search
Back to results

Study on the Safety, Tolerance and Pharmacokinetics of Phenlarmide Tablets

Primary Purpose

Parkinson Disease

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Phenlarmide
Placebo
Sponsored by
Shijiazhuang Yiling Pharmaceutical Co. Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Parkinson Disease

Eligibility Criteria

30 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Understand and sign the informed consent, understand the research process and requirements, and volunteer to participate in the study;
  2. over 30 years old and have no gender limit;
  3. Patients diagnosed with Parkinson's disease according to the Chinese diagnostic criteria for Parkinson's disease (2016 Edition);
  4. Hoehn-Yahr grade ≤ 3;
  5. The Unified Parkinson's disease scale (UPDRS) motor score (Part III) ≥ 10;
  6. Not using anti Parkinson's disease drugs within 28 days before enrollment;
  7. If the subjects are receiving dopamine receptor agonists (such as Pramipexole, etc.), anticholinergic drugs (such as Benzhexol Hydrochloride, etc.), monoamine oxidase B (MAO-B) inhibitors (such as Selegiline, Rasagiline, etc.), and N-methyl-D-aspartate (NMDA) receptor antagonists (such as Amantadine), they should stop using the drugs 28 days before the screening period;
  8. Patients who had been treated with levodopa preparation (including levodopa compound preparation) for less than 6 months before screening, and had not received levodopa preparation treatment within 28 days before screening period.

Exclusion Criteria:

  1. Atypical Parkinson's symptoms due to the use of drugs (such as Flunarizine, Metoclopramide), nervous system diseases, genetic metabolic diseases, encephalitis, cerebrovascular diseases or other degenerative diseases (such as progressive supranuclear paralysis);
  2. Patients with dementia, active mental illness or hallucination, severe depression (Beck Depression Scale - Ⅱ ≥ 29 points at screening), or Mini-Mental State Examination (MMSE) < 25 points;
  3. Those who have received neurosurgical operation or electrical stimulation (such as pallidotomy, thalamotomy, deep brain electrical stimulation, etc.);
  4. Patients with clinically significant abnormal liver function were defined as total bilirubin > 1.5 times of the upper limit of normal value or alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2 times of the upper limit of normal value;
  5. Patients with clinically significant renal dysfunction: creatinine clearance rate (CCR) < 30 ml / min (using Cockcroft-Gault formula);
  6. Patients with uncontrollable or severe cardiovascular diseases, including NYHA grade II or above congestive heart failure, unstable angina pectoris, myocardial infarction, arrhythmia requiring treatment at the time of screening, and QTc interval prolongation more than 480ms, in 6 months before the first administration of trial drug;
  7. There is a history of heart, liver, kidney, respiratory, digestive, endocrine, immune or blood system diseases considered by researchers to be serious;
  8. During the screening period, the patients with HIV positive, HBV or HCV infection and syphilis infection were active;
  9. Patients with malignant tumor within 5 years before screening were excluded from cervical carcinoma in situ, skin basal cell or squamous cell carcinoma, local prostate cancer after radical operation and breast intraductal carcinoma in situ after radical operation;
  10. There were significant food or drug allergy history or hypersensitivity reaction judged by researchers as having clinical significance;
  11. Participants in any clinical trials within 3 months before administration of the study;
  12. Pregnant or lactating women, or those whose serum hCG test is positive before trial administration, who are unable or unwilling to take contraceptive measures approved by the researcher during the study period and within 3 months after the end of the study according to the instructions of the researcher;
  13. Those considered unsuitable by the researchers to participate in this clinical trial.

Sites / Locations

  • Chen Biao

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Placebo Comparator

Placebo Comparator

Placebo Comparator

Arm Label

FLZ-150mg

FLZ-300mg

FLZ-600mg

FLZ-900mg

Placebo-150mg

Placebo-300mg

Placebo-600mg

Placebo-900mg

Arm Description

Drug:Phenlarmide;Dosage:150mg;

Drug:Phenlarmide;Dosage:300mg;

Drug:Phenlarmide;Dosage:600mg;

Drug:Phenlarmide;Dosage:900mg;

Drug:Placebo;Dosage:150mg;

Drug:Placebo;Dosage:300mg;

Drug:Placebo;Dosage:600mg;

Drug:Placebo;Dosage:900mg;

