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Safety and Pharmacokinetics of Dioxidin, Solution for Topical and External Use, 0.25 mg/ml and Dioxidin, Solution for Infusion and External Use, 5 mg/ml in Healthy Volunteers

Phase 1
Completed
Conditions
Infections
Interventions
Registration Number
NCT05505097
Lead Sponsor
Valenta Pharm JSC
Brief Summary

The study aimed for:

1. To study the safety of the drug Dioxidin, solution for topical and external use;

2. To determine the concentrations of the active substance of the studied drugs Dioxidin, solution for topical and external use, and Dioxidin, solution for infusion and external use in discrete time intervals;

3. To study pharmacokinetics of the drug Dioxidin, solution for topical and external application;

4. To determine the absolute bioavailability of the drug Dioxidine, solution for topical and external use.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
16
Inclusion Criteria
  • Voluntary and handwritten informed consent form signed by a healthy volunteer to participate in the study before any of the study procedures
  • Age from 18 to 45 years (inclusive)
  • Verified diagnosis "healthy" by standard clinical, laboratory, instrumental methods of examination
  • Blood pressure level: systolic from 100 to 130 mmHg, diastolic from 60 to 90 mmHg (inclusive)
  • Heart rate 60 to 90 beats per minute (inclusive)
  • Body mass index (BMI) is 18.5 ≤ BMI ≤ 30.0 kg/m², with a body weight of ≥55 kg for men and ≥45 kg for women
  • Volunteers must behave appropriately, coherent speech must be observed
  • For women of childbearing potential, negative pregnancy test; consent of volunteers to either abstain from sexual intercourse or use a dual barrier method of contraception for the duration of study participation, beginning with the Screening Period, and for 3 weeks after study termination
  • Ability to follow the daily routine and dietary regimen of the study protocol
  • Ability to attend all scheduled appointments and stay at the Research Center for all Study Periods
Exclusion Criteria
  • A history of allergic reactions
  • A history of drug intolerance to the active and/or excipients in the study medications
  • Inability to successfully perform oropharyngeal rinse test
  • Any chronic illnesses
  • History of gastrointestinal surgery (except appendectomy)
  • Acute infectious diseases less than 4 weeks prior to screening
  • Taking medications that significantly affect hemodynamics and medications that affect liver function (barbiturates, omeprazole, cimetidine, etc.) less than 2 months before screening
  • Regularly taking medications less than 2 weeks before screening and taking a single medication 7 days before screening
  • Donating blood (450 mL of blood or plasma or more) less than 3 months before screening
  • For women, the last intake of oral contraceptives at least 2 months prior to screening
  • Pregnant and lactating women, and women and men of childbearing age who cannot or do not abstain from sexual intercourse or use a dual barrier method of contraception for the duration of study participation, beginning with the Screening Period, and for 3 weeks after the study ends
  • Participation in another clinical trial less than 3 months before screening or concurrently with this study
  • Taking more than 10 units of alcohol (1 unit of alcohol is equivalent to 330 ml of beer, 150 ml of wine, or 40 ml of spirits) in the week in the last month before inclusion in the study or anamnestic evidence of alcoholism, drug abuse, or medication abuse
  • Smoking more than 10 cigarettes per day currently, or a history of smoking this number of cigarettes in the 6 months prior to screening
  • A positive blood test for HIV, syphilis, hepatitis B/C
  • A positive urine test for narcotics and powerful drugs
  • Positive breath alcohol test
  • Positive COVID-19 test
  • Scheduled inpatient hospitalization during the study for any reason other than hospitalization as required by this protocol
  • Inability or inability to meet the requirements of the protocol, including for physical, mental or social reasons, in the opinion of the Researcher
  • Work/study regimen that is likely to make it impossible for the volunteer to complete the study and/or comply with the schedule of procedures
  • Other conditions that, in the opinion of the Researcher, prevent the inclusion of the volunteer in the study

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
BCDA-sequenceHydroxymethylquinoxalindioxydeHydroxymethylquinoxalindioxyde administration in a sequence B-C-D-A during the corresponding study periods 1, 2, 3, and 4
ABCD-sequenceHydroxymethylquinoxalindioxydeHydroxymethylquinoxalindioxyde administration in a sequence A-B-C-D during the corresponding study periods 1, 2, 3, and 4
DABC-sequenceHydroxymethylquinoxalindioxydeHydroxymethylquinoxalindioxyde administration in a sequence D-A-B-C during the corresponding study periods 1, 2, 3, and 4
CDAB-sequenceHydroxymethylquinoxalindioxydeHydroxymethylquinoxalindioxyde administration in a sequence C-D-A-B during the corresponding study periods 1, 2, 3, and 4
Primary Outcome Measures
NameTimeMethod
Pharmacokinetics - CmaxFrom 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

Maximum plasma concentration (Cmax) of Hydroxymethylquinoxalindioxyde (HMQD)

Pharmacokinetics - AUC0-tFrom 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

Area under the plasma concentration-time curve from time 0 to t (AUC0-t) of HMQD

Pharmacokinetics - tmaxFrom 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

Time to reach Cmax (tmax) of HMQD

Pharmacokinetics - MRTFrom 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

Mean residence time (MRT) of HMQD

Pharmacokinetics - tlagFrom 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

Time from administration to first accessible concentration of HMQD

Pharmacokinetics - AUC0-infFrom 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

Area under the plasma concentration-time curve from time 0 to infinity (AUC0-inf) of HMQD

Pharmacokinetics - t1/2From 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

Elimination half-life (t1/2) of HMQD

Pharmacokinetics - VdFrom 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

Volume of distribution of HMQD

Pharmacokinetics - kelFrom 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

Elimination constant (kel) of HMQD

Pharmacokinetics - AUCextrFrom 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

Extrapolated AUC of HMQD, defined as (AUC0-inf - AUC0-t)/AUC0-inf

Secondary Outcome Measures
NameTimeMethod
Safety and Tolerability: vital signs - body temperatureScreening, -10 h, -1 h, 2 h, 12, and 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Body temperature, centigrade scale

Safety and Tolerability: 12-lead electrocardiogram (ECG) - PQ intervalScreening and the end of the study or an early termination visit, whichever came first, within 43 days of study participation

12-lead ECG (I, II, III, aVR, aVL, aVF, V1-V6) taken while lying down: PQ interval (ms)

Safety and Tolerability: complete blood count - red blood cellsScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Red blood cells, 10\^6/uL

Safety and Tolerability: complete blood count - erythrocyte sedimentation rateScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Erythrocyte sedimentation rate, mm per hour

Safety and Tolerability: complete blood count - lymphocytesScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Lymphocytes, %

Safety and Tolerability: complete blood count - eosinophilsScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Eosinophils, %

Safety and Tolerability: 12-lead electrocardiogram (ECG) - heart rateScreening and the end of the study or an early termination visit, whichever came first, within 43 days of study participation

12-lead ECG (I, II, III, aVR, aVL, aVF, V1-V6) taken while lying down: heart rate (beats per minute)

Safety and Tolerability: 12-lead electrocardiogram (ECG) - QRS complexScreening and the end of the study or an early termination visit, whichever came first, within 43 days of study participation

12-lead ECG (I, II, III, aVR, aVL, aVF, V1-V6) taken while lying down: QRS complex (ms)

Safety and Tolerability: complete blood count - hemoglobinScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Hemoglobin, g/dL

Safety and Tolerability: complete blood count - hematocritScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Hematocrit, %

Safety and Tolerability: complete blood count - plateletsScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Platelets, 10\^3/uL

Safety and Tolerability: complete blood count - white blood cellsScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and at the end of the study or at early termination visit within the time frame of the study

White blood cells, 10\^3/uL

Safety and Tolerability: vital signs - diastolic blood pressure (DBP)Screening, -10 h, -1 h, 2 h, 12, and 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

DBP, mmHg

Safety and Tolerability: 12-lead electrocardiogram (ECG) - corrected QT interval (QTc)Screening and the end of the study or an early termination visit, whichever came first, within 43 days of study participation

12-lead ECG (I, II, III, aVR, aVL, aVF, V1-V6) taken while lying down: QTc (ms)

Safety and Tolerability: serious adverse event (AE) rateFrom the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to 43 days for each participant

Number and frequency of serious AEs (SAEs)

Safety and Tolerability: vital signs - respiratory rate (RR)Screening, -10 h, -1 h, 2 h, 12, and 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

RR, breaths per minute

Safety and Tolerability: vital signs - heart rate (HR)Screening, -10 h, -1 h, 2 h, 12, and 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

HR, beats per minute

Safety and Tolerability: adverse event (AE) rateFrom the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to 43 days for each participant

Number and frequency of adverse events (AEs) or serious AEs (SAEs)

Safety and Tolerability: vital signs - systolic blood pressure (SBP)Screening, -10 h, -1 h, 2 h, 12, and 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

SBP, mmHg

Safety and Tolerability: physical examination resultsScreening, -10 h, -1 h, 2 h, and 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Physical examination will follow the general rules of internal medicine: general examination, examination of mucous membranes and skin, including palpation of lymph nodes, evaluation of the musculoskeletal system, palpation, percussion, and auscultation of the main organ systems (cardiovascular, respiratory, digestive, and urinary systems) will be performed sequentially.

Safety and Tolerability: complete blood count - monocytesScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Monocytes, %

Safety and Tolerability: complete blood count - basophilsScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Basophils, %

Safety and Tolerability: complete blood count - neutrophilsScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Neutrophils, % (segmented and stab)

Safety and Tolerability: blood test results - total cholesterolScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Total cholesterol in blood serum, mmol/L

Safety and Tolerability: blood test results - aspartate transaminase (AST)Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

AST in blood serum, U/L

Safety and Tolerability: blood test results - cortisolScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and at the end of the study or at early termination visit within the time frame of the study

Cortisol in blood serum, pmol/L

Safety and Tolerability: blood test results - glucoseScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Glucose in blood serum, mmol/L

Safety and Tolerability: blood test results - total bilirubinScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Total bilirubin in blood serum, umol/L

Safety and Tolerability: blood test results - alanine transaminase (ALT)Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

ALT in blood serum, U/L

Safety and Tolerability: urinalysis - colorScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Color of the urine

Safety and Tolerability: urinalysis - transparencyScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Transparency of the urine

Safety and Tolerability: urinalysis - pHScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

pH of the urine

Safety and Tolerability: urinalysis - proteinScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Protein in the urine (g/L)

Safety and Tolerability: urinalysis (microscopy) - cylindersScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Cylinders in the urine (number in sight)

Safety and Tolerability: urinalysis - specific gravityScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Specific gravity of the urine

Safety and Tolerability: urinalysis - glucoseScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Glucose in the urine (mmol/L)

Safety and Tolerability: urinalysis (microscopy) - red blood cellsScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Red blood cells in the urine (number in sight)

Safety and Tolerability: urinalysis (microscopy) - epithelial cellsScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Epithelial cells in the urine (number in sight)

Safety and Tolerability: urinalysis (microscopy) - bacteriaScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Bacteria in the urine (number in sight)

Safety and Tolerability: blood test results - total proteinScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Total protein in blood serum, g/L

Safety and Tolerability: blood test results - creatinineScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Creatinine in blood serum, umol/L

Safety and Tolerability: blood test results - alkaline phosphatase (ALP)Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

ALP in blood serum, U/L

Safety and Tolerability: blood test results - aldosteroneScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Aldosterone in blood serum, pmol/L

Safety and Tolerability: urinalysis (microscopy) - white blood cellsScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

White blood cells in the urine (number in sight)

Safety and Tolerability: urinalysis (microscopy) - mucusScreening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

Presence of mucus in the urine

Trial Locations

Locations (1)

Limited Liability Company "X7 Clinical Research"

🇷🇺

Saint Petersburg, Russian Federation

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