HRS3797 在健康成人中静脉推注给药的安全性、 耐受性、药代动力学及药效学的剂量递增研究

注册号:

Registration number:

ChiCTR2300068338 

最近更新日期:

Date of Last Refreshed on:

2023-05-21 22:30:38 

注册时间:

Date of Registration:

2023-02-15 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

HRS3797 在健康成人中静脉推注给药的安全性、 耐受性、药代动力学及药效学的剂量递增研究

Public title:

Safety of HRS3797 for intravenous administration in healthy adults, Dose escalation studies of tolerance, pharmacokinetics and pharmacodynamics

注册题目简写:

English Acronym:

研究课题的正式科学名称:

HRS3797 在健康成人中静脉推注给药的安全性、 耐受性、药代动力学及药效学的剂量递增研究

Scientific title:

Safety of HRS3797 for intravenous administration in healthy adults, Dose escalation studies of tolerance, pharmacokinetics and pharmacodynamics

研究课题代号(代码):

Study subject ID:

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:

申请注册联系人:

张声南 

研究负责人:

阳国平、欧阳文 

Applicant:

Sheng Nan ZHANG 

Study leader:

Wen OUYANG/Guoping YANG 

申请注册联系人电话:

Applicant telephone:

+8618259883227

研究负责人电话:

Study leader's
telephone:

073189918665

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

1647924956@qq.com

研究负责人电子邮件:

Study leader's E-mail:

ygp9880@126.com

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):

申请注册联系人通讯地址:

湖南省长沙市岳麓区桐梓坡路138号

研究负责人通讯地址:

湖南省长沙市岳麓区桐梓坡路138号

Applicant address:

138 Tongzipo Road,Yuelu District, Changsha, Hunan, China

Study leader's address:

138 Tongzipo Road,Yuelu District, Changsha, Hunan, China

申请注册联系人邮政编码:

Applicant postcode:

410000

研究负责人邮政编码:

Study leader's postcode:

410000

申请人所在单位:

中南大学湘雅三医院临床试验研究中心

Applicant's institution:

Center for Clinical Pharmacology, the Third Xiangya Hospital of Central South University

研究负责人所在单位:

中南大学湘雅三医院临床试验研究中心

Affiliation of the Leader:

Center for Clinical Pharmacology, the Third Xiangya Hospital of Central South University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

22151

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

中南大学湘雅三医院伦理委员会

Name of the ethic committee:

IRB, the Third Xiangya Hospital, Central South University

伦理委员会批准日期:

Date of approved by ethic committee:

2022-12-21 00:00:00

伦理委员会联系人:

王晓敏

Contact Name of the ethic committee:

Xiaomin WANG

伦理委员会联系地址:

湖南省长沙市岳麓区桐梓坡路138号

Contact Address of the ethic committee:

138 Tongzibo Road, Yuelu District, Changsha City, Hunan Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 731 88618938

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

中南大学湘雅三医院临床试验研究中心

Primary sponsor:

Center for Clinical Pharmacology, the Third Xiangya Hospital, Central South University

研究实施负责(组长)单位地址:

湖南省长沙市岳麓区桐梓坡路138号

Primary sponsor's address:

138 Tongzibo Road, Yuelu District, Changsha City, Hunan Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

湖南

市(区县):

长沙

Country:

中国

Province:

Hu Nan

City:

Chang Sha

单位(医院):

中南大学湘雅三医院临床试验研究中心

具体地址:

湖南省长沙市岳麓区桐梓坡路138号

Institution
hospital:

Center for Clinical Pharmacology, the Third Xiangya Hospital of Central South University

Address:

138 Tongzibo Road, Yuelu District, Changsha City, Hunan Province

经费或物资来源:

福建盛迪医药有限公司/江苏恒瑞医药股份有限公司

Source(s) of funding:

Fujian Shengdi Pharmaceutical Co., LTD. And Jiangsu Hengrui Pharmaceutical Co., LTD

研究疾病:

拟用于全身麻醉诱导期气管插管和维持术中骨骼肌松弛  

Target disease:

