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注册号: Registration number: |
ChiCTR2100053623 |
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最近更新日期: Date of Last Refreshed on: |
2022-10-16 09:58:24 |
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注册时间: Date of Registration: |
2021-11-25 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
MN-08片在肺动脉高压患者中的多中心、开放、单次给药急性血流动力学研究和多中心、 随机、双盲、安慰剂平行对照评价MN-08片治疗肺动脉高压的有效性和安全性II期临床试验 |
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Public title: |
A multicenter, open, single-dose acute hemodynamic study of MN-08 tablets in patients with pulmonary hypertension and a multicenter, randomized, double-blind, placebo-controlled phase II clinical trial to evaluate the efficacy and safety of MN-08 tablets in the treatment of pulmonary hypertension |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
MN-08片在肺动脉高压患者中的多中心、开放、单次给药急性血流动力学研究和多中心、 随机、双盲、安慰剂平行对照评价MN-08 片治疗肺动脉高压的有效性和安全性II期临床试验 |
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Scientific title: |
A multicenter, open, single-dose acute hemodynamic study of MN-08 tablets in patients with pulmonary hypertension and a multicenter, randomized, double-blind, placebo-controlled phase II clinical trial to evaluate the efficacy and safety of MN-08 tablets in the treatment of pulmonary hypertension |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
古建波 |
研究负责人: |
钟南山 |
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Applicant: |
Gu Jianbo |
Study leader: |
Zhong Nanshan |
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申请注册联系人电话: Applicant telephone: |
+86 15521309923 |
研究负责人电话:
Study leader's |
+86 13560158649 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
gujianbo1991@126.com |
研究负责人电子邮件: Study leader's E-mail: |
nanshan@vip.163.com |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
广州市黄埔区科学城揽月路3号广州国际企业孵化器F606室 |
研究负责人通讯地址: |
广东省广州市越秀区沿江西路151号 |
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Applicant address: |
Room 606, Guangzhou International Business Incubator, 3 Lanyue Road, Science City, Huangpu District, Guangzhou, Guangdong |
Study leader's address: |
151 Yanjiang Road West, Yuexiu District, Guangzhou, Guangdong |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
广州喜鹊医药有限公司 |
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Applicant's institution: |
Guangzhou Magpie Pharmaceuticals, Inc. |
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研究负责人所在单位: |
广州医科大学附属第一医院 |
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Affiliation of the Leader: |
The First Affiliated Hospital of Guangzhou Medical University |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
EC-2021-041(YW)-02 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
广州医科大学附属第一医院医学伦理委员会 |
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Name of the ethic committee: |
Medical Ethics Committee of the First Affiliated Hospital of Guangzhou Medical University |
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伦理委员会批准日期: Date of approved by ethic committee: |
2021-09-10 00:00:00 | ||
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伦理委员会联系人: |
赵凯;李霜 |
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Contact Name of the ethic committee: |
Zhao Kai; Li Shuang |
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伦理委员会联系地址: |
广东省广州市越秀区沿江西路151号 |
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Contact Address of the ethic committee: |
151 Yanjiang Road West, Yuexiu District, Guangzhou, Guangdong |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 20 83062991 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
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研究实施负责(组长)单位: |
广州医科大学附属第一医院 |
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Primary sponsor: |
The First Affiliated Hospital of Guangzhou Medical University |
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研究实施负责(组长)单位地址: |
广东省广州市越秀区沿江西路151号 |
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Primary sponsor's address: |
151 Yanjiang Road West, Yuexiu District, Guangzhou, Guangdong |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
广州喜鹊医药有限公司 |
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Source(s) of funding: |
Guangzhou Magpie Pharmaceuticals, Inc. |
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研究疾病: |
肺动脉高压 |
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Target disease: |
Pulmonary arterial hypertension |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
II期临床试验 | ||||||||||||||||||||||
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Study phase: |
2 |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
主要目的: 1.探索MN-08单次给药对动脉性肺动脉高压(PAH)患者急性血流动力学影响; 2.探索MN-08片在PAH患者中的有效性。 次要目的: 1.评价MN-08片在PAH患者中的安全性及耐受性; 2.评价MN-08片在PAH患者中的药代动力学特征。 |
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Objectives of Study: |
Primary objectives: 1.To explore the effects of single administration of MN-08 on acute haemodynamics in patients with pulmonary arterial hypertension (PAH); 2.To explore the efficacy of MN-08 tablets for the treatment of patients with PAH. Secondary objectives: 1.To evaluate the safety and tolerability of MN-08 tablets for the treatment of patients with PAH; 2.To evaluate the pharmacokinetic characteristics of MN-08 tablets for the treatment of patients with PAH. |
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药物成份或治疗方案详述: |
本试验分为两个阶段,第一阶段为多中心、开放、单次给药急性血流动力学研究,第二阶段为多中心、随机、双盲、安慰剂平行对照研究。 第一阶段:本试验前10例受试者首先进行多中心、开放、单次给药急性血流动力学研究。共设2个剂量组,每组各5例 (规定每组入选使用过NO-sGC靶向药物受试者不超过2例,如使用过NO-sGC通路靶向药物患者,洗脱7天开始试验),不同组受试者分别单次服用MN-08片60 mg或MN-08片120 mg,前一个剂量组完成后,再进行下一组。在此阶段,诊断为PAH受试者签署知情同意书后,进行右心导管术,测量并计算肺循环阻力(pulmonary vascular resistance, PVR)、体循环阻力(systemic vascular resistance, SVR)、心脏指数(cardiac index, CI)和心输出量(Cadiaoutput, CO)基线值,监测服药后24时内PVR、SVR和CI、CO以及PVR/SVR比值较基线变化。 第二阶段:本阶段计划入组135例受试者,随机分为三组,每组45例。参加第一阶段研究的受试者,可继续参加第二阶段的研究。 在此阶段,要求受试者在随机前接受安立生坦或马昔腾坦治疗>=3个月,且在整个研究过程中尽量维持治疗方案及治疗剂量不变。 根据受试者服药情况,分为三种情况进行入组: 1.已经接受安立生坦或马昔腾坦治疗>=3个月的受试者,如果没有服用本试验规定的禁用药,经研究者评估同意后,受试者可在维持服用安立生坦或马昔腾坦的基础上参加本试验;如受试者已经接受安立生坦或马昔腾坦治疗>=3个月,但同时服用了禁用药,需要停止使用禁用药,进入至少为期1周 ( >5个药物半衰期) 的洗脱期后参加本试验; 2.已经接受安立生坦或马昔腾坦之外的靶向药物治疗的受试者,需调药为安立生坦或马昔腾坦单药治疗>=3个月,经研究者评估同意后,受试者可在维持服用安立生坦或马昔腾坦的基础上参加本试验; 3.新诊断或尚未接受过任何药物治疗的受试者,如果受试者同意参加临床试验,研究者给予受试者安立生坦或马昔腾坦单药治疗>=3个月,经研究者评估同意后,受试者可在维持服用安立生坦或马昔腾坦的基础上参加本试验。 试验组1:MN-08片18 mg剂量组(具体给药剂量需要根据MN-08片第一阶段试验结果来确定)。起始给药剂量为12 mg/次,早晚各一次,每日2次,连续给药1周;第8天起,增加至18 mg/次,早晚各一次,每日2次,连续口服给药11周。共计给药12周。 试验组2:MN-08片36 mg剂量组(具体给药剂量需要根据MN-08片第一阶段试验结果来确定)。起始给药剂量为12 mg/次,早晚各一次,每日2次,连续给药1周;第8天起,增加至18mg/次,早晚各一次,每日2次,连续给药1周;以此类推,每过7天增加给药剂量6mg,后续分别为24mg/次、30 mg/次;剂量递增至36 mg/次后,在该剂量下连续口服给药8周,早晚各一次,每日2次。共计给药12周。 试验组3:安慰剂对照组服药方式和数量与MN-08组相同,连续口服给药12周。 用法:药动学采血期间,MN-08片以240 mL水送服。其余时间适量水送服。 第一阶段给药后24 h、第二阶段给药第6周±2天、第12周±2天分别进行药效学评价和耐受性评估。 |
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Description for medicine or protocol of treatment in detail: |
The study is divided into two stage: the first was a multicenter, open, single-dose acute hemodynamics study, and the second is a multi-center, randomized, double-blind, placebo-controlled parallel study. Stage I: the first 10 subjects in this study were first subjected to a multicenter, open, single-dose acute hemodynamic study. A total of 2 dose groups were set, with 5 patients in each group (NO more than 2 patients were included in each group who were treated with NO-sGC targeted drugs. For patients who were treated with NO-sGC pathway targeted drugs, the study will start after wash out period of 7 days), subjects in different groups were given were given a single dose of MN-08 tablets 60 mg or MN08 tablets 120 mg. After completion of the previous dose group, the next dose group is started. Subjects diagnosed with PAH underwent right heart catheterization after signing informed consent. Baseline pulmonary vascular resistance (PVR), systemic vascular resistance (SVR) and cardiac index (CI) and cardiac output (CO) were measured and calculated. Changes in PVR, SVR, CI, CO, and PVR/SVR ratios from baseline were monitored for 24 hours after the study drug administration. Stage II: in this phase, 135 subjects were planned to be enrolled and randomly divided into three groups with 45 subjects in each group. Participants in the phase I study may continue to participate in the phase II study. At this stage, subjects were required to receive enrisentan or macytentium treatment for >= 3 months prior to randomization and to maintain the treatment regimen and dose as much as possible throughout the study. According to their medication status, the subjects were divided into three conditions for enrollment: 1.Subjects who have received enrisentan or macytentium for >= 3 months and are not taking any of the contraindicated drugs specified in this study may continue to take enrisentan or macytentium after evaluation and approval by the investigator; If the subject has been receiving enrisentan or macytentium for >= 3 months and is taking contraindicated drugs, he/she will be required to discontinue the contraindicated drugs and enter a washout period of at least 1 week (>5 drug half-life) to participate in the study. 2.Subjects who are already receiving targeted agents other than enrisentan or macytentan will be prescribed enrisentan or macytentan monotherapy for >=3 months and will be allowed to continue taking enrisentan or macytentan upon approval by the investigator; 3.Subjects who are newly diagnosed or who have not yet received any medication will be given >=3 months of enrisentan or macytentan monotherapy if they agree to participate in the trial. Subject may continue to take enrisentan or macytentan upon approval of the investigator's evaluation. Experimental group 1: MN-08 tablets 18 mg dose group (specific dose needs to be determined according to the results of mN-08 tablets phase I test). The initial dose was 12 mg/ time, once in the morning and twice a day, for 1 week. From the 8th day, the dosage was increased to 18 mg/ time, once in the morning and twice a day, for 11 weeks. A total of 12 weeks of administration. Experimental group 2: MN-08 tablet 36 mg dose group (specific dose should be determined according to the results of mN-08 tablet phase I test). The initial dose was 12 mg/ time, once in the morning and twice a day, for 1 week. From the 8th day, the dosage was increased to 18mg/ time, once in the morning and twice a day, for 1 week. Similarly, the dose was increased by 6mg every 7 days, followed by 24mg/ time and 30mg/time; The dose was increased to 36 mg/ time, and orally administered at this dose for 8 weeks, once in the morning and twice a day. A total of 12 weeks of administration; Experimental group 3: placebo control group was given orally for 12 weeks in the same way and quantity as MN-08 group. Usage: MN-08 tablets were taken with 240 mL water during pharmacokinetic blood collection. Other time appropriate amount of water to take. Pharmacodynamics and tolerability were evaluated 24 h after the first dose, 6 ±2 days after the second dose, and 12 ±2 days after the second dose, respectively. |
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纳入标准: |
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Inclusion criteria |
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排除标准: |
1.明确诊断为其它类型的肺动脉高压患者; |
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Exclusion criteria: |
1. Subjects with a definite diagnosis of other types of pulmonary arterial hypertension; |
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研究实施时间: Study execute time: |
从 From 2021-12-01 00:00:00至 To 2023-12-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2021-12-01 00:00:00 至 To 2023-09-30 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
正在进行 Recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
使用互动网络响应系统进行计算机软件随机。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
Randomized by computer software with interactive web response system. |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
双盲 |
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Blinding: |
Double blind |
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是否共享原始数据: IPD sharing |
否No |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
Not stated 请阅读网页注册指南中关于 原始数据共享 的内容。 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
Not stated |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
采用电子采集和管理系统。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Using Electronic Data Capture. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |