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Study to Assess the Influence of Three Different α-antagonists and Placebo on the Extent of Weekly Phenylephrine-induced Mydriasis at Three Different Concentrations of Phenylephrine in Healthy Male Volunteers

Primary Purpose

Healthy

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Tamsulosin
Alfuzosin
Doxazosin
Placebo
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Healthy

Eligibility Criteria

21 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy male
  • Age ≥ 21 and ≤ 55 years
  • Body Mass Index (BMI) ≥ 18.5 and ≤ 29.9 kg/m2
  • Signed and dated written informed consent in accordance with Good Clinical Practice (GCP) and local legislation

Exclusion Criteria:

  • Any finding of the medical examination (including blood pressure, pulse rate and Electrocardiogram (ECG)) deviating from normal and of clinical relevance
  • Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
  • Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
  • History of orthostatic hypotension, fainting spells or blackouts
  • Chronic or relevant acute infections
  • History of allergy/hypersensitivity (including drug allergy) which is deemed relevant to the trial as judged by the investigator
  • Intake of drugs with a long half-life (> 24:00 hours) within at least one month or less than ten half-lives of the respective drug before enrolment in the study or during the study
  • Use of any drugs which might influence the results of the trial up to seven days prior to enrolment in the study or during the study
  • Participation in another trial with an investigational drug (≤ two months prior to administration or during the trial)
  • Smoker (> 10 cigarettes or > 3 cigars or > 3 pipes/day)
  • Inability to refrain from smoking on in-house trial days
  • Alcohol abuse (> 60 g/day)
  • Drug abuse
  • Blood donation (≥ 100 mL within four weeks prior to administration or during the trial)
  • Any laboratory value outside the clinically accepted reference range
  • Excessive physical activities within the last week before the trial or during the trial

The following exclusion criteria are of special interest for this study:

  • Hypersensitivity to any alpha agonist, or to phenylephrine
  • Supine blood pressure at screening of systolic < 110 mmHg and diastolic < 60 mmHg
  • Ophthalmological criteria:

    • Corrected visual acuity < 0.5
    • Refractive Error with a spherical equivalent > +6 or smaller - 6 D
    • Elevated intraocular pressure (higher than 22 mmHg)
    • Relevant anisocoria or pupil deformation
    • History of eye surgery apart from laser trabeculoplasty less than three months previously or extraocular surgery such as strabismus surgery
    • Topical ocular medication influencing IOP (intraocular pressure) or pupil size within 3 months prior to study-start

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    Tamsulosin

    Alfuzosin

    Doxazosin

    Placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    Sum of changes from baseline in the mean pupil diameters

    Secondary Outcome Measures

    Change from baseline in mean diameter of both pupils
    Change from baseline in mean diameter of both pupils
    Concentration of the analyte in plasma
    Number of participants with clinically significant changes in vital signs
    Number of participants with abnormal changes in clinical laboratory parameters
    Number of participants with Adverse Events
    Assessement of global tolerability by investigator on a 4 point scale

    Full Information

    First Posted
    October 16, 2014
    Last Updated
    October 16, 2014
    Sponsor
    Boehringer Ingelheim
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02266537
    Brief Title
    Study to Assess the Influence of Three Different α-antagonists and Placebo on the Extent of Weekly Phenylephrine-induced Mydriasis at Three Different Concentrations of Phenylephrine in Healthy Male Volunteers
    Official Title
    A Parallel Group Study With Three Different α-antagonists and Placebo Once Daily Over Three Weeks to Assess Their Influence on the Extent of Weekly Phenylephrine-induced Mydriasis at Three Different Concentrations of Phenylephrine in Healthy Male Volunteers
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    November 2005 (undefined)
    Primary Completion Date
    February 2006 (Actual)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Boehringer Ingelheim

    4. Oversight

    5. Study Description

    Brief Summary
    The study was aimed to evaluate the pharmacological effect of different α-antagonists on phenylephrine induced pupil size in healthy male volunteers as pharmacological basis for Intraoperative floppy iris syndrome (IFIS)

