跳至主要内容
临床试验/NCT01788254
NCT01788254已完成1 期

Open Label Study for the Functional Characterization of Drug Metabolism and Transport

Matthias Schwab2 个研究点 分布在 1 个国家目标入组 144 人开始时间: 2012年1月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
入组人数
144
试验地点
2
主要终点
Blood levels and clearance (dose/AUC) of midazolam

研究概览

简要总结

Aim of this study is to comprehensively assess in healthy volunteers the metabolic processes and factors that define drug response. Sources of variability are to be investigated and factors that can alter the hepatic metabolism and the pharmacokinetics of drugs shall be quantified.

Determination of variability is important when the pharmacokinetics of new drugs is being investigated and when the concept of individualized medicine is to be further developed. It is important to identify and differentiate between pharmaceutical, physiological (e.g. liver blood flow, renal function), environmental (e.g. foods and lifestyle), and genetic sources of inter-individual variability. For instance, inaccurate or false conclusions may be drawn from a single pharmacokinetic study, if the investigated medicine is metabolized by an enzyme with large inter-individual variability. Knowing the causes of variability and of the quantitative contribution of various processes might help to improve the oral formulations of drugs, might help selecting the right preclinical tests and selection criteria during clinical development, provide the basis to understand the influence of disease and to optimize established drug treatments in order to make future drug treatment safer and more efficient.

This study is designed as an add-on to the study "TWINS: Open Label Repeated Dose Study for the Evaluation of Heritability of and Genetic Influences on Drug Pharmacokinetics" (Eudra-CT: 2008-006223-31). Twins are not a random sample of the population, and they differ in their developmental environment. In this sense they are not representative for the population Thus, the results of TWINS cannot be automatically generalized but instead require validation in a representative population sample. While both studies assess pharmacologic factors important for drug response, TWINS contributes in particular data on the heritability of these processes.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Basic Science
盲法
None

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Written informed consent obtained prior to study entry including informed consent for genetic research
  • Both genders (male and female)
  • Healthy adults aged ≥18 to <65 years
  • Bodyweight not less than 48 kg and not more than 120 kg. BMI not less than 18 kg/m² and not greater than 33 kg/m².
  • Smokers and nonsmokers. Smoking siblings will only be included if both siblings are smoking to a similar extend (+/- 10 cigarettes per day)
  • healthy volunteers
  • Dizygotic twins will only be included if both siblings are of the same gender, either male or female and triplets, quadruplets or other multiplets if at least two siblings of the same gender are considered.

排除标准

  • Participation in a clinical trial involving the administration of medicines during the last 30 days or use of any other investigational or non-registered drug or vaccine during the study period or within 30 days preceding the first dose of study drugs
  • Blood, plasma or thrombocyte donation during the last 30 days prior to application of the test drugs.
  • Pregnancy or lactation period
  • Any relevant clinical and pathological findings at physical examination, ECG, taking blood pressure or in clinical chemistry tests (deviation of more than 10% of the normal range).
  • Positive signal from urinary drug test
  • Raynaud's syndrome
  • Taking any medication within 7 days before or during the trial with the following exceptions: Single doses of mild analgesics (e.g. aspirin, paracetamol, ibuprofen) an oral contraceptives.
  • History of severe hypersensitivity reactions and anaphylaxis.
  • History of intolerance or allergic reactions to or contraindication for any of the investigational products.
  • Clinically significant diseases as judged by the investigator.
  • Contraindication against MRI.

研究组 & 干预措施

Drug cocktail

Experimental

A single oral low dose of codeine 5 mg and midazolam 1 mg administered as drop, pravastatin 5 mg, talinolol 2.5 mg, and torsemide 0.25 mg provided in capsules will be given together at the same time point (cocktail).

干预措施: Codeine (Drug)

Drug cocktail

Experimental

A single oral low dose of codeine 5 mg and midazolam 1 mg administered as drop, pravastatin 5 mg, talinolol 2.5 mg, and torsemide 0.25 mg provided in capsules will be given together at the same time point (cocktail).

干预措施: Midazolam (Drug)

Drug cocktail

Experimental

A single oral low dose of codeine 5 mg and midazolam 1 mg administered as drop, pravastatin 5 mg, talinolol 2.5 mg, and torsemide 0.25 mg provided in capsules will be given together at the same time point (cocktail).

干预措施: pravastatin (Drug)

Drug cocktail

Experimental

A single oral low dose of codeine 5 mg and midazolam 1 mg administered as drop, pravastatin 5 mg, talinolol 2.5 mg, and torsemide 0.25 mg provided in capsules will be given together at the same time point (cocktail).

干预措施: Talinolol (Drug)

Drug cocktail

Experimental

A single oral low dose of codeine 5 mg and midazolam 1 mg administered as drop, pravastatin 5 mg, talinolol 2.5 mg, and torsemide 0.25 mg provided in capsules will be given together at the same time point (cocktail).

干预措施: torsemide (Drug)

结局指标

主要结局

Blood levels and clearance (dose/AUC) of midazolam

时间窗: 8 hours

Blood levels and clearance (dose/AUC) of talinolol

时间窗: 8h

Blood levels and clearance (dose/AUC) of pravastatin

时间窗: 8h

Blood levels and clearance (dose/AUC) of torsemide

时间窗: 8h

Blood levels and clearance (dose/AUC) of codeine

时间窗: 8h

次要结局

  • determine metabolite profile(8 hours)

研究者

申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Matthias Schwab

Prof. M.D.

University Hospital Tuebingen

研究点 (2)

Loading locations...

相似试验

Open Label Study for the Functional Characterization... | 临床试验