It is intended for endotracheal intubation and maintenance of skeletal muscle relaxation during induction of general anesthesia

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

I期临床试验 

Study phase:

1

研究设计:

不同剂量对照 

Study design:

Dose comparison 

研究目的:

考察HRS3797在中国健康成人中静脉推注给药后的安全性和耐受性。 考察HRS3797在中国健康成人中静脉推注给药后的药代动力学和药效动力学特征。 考察推注时长对HRS3797的安全性、耐受性、药代动力学和药效动力学的影响。 探索HRS3797在中国健康成人中的ED95剂量。  

Objectives of Study:

To investigate the safety and tolerability of HRS3797 after intravenous injection in healthy Chinese adults. Objective To investigate the pharmacokinetics and pharmacokinetics of HRS3797 after intravenous injection in healthy Chinese adults. To investigate the effects of injection duration on the safety, tolerance, pharmacokinetics and pharmacokinetics of HRS3797. To explore the ED95 dose of HRS3797 in healthy Chinese adults.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

符合其中1条即排除:
1)既往或目前患有循环系统、内分泌系统、神经系统、消化系统、呼吸系统、血液学、免疫学、精神病学及代谢异常等临床急慢性疾病,经研究者判定可能显著影响试验用药品药动学特征或安全性评价者;
2)有神经肌肉疾病(如肌强直性营养不良、小儿麻痹症、重症肌无力、肉毒杆菌中毒)或骨髓灰质炎病史者;
3)有麻醉并发症史者;
4)有哮喘病史或需要治疗的气道疾病者;
5)有解剖性气道异常史,或在筛查性气道检查中评估出气道异常迹象,可能影响喉镜置入或气管插管者;
6)有恶性高热病史或家族史者,或恶性高热易感者(先天性疾病如特发性脊柱侧弯、斜视、上睑下垂、脐疝、腹股沟疝等患者);
7)既往有任何过敏史者,或有特定变态反应疾病者(如过敏性哮喘、荨麻疹、湿疹等);
8)筛选前3个月(90天)内接受过重大手术者;
9)接受了可能显著影响试验用药品药动学特征或安全性评价的手术者,或计划在研究期间进行手术者;
10)筛选前3个月(90天)内接受过抗组胺药或抗抑郁药物者;
11)给药前30天内使用过任何抑制或诱导肝脏对药物代谢的药物(如:诱导剂—巴比妥类、卡马西平、苯妥英、糖皮质激素、奥美拉唑;抑制剂—SSRI类抗抑郁药、西咪替丁、地尔硫卓、大环内酯类、硝基咪唑类、镇静催眠药、维拉帕米、氟喹诺酮类、抗组胺类)者;
12)给药前30天内接种过疫苗者;
13)给药前14天内使用过任何药物或保健品(包括中草药)者;
14)筛选期已知研究期间可能需要接受其他药物治疗者;
15)筛选前3个月(90天)内使用过任何临床研究药物,或计划在本研究期间参加其他临床试验者;
16)筛选前3个月(90天)内献血/失血量≥400 mL(女性生理性失血除外)、接受输血或使用血制品,或计划在试验期间或试验结束后1个月内献血者;
17)筛选前3个月(90天)内平均每日吸烟量大于5支,或试验期间不能戒烟者;
18)筛选前3个月(90天)内经常饮酒者(平均每周饮酒超过14单位酒精,1单位=360 mL啤酒或45 mL酒精量为40%的烈酒或150 mL葡萄酒),或试验期间不能停止饮酒者;
19)筛选前3个月(90天)内每天饮用过量茶、咖啡或含咖啡因的饮料(平均每天8杯以上,1杯=200 mL)者;
20)给药前48小时内食用特殊食物(如西柚、西柚汁或含西柚汁的食物/饮料、巧克力、烟草、酒精类、含咖啡因类等食物或饮料)者;
21)对饮食有特殊要求,不能遵守统一饮食者;
22)筛选期或入住当天的生命体征,筛选期体格检查、12导联心电图、正位胸片、腹部B超、甲状腺功能、血常规、尿常规、血生化、凝血功能检查,结果经临床医生判断为异常有临床意义者;
23)乙肝表面抗原、丙型肝炎病毒抗体、梅毒或人类免疫缺陷病毒抗原抗体检查初筛有一项或一项以上呈阳性者;
24)妊娠期或哺乳期女性,或女性血妊娠检查异常有临床意义者;
25)有药物滥用史或药物滥用筛查呈阳性者;
26)酒精呼气筛查结果为阳性者;
27)静脉采血困难或不能耐受动、静脉穿刺者,或有晕针、晕血史者;
28)志愿者可能因为其他原因而不能完成本研究或研究者认为不适合纳入者。

Exclusion criteria:

Compliance with 1 of these rules is excluded:
1) Patients with past or current clinical acute or chronic diseases such as circulatory system, endocrine system, nervous system, digestive system, respiratory system, hematology, immunology, psychiatry and metabolic abnormalities, which researchers determine may significantly affect the pharmacokinetic characteristics or safety evaluation of investigational drugs;
2) People with a history of neuromuscular diseases (such as myotonic dystrophy, poliomyelitis, myasthenia gravis, botulism) or poliomyelitis;
3) Patients with a history of anesthesia complications;
4) Patients with a history of asthma or airway diseases requiring treatment;
5) Patients with a history of anatomic airway abnormalities, or signs of airway abnormalities assessed during screening airway examinations, which may affect laryngoscope placement or tracheal intubation;
6) Patients with a history or family history of malignant hyperthermia, or those susceptible to malignant hyperthermia (congenital diseases such as idiopathic scoliosis, strabismus, ptosis, umbilical hernia, inguinal hernia, etc.);
7) People with any history of allergies or specific allergic diseases (such as allergic asthma, urticaria, eczema, etc.);
8) Patients who received heavy surgery within 3 months (90 days) before screening;
9) Patients who have undergone surgery that may significantly influence the pharmacokinetic profile or safety evaluation of the investigational drug product, or who plan to undergo surgery during the study period;
10) Receiving antihistamines or antidepressants within 3 months (90 days) prior to screening;
11) Any drug that inhibits or induces liver metabolism of drugs (e.g., inducers -- barbiturates, carbamazepine, phenytoin, glucocorticoids, omeprazole) used within 30 days prior to administration; Inhibitors -- SSris antidepressants, cimetidine, diltiazem, macrolides, nitroimidazoles, sedatives and hypnotics, verapamil, fluoroquinolones, antihistamines);
12) Vaccinated within 30 days prior to administration;
13) Have used any medicine or health product (including Chinese herbal medicine) in the 14 days prior to administration;
14) Those whose screening period is known to be likely to require other medications during the study;
15) Have used any investigational drug within 3 months (90 days) prior to screening, or plan to participate in other clinical trials during the study period;
16) Blood donation/loss ≥400 mL (except for female physiologic blood loss) within 3 months (90 days) prior to screening, receiving transfusion or using blood products, or planning to donate blood during the trial or within 1 month after the trial;
17) Those who smoked more than 5 cigarettes per day in the 3 months (90 days) before screening, or could not quit during the trial;
18) Regular drinkers (averaging more than 14 units of alcohol per week, 1 unit =360 mL beer or 45 mL 40% spirits or 150 mL wine) during the 3 months (90 days) prior to screening, or who cannot stop drinking during the trial;
19) Excessive consumption of tea, coffee or caffeinated beverages (mean more than 8 cups per day, 1 cup =200 mL) during the 3 months (90 days) prior to screening;
20) Eat special food (such as grapefruit, grapefruit juice or food/drink containing grapefruit juice, chocolate, tobacco, alcohol, caffeinated food or drink) within 48 hours before administration;
21) Those who have special dietary requirements and cannot abide by the unified diet;
22) Vital signs during the screening period or on the day of check-in, physical examination during the screening period, 12-lead electrocardiogram, positive chest radiograph, abdominal B-ultrasound, thyroid function, routine blood, urine routine, blood biochemistry and coagulation function tests, whose results were judged by clinicians as abnormal and clinically significant;
23) One or more positive tests for hepatitis B surface antigen, hepatitis C virus antibody, syphilis or human immunodeficiency virus antigen antibody in the preliminary screening;
24) Pregnant or lactating women, or women with abnormal blood pregnancy tests have clinical significance;
25) Those who have a history of drug abuse or test positive for drug abuse;
26) Positive for alcohol breath screening;
27) Patients who have difficulty in venous blood collection or cannot tolerate arteriotomy or venipuncture, or have a history of needle fainting or blood fainting;
28) Volunteers may be unable to complete the study for other reasons or deemed unsuitable for inclusion by the researcher.

