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A Study in Healthy Men to Test Whether BI 409306, BI 425809 or Lamotrigine Can Reverse the Memory Problems Caused by Ketamine

Phase 1
Completed
Conditions
Healthy
Interventions
Registration Number
NCT04602221
Lead Sponsor
Boehringer Ingelheim
Brief Summary

The main objective of this trail is to investigate if and to what extent BI 409306, BI 425809 and lamotrigine attenuate ketamine induced cognitive deficits.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
40
Inclusion Criteria
  1. Healthy male subjects according to the assessment of the investigator, as based on a complete medical history including a physical examination, vital signs (BP, PR), 12-lead ECG, and clinical laboratory tests

  2. Age of 18 to 55 years (inclusive)

  3. BMI of 18.5 to 32 kg/m2 (inclusive)

  4. Signed and dated written informed consent prior to admission to the study, in accordance with GCP and local legislation

  5. Male subjects who meet any of the following criteria from at least 30 days before the first administration of trial medication until 30 days after trial completion:

    • Use of adequate contraception, e.g. use of condom (male subjects) plus any of the following methods (female partners): intrauterine device, hormonal contraception (e.g. implants, injectables, combined oral or vaginal contraceptives) that started at least 2 months prior to first drug administration, or barrier method (e.g. diaphragm with spermicide)
    • Sexually abstinent
    • Vasectomised (vasectomy at least 1 year prior to enrolment)
    • Surgically sterilised female partner (including hysterectomy, bilateral tubal occlusion or bilateral oophorectomy)
    • Postmenopausal female partner, defined as at least 1 year of spontaneous amenorrhea
Exclusion Criteria
  1. Any finding in the medical examination (including ECG) deviating from normal and assessed as clinically relevant by the investigator
  2. Repeated measurement of systolic blood pressure outside the range of 100 to 140 mmHg, diastolic blood pressure outside the range of 50 to 90 mmHg, or pulse rate outside the range of 50 to 90 bpm
  3. Any laboratory value outside the reference range that the investigator considers to be of clinical relevance
  4. Any evidence of a concomitant disease assessed as clinically relevant by the investigator
  5. Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
  6. Cholecystectomy or other surgery of the gastrointestinal tract that could interfere with the pharmacokinetics of the trial medication (except appendectomy or simple hernia repair)
  7. History of diseases of the central nervous system (including but not limited to any kind of seizures or stroke), and other relevant neurological or psychiatric disorders
  8. History of relevant orthostatic hypotension, fainting spells, or blackouts Further exclusion criteria apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Treatment sequence: T1-T2-RBI 409306Treatments: T1: Lamotrigine T2: BI 409306 T3: BI 425809 R: Placebo
Treatment sequence: T1-T2-RPlaceboTreatments: T1: Lamotrigine T2: BI 409306 T3: BI 425809 R: Placebo
Treatment sequence: T1-R-T2BI 409306-
Treatment sequence: T1-R-T2Placebo-
Treatment sequence: T1-T3-RPlacebo-
Treatment sequence: T1-T3-RBI 425809-
Treatment sequence: T1-R-T3Placebo-
Treatment sequence: T1-R-T3BI 425809-
Treatment sequence: T2-T1-RBI 409306-
Treatment sequence: T2-T1-RPlacebo-
Treatment sequence: T2-R-T1BI 409306-
Treatment sequence: T2-R-T1Placebo-
Treatment sequence: T2-T3-RPlacebo-
Treatment sequence: T2-R-T3BI 409306-
Treatment sequence: T2-R-T3Placebo-
Treatment sequence: T3-R-T1Placebo-
Treatment sequence: T3-R-T1BI 425809-
Treatment sequence: T3-T1-RPlacebo-
Treatment sequence: T3-T1-RBI 425809-
Treatment sequence: T3-T2-RBI 409306-
Treatment sequence: T3-T2-RPlacebo-
Treatment sequence: T3-T2-RBI 425809-
Treatment sequence: T3-R-T2BI 409306-
Treatment sequence: T3-R-T2Placebo-
Treatment sequence: R-T1-T2BI 409306-
Treatment sequence: R-T1-T2Placebo-
Treatment sequence: R-T2-T1Lamotrigine-
Treatment sequence: R-T2-T1BI 409306-
Treatment sequence: R-T2-T1Placebo-
Treatment sequence: R-T1-T3BI 425809-
Treatment sequence: R-T1-T3Placebo-
Treatment sequence: R-T3-T1Placebo-
Treatment sequence: R-T3-T1BI 425809-
Treatment sequence: R-T2-T3BI 409306-
Treatment sequence: R-T2-T3Placebo-
Treatment sequence: R-T2-T3BI 425809-
Treatment sequence: R-T3-T2BI 409306-
Treatment sequence: R-T3-T2Placebo-
Treatment sequence: R-T3-T2BI 425809-
Treatment sequence: T2-T3-RBI 425809-
Treatment sequence: T3-R-T2BI 425809-
Treatment sequence: T2-R-T3BI 425809-
Treatment sequence: T2-T3-RBI 409306-
Treatment sequence: R-T1-T2Lamotrigine-
Treatment sequence: T3-R-T1Lamotrigine-
Treatment sequence: T1-T2-RLamotrigineTreatments: T1: Lamotrigine T2: BI 409306 T3: BI 425809 R: Placebo
Treatment sequence: T1-R-T2Lamotrigine-
Treatment sequence: T1-T3-RLamotrigine-
Treatment sequence: T1-R-T3Lamotrigine-
Treatment sequence: T2-T1-RLamotrigine-
Treatment sequence: T2-R-T1Lamotrigine-
Treatment sequence: T3-T1-RLamotrigine-
Treatment sequence: R-T1-T3Lamotrigine-
Treatment sequence: R-T3-T1Lamotrigine-
Primary Outcome Measures
NameTimeMethod
Paired Associate Learning (PAL) Total Errors Adjusted (PALTEA28) on KetamineAt 4:20 and 5:06 hours:minutes after first drug administration in each treatment period.

