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Pharmacokinetics and Safety of Gadopiclenol in Japanese Healthy Volunteers

Phase 1
Completed
Conditions
Pharmacokinetics
Interventions
Drug: Placebo
Registration Number
NCT04906005
Lead Sponsor
Guerbet
Brief Summary

This single center, single ascending dose, double blind, randomized, placebo-controlled phase I trial will include male and female Japanese healthy volunteers. Within a 4-week run-in period before inclusion in the trial, healthy volunteers will be checked for inclusion/non-inclusion criteria and will then be randomized and administered with gadopiclenol or placebo. For each healthy volunteer, there will be a confinement period of one night before the inclusion visit and 2 days post administration at the clinical unit. The healthy volunteers will return to the clinical unit for safety visit 7 days after study product administration.

In each dose group, 6 healthy volunteers (3 male and 3 female) will receive gadopiclenol and 3 healthy volunteers (2M/1F or 1M/2F) will receive placebo (physiological saline solution, 0.9% sodium chloride) in one single intravenous administration.

Dose escalation from one group to the next group will be sequential and will be allowed only if the clinical and biological safety of all healthy volunteers from the previous tested dose is acceptable. The decision will be made by a Trial Safety Review Board (TSRB), consisting in members of Guerbet team and the principal investigator.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
27
Inclusion Criteria
  • A Japanese healthy volunteer is defined as being born in Japan and having both parents and four grandparents (maternal and paternal) who are ethnically Japanese and having Japanese lifestyle, including diet, as determined by participant's verbal report.
  • Good health status as determined by investigator according to past medical history, clinical examination, including 12 lead ECG, vital signs (blood pressure, pulse rate, respiratory rate and body temperature) and laboratory tests at screening and inclusion.
Exclusion Criteria
  • Pregnant or breast-feeding female volunteer.
  • Having acute or chronic renal insufficiency, defined as an eGFR (estimated Glomerular Filtration Rate) <90mL/min/1.73 m2, calculated by using the Japanese coefficient-modified CKD-EPI formula.
  • With known contra-indication(s) to the use or with known sensitivity to one of the products under investigation or to drugs from a similar pharmaceutical class.
  • With known history of severe allergic or anaphylactic reactions to any allergen including drugs and contrast agents.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboDose per administration: similar dose (Volume/weight) as the one used for Gadopiclenol in the considered group. 3 volunteers will receive gadopiclenol per group
gadopiclenolgadopiclenolDose per administration: dose/volume of gadopiclenol to be administered will be calculated based on patient's weight at the dose of 0.025; 0.05 or 0.1 mmol/kg BW (depending on each group). 6 volunteers will receive gadopiclenol per group
Primary Outcome Measures
NameTimeMethod
Cmaxfrom baseline (30 minutes before injection) to 24hours post injection

Maximum concentrations measured, value taken directly from the observed concentration-time profiles

Tmaxfrom baseline (30 minutes before injection) to 24hours post injection

Time corresponding to Cmax

AUC 0-inffrom baseline (30 minutes before injection) to 24hours post injection

Area Under the observed concentration-time Curve from zero (time of drug administration) to infinity with extrapolation of the terminal phase. It will be obtained as follows: AUC 0-inf = AUC 0-T last + (Clast / β)

CLTfrom baseline (30 minutes before injection) to 24hours post injection

Total Clearance, calculated as CLT = Dose /AUC 0-inf

t 1/2βfrom baseline (30 minutes before injection) to 24hours post injection

Terminal elimination half-life of gadopiclenol calculated as follows:

t 1/2β = ln 2 / β

AUC extrap%from baseline(30 minutes before injection) to 24hours post injection

Percentage of extrapolation of AUC from the last observation (Tlast) to infinity calculated as follows:

Percentage of extrapolation of AUC from the last observation (Tlast) to infinity calculated as follows:

Percentage of extrapolation of AUC from the last observation (Tlast) to infinity calculated as follows:

AeBefore administration and during intervals 0-6hours, 6-24hours and 24-48hours after gadopiclenol administration

Total amount of gadopiclenol excreted in urine

CLRBefore administration and during intervals0-6hours, 6-24hours and 24-48hours after gadopiclenol administration

Renal clearance, calculated as CLR = Ae / AUC 0-inf

Vdβfrom baseline (30 min before injection) to 24h post injection

Volume of distribution, calculated as Vdβ = Dose / (AUC 0-inf x β)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Hataka clinic

🇯🇵

Fukuoka, Japan

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