MedPath

Trial to Evaluate the Pharmacokinetics, Safety, and Tolerability of Rotigotine in Healthy Korean Subjects

Phase 1
Completed
Conditions
Parkinson's Disease
Interventions
Other: Placebo
Registration Number
NCT01964573
Lead Sponsor
UCB Pharma
Brief Summary

The objective of this trial is to investigate the PK (Pharmacokinetic) of repeated-dose applications of the Rotigotine transdermal patch in healthy young male and female Korean subjects to be submitted to MFDS for new drug application approval.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
48
Inclusion Criteria
  • Subject is male or female and aged between 19 and 45 years of age (inclusive)
  • Subject is healthy (no clinically relevant findings in any of the investigations of the pre-examination) as judged by the investigator
  • Subject is of normal body weight as determined by a Body Mass Index (BMI) between 18 and 28 kg / m²
  • Subject is Korean (both parents are pure Korean)
Exclusion Criteria
  • Subject has had a history of drug or alcohol abuse within the last 2 years
  • Subject has had a history of transient ischemic attack or stroke within the last 12 months
  • Subject has a history or current condition of Epilepsy and / or seizures
  • Subject has a history of significant skin hypersensitivity to adhesives or other transdermal products or recently unsolved Contact Dermatitis
  • Subject has a history or present condition of an Atopic or Eczematous Dermatitis, Psoriasis, and / or an active skin disease
  • Female subject is pregnant or lactating
  • Subject has any medical or psychiatric condition that, in the opinion of the investigator, could jeopardize or would compromise the subject's ability to participate in this trial
  • Subject has a QTcB (according to Bazett´s formula) interval of ≥ 450 ms for female or ≥ 430 ms for male or any other clinically relevant Electrocardiogram (ECG) finding
  • Subject has any clinically relevant abnormality in the physical examination, or any clinically relevant deviation from the normal range in the clinical chemistry, hematology, or urinalysis
  • Subject has a relevant hepatic dysfunction (total Bilirubin > 2 mg /dL or Alanine Aminotransferase [ALT] or Aspartate Aminotransferase [AST] greater than 2 times the upper limit of the normal reference range)
  • Subject has a positive test for Human Immunodeficiency Virus antibodies (HIV)-1/2Ab, Hepatitis B surface Antigen (HBsAg) or Hepatitis C Virus Antibody (HCV-Ab)
  • Subject has a positive test for alcohol or drugs
  • Subject consumes more than 150 g of alcohol / week
  • Subject has made a blood donation or had a comparable blood loss (> 400 ml) within the last 3 months
  • Subject smokes more than 5 cigarettes per day or has done so within previous 6 months
  • Subject has a clinically relevant allergy
  • Subject is taking any medication (excluding oral hormonal contraceptive) currently or within 2 weeks prior to the first day of dosing (with the exception of Acetaminophen [up to 1000 mg per day per os] which may have been taken up to 48 hours prior to commencement of dosing)
  • Female subject is currently taking an oral hormonal contraceptive but less than 2 months
  • Subject has a symptomatic orthostatic hypotension with a decrease of Blood Pressure (BP) from supine to standing position of ≥ 20 mmHg in systolic BP or of ≥ 10 mmHg in diastolic BP after 1 and / or 3 minutes
  • Subject has a pulse rate at rest less than 45 beats per minute or more than 100 beats per minute (measured in supine position)
  • Subject has a systolic Blood Pressure (BP) lower than 100 mmHg or higher than 150 mmHg or diastolic BP higher than 95 mmHg (measured in supine position)
  • Subject has a current or a history of clinically relevant motor disturbance, impairment of memory, sleep disturbance or neurodegenerative disease (e.g. , Alzheimer Dementia, Diffuse, Lewy Body Dementia, Amyotrophic Lateral Sclerosis [ALS], Multiple Sclerosis)
  • Subject has taken herbal medicine therapy within the last 2 weeks
  • Subject consumes more than 3 cups (more than 450 ml) of caffeinated beverages per day within the last 2 weeks

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Rotigotine groupRotigotine-
Placebo groupPlaceboPlacebo matched to rotigotine will be administered in the same way as within the Rotigotine group.
Primary Outcome Measures
NameTimeMethod
Plasma concentrations of total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Plasma concentrations of unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Area under the plasma concentration-time curve from 0 to 24 hours at steady-state (AUC (0-24), ss) for unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Maximum plasma concentration (Cmax) for total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Maximum plasma concentration normalized by Body Weight (Cmax, norm (BW)) for unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Maximum plasma concentration normalized by Body Weight (Cmax, norm (BW)) for total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Area under the plasma concentration-time curve from 0 to 24 hours at steady-state normalized by Body Weight (AUC (0-24), ss, norm (BW)) for total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Maximum plasma concentration (Cmax) for unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Area under the plasma concentration-time curve from 0 to 24 hours at steady-state (AUC (0-24), ss) for total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Area under the plasma concentration-time curve from 0 to 24 hours at steady-state normalized by Body Weight (AUC (0-24), ss, norm (BW)) for unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Secondary Outcome Measures
NameTimeMethod
Area under the plasma concentration-time curve from 0 to 24 hours at steady-state normalized by apparent-dose (AUC (0-24), ss, norm (apparent-dose)) of unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Area under the plasma concentration-time curve from 0 to 24 hours at steady-state normalized by apparent-dose (AUC (0-24), ss, norm (apparent-dose)) of total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Area under the plasma concentration-time curve from 0 to 24 hours at steady-state normalized by drug content (AUC (0-24), ss, norm (mgdc)) for unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Maximum plasma concentration normalized by apparent-dose (Cmax, norm (apparent-dose)) of unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Maximum plasma concentration normalized by drug content of patch (Cmax, norm (mgdc)) for total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Area under the plasma concentration-time curve from 0 to 24 hours at steady-state normalized by drug content (AUC (0-24), ss, norm (mgdc)) for total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Terminal half-life (t ½) for unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Time to reach maximum plasma concentration during a dosing interval at steady-state (t max, ss) for total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Apparent total body clearance (CL/f) for total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Apparent total body clearance normalized by apparent-dose (CL/f norm (apparent-dose)) for unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Maximum plasma concentration normalized by drug content of patch (Cmax, norm (mgdc)) for unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Terminal half-life (t ½) for total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Time to reach maximum plasma concentration during a dosing interval at steady-state (t max, ss) for unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Apparent total body clearance normalized by Body Weight (CL/f norm (BW)) for unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Apparent volume of distribution normalized by Body Weight (Vz/f norm (BW)) for unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Maximum plasma concentration normalized by apparent-dose (Cmax, norm (apparent-dose)) of total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Apparent total body clearance normalized by Body Weight (CL/f norm (BW)) for total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Apparent total body clearance (CL/f) for unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Apparent total body clearance normalized by apparent-dose (CL/f norm (apparent-dose)) for total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Apparent volume of distribution normalized by Body Weight (Vz/f norm (BW)) for total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Renal Clearance (CLR) for total RotigotineDay 3 and Day 6 from 0 to after 24 hours of patch application
Apparent volume of distribution (Vz/f) for unconjugated RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Apparent volume of distribution (Vz/f) for total RotigotineDay 3 and Day 6 predose, and 1, 2, 3, 4, 6, 8, 12, 16, 24 hours after patch application at Day 3 and 6 and 25, 26, 28, 30, 33 and 36, 48, 60, 72 hours after patch application on Day 6
Amount excreted into urine from 0 to 24 hours at steady-state (Ae (0-24), ss) for total RotigotineDay 3 and Day 6 from 0 to after 24 hours of patch application
Amount excreted into urine from 0 to 24 hours at steady-state (Ae (0-24), ss) for total Despropyl RotigotineDay 3 and Day 6 from 0 to after 24 hours of patch application
Amount excreted into urine from 0 to 24 hours at steady-state (Ae (0-24), ss) for total Desthienyl RotigotineDay 3 and Day 6 from 0 to after 24 hours of patch application
Renal Clearance (CLR) for unconjugated RotigotineDay 3 and Day 6 from 0 to after 24 hours of patch application
Plasma concentration at steady-state directly before patch removal (C (24), ss) for total Despropyl RotigotineDirectly before patch removal at Day 2 to Day 7
Plasma concentration at steady-state directly before patch removal (C (24), ss) for total Desthienyl RotigotineDirectly before patch removal at Day 2 to Day 7
Plasma concentration at steady-state 30 hours after last patch application (C (30 h), ss) for total Despropyl RotigotineAt day 7 at 30 hours after last patch application
Plasma concentration at steady-state 30 hours after last patch application (C (30 h), ss) for total Desthienyl RotigotineAt day 7 at 30 hours after last patch application
Amount excreted into urine from 0 to 24 hours at steady-state (Ae (0-24), ss) for unconjungated RotigotineDay 3 and Day 6 from 0 to after 24 hours of patch application
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