24 hours after dosing
Title
trough value of plasma concentration of quetiapine metabolites
Description
Frequent blood sampling on Day 6 and Day 10
Time Frame
For 24 hours after dosing
Title
tmax of plasma concentration of quetiapine metabolites
Description
Frequent blood sampling on Day 6 and Day 10
Time Frame
For 24 hours after dosing
Title
t1/2 of plasma concentration of quetiapine metabolites
Description
Frequent blood sampling on Day 6 and Day 10
Time Frame
For 24 hours after dosing
Title
Safety assessed by the incidence of adverse events, clinical tab tests, vital signs, 12-lead ECGs and physical exam
Time Frame
Up to Day 11

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients considered to be able to understand and follow subject requirements, as judged by the investigator/sub-investigator. Patients diagnosed with major depressive disorder according to the DSM-IV-TR by means of M.I.N.I. BMI: 17.6 (inclusive) to 26.4 (exclusive). Exclusion Criteria: Current or past history of DSM-IV-TR Axis I disorder, except major depressive disorder, within the past 6 months before informed consent. Concurrent DSM-IV-TR Axis II disorder that is considered to greatly affect patient's current mental status. Current or past history of dependence of substances (other than caffeine and nicotine) or history of abuse or dependence of alcohol. Unable to suspend treatment with inducers or inhibitors of the drug-metabolizing enzyme, cytochrome P450 3A4 (CYP3A4), for 14 days before the screening assessment and throughout the study. Patients who could not use an appropriate contraception (condoms) during the study. Patients who were pregnant or lactating. Patients (carriers) with documented or suspected renal failure, hepatic failure, serious cardiac disease, hepatitis B, hepatitis C, or acquired immunodeficiency syndrome (AIDS). Patients receiving treatment for hypertension, or patients with concurrent hypertension or unstable angina that may worsen with the study or may affect the study results based on the clinical judgment of the investigator/sub-investigator. Patients with concurrent hypotension (criterion for hypotension: a systolic blood pressure of less than 100 mmHg), or orthostatic hypotension Patients with a mean QTcF interval of ≥450 ms on a 12-lead ECG at the screening assessment Patients with the risk of torsades de pointe (e.g., those with a history of QT prolongation, those with familial long QT syndrome). Concurrent malabsorption syndrome, hepatic disease, or other conditions that may affect the absorption and/or metabolism of the study drug. Concurrent malignancy or history of cured malignancy within 5 years Current or past history of cerebrovascular disease or transient ischemic attack (TIA). Received electroconvulsive therapy within 90 days before the screening assessment
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Astellas Pharma Inc
Official's Role
Study Director
Facility Information:
City
Kanto
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Access to anonymized individual participant level data will not be provided for this trial as it meets one or more of the exceptions described on www.clinicalstudydatarequest.com under "Sponsor Specific Details for Astellas."
Citations:
PubMed Identifier
32792252
Citation
Fukushi R, Nomura Y, Katashima M, Komatsu K, Sato Y, Takada A. Approach to Evaluating QT Prolongation of Quetiapine Fumarate in Late Stage of Clinical Development Using Concentration-QTc Modeling and Simulation in Japanese Patients With Bipolar Disorder. Clin Ther. 2020 Aug;42(8):1483-1493.e1. doi: 10.1016/j.clinthera.2020.06.002. Epub 2020 Aug 11.
Results Reference
derived
Links:
URL
https://www.astellasclinicalstudyresults.com/hcp/study.aspx?ID=175
Description
Link to results on Astellas Clinical Study Results website

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Comparison of Plasma Concentration Changes Between Two Types of Tablets of FK949E Administration to Patients With Major Depressive Disorder

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