| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
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| MedDRA Classification |
| E.1.3 | Condition being studied is a rare disease | No |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
| To determine whether R317573, after multiple dosing over one week, reduces the intensity of an anxