评价康达瑞韦钠片在健康受试者中单中心、随机、双盲、安慰剂对照的单次、多次给药耐受性、药代动力学Ⅰ期临床试验

注册号:

Registration number:

ChiCTR1800014487 

最近更新日期:

Date of Last Refreshed on:

2018-01-16 23:08:10 

注册时间:

Date of Registration:

2018-01-16 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

评价康达瑞韦钠片在健康受试者中单中心、随机、双盲、安慰剂对照的单次、多次给药耐受性、药代动力学Ⅰ期临床试验

Public title:

A single-center, randomized, double-blind, placebo-controlled single, multi-dose, phase I study to evaluate the tolerability, pharmacokinetics of kangdaprevir sodium tables administrations in healthy subjects

注册题目简写:

English Acronym:

研究课题的正式科学名称:

评价康达瑞韦钠片在健康受试者中单中心、随机、双盲、安慰剂对照的单次、多次给药耐受性、药代动力学Ⅰ期临床试验

Scientific title:

a single-center, randomized, double-blind, placebo-controlled single, multi-dose, phase I study to evaluate the tolerability, pharmacokinetics of kangdaprevir sodium tables administrations in healthy subjects

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:

刘艳 

研究负责人:

丁艳华 

Applicant:

Yan Liu 

Study leader:

Yanhua Ding 

申请注册联系人电话:

Applicant telephone:

+86 0769-85315888-2535

研究负责人电话:

Study leader's
telephone:

+86 18186879768

申请注册联系人传真 :

Applicant Fax:

+86 0769-85370255

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:

liuyan2@hec.cn

研究负责人电子邮件:

Study leader's E-mail:

dingyanhua2003@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:

广东省东莞市长安镇上沙振安中路368号

研究负责人通讯地址:

吉林省长春市新民大街71号

Applicant address:

368 Zhenan Mid Road, Shangsha, Changan, Dongguan, Guangdong, China

Study leader's address:

71 Xinmin Street, Changchun, Jilin, China

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:

申请人所在单位:

广东东阳光药业有限公司

Applicant's institution:

Sunshine lake pharma co., ltd.

研究负责人所在单位:

吉林大学第一医院

Affiliation of the Leader:

The First Hospital of Jilin 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:

2017-171129-256

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

吉林大学第一医院伦理委员会

Name of the ethic committee:

The Ethics Committee of The First Hospital of Jilin University

伦理委员会批准日期:

Date of approved by ethic committee:

2017-11-30 00:00:00

伦理委员会联系人:

赵丽媛

Contact Name of the ethic committee:

Liyuan Zhao

伦理委员会联系地址:

吉林省长春市新民大街71号

Contact Address of the ethic committee:

71 Xinmin Street, Changchun, Jilin, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

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:

吉林大学第一医院

Primary sponsor:

The First Hospital of Jilin University

研究实施负责(组长)单位地址:

中国吉林省长春市新民大街71号

Primary sponsor's address:

71 Xinmin road, Changchun city, Jilin province, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

吉林

市(区县):

Country:

China

Province:

Jilin

City:

单位(医院):

吉林大学第一医院

具体地址:

中国吉林省长春市新民大街71号

Institution
hospital:

The First Hospital of Jilin University

Address:

71 Xinmin road, Changchun city, Jilin province, China

经费或物资来源:

广东东阳光药业有限公司

Source(s) of funding:

sunshine lake pharma co., ltd.

研究疾病:

慢性丙肝  

Target disease:

chronic hepatitis

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:

随机平行对照 

Study design:

Parallel 

研究目的:

评价康达瑞韦钠片在健康受试者中单次、多次给药耐受性;评价康达瑞韦钠片在健康受试者中单次、多次给药药代动力学;评价康达瑞韦钠片药物代谢转化;评价食物对康达瑞韦钠片药代动力学的影响;  

Objectives of Study:

To evaluate the tolerability of kangdaprevir sodium tables in single and multiple doses in healthy subjects; Pharmacokinetics of single-dose and multi-dose administration of kangdaprevir sodium tables in healthy subjects; Evaluation of f kangdaprevir sodium tables drug metabolism transformation; Evaluation of food infection on kangdaprevir sodium tables pharmacokinetics;

药物成份或治疗方案详述:

康达瑞韦钠 

Description for medicine or protocol of treatment in detail:

kangdaprevir sodium 

纳入标准:

Inclusion criteria

排除标准:

1)试验前3个月内,平均每日吸烟量>5支者;
2)对试验药品或者其辅料有过敏史,过敏体质(多种药物及食物过敏);
3)有酗酒史(每周饮用14个单位的酒精:1单位=啤酒285 mL,或烈酒25 mL,或葡萄酒100 mL);
4)尿药筛阳性者(如阿片类、巴比妥类、苯二氮卓类、三环抗抑郁药、苯环己哌啶、安非他命、大麻、可卡因等)或在过去五年内有药物滥用史或使用过毒品者;
5)在服用试验药物前3个月内献血或大量失血(> 450 mL),或计划在试验结束后1个月内献血者;
6)有吞咽困难或服用试验药物前6个月内患有能够影响药物吸收或排泄的胃肠道及肝脏、肾脏疾病(不论治愈与否均排除)者;
7)患有任何增加出血性风险的疾病,如痔疮、急性胃炎或胃及十二指肠溃疡等;
8)在服用试验药物前1个月内服用了任何改变肝酶活性的药物;
9)服用试验药物前1个月内服用过以下P-gp或BCRP的抑制剂或诱导剂,如伊曲康唑、克拉霉素或决奈达隆等;
10)服用试验药物前1个月内服用过任何抑制胃酸分泌药物者,如,H2受体拮抗剂西咪替丁、雷尼替丁、法莫替丁、尼扎替丁和罗沙替丁;质子泵抑制剂奥美拉唑、兰索拉唑、雷贝拉唑、泮托拉唑和埃索美拉唑;胆碱受体阻断药阿托品和哌仑西平;
11)服用试验药物前1个月内服用过任何抗胃酸药物者,如,碳酸氢钠、氢氧化镁、氢氧化铝、碳酸钙、三硅酸镁等;
12)在服用试验药物前14天内服用了任何处方药、非处方药、任何维生素产品或草药;
13)服用试验药物前2周内服用过特殊饮食(包括火龙果、芒果、柚子等)或有剧烈运动,或其他影响药物吸收、分布、代谢、排泄等因素者;
14)最近在饮食或运动习惯上有重大变化;
15)在服用研究用药前3个月内服用过研究药品、或参加了临床试验(如果受试者在治疗前退出研究,即未被随机化或未接受治疗,可以入组本研究);
16)不能耐受标准餐(2个煮鸡蛋100g、20g培根、1片黄油吐司70g、115g油炸土豆条、240毫升全脂牛奶)的受试者(此条只适用于参与餐后试验的受试者);
17)心电图异常有临床意义;
18)女性受试者在筛查期或试验过程中正处在哺乳期或血清妊娠结果阳性;
19)临床实验室检查有临床意义异常、或其它临床发现显示有临床意义的下列疾病(包括但不限于胃肠道、肾、肝、神经、血液、内分泌、肿瘤、肺、免疫、精神或心脑血管疾病);
20)病毒性肝炎(包括乙肝和丙肝)、艾滋病抗体、梅毒螺旋体抗体筛选阳性;
21)从筛选阶段至研究用药前发生急性疾病或有伴随用药;
22)在服用研究药物前24小时内摄取了巧克力、任何含咖啡因或富含黄嘌呤的食物或饮料;
23)在服用研究药物前24小时内服用过任何含酒精的制品;
24)研究者认为具有其他不适宜参加本试验因素的受试者。

Exclusion criteria:

1) More than 5 cigarettes smoked daily during the past 3 months
2) allergy to study drugs or their excipients, allergies (multiple drugs and food allergies);
3) A history of alcohol abuse (14 units of alcohol per week: 1 unit = 285 mL of beer, or 25 mL of spirits or 100 mL of wine);
4) People with positive urinalysis(Such as opioids, barbiturates, benzodiazepines, tricyclic antidepressants, phencyclidine, amphetamines, cannabis, cocaine, etc) or who have had a history of drug abuse or who have used drugs during the past five years;
5) Blood donation or massive blood loss (> 450 mL) during past three months prior to screening or plan to donate blood within 1 month after study completion ;
6)Have difficulty to swallow or have any history of gastrointestinal, liver, kidney diseases that affect drug absorption or excretion;
7) Any condition that increases the risk of hemorrhaging, such as hemorrhoids, acute gastritis or gastric and duodenal ulcers;
8) Take any medication that changes liver enzyme activity during past 1 month prior to screening;
9) Take any medication that contain P-gp, or BCRP inhibitors or inducers such as itraconazole, Clarithromycin, or dronedarone;
10) Take any drug that inhibit gastric acid secretion within 1 month prior to use study drug. Such as H2 Receptor Antagonist as Cimetidine, ranitidine, famotidine, nizatidine and Roxatidine; proton pump inhibitors as omeprazole, lansoprazole, rabeprazole , pantoprazole, esomeprazole; acetylcholine receptor antagonist as atropine, pirenzepine.
11) Take any Antacid drugs within 1 month prior to use study drug. Such as Sodium bicarbonate, magnesium hydroxide, aluminum hydroxide, calcium carbonate, three magnesium silicate, etc.
12) Take any prescription, over-the-counter, any vitamin product or herbal medicine within 14 days prior to screening;
13) Those who have taken special diet (including dragon fruit, mango, grapefruit, etc.) or have strenuous exercise or other factors that influence the absorption, distribution, metabolism and excretion of drugs within 2 weeks before screening;
14) Recent changes in diet or exercise habits;
15) Took any study medication or participated any clinical trial within three months before taking the study medication;
16) Subjects who can not tolerate standard meals (2 boiled eggs 100g, 20g bacon, 1 butter toast 70g, 115g fried potato strips, 240 ml whole milk) (This applies only to participants who participated in the postprandial test Of subjects);
17) ECG abnormalities have clinical significance;
18) Female subjects are lactating or have positive pregnancy outcomes during the screening or study procedure;
19) Clinical laboratory tests showed clinically significant abnormalities, or other clinically relevant diseases (including but not limited to gastrointestinal tract, kidney, liver, nerve, blood, endocrine, tumor, lung , Immune, mental or cardiovascular disease);
20) Viral hepatitis (including hepatitis B and C), HIV antibody, Treponema pallidum antibody screening positive.
21) Acute illness or concomitant medication during the phase of screening to using study medicine;
22) Took chocolates, any caffeine or xanthine-rich food or drink within 24 hours prior to taking the study drug;
23) Have taken any alcoholic product within 24 hours prior to taking the study medication;
24) Other conditions that investigator evaluate subjects are not suitable to participate the study.

研究实施时间:

Study execute time:

From 2018-01-09 00:00:00 To 2019-06-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2018-01-10 00:00:00 To 2018-12-31 00:00:00

干预措施:

Interventions:

组别:

预试验

样本量:

2

Group:

Pre-test group

Sample size:

干预措施:

2例受试者使用单剂量50mg康达瑞韦钠片

干预措施代码:

Intervention:

each subject uses 50mg single-dose of kangdaprevir sodium tables

Intervention code:

组别:

第一组(50mg)

样本量:

12

Group:

first group(50mg)

Sample size:

干预措施:

组别50mg(第一组),样本量12,其中10例使用康达瑞韦钠片,2例使用安慰剂,康达瑞韦钠片50mg每天一次

干预措施代码:

Intervention:

The first group needed to complete a single-dose clinical study at a dose of 50 mg, enrolled12 subjects, 10 subjects received the kangdaprevir sodium tables,2 sujects received placebo, with a similar male-to-female ratio. Administered 50mg once,

Intervention code:

组别:

第二组(100mg食物影响组)

样本量:

22

Group:

send group(100mg,food infection)

Sample size:

干预措施:

11例A组,11例B组,康达瑞韦钠片100mg,第1天给药一次;第8天给药一次

干预措施代码:

Intervention:

The second group needed to complete a single-dose clinical study at a dose of 100 mg, enrolled22 subjects, 11 subjects assigned to group A, 11 subjects assigned to group B. with a similar male-to-female ratio. Administered once at Day 1 and Administered once at Day 8;

Intervention code:

组别:

第三组(200mg单次)

样本量:

12

Group:

Third group(200mg,single dose)

Sample size:

干预措施:

10例使用康达瑞韦钠片,2例使用安慰剂,康达瑞韦钠片200mg每天一次

干预措施代码:

Intervention:

10 subjects received the kangdaprevir sodium tables,2 sujects received placebo, with a similar male-to-female ratio. Administered 200mg once,

Intervention code:

组别:

第四组(400mg单次)

样本量:

12

Group:

Fouth group(400mg,single dose)

Sample size:

干预措施:

10例使用康达瑞韦钠片,2例使用安慰剂,康达瑞韦钠片400mg每天一次

干预措施代码:

Intervention:

10 subjects received the kangdaprevir sodium tables,2 sujects received placebo, with a similar male-to-female ratio. Administered 400mg once,

Intervention code:

组别:

第五组(600mg单次)

样本量:

12

Group:

Fifth group(600mg,single dose)

Sample size:

干预措施:

10例使用康达瑞韦钠片,2例使用安慰剂,康达瑞韦钠片600mg每天一次

干预措施代码:

Intervention:

10 subjects received the kangdaprevir sodium tables,2 sujects received placebo, with a similar male-to-female ratio. Administered 600mg once,

Intervention code:

组别:

第六组(800mg,单次)

样本量:

12

Group:

Sixth group(800mg,single dose)

Sample size:

干预措施:

10例使用康达瑞韦钠片,2例使用安慰剂,康达瑞韦钠片800mg每天一次

干预措施代码:

Intervention:

10 subjects received the kangdaprevir sodium tables,2 sujects received placebo, with a similar male-to-female ratio. Administered 800mg once,

Intervention code:

组别:

第七组(100mg,多次)

样本量:

12

Group:

Seventh group(100mg,multi-dose)

Sample size:

干预措施:

连续用药5天,10例使用康达瑞韦钠片,2例使用安慰剂, 每天服用康达瑞韦钠片100mg一次

干预措施代码:

Intervention:

complete a multi-dose clinical study at a dose of 100 mg daily, for five consecutive days. enrolled12 subjects, 10 subjects received the kangdaprevir sodium tables,2 sujects received placebo, with a similar male-to-female ratio. Administered 100mg once,

Intervention code:

组别:

第八组(200mg,多次)

样本量:

12

Group:

Eighth(200mg,multi-dose

Sample size:

干预措施:

连续用药5天,10例使用康达瑞韦钠片,2例使用安慰剂, 每天服用康达瑞韦钠片200mg一次

干预措施代码:

Intervention:

complete a multi-dose clinical study at a dose of 100 mg daily, for five consecutive days. enrolled12 subjects, 10 subjects received the kangdaprevir sodium tables,2 sujects received placebo, with a similar male-to-female ratio. Administered 200mg once,

Intervention code:

组别:

第九组(400mg,多次)

样本量:

12

Group:

Ninth(400mg,multi-dose)

Sample size:

干预措施:

连续用药5天,10例使用康达瑞韦钠片,2例使用安慰剂, 每天服用康达瑞韦钠片400mg一次

干预措施代码:

Intervention:

complete a multi-dose clinical study at a dose of 100 mg daily, for five consecutive days. enrolled12 subjects, 10 subjects received the kangdaprevir sodium tables,2 sujects received placebo, with a similar male-to-female ratio. Administered 400mg once

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

吉林 

市(区县):

 

Country:

China

Province:

Jilin

City:

单位(医院):

吉林大学第一医院 

单位级别:

三级甲等 

Institution
hospital:

The first hospital of jilin university

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

耐受性评价指标

指标类型:

主要指标

Outcome:

Tolerance evaluation

Type:

Primary indicator

测量时间点:

单次给药组在D2、D4评价; 单次给药及食物对药代动力学影响组在D4、D7、D11评价; 多次给药组在D2、D5、D8评价

测量方法:

主要包括不良事件(AE)、临床实验室检查(血常规、血生化、凝血常规、尿常规),生命体征(血压、脉搏、呼吸及体温)、12-导联心电图(ECG)及体格检查。

Measure time point of outcome:

Single dose group evaluate at day2,day4; single dose and food infect on Pharmacokinetics group evaluate at day4,day7, day11, multi-dose group evaluate at day2,day5, day8;

Measure method:

Adverse event, laboratory test ( blood routine test, blood biochemistry, coagulation routine test, urine routine test), vital signs (blood pressure, pulse, breath and body temperature), 12- lead electrocardiogram (ECG) and physical examination.

指标中文名:

单次给药PK参数

指标类型:

主要指标

Outcome:

30)Single dose PK parameter

Type:

Primary indicator

测量时间点:

血样:给药前15min至给药后72小时;进食给药前15min至给药后72小时。尿样:给药前至给药后72小时。粪样:空腹给药前至给药后72小时。

测量方法:

Tmax、Cmax、t1/2、AUC0-∞、AUC0-24、AUC0-72、Ae0-72、Ae0-72、药物经过尿液、粪便累计排泄率、CL/f、Vz/F、MRT

Measure time point of outcome:

Blood sample: within 15 minutes prior to use study drug to 72h after use study drug; urine sample; prior to use study drug to 72h after use study drug facal sample: within 72h after use study drug

Measure method:

Tmax, Cmax, t1/2, AUC0-∞, AUC0-24, AUC0-72, Ae0-72, Ae0-72, The cumulative excretion rate of the drug through urine and feces, CL/f, Vz/F, MRT

指标中文名:

稳态PK参数

指标类型:

主要指标

Outcome:

Steady state PK parameter

Type:

Primary indicator

测量时间点:

末次给药后72小时

测量方法:

Tmax,ss、Cmax,ss、t1/2,ss、AUC0-24,ss、AUC0-72,ss、AUC0-∞,ss、CL/f,ss、100 *(Cmax,ss – Cmin,ss)/ Cavg,ss、谷浓度

Measure time point of outcome:

within 72h after use study drug

Measure method:

Tmax, ss Cmax, ss, t1/2,ss, AUC0-24, ss, AUC0-72, ss, AUC0-∞,ss, CL/f,ss, 100 * (Cmax,ss – Cmin,ss)/ Cavg,ss, Cmin

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血样

组织:

Sample Name:

blood sample

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

尿样

组织:

Sample Name:

urine sample

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

粪样

组织:

Sample Name:

facal sample

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:

正在进行

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):

区组随机

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

blocked randomization

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

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):

试验完成后6个月内公开

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

Within six months after the trial

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:

电子采集和管理系统

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

Electronic Data Capture, EDC

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2018-01-16 23:08:10