研究实施时间:

Study execute time:

From 2023-02-15 00:00:00 To 2026-02-15 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-02-15 00:00:00 To 2026-02-15 00:00:00

干预措施:

Interventions:

组别:

A1

样本量:

12

Group:

A1

Sample size:

干预措施:

A1组计划纳入12例志愿者,每例志愿者接受2次给药,第1次给药剂量为0.2~0.3 mg/kg(A1001~A1004:0.2 mg/kg;A1005~A1008:0.25 mg/kg;A1009~A1012:0.3 mg/kg),静脉推注约5±1 s。第2次给药剂量为0.75 mg/kg,静脉推注30±1 s。第2次给药在第1次肌力完全恢复后(即TOFr和TOFr校准值连续3次≥90%)且间隔至少30 min再进行。

干预措施代码:

Intervention:

A total of 12 volunteers were included in group A1. Each volunteer received two doses of the first dose of 0.2 to 0.3 mg/kg, about 5±1 s intravenously. The second dose was 0.75 mg/kg and 30±1 s intravenously.

Intervention code:

组别:

A2

样本量:

10

Group:

A2

Sample size:

干预措施:

A2组计划纳入10例志愿者,每例志愿者接受1次给药,给药剂量为0.75 mg/kg,静脉推注60±1 s。

干预措施代码:

Intervention:

Ten volunteers were planned to be included in the A2 group, and each volunteer received a dose of 0.75 mg/kg with intravenous injection of 60±1 s.

Intervention code:

组别:

B1

样本量:

10

Group:

B1

Sample size:

干预措施:

B1组计划纳入10例志愿者,每例志愿者接受1次给药,给药剂量为1.0 mg/kg,静脉推注约30±1 s。

干预措施代码:

Intervention:

Ten volunteers were planned to be included in group B1, and each volunteer received a dose of 1.0 mg/kg with intravenous infusion of about 30±1 s.

Intervention code:

组别:

B2

样本量:

10

Group:

B2

Sample size:

干预措施:

B2组计划纳入10例志愿者,每例志愿者接受1次给药,给药剂量为1.0 mg/kg,静脉推注约60±1 s。

干预措施代码:

Intervention:

Ten volunteers were planned to be included in the B2 group, each of which received a dose of 1.0 mg/kg and intravenous injection of about 60±1 s.

Intervention code:

组别:

C1

样本量:

10

Group:

C1

Sample size:

干预措施:

C1组计划纳入10例志愿者,每例志愿者接受1次给药,给药剂量为1.25 mg/kg,静脉推注约30±1 s。

干预措施代码:

Intervention:

Ten volunteers were planned to be included in group C1, each of which received a dose of 1.25 mg/kg and intravenous infusion of about 30±1 s.

Intervention code:

组别:

C2

样本量:

10

Group:

C2

Sample size:

干预措施:

C2组计划纳入10例志愿者,每例志愿者接受1次给药,给药剂量为1.25 mg/kg,静脉推注约60±1 s。

干预措施代码:

Intervention:

Ten volunteers were scheduled to be included in the C2 group, each receiving a dose of 1.25 mg/kg and intravenous infusion of about 60±1 s.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

湖南 

市(区县):

长沙 

Country:

China

Province:

Hu Nan

City:

Chang Sha

单位(医院):

中南大学湘雅三医院 

单位级别:

三级甲等 

Institution
hospital:

he Third Xiangya Hospital of Central South University

Level of the institution:

Grade 3A

测量指标:

Outcomes:

指标中文名:

T1最大抑制百分率

指标类型:

主要指标

Outcome:

Percentage of maximum T1 inhibition

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

达到T1最大抑制时间

指标类型:

主要指标

Outcome:

The maximum T1 inhibition time was reached

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

起效时间

指标类型:

主要指标

Outcome:

Onset time

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

作用时间

指标类型:

主要指标

Outcome:

Action time

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

恢复速率

指标类型:

主要指标

Outcome:

Recovery rate

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

生命体征

指标类型:

主要指标

Outcome:

Vital signs

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

体格检查

指标类型:

主要指标

Outcome:

Physical Examination

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

实验室检查

指标类型:

主要指标

Outcome:

Laboratory tests

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

12 导联心电图

指标类型:

主要指标

Outcome:

12-lead electrocardiogram

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不良事件

指标类型:

主要指标

Outcome:

Adverse Events

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血药浓度

指标类型:

主要指标

Outcome:

Blood concentration

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 45 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

本研究不涉及志愿者随机。 志愿者按照签署知情同意书的先后顺序给予“筛选号”,在筛选时,每名志愿者将使用唯一的筛选号进行识别。筛选号由中心号和顺序号组成,前5位为研究中心号(CN001),后3位数字为志愿者签署知情同意书的顺序号,例如:001中心筛选的第二个受试者的代码为CN001002。 试验第-1天(即给药前1天),筛选合格的志愿者按照筛选号从小到大的顺序分配试验号。 A1组志愿者人数设定为12人,志愿者的试验号为:A1001~A1012。 A2组志愿者人数设定为10人,志愿者的试验号为:A2001~A2010。 B1组志愿者人数设定为10人,志愿者的试验号为:B1001~B1010。 B2组志愿者人数设定为10人,志愿者的试验号为:B2001~B2010。 C1组志愿者人数设定为10人,志愿者的试验号为:C1001~C1010。 C2组志愿者人数设定为10人,志愿者的试验号为:C2001~C2010。 因任何原因退出临床试验的已入组志愿者,将保留其试验号,该志愿者将不被允许再次进入该试验。志愿者给药前(指D1给予试验用药品前)如果发生脱落,可允许采用试验前体检合格

Randomization Procedure (please state who generates the random number sequence and by what method):

The study did not involve randomization of volunteers. Volunteers are given a "screening number" in the order in which they signed the informed consent form. During the screening, each volunteer will be identified by a unique screening number. The screening number consists of center number and sequence number.

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

盲法:

因志愿者给予肌松药后药效反应明显,无法对研究人员保持盲态,因此本研究采用开放设计,未设置安慰剂对照组

Blinding:

Since the volunteers could not keep blind to the researchers after receiving the muscle relaxant drug, the study adopted an open design and did not set up a placebo control group

是否共享原始数据:

IPD sharing

否No

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):

文章发表

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Articles published

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:

采用纸质 CRF:本次试验采用纸质 CRF 采集数据。 1.纸质 CRF 对应的数据管理大致流程:CRC 填写纸质 CRF(pCRF);监查员进行现场核查(SDV);数据疑问和解答:研究者根据疑问进行解答并在答疑表中签字确认。该过程如此反复,直到疑问被全部解决,数据清洁。 2.医学编码:不良事件采用 MedDRA V22.0 或更高版本字典进行编码,合并用药采用 WHO ATC进行分类。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Use of paper CRF: This trial used paper CRF to collect data. 1. Paper CRF corresponds to the general process of data management: CRC fills in the paper CRF (pCRF); the supervisor performs the site verification (SDV); data queries and answers: the investigator answers the queries according to the queries and signs the answer form to confirm. The process is repeated until the queries are all resolved and the data are clean. 2. Medical coding: Adverse events were coded using MedDRA V22.0 or higher dictionary, and combined medications were classified using WHO ATC.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2023-02-15 15:01:35