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Pharmacokinetics of BIA 5-453 and Its Metabolites

Primary Purpose

Hypertension, Chronic Heart Failure

Status
Completed
Phase
Phase 1
Locations
France
Study Type
Interventional
Intervention
BIA 5-453
Sponsored by
Bial - Portela C S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypertension

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

All subjects (young and elderly):

  1. A signed and dated informed consent form before any study-specific screening procedure is performed.
  2. Healthy as determined by the investigator on the basis of medical history, physical examination, clinical laboratory test results, vital signs and digital 12-lead electrocardiogram (ECG).
  3. Non-smoker or smoker of <10 cigarettes per day as determined by history. Must be able to abstain from smoking during the inpatient stay.

    Young subjects only:

  4. Males aged between 18 and 45 years, inclusive.

    Elderly subjects only:

  5. Males older than 65 years, inclusive. Specific inclusion criteria procedure: genotyping Since acetylation is an important BIA 5-453 metabolic pathway, NAT1 and NAT2 genotyping was required for inclusion for distinguishing between poor and faster acetylators (both could however be enrolled in the study).

Exclusion Criteria:

All subjects (young and elderly):

General

  1. Subjects who had participated in a clinical trial with an investigational drug within the 90 days prior to screening.
  2. Subjects who were likely to be noncompliant with the protocol, or who were felt to be unsuitable by the Investigator for any other reason.
  3. Positive serologic findings for human immunodeficiency virus (HIV) antibodies, hepatitis B surface antigen (HBsAg), and/or hepatitis C virus (HCV) antibodies.
  4. Positive findings of urine drug screen (amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, methadone, opiates, MDMA [3,4-methylenedioxy-methamphetamine; ecstasy]).

    Medical History

  5. Any significant cardiovascular, hepatic, renal, respiratory (e.g. childhood asthma), gastrointestinal, endocrine (e.g. diabetes), immunological, dermatological, haematological, neurological, or psychiatric disease and history thereof.
  6. Acute disease state (e.g., nausea, vomiting, fever, diarrhoea) within 7 days before study Day 1.
  7. Subjects proned to orthostatic hypotension: there was a measurement of supine blood pressure (BP) and heart rate (HR) after the subjects had been resting for at least 10 minutes, followed by standing BP and HR after 2 minutes of standing: orthostatic hypotension as defined by as a difference between supine systolic BP (SBP) and standing SBP ≥20 mmHg or a difference between supine diastolic BP (DBP) and standing DBP ≥10 mmHg.
  8. History of drug abuse within 1 year before study day 1.
  9. History of alcoholism within 1 year before day 1. Consumption of more than 50 g of ethanol per day (12.5 cL glass of 10° [10%] wine = 12 g; 4 cL of aperitif, 42° [42%] whiskey = 17 g; 25 cL glass of 3° [3%] beer = 7.5 g; 25 cL glass of 6° [6%] beer = 15 g.
  10. History of any clinically important drug allergy.
  11. Had previously received BIA 5-453. Prohibited treatments and dietary restrictions
  12. Consumption of any caffeine-containing products (e.g., coffee, tea, chocolate, or soda) in excess of 6 cups per day (or equivalent), of grapefruit, grapefruit-containing products, or alcoholic beverages within 24 hours before study day 1.
  13. Use of any over-the-counter drugs including herbal supplements (except for the occasional use of acetaminophen [paracetamol], aspirin and vitamins ≤100% recommended daily allowance) within 7 days before BIA 5-453 administration.
  14. Donation of blood (i.e. 450 mL) within 60 days before study day 1.

    Young subjects only:

    General

  15. An automatic QTc interval reading ≥450 ms at the screening assessment. Prohibited treatments and dietary restrictions
  16. Prohibited Treatments: use of any investigational drug within 90 days (young and elderly subjects) or prescription drug within 30 days before BIA 5-453 administration.

    Elderly subjects only:

    General

  17. An automatic QTc interval reading ≥470 ms at the screening assessment.

Sites / Locations

  • Biotrial

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

BIA 5-453 (Young)

BIA 5-453 (Elderly)

Arm Description

Each subject participated in the study for approximately 7 weeks. Participation included the screening evaluations within 28 days before the first administration, phase A (single dose, a 2-day inpatient period followed by 4 ambulatory visits), phase B (multiple-dose during 7 days, 6 ambulatory visits, followed by a 2-day inpatient period and by 5 ambulatory visits) and a follow-up visit 7 to 10 days after the last administration. Phase A: single-dose on Day 1, followed by a wash out period Phase B: repeated dose from Day 6 to Day 12 (7 days, steady-state)

Each subject participated in the study for approximately 7 weeks. Participation included the screening evaluations within 28 days before the first administration, phase A (single dose, a 2-day inpatient period followed by 4 ambulatory visits), phase B (multiple-dose during 7 days, 6 ambulatory visits, followed by a 2-day inpatient period and by 5 ambulatory visits) and a follow-up visit 7 to 10 days after the last administration. Phase A: single-dose on Day 1, followed by a wash out period Phase B: repeated dose from Day 6 to Day 12 (7 days, steady-state)

Outcomes

Primary Outcome Measures

Maximum observed plasma concentration (Cmax) - DAY 1
The time at which Cmax was observed (Tmax) - Day 1
The terminal half-life (t1/2) - Day 1
The area under the concentration-time curve from 0 to infinity (AUC0-∞) - Day 1
The Area Under the Curve from time 0 to 24 h post-dose (AUC0-24) - Day 1
Maximum observed plasma concentration (Cmax) - DAY 12
The time at which Cmax was observed (Tmax) - Day 12
The terminal half-life (t1/2) - Day 12
The area under the concentration-time curve from 0 to infinity (AUC0-∞) - Day 12
The Area Under the Curve from time 0 to 24 h post-dose (AUC0-24) - Day 12

Secondary Outcome Measures

Full Information

First Posted
March 20, 2017
Last Updated
March 20, 2017
Sponsor
Bial - Portela C S.A.
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1. Study Identification

Unique Protocol Identification Number
NCT03090724
Brief Title
Pharmacokinetics of BIA 5-453 and Its Metabolites
Official Title
Single-dose and Steady-state Pharmacokinetics of BIA 5-453 and Its Metabolites in Healthy Male Elderly Subjects Compared With Those in Healthy Male Young Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
March 2017
Overall Recruitment Status
Completed
Study Start Date
June 13, 2008 (Actual)
Primary Completion Date
August 12, 2008 (Actual)
Study Completion Date
August 12, 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bial - Portela C S.A.

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 purpose of this study was to assess the effects of age on the pharmacokinetic (PK) profile of BIA 5-453 and its metabolites.
Detailed Description
Single-centre, open-label, parallel group, non-randomised study in 12 healthy elderly and 12 healthy younger male subjects, who participated in 2 consecutive phases: Phase A: a single-dose phase (including a wash out period); Phase B: a multiple-dose phase during 7 days (steady state).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypertension, Chronic Heart Failure

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
25 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BIA 5-453 (Young)
Arm Type
Experimental
Arm Description
Each subject participated in the study for approximately 7 weeks. Participation included the screening evaluations within 28 days before the first administration, phase A (single dose, a 2-day inpatient period followed by 4 ambulatory visits), phase B (multiple-dose during 7 days, 6 ambulatory visits, followed by a 2-day inpatient period and by 5 ambulatory visits) and a follow-up visit 7 to 10 days after the last administration. Phase A: single-dose on Day 1, followed by a wash out period Phase B: repeated dose from Day 6 to Day 12 (7 days, steady-state)
Arm Title
BIA 5-453 (Elderly)
Arm Type
Experimental
Arm Description
Each subject participated in the study for approximately 7 weeks. Participation included the screening evaluations within 28 days before the first administration, phase A (single dose, a 2-day inpatient period followed by 4 ambulatory visits), phase B (multiple-dose during 7 days, 6 ambulatory visits, followed by a 2-day inpatient period and by 5 ambulatory visits) and a follow-up visit 7 to 10 days after the last administration. Phase A: single-dose on Day 1, followed by a wash out period Phase B: repeated dose from Day 6 to Day 12 (7 days, steady-state)
Intervention Type
Drug
Intervention Name(s)
BIA 5-453
Other Intervention Name(s)
Etamicastat
Intervention Description
100 mg of BIA 5-453 (combination of two 50 mg capsules); Oral, once-daily (QD), in the morning in fasting conditions
Primary Outcome Measure Information:
Title
Maximum observed plasma concentration (Cmax) - DAY 1
Time Frame
Day 1 pre-dose and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, and 96 h post-dose
Title
The time at which Cmax was observed (Tmax) - Day 1
Time Frame
Day 1 pre-dose and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, and 96 h post-dose
Title
The terminal half-life (t1/2) - Day 1
Time Frame
Day 1 pre-dose and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, and 96 h post-dose
Title
The area under the concentration-time curve from 0 to infinity (AUC0-∞) - Day 1
Time Frame
Day 1 pre-dose and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, and 96 h post-dose
Title
The Area Under the Curve from time 0 to 24 h post-dose (AUC0-24) - Day 1
Time Frame
Day 1 pre-dose and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, and 96 h post-dose
Title
Maximum observed plasma concentration (Cmax) - DAY 12
Time Frame
Day 12 pre-dose, and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96, and 120 h post-last dose
Title
The time at which Cmax was observed (Tmax) - Day 12
Time Frame
Day 12 pre-dose, and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96, and 120 h post-last dose
Title
The terminal half-life (t1/2) - Day 12
Time Frame
Day 12 pre-dose, and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96, and 120 h post-last dose
Title
The area under the concentration-time curve from 0 to infinity (AUC0-∞) - Day 12
Time Frame
Day 12 pre-dose, and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96, and 120 h post-last dose
Title
The Area Under the Curve from time 0 to 24 h post-dose (AUC0-24) - Day 12
Time Frame
Day 12 pre-dose, and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96, and 120 h post-last dose

10. Eligibility

Sex
Male
Gender Based
Yes
Gender Eligibility Description
Young subjects only: Males aged between 18 and 45 years, inclusive. Elderly subjects only: Males older than 65 years, inclusive.
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: All subjects (young and elderly): A signed and dated informed consent form before any study-specific screening procedure is performed. Healthy as determined by the investigator on the basis of medical history, physical examination, clinical laboratory test results, vital signs and digital 12-lead electrocardiogram (ECG). Non-smoker or smoker of <10 cigarettes per day as determined by history. Must be able to abstain from smoking during the inpatient stay. Young subjects only: Males aged between 18 and 45 years, inclusive. Elderly subjects only: Males older than 65 years, inclusive. Specific inclusion criteria procedure: genotyping Since acetylation is an important BIA 5-453 metabolic pathway, NAT1 and NAT2 genotyping was required for inclusion for distinguishing between poor and faster acetylators (both could however be enrolled in the study). Exclusion Criteria: All subjects (young and elderly): General Subjects who had participated in a clinical trial with an investigational drug within the 90 days prior to screening. Subjects who were likely to be noncompliant with the protocol, or who were felt to be unsuitable by the Investigator for any other reason. Positive serologic findings for human immunodeficiency virus (HIV) antibodies, hepatitis B surface antigen (HBsAg), and/or hepatitis C virus (HCV) antibodies. Positive findings of urine drug screen (amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, methadone, opiates, MDMA [3,4-methylenedioxy-methamphetamine; ecstasy]). Medical History Any significant cardiovascular, hepatic, renal, respiratory (e.g. childhood asthma), gastrointestinal, endocrine (e.g. diabetes), immunological, dermatological, haematological, neurological, or psychiatric disease and history thereof. Acute disease state (e.g., nausea, vomiting, fever, diarrhoea) within 7 days before study Day 1. Subjects proned to orthostatic hypotension: there was a measurement of supine blood pressure (BP) and heart rate (HR) after the subjects had been resting for at least 10 minutes, followed by standing BP and HR after 2 minutes of standing: orthostatic hypotension as defined by as a difference between supine systolic BP (SBP) and standing SBP ≥20 mmHg or a difference between supine diastolic BP (DBP) and standing DBP ≥10 mmHg. History of drug abuse within 1 year before study day 1. History of alcoholism within 1 year before day 1. Consumption of more than 50 g of ethanol per day (12.5 cL glass of 10° [10%] wine = 12 g; 4 cL of aperitif, 42° [42%] whiskey = 17 g; 25 cL glass of 3° [3%] beer = 7.5 g; 25 cL glass of 6° [6%] beer = 15 g. History of any clinically important drug allergy. Had previously received BIA 5-453. Prohibited treatments and dietary restrictions Consumption of any caffeine-containing products (e.g., coffee, tea, chocolate, or soda) in excess of 6 cups per day (or equivalent), of grapefruit, grapefruit-containing products, or alcoholic beverages within 24 hours before study day 1. Use of any over-the-counter drugs including herbal supplements (except for the occasional use of acetaminophen [paracetamol], aspirin and vitamins ≤100% recommended daily allowance) within 7 days before BIA 5-453 administration. Donation of blood (i.e. 450 mL) within 60 days before study day 1. Young subjects only: General An automatic QTc interval reading ≥450 ms at the screening assessment. Prohibited treatments and dietary restrictions Prohibited Treatments: use of any investigational drug within 90 days (young and elderly subjects) or prescription drug within 30 days before BIA 5-453 administration. Elderly subjects only: General An automatic QTc interval reading ≥470 ms at the screening assessment.
Facility Information:
Facility Name
Biotrial
City
Rennes
ZIP/Postal Code
F-35000
Country
France

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Pharmacokinetics of BIA 5-453 and Its Metabolites

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