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    Double
    Allocation
    Randomized
    Enrollment
    97 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Tamsulosin
    Arm Type
    Experimental
    Arm Title
    Alfuzosin
    Arm Type
    Experimental
    Arm Title
    Doxazosin
    Arm Type
    Experimental
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Tamsulosin
    Other Intervention Name(s)
    Alna®
    Intervention Type
    Drug
    Intervention Name(s)
    Alfuzosin
    Other Intervention Name(s)
    Uroxatral® uno
    Intervention Type
    Drug
    Intervention Name(s)
    Doxazosin
    Other Intervention Name(s)
    Cardular PP Uro®
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Primary Outcome Measure Information:
    Title
    Sum of changes from baseline in the mean pupil diameters
    Time Frame
    Baseline, 60 and 80 min after administration of phenylephrine (PE)
    Secondary Outcome Measure Information:
    Title
    Change from baseline in mean diameter of both pupils
    Time Frame
    Baseline, 60 and 80 min after administration of phenylephrine (PE)
    Title
    Change from baseline in mean diameter of both pupils
    Time Frame
    one week after cessation of drug
    Title
    Concentration of the analyte in plasma
    Time Frame
    Up to 29 days after first administration of α-antagonists
    Title
    Number of participants with clinically significant changes in vital signs
    Time Frame
    Up to 8 days after last pupillometry
    Title
    Number of participants with abnormal changes in clinical laboratory parameters
    Time Frame
    Up to 8 days after last pupillometry
    Title
    Number of participants with Adverse Events
    Time Frame
    Up to 8 days after last pupillometry
    Title
    Assessement of global tolerability by investigator on a 4 point scale
    Time Frame
    8 days after last pupillometry

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    21 Years
    Maximum Age & Unit of Time
    55 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Healthy male Age ≥ 21 and ≤ 55 years Body Mass Index (BMI) ≥ 18.5 and ≤ 29.9 kg/m2 Signed and dated written informed consent in accordance with Good Clinical Practice (GCP) and local legislation Exclusion Criteria: Any finding of the medical examination (including blood pressure, pulse rate and Electrocardiogram (ECG)) deviating from normal and of clinical relevance Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders History of orthostatic hypotension, fainting spells or blackouts Chronic or relevant acute infections History of allergy/hypersensitivity (including drug allergy) which is deemed relevant to the trial as judged by the investigator Intake of drugs with a long half-life (> 24:00 hours) within at least one month or less than ten half-lives of the respective drug before enrolment in the study or during the study Use of any drugs which might influence the results of the trial up to seven days prior to enrolment in the study or during the study Participation in another trial with an investigational drug (≤ two months prior to administration or during the trial) Smoker (> 10 cigarettes or > 3 cigars or > 3 pipes/day) Inability to refrain from smoking on in-house trial days Alcohol abuse (> 60 g/day) Drug abuse Blood donation (≥ 100 mL within four weeks prior to administration or during the trial) Any laboratory value outside the clinically accepted reference range Excessive physical activities within the last week before the trial or during the trial The following exclusion criteria are of special interest for this study: Hypersensitivity to any alpha agonist, or to phenylephrine Supine blood pressure at screening of systolic < 110 mmHg and diastolic < 60 mmHg Ophthalmological criteria: Corrected visual acuity < 0.5 Refractive Error with a spherical equivalent > +6 or smaller - 6 D Elevated intraocular pressure (higher than 22 mmHg) Relevant anisocoria or pupil deformation History of eye surgery apart from laser trabeculoplasty less than three months previously or extraocular surgery such as strabismus surgery Topical ocular medication influencing IOP (intraocular pressure) or pupil size within 3 months prior to study-start

    12. IPD Sharing Statement

    Links:
    URL
    http://trials.boehringer-ingelheim.com
    Description
    Related Info

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    Study to Assess the Influence of Three Different α-antagonists and Placebo on the Extent of Weekly Phenylephrine-induced Mydriasis at Three Different Concentrations of Phenylephrine in Healthy Male Volunteers

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