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临床试验/2023-509432-25-00
2023-509432-25-00招募中2 期

STS-001: An explorative clinical study to assess the potential of intravenously administered sodium thiosulfate in subjects with primary Raynaud’s phenomenon

Universitair Medisch Centrum Groningen1 个研究点 分布在 1 个国家目标入组 12 人开始时间: 2025年9月18日最近更新:

试验速览

阶段
2 期
状态
招募中
入组人数
12
试验地点
1
主要终点
For each treatment:area under the cooling and rewarming curve (AUC) and mean ischemic time of one hand assessed by cooling and recovery photo-electric plethysmography (PPG, BIOPAC)

研究概览

简要总结

To determine the effect of increasing doses of intravenously administered STS on the magnitude of vasodilatation in subjects with Raynaud’s phenomenon

研究设计

分配方式
Non-randomized
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 years 至 64 years(18-64 Years)
接受健康志愿者

入选标准

  • Ability and willingness to abstain from methylxanthine-containing beverages or food (coffee, tea, cola, chocolate, energy drinks) and grapefruit (juice) from 48 hours (2 days) prior to each admission to the clinical research center
  • Diagnosed with primary Raynaud’s phenomenon
  • Subject understands the study procedures and agrees to participate in the study by giving written informed consent.
  • Female or male
  • No clinically significant abnormality on 12-lead ECG performed at screening
  • Willing to comply with all study related procedures and restrictions;
  • Subject is a non-smoker or previous smoker who stopped smoking more than 3 months ago;
  • Subjects must have an estimated glomerular filtration rate (eGFR) corrected for their body surface area of ≥90 mL/min based on the CKD-EPI equation, with a single repeat permitted to assess eligibility, if needed;
  • All prescribed medication (except for oral contraceptives) must have been stopped at least 14 days prior to each admission to the clinical research center
  • Ability and willingness to abstain from alcohol from 48 hours (2 days) prior to screening and each admission to the clinical research center

排除标准

  • In case of females, subject is pregnant or breast feeding
  • Subject has had major surgery, donated or lost 1 unit of blood (approximately 500 mL) within 3 months prior to the screening visit
  • Unsuitable veins for blood sampling;
  • Significant and/or acute illness within 5 days prior to drug administration that may impact safety assessments, in the opinion of the Investigator
  • Presence of abnormal capillary microscopy or other structural vascular abnormalities of forearm, hands, and fingers;
  • Patients with concomitant cardiovascular disease like hypertension and previous cerebrovascular events
  • Asthma patients
  • Presence of auto-antibodies associated with secondary causes of Raynaud’s phenomenon;
  • Any secondary disease associated with Raynaud’s phenomenon i.e. systemic autoimmune disease, other structural vascular or systemic diseases associated with Raynaud’s;
  • Any invasive radiological, anesthesiologic or surgical procedure performed for Raynaud’s phenomenon
  • History of digital ulcers
  • History of severe trauma to forearm, hands and fingers
  • Subject is mentally or legally incapacitated, has significant emotional problems at the time of screening visit or expected during the conduct of the study or has a history of a clinically significant psychiatric disorder over the last year;
  • Subject is unable to refrain from or anticipates the use of any medication throughout the study
  • Subject consumes excessive amounts of alcohol, defined as greater than 21 glasses of alcoholic beverages (1 glass is approximately equivalent to: beer (284 mL), wine (125 mL), or distilled spirits (25 mL) per week;

结局指标

主要结局

For each treatment:area under the cooling and rewarming curve (AUC) and mean ischemic time of one hand assessed by cooling and recovery photo-electric plethysmography (PPG, BIOPAC)

For each treatment:area under the cooling and rewarming curve (AUC) and mean ischemic time of one hand assessed by cooling and recovery photo-electric plethysmography (PPG, BIOPAC)

For each treatment: regions of interest peripheral blood perfusion of same hand by FLIR thermography system (FLIR E53)

For each treatment: regions of interest peripheral blood perfusion of same hand by FLIR thermography system (FLIR E53)

次要结局

  • Pharmacokinetics: Determination and comparison of AUC0-t, AUC0-inf Cmax after increasing dose regimens of intravenously administered STS
  • Pharmacokinetics: Determination and comparison of steady-state levels after increasing dose regimens of intravenously administered STS
  • Pharmacokinetics: Determination and comparison of elimination PK parameters after increasing dose regimens of intravenously administered STS
  • Pharmacokinetics: Determination of endogenous STS levels (based on various pre-dose levels) in Raynaud’s patients
  • Safety and tolerability as evidenced by: Incidence of treatment-emergent adverse events (TEAEs)
  • Safety and tolerability as evidenced by: ECG
  • Safety and tolerability as evidenced by: Continuous blood pressure measurement (Finapress)
  • Safety and tolerability as evidenced by: Local tolerability at vein of intravenous administration
  • Pharmacodynamics: Oxidative stress (systemic free thiols, plasma malondialdehyde (MDA))
  • Pharmacodynamics: Inflammation (circulating pro-inflammatory cytokines e.g. IL-6, IL-1 beta and TNFalpha)
  • Pharmacodynamics: Endothelial activation (circulating adhesion molecules)

研究者

申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

dr. Udo Mulder

Scientific

Universitair Medisch Centrum Groningen

研究点 (1)

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