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Pilot Study to Assess the Effects of AV608 on Irritable Bowel Syndrome

Primary Purpose

Irritable Bowel Syndrome (IBS)

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AV608
Sponsored by
Avera Pharmaceuticals
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Irritable Bowel Syndrome (IBS) focused on measuring Irritable Bowel Syndrome (IBS)

Eligibility Criteria

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

Inclusion Criteria: Female, 18 to 65 years of age, inclusive Current diagnosis of Irritable Bowel Syndrome (IBS) Subjects 50 years of age or older must have had a barium enema and flexible sigmoidoscopy or a colonoscopy and provide a record of this test Willing to participate in this study as evidenced by a signed, written informed consent form (ICF) If female and of child-bearing potential, willing to avoid pregnancy and practice adequate birth control from the time of study enrollment through at least 30 days after the final dose of study medication If female, negative pregnancy test results Right handed Ambulatory outpatient Agrees to refrain from blood donation during the course of the study Written and oral fluency in the English language Exclusion Criteria: Evidence of structural abnormality of the gastrointestinal tract or GI diseases/conditions Current evidence or diagnosis of peptic ulcer Endoscopic bowel evaluation with evidence of cancer, inflammatory bowel disease, or other structural disease History of abdominal surgery such as adhesion lysis or any gastrointestinal surgery History of gastroesophageal reflux disease not controlled by a stable dose of medication Any evidence of or treatment of malignancy within the previous 5 years Clinical evidence of any disease that may interfere with participation in the study Existence of surgical or medical conditions which interfere with the absorption, distribution, metabolism and excretion of the study drug Symptoms of a significant clinical illness within the 2 weeks prior to Screening Type 1 diabetes mellitus, insulin-dependent Type 2 diabetes mellitus, and thyroid disorders or other endocrine disorders that are not well controlled by appropriate therapy A QTc interval of greater than or equal to 450 msec at Screening Presence of a psychotic disorder, bipolar disorder, alcohol or substance dependence (other than nicotine dependence) or eating disorder within the previous year according to DSM-IV-TR criteria Seizure disorder Subjects who have previously participated in a clinical trial for AV608 (previously known as NKP608 and CGP608) Positive drug test result at Screening Use of investigational drugs, products or devices within 30 days prior to Screening Planned use of certain drugs during the study that affect the central nervous system, gastrointestinal motility, autonomic activity or pain sensation Use of pimozide, terfenadine, astemizole, or cisapride during the study Presence of moderate or severe allergy Regular intake of more than 2 units of alcohol per day Pregnant or breast feeding Subjects with morbid obesity Subjects with metal implants or large tattoo Any clinically significant abnormalities on the Screening physical examination, ECG or laboratory tests Members of the investigative staff or their immediate family members Any other condition that the investigator believes would jeopardize the safety or rights of the subject or would render the subject unable to comply with the study protocol Regular use of more than 10 cigarettes per day

Sites / Locations

  • UCLA Center for Neurovisceral Sciences and Women's Health

Outcomes

Primary Outcome Measures

The primary efficacy endpoint is the effect of AV608 on regional brain responses as measured by fMRI during conditioned and unconditioned visceral pain due to rectal distension.

Secondary Outcome Measures

The effect of AV608 on regional brain responses to emotional visceral cues as measured by fMRI and the visceral pain threshold during rectal distension will be evaluated as secondary efficacy endpoints.

Full Information

First Posted
April 19, 2006
Last Updated
February 15, 2008
Sponsor
Avera Pharmaceuticals
Collaborators
University of California, Los Angeles
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1. Study Identification

Unique Protocol Identification Number
NCT00316550
Brief Title
Pilot Study to Assess the Effects of AV608 on Irritable Bowel Syndrome
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Cross-Over Pilot Study to Assess the Effects of AV608 on Central Processing of Visceral Stimuli in Subjects With Irritable Bowel Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
February 2008
Overall Recruitment Status
Terminated
Why Stopped
Animal Safety Data
Study Start Date
April 2006 (undefined)
Primary Completion Date
June 2007 (Actual)
Study Completion Date
September 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Avera Pharmaceuticals
Collaborators
University of California, Los Angeles

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the effects of AV608, a neurokinin 1 (NK-1) antagonist, in subjects with Irritable Bowel Syndrome.
Detailed Description
This is a single-center, randomized, double-blind, placebo-controlled, cross-over study to assess the effects of AV608 on brain processing of visceral stimuli and emotional visual cues in subjects with IBS. Female subjects between 18 and 65 years of age who meet diagnostic criteria for Irritable Bowel Syndrome will be eligible for the study. Eligible subjects will complete a baseline fMRI imaging procedure that includes both emotional visual cues and visceral stimulation. All subjects who participate in the study will receive 3 weeks of treatment with AV608 and 3 weeks of treatment with placebo during the course of the study; the order of the two treatments for each subject will be randomly determined.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Irritable Bowel Syndrome (IBS)
Keywords
Irritable Bowel Syndrome (IBS)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
Double
Allocation
Randomized
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
AV608
Primary Outcome Measure Information:
Title
The primary efficacy endpoint is the effect of AV608 on regional brain responses as measured by fMRI during conditioned and unconditioned visceral pain due to rectal distension.
Secondary Outcome Measure Information:
Title
The effect of AV608 on regional brain responses to emotional visceral cues as measured by fMRI and the visceral pain threshold during rectal distension will be evaluated as secondary efficacy endpoints.

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female, 18 to 65 years of age, inclusive Current diagnosis of Irritable Bowel Syndrome (IBS) Subjects 50 years of age or older must have had a barium enema and flexible sigmoidoscopy or a colonoscopy and provide a record of this test Willing to participate in this study as evidenced by a signed, written informed consent form (ICF) If female and of child-bearing potential, willing to avoid pregnancy and practice adequate birth control from the time of study enrollment through at least 30 days after the final dose of study medication If female, negative pregnancy test results Right handed Ambulatory outpatient Agrees to refrain from blood donation during the course of the study Written and oral fluency in the English language Exclusion Criteria: Evidence of structural abnormality of the gastrointestinal tract or GI diseases/conditions Current evidence or diagnosis of peptic ulcer Endoscopic bowel evaluation with evidence of cancer, inflammatory bowel disease, or other structural disease History of abdominal surgery such as adhesion lysis or any gastrointestinal surgery History of gastroesophageal reflux disease not controlled by a stable dose of medication Any evidence of or treatment of malignancy within the previous 5 years Clinical evidence of any disease that may interfere with participation in the study Existence of surgical or medical conditions which interfere with the absorption, distribution, metabolism and excretion of the study drug Symptoms of a significant clinical illness within the 2 weeks prior to Screening Type 1 diabetes mellitus, insulin-dependent Type 2 diabetes mellitus, and thyroid disorders or other endocrine disorders that are not well controlled by appropriate therapy A QTc interval of greater than or equal to 450 msec at Screening Presence of a psychotic disorder, bipolar disorder, alcohol or substance dependence (other than nicotine dependence) or eating disorder within the previous year according to DSM-IV-TR criteria Seizure disorder Subjects who have previously participated in a clinical trial for AV608 (previously known as NKP608 and CGP608) Positive drug test result at Screening Use of investigational drugs, products or devices within 30 days prior to Screening Planned use of certain drugs during the study that affect the central nervous system, gastrointestinal motility, autonomic activity or pain sensation Use of pimozide, terfenadine, astemizole, or cisapride during the study Presence of moderate or severe allergy Regular intake of more than 2 units of alcohol per day Pregnant or breast feeding Subjects with morbid obesity Subjects with metal implants or large tattoo Any clinically significant abnormalities on the Screening physical examination, ECG or laboratory tests Members of the investigative staff or their immediate family members Any other condition that the investigator believes would jeopardize the safety or rights of the subject or would render the subject unable to comply with the study protocol Regular use of more than 10 cigarettes per day
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joao Siffert, MD
Organizational Affiliation
Avera Pharmaceuticals, Inc.
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Kirsten Tillisch, MD
Organizational Affiliation
UCLA Center for Neurovisceral Sciences and Women's Health
Official's Role
Principal Investigator
Facility Information:
Facility Name
UCLA Center for Neurovisceral Sciences and Women's Health
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States

12. IPD Sharing Statement

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Pilot Study to Assess the Effects of AV608 on Irritable Bowel Syndrome

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