Paired Associate Learning (PAL) assesses visual memory and new learning. Boxes are displayed on the screen and open in turn to reveal a number of patterns. Participants are instructed to try to remember the location in which each pattern was shown. After all the boxes have been opened, each pattern is then shown in the center of the screen in a randomised order, and the participant touches the box in which the pattern was located. If an error is made, all the patterns are re-presented to remind the participant of their locations.

The PALTEA28 evaluates the number of errors committed by the subject plus an adjustment for the estimated number of errors they would have made on any stages that were not reached. Calculated across all assessed two, four, six and eight box trials.

Secondary Outcome Measures
NameTimeMethod
Spatial Working Memory (SWM) Between Errors (BE468) on KetamineAt 4:20 and 5:06 hours:minutes after first drug administration in each treatment period.

SWM assesses the ability of the participant to retain spatial information and manipulate it in working memory. A number of coloured boxes are presented on the screen, and the computer hides a token in these boxes one at a time. The participant is instructed to touch the boxes in turn to search for the token that has been hidden. The key task instruction is that the computer will never hide a token in the same coloured box twice in the same problem.

The SWMBE468 evaluates the number of times the subject incorrectly revisits a box in which a token has previously been found. Calculated across all assessed four, six and eight token trials.

Rapid Visual Information Processing A' Prime (RVPA) on KetamineAt 4:20 and 5:06 hours:minutes after first drug administration in each treatment period.

Rapid Visual Information Processing (RVP) is a sensitive measure of sustained attention, outputting measures of response accuracy, target sensitivity and reaction times.

The RVPA is a quantitative measure for a subject's sensitivity to the target sequence regardless of response tendency. The RVPA ranges from 0.00 to 1.00. The higher the RVPA value, the better the sensitivity to the target sequence one has.

Trial Locations

Locations (2)

Hassman Research Institute

🇺🇸

Marlton, New Jersey, United States

Collaborative Neuroscience Research, LLC

🇺🇸

Long Beach, California, United States

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