Study of the Effects of Intravenous Exenatide on Cardiac Repolarization

Healthy Adult Male and Female Volunteers Clinical Trial

Official title:

Two-Part, Randomized, Placebo and Active-Controlled, Double-Blind, Thorough QT Study Evaluating the Effects of Intravenous Exenatide on Cardiac Repolarization in Healthy Male and Female Volunteers

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02650479
• Other study ID #: ITCA-650-CLP-114
• Status: Completed
• Phase: Phase 1
• First received: January 1, 2016
• Last updated: January 26, 2017
• Start date: January 2016
• Est. completion date: April 2016

Study information

• Verified date: June 2016
• Source: Intarcia Therapeutics
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Two-Part, Randomized, Placebo and Active-Controlled, Double-Blind, Thorough QT Study Evaluating the Effects of Intravenous Exenatide on Cardiac Repolarization in Healthy Male and Female Volunteers

Description:

This single-center Phase I study will consist of 2 parts, a Pilot Part and a Core Part.

The Pilot Part of the study will be an open-label, non-randomized, single-treatment design in 10 healthy male and female subjects to determine if an infusion regimen of a 6-h continuous IV infusion of exenatide will lead to a mean plasma steady state concentration of 500 pg/mL.

The Core part of the study will be a double-blind (except for the use of open label active control moxifloxacin), randomized, placebo-controlled,3 period, 6-sequence, cross-over design in 72 healthy male and female subjects to evaluate whether exenatide at therapeutic and supra-therapeutic concentrations has a pharmacological effect on cardiac repolarization (threshold value >10 msec).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 82
• Est. completion date: April 2016
• Est. primary completion date: April 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Body mass index (BMI) between 19 to 35 kg/m2 inclusive.

• Women of child bearing potential - use of an additional adequate method of contraception during the study and until 1 additional menstrual cycle following the end-of-study (EOS) visit. Adequate methods of contraception for women of child bearing potential (WOCBP) include: mechanical products (ie, intrauterine device [IUD]—copper IUD); or barrier methods (eg, diaphragm, condoms, cervical cap) with spermacide.

• Aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (AP), and bilirubin within normal range at Screening.

• Fasting triglycerides within the normal range at Screening

Exclusion Criteria:

• History of type 1 or type 2 diabetes, or history of hypoglycemia.

• History or evidence of myocardial infarction, congestive heart failure, syncope not related to heart arrhythmia, coronary revascularization (coronary artery bypass grafting or percutaneous coronary intervention), unstable angina, or cerebrovascular accident or stroke or TIA.

• History of atrial fibrillation, flutter, or non-sustained or sustained VT.

• Personal or family history of sudden death or long QT syndrome.

• History of uncontrolled hypertension.

• History or evidence of acute or chronic pancreatitis.

• History of liver disease.

• Abnormal renal function.

• History of medullary thyroid cancer or a personal or family history of multiple endocrine neoplasia type 2.

• Thyroid-stimulating hormone (TSH) outside of normal limits at Screening .

• Weight loss surgery.

• History of malignancy (not including basal or squamous cell carcinoma of the skin with past 5 years). (Subjects who have been disease free for greater than 5 years may be included.)

• History of active alcohol within 1 year prior to Screening.

• History of drug abuse within 5 years prior to Screening or a positive prestudy drug screen.

• Weekly consumption of more than 14 alcoholic beverages for females and more than 21 alcoholic beverages for males.

• Smoke more than 10 cigarettes per day.

• Excessive in xanthine consumption (more than 5 cups of coffee or equivalent per day).

• History of hypersensitivity to any of the medications used in this study.

• Women that are pregnant, lactating, or planning to become pregnant.

• History of or positive results on screening tests for hepatitis B and/or hepatitis C and/or human immunodeficiency virus (HIV).

• History or evidence of immunocompromised status.

• Prior or current treatment with any GLP-1 receptor agonist (eg, Bydureon™, Byetta®, Victoza®, Tanzeum® or exogenous native GLP-1) or prior participation in an ITCA 650 clinical trial.

• Any gastrointestinal complaints within 7 days prior to first dosing.

• Use of medications within 14 days of first dose other than hormone replacement therapy and oral contraceptives.

• Chronic (8 consecutive days or greater) treatment with systemic corticosteroids.

Related Conditions & MeSH terms

• Healthy Adult Male and Female Volunteers

Intervention

Drug:
• Exenatide
6 hour IV infusion (double infusion of 0.1250 mcg/kg/hour for 30 min followed by infusion rate (1X) of 0.0625 mcg/kg/hour for 5.5 hours).
• Placebo
6 hour IV infusion.
• Moxifloxacin
400 mg oral dose moxifloxacin within 1 min of start of infusion of exenatide
• Palonosetron
0.25 mg administered IV within 30 minutes prior to initiating the infusion of exenatide

Locations

Country	Name	City	State
Netherlands	PRA-Groningen	Groningen

Sponsors (1)

Lead Sponsor	Collaborator
Intarcia Therapeutics

Country where clinical trial is conducted

Netherlands, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pilot Study: Establishment of mean plasma steady state concentration of 500 pg/mL		35 days
Primary	Core Study: Changes to QTc interval changes (threshold > 10 msec) measurements		56 days
Secondary	Pilot Study: Adverse events as assessed by subjective subject reporting, laboratory testing, ECG, physical examinations, and vital signs		35 days
Secondary	Core Study: Measurement of exenatide plasma concentrations and relationship to changes in QTc interval measurements	Relationship between plasma concentrations of exenatide and QTc interval.	56 days
Secondary	Core Study: Changes in PR, RR, QRS, QT, T- and U- wave morphology		56 days
Secondary	Core Study: Measurement of QTc interval changes moxifloxacin as active control		56 days
Secondary	Core Study: Adverse events as assessed by subjective subject reporting, laboratory testing, ECG, physical examinations, and vital signs		56 days
Secondary	Pilot Study: Maximum concentration (CMax) of exenatide		35 days
Secondary	Pilot Study: Time to maximum concentration (TMax) of exenatide		35 days
Secondary	Pilot Study: Area under the curve (AUC) of exenatide		35 days
Secondary	Pilot Study: Steady state concentration (Css) of exenatide		35 days
Secondary	Pilot Study: Half life (T1/2) of exenatide		35 days
Secondary	Core Study: Half life (T1/2) of exenatide		56 days
Secondary	Core Study: Steady state concentration (Css) of exenatide		56 days
Secondary	Core Study: Area under the curve (AUC) of exenatide		56 days
Secondary	Core Study: Maximum concentration (CMax)		56 days
Secondary	Core Study: Time to maximum concentration (TMax) of exenatide		56 days