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临床试验/NCT01075906
NCT01075906已完成1 期

An Open-label, Parallel-group, Multiple-Dose, Pharmacokinetic and Safety Study of Colchicine Pediatric Formulation in Pediatric and Adult Patients With FMF

Mutual Pharmaceutical Company, Inc.10 个研究点 分布在 4 个国家目标入组 75 人开始时间: 2010年8月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
入组人数
75
试验地点
10
主要终点
Maximum Plasma Concentration

研究概览

简要总结

Colchicine is widely recognized as safe and effective treatment of Familial Mediterranean Fever (FMF) in children and adults. Colchicine is currently used to treat FMF in younger patients by inexact dosing through breaking or crushing adult-dose tablets. An age-appropriate sprinkle formulation will allow for more accurate dosing in pediatric patients. The primary objective of this study is to evaluate and compare the steady-state pharmacokinetics of multiple oral doses of colchicine sprinkle capsules administered to pediatric and adult FMF patients.

Secondary objectives include evaluation of the safety and tolerability of this regimen in pediatric and adult FMF patients and measurement of the levels of acute phase reactants (i.e, serum amyloid A [SAA], erythrocyte sedimentation rate [ESR], C-reactive protein [CRP]) at baseline and after dosing.

详细描述

FMF patients who have not been taking colchicine (colchicine-naïve patients) will be enrolled into a 1 week dose-titration period (Days -7 to -1). Beginning on Day -7, a pre-dose blood sample will be collected from the colchicine-naïve patient population for determination of pharmacodynamic markers. Patients will then be administered a low starting dose of colchicine (as determined by the principal investigator) titrated up to the study colchicine dose which is 0.6 mg (2 capsules) in children ≥2 to < 6 years old, 0.9 mg (3 capsules) in children ≥6 to < 12, 1.2 mg (4 capsules) in children ≥12 to < 16 and adults ≥16 and < 65. On Day 2, patients will return to the clinic for collection of a pre-dose blood sample followed by administration of the study dose of colchicine. On Days 3-7, patients (parent/guardian) will self-medicate with the study dose of colchicine recording the time of dosing and any adverse events. On Days 8-14, patients (parent/guardian) will self-medicate with the study dose of colchicine recording the time of dosing and any adverse events. On the morning of Day 15, patients will return to the clinic for collection of a pre-dose blood sample followed by administration of the study dose of colchicine. Blood samples will be collected post-dose at times sufficient to adequately define the pharmacokinetics of colchicine and its metabolites. Safety and tolerability of this dosing regimen will be determined by evaluation of vital signs and adverse events during the study and upon completion of the study. All adverse events will be evaluated by the investigator and reported in the subject's case report form.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Basic Science
盲法
None

入排标准

年龄范围
2 Years 至 65 Years(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients age 2-65 years with a confirmed clinical diagnosis of FMF,
  • Non-pregnant, and
  • If of child-bearing potential, using effective contraceptive measures.

排除标准

  • Recent participation (within 30 days) in other research studies,
  • Pregnant or lactating,
  • History or current infection of human immunodeficiency virus (HIV), hepatitis A, B or C,
  • Current or recent use of any drugs/drug classes or combinations thereof that may affect the absorption or metabolism of colchicine,
  • Clinically relevant abnormal clinical laboratories at screening,
  • Current or recent (<6 months) history of severe, unstable or uncontrolled neurological, cardiovascular, gastrointestinal, hematological, moderate or severe hepatic and/or renal disease, or evidence of other diseases at the physical examination conducted at the screening.

研究组 & 干预措施

Colchicine

Experimental

Colchicine Sprinkle Capsules, 0.3 mg - dose administered according to age range on Day 1

干预措施: colchicine sprinkle capsules (Drug)

colchicine at steady state

Experimental

colchicine sprinkle capsules 0.3 mg - dose administered according to age range on Day 15 following once daily dosing of colchicine on Days 2 - 14

干预措施: colchicine sprinkle capsules (Drug)

结局指标

主要结局

Maximum Plasma Concentration

时间窗: 15 days

pharmacokinetic samples collected pre-dose on Days 1, 2 and 15 and at 0.25 - 0.5 hours, 1.5-2.5 hours and at 5-8 hours post-dose on Days 1 and 15

Area Under the Concentration Time Curve from Time Zero to the Time of Last Measured Concentration (AUC 0-t)

时间窗: 15 days

Pharmacokinetic samples collected pre-dose on Days 1,2 and 15 and at 0.25-0.5 hours, 1.5-2.5 hours and 5-8 hours post-dose on Days 1 and 15.

Area Under the Concentration Time Curve from Zero through Infinity

时间窗: 15 days

Pharmacokinetic samples collected pre-dose on Days 1, 2 and 15 and at 0.25-0.5 hours, 1.5-2.5 hours and at 5-8 hours post-dose on Days 1 and 15

次要结局

  • Acute Phase Reactant (ESR, CRP, SAA) Levels(15 days)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (10)

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