A Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Single and Multiple Doses of Donepezil with Glycopyrrolate or Trospium in Elderly Volunteers
- Conditions
- Alzheimer's diseasedementia1004225810012272
- Registration Number
- NL-OMON45462
- Lead Sponsor
- Axovant Sciences Ltd.
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 75
1. Healthy as determined by the Investigator, based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring. A subject with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included only if in the opinion of the Investigator that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures. The Medical Monitor may be consulted as needed.
2. Male or female age 55 and above at screening.
3. A female subject is eligible to participate if she is of:
* Non-childbearing potential defined as pre-menopausal females with a documented bilateral tubal ligation, bilateral oophorectomy (removal of the ovaries) or hysterectomy; hysteroscopic sterilization, or postmenopausal defined as 12 months of spontaneous amenorrhea [in questionable cases a blood sample with simultaneous follicle stimulating hormone (FSH) > 40 mlU/ml is confirmatory]. Documented verbal history from the subject is acceptable.
* Child-bearing potential and agrees to use one of the contraception methods listed in Section 5.6.1 for an appropriate period of time (as determined by the product label or Investigator) prior to the start of dosing to sufficiently minimize the risk of pregnancy at that point. Female subjects must agree to use contraception until 1 month after the follow-up visit.
4. Male subjects must agree to use one of the contraception methods listed in Section 5.6.1. This criterion must be followed from the time of the first dose of study medication until 14 days after the last dose of study medication.
5. Body weight * 50 kg for men and * 45 kg for women and Body Mass Index within the range 18.5-31.0 kg/m2 (inclusive).
6. Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
1. The subject has a positive urine drug/alcohol breath screen at screening and Day -1. A minimum list of drugs that will be screened for in included in Section 7.5.4.
2. A positive Hepatitis B surface antigen or positive Hepatitis C antibody result at screening.
3. A positive test for human immunodeficiency virus (HIV) antibody at screening.
4. Aspartate aminotransferase (AST), alanine aminotransferase (ALT), direct bilirubin values greater than 1.25x the upper limit of normal (ULN) at screening and Day -1. A single repeat is allowed for eligibility determination.
5. Moderate or heavy users of tobacco- or nicotine-containing products within 1 month prior to screening. Light smokers (< 5 cigarettes per day or equivalent) may be enrolled.
6. History of regular alcohol consumption within 6 months of the study defined as:
* An average weekly intake of >21 drinks/week for men or >14 drinks/week for women.
7. The subject has received an investigational product (including placebo) within the following time period prior to the first dosing day in the current study: 60 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
8. Other than those medications outlined in Section 6.9.1, use of prescription or non-prescription drugs, herbal and dietary supplements (including St John*s Wort) within 7 days (or 14 days if the drug is a potential enzyme inducer) or 5 half-lives (whichever is longer) prior to the first dose of study medication, unless in the opinion of the Investigator and Medical Monitor the medication will not interfere with the study procedures or compromise subject safety. Vitamins must be discontinued 2 days prior to the first dose of study medication.
9. Consumption of Seville oranges or grapefruit (or their juices) from 7 days prior to the first dose of study medication.
10. History of clinically significant sensitivity to any of the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the Investigator or Medical Monitor, contraindicates their participation.
11. If heparin is used during PK sampling, subjects with a history of sensitivity to heparin or heparin-induced thrombocytopenia should not be enrolled.
12. Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 60 day period.
13. Pregnant females as determined by positive serum or urine human chorionic gonadotropin test at screening or prior to first dosing.
14. Lactating females.
15. Subjects with a pre-existing condition interfering with normal gastrointestinal anatomy, function, or motility, hepatic and/or renal function that could interfere with the absorption, metabolism, and/or excretion of the study drugs. Subjects with a history of cholecystectomy should be excluded.
16. History of significant pulmonary, renal, gastrointestinal, ophthalmologic, genitourinary, or hepatic diseases.
17. History/evidence of symptomatic arrhythmia, angina/ischemia, coronary artery bypass grafting surgery or percutaneous transluminal coronary angioplasty or any clinically significant cardiac disease.
18. Exclusion criteria for screening ECG (a single repeat is allowed for eligibility determination):
Heart rate <45 and >100 bpm
PR Interval <120 and >220 msec
QRS duration <70 and >120 msec
QTcF interval >450 msec ;* Any conduction abn
Study & Design
- Study Type
- Observational invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>Safety, Tolerability and Pharmacokinetics</p><br>
- Secondary Outcome Measures
Name Time Method <p>N.A.</p><br>