Outcomes

Primary Outcome Measures

the dose limiting toxicity (DLT)
The occurrence of Dose limiting toxicity.
Tmax, ss
After administration, the time when the highest concentration of drug appeared in plasma
Efficacy evaluation
explore the efficacy of fenolamide tablets in the treatment of early and middle stage Parkinson's disease, and observe the changes of UPDRS and CGI.
maximum tolerable dose (MTD)
The occurrence of Maximum tolerable dose.
adverse events
The occurrence rate of adverse events.
adverse reactions
The occurrence rate of adverse reactions
blood routine
Check whether the red blood cell system, white blood cell system and platelet system are normal
blood biochemistry
The contents of various ions, sugars, lipids, proteins, enzymes, hormones and metabolites in blood were detected
coagulation function
Four coagulation parameters including prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT) and fibrinogen (FIB) were evaluated.
urine routine
Urine routine examination includes urine color, transparency, pH, red blood cells, white blood cells, epithelial cells, tube type, protein, specific gravity and urine sugar.
stool routine
Routine stool tests include the detection of red and white blood cells in feces, bacterial sensitivity test, occult blood test (OB) and inspection of eggs.
Body temperature
One of the vital signs.
12 lead ECG
Evaluation of QT interval
Blood pressure
Assess whether systolic blood pressure and diastolic blood pressure are normal.
Heart rate
One of the vital signs.
Breathing
Assess if breathing is normal
Cmax, ss
The highest concentration of the drug in the plasma after administration
Cavg, ss
The quotient of the area under the plasma concentration time curve divided by the interval time within a dose interval after the plasma concentration reaches the steady state.
Ke
The ratio of the amount of compound eliminated from the body to the total amount in the body in unit time
t1/2
The time required for the concentration of a drug to drop by half in an organism
CL/F (fenoxamide prototype only)
The amount of a substance excreted by the kidney per minute
Vz/F (fenoxamide prototype only)
After the drug reaches dynamic equilibrium in the body, the ratio of the drug dose in the body to the blood concentration is called the apparent distribution volume
AUC0-24, ss
After administration, the area under the 0-24 hour time curve of blood concentration absorbed into human circulation
AUCinf, ss
After administration, the area under the time curve of 0-infinity of the blood concentration absorbed into human circulation
AUC0-last,ss
After administration, the area under the time curve of 0-the last accurately determined sample collection time of the blood concentration absorbed into human circulation
AUC_%Extrap
the area under the curve that has been derived after extrapolation of Residual Area
DF
The index reflecting the unbalanced situation of transportation in time

Secondary Outcome Measures

Full Information

First Posted
December 28, 2020
Last Updated
December 11, 2021
Sponsor
Shijiazhuang Yiling Pharmaceutical Co. Ltd
Collaborators
Xuanwu Hospital, Beijing
search

1. Study Identification

Unique Protocol Identification Number
NCT04693039
Brief Title
Study on the Safety, Tolerance and Pharmacokinetics of Phenlarmide Tablets
Official Title
A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerance and Pharmacokinetics of Phenlarmide Tablets in Patients With Parkinson's Disease in the Early and Middle Stages
Study Type
Interventional

2. Study Status

Record Verification Date
December 2021
Overall Recruitment Status
Completed
Study Start Date
February 23, 2021 (Actual)
Primary Completion Date
October 29, 2021 (Actual)
Study Completion Date
October 29, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shijiazhuang Yiling Pharmaceutical Co. Ltd
Collaborators
Xuanwu Hospital, Beijing

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To evaluate the safety and tolerability of Phenlarmide tablets in patients with Parkinson's disease in the early and middle stages. To evaluate the pharmacokinetics of Phenlarmide tablets in patients with Parkinson's disease. To explore the efficacy of Phenlarmide tablets in the treatment of early and mid-term Parkinson's disease.
Detailed Description
Objective to evaluate the tolerance and safety of multiple administration of fenloramide tablets in patients with early and mid-term Parkinson's disease: To evaluate the adverse events of DLT and MTD, adverse reactions, clinical laboratory tests (blood routine, blood biochemistry, coagulation function, urine routine, stool routine), vital signs, 12 lead ECG and physical examination of fenloramide tablets in patients with early and mid-term Parkinson's disease . Objective to evaluate the pharmacokinetics of fenloramide tablets in patients with Parkinson's disease in early and middle stages. The main PK parameters included Tmax, SS, Cmax, SS, cavg, SS, Ke, T1 / 2, Cl / F (only fenloramide prototype), VZ / F (only fenloramide prototype), auc0-24, SS, aucinf, SS, auc0 last, SS, AUC_ %Extrap, DF, etc. Objective to explore the efficacy of fenloramide tablets in the treatment of early and mid-term Parkinson's disease, and to observe the changes of UPDRS and CGI.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FLZ-150mg
Arm Type
Experimental
Arm Description
Drug:Phenlarmide;Dosage:150mg;
Arm Title
FLZ-300mg
Arm Type
Experimental
Arm Description
Drug:Phenlarmide;Dosage:300mg;
Arm Title
FLZ-600mg
Arm Type
Experimental
Arm Description
Drug:Phenlarmide;Dosage:600mg;
Arm Title
FLZ-900mg
Arm Type
Experimental
Arm Description
Drug:Phenlarmide;Dosage:900mg;
Arm Title
Placebo-150mg
Arm Type
Placebo Comparator
Arm Description
Drug:Placebo;Dosage:150mg;
Arm Title
Placebo-300mg
Arm Type
Placebo Comparator
Arm Description
Drug:Placebo;Dosage:300mg;
Arm Title
Placebo-600mg
Arm Type
Placebo Comparator
Arm Description
Drug:Placebo;Dosage:600mg;
Arm Title
Placebo-900mg
Arm Type
Placebo Comparator
Arm Description
Drug:Placebo;Dosage:900mg;
Intervention Type
Drug
Intervention Name(s)
Phenlarmide
Other Intervention Name(s)
FLZ-150mg, FLZ-300mg, FLZ-600mg, FLZ-900mg
Intervention Description
Dosage form:Tablet; Give the medicine once a day,4 weeks is a cycle of administration, a total of 3 cycles of administration.
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo-150mg, Placebo-300mg, Placebo-600mg, Placebo-900mg
Intervention Description
Dosage form:Tablet; Give the medicine once a day,4 weeks is a cycle of administration, a total of 3 cycles of administration.
Primary Outcome Measure Information:
Title
the dose limiting toxicity (DLT)
Description
The occurrence of Dose limiting toxicity.
Time Frame
through study completion, an average of 6 months
Title
Tmax, ss
Description
After administration, the time when the highest concentration of drug appeared in plasma
Time Frame
through study completion, an average of 6 months
Title
Efficacy evaluation
Description
explore the efficacy of fenolamide tablets in the treatment of early and middle stage Parkinson's disease, and observe the changes of UPDRS and CGI.
Time Frame
through study completion, an average of 6 months
Title
maximum tolerable dose (MTD)
Description
The occurrence of Maximum tolerable dose.
Time Frame
through study completion, an average of 6 months
Title
adverse events
Description
The occurrence rate of adverse events.
Time Frame
through study completion, an average of 6 months
Title
adverse reactions
Description
The occurrence rate of adverse reactions
Time Frame
through study completion, an average of 6 months
Title
blood routine
Description
Check whether the red blood cell system, white blood cell system and platelet system are normal
Time Frame
through study completion, an average of 6 months
Title
blood biochemistry
Description
The contents of various ions, sugars, lipids, proteins, enzymes, hormones and metabolites in blood were detected
Time Frame
through study completion, an average of 6 months
Title
coagulation function
Description
Four coagulation parameters including prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT) and fibrinogen (FIB) were evaluated.
Time Frame
through study completion, an average of 6 months
Title
urine routine
Description
Urine routine examination includes urine color, transparency, pH, red blood cells, white blood cells, epithelial cells, tube type, protein, specific gravity and urine sugar.
Time Frame
through study completion, an average of 6 months
Title
stool routine
Description
Routine stool tests include the detection of red and white blood cells in feces, bacterial sensitivity test, occult blood test (OB) and inspection of eggs.
Time Frame
through study completion, an average of 6 months
Title
Body temperature
Description
One of the vital signs.
Time Frame
through study completion, an average of 6 months
Title
12 lead ECG
Description
Evaluation of QT interval
Time Frame
through study completion, an average of 6 months
Title
Blood pressure
Description
Assess whether systolic blood pressure and diastolic blood pressure are normal.
Time Frame
through study completion, an average of 6 months
Title
Heart rate
Description
One of the vital signs.
Time Frame
through study completion, an average of 6 months
Title
Breathing
Description
Assess if breathing is normal
Time Frame
through study completion, an average of 6 months
Title
Cmax, ss
Description
The highest concentration of the drug in the plasma after administration
Time Frame
through study completion, an average of 6 months
Title
Cavg, ss
Description
The quotient of the area under the plasma concentration time curve divided by the interval time within a dose interval after the plasma concentration reaches the steady state.
Time Frame
through study completion, an average of 6 months
Title
Ke
Description
The ratio of the amount of compound eliminated from the body to the total amount in the body in unit time
Time Frame
through study completion, an average of 6 months
Title
t1/2
Description
The time required for the concentration of a drug to drop by half in an organism
Time Frame
through study completion, an average of 6 months
Title
CL/F (fenoxamide prototype only)
Description
The amount of a substance excreted by the kidney per minute
Time Frame
through study completion, an average of 6 months
Title
Vz/F (fenoxamide prototype only)
Description
After the drug reaches dynamic equilibrium in the body, the ratio of the drug dose in the body to the blood concentration is called the apparent distribution volume
Time Frame
through study completion, an average of 6 months
Title
AUC0-24, ss
Description
After administration, the area under the 0-24 hour time curve of blood concentration absorbed into human circulation
Time Frame
through study completion, an average of 6 months
Title
AUCinf, ss
Description
After administration, the area under the time curve of 0-infinity of the blood concentration absorbed into human circulation
Time Frame
through study completion, an average of 6 months
Title
AUC0-last,ss
Description
After administration, the area under the time curve of 0-the last accurately determined sample collection time of the blood concentration absorbed into human circulation
Time Frame
through study completion, an average of 6 months
Title
AUC_%Extrap
Description
the area under the curve that has been derived after extrapolation of Residual Area
Time Frame
through study completion, an average of 6 months
Title
DF
Description
The index reflecting the unbalanced situation of transportation in time
Time Frame
through study completion, an average of 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
30 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Understand and sign the informed consent, understand the research process and requirements, and volunteer to participate in the study; over 30 years old and have no gender limit; Patients diagnosed with Parkinson's disease according to the Chinese diagnostic criteria for Parkinson's disease (2016 Edition); Hoehn-Yahr grade ≤ 3; The Unified Parkinson's disease scale (UPDRS) motor score (Part III) ≥ 10; Not using anti Parkinson's disease drugs within 28 days before enrollment; If the subjects are receiving dopamine receptor agonists (such as Pramipexole, etc.), anticholinergic drugs (such as Benzhexol Hydrochloride, etc.), monoamine oxidase B (MAO-B) inhibitors (such as Selegiline, Rasagiline, etc.), and N-methyl-D-aspartate (NMDA) receptor antagonists (such as Amantadine), they should stop using the drugs 28 days before the screening period; Patients who had been treated with levodopa preparation (including levodopa compound preparation) for less than 6 months before screening, and had not received levodopa preparation treatment within 28 days before screening period. Exclusion Criteria: Atypical Parkinson's symptoms due to the use of drugs (such as Flunarizine, Metoclopramide), nervous system diseases, genetic metabolic diseases, encephalitis, cerebrovascular diseases or other degenerative diseases (such as progressive supranuclear paralysis); Patients with dementia, active mental illness or hallucination, severe depression (Beck Depression Scale - Ⅱ ≥ 29 points at screening), or Mini-Mental State Examination (MMSE) < 25 points; Those who have received neurosurgical operation or electrical stimulation (such as pallidotomy, thalamotomy, deep brain electrical stimulation, etc.); Patients with clinically significant abnormal liver function were defined as total bilirubin > 1.5 times of the upper limit of normal value or alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2 times of the upper limit of normal value; Patients with clinically significant renal dysfunction: creatinine clearance rate (CCR) < 30 ml / min (using Cockcroft-Gault formula); Patients with uncontrollable or severe cardiovascular diseases, including NYHA grade II or above congestive heart failure, unstable angina pectoris, myocardial infarction, arrhythmia requiring treatment at the time of screening, and QTc interval prolongation more than 480ms, in 6 months before the first administration of trial drug; There is a history of heart, liver, kidney, respiratory, digestive, endocrine, immune or blood system diseases considered by researchers to be serious; During the screening period, the patients with HIV positive, HBV or HCV infection and syphilis infection were active; Patients with malignant tumor within 5 years before screening were excluded from cervical carcinoma in situ, skin basal cell or squamous cell carcinoma, local prostate cancer after radical operation and breast intraductal carcinoma in situ after radical operation; There were significant food or drug allergy history or hypersensitivity reaction judged by researchers as having clinical significance; Participants in any clinical trials within 3 months before administration of the study; Pregnant or lactating women, or those whose serum hCG test is positive before trial administration, who are unable or unwilling to take contraceptive measures approved by the researcher during the study period and within 3 months after the end of the study according to the instructions of the researcher; Those considered unsuitable by the researchers to participate in this clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
biao chen
Organizational Affiliation
Xuanwu Hospital, Beijing
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chen Biao
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100053
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study on the Safety, Tolerance and Pharmacokinetics of Phenlarmide Tablets

We'll reach out to this number within 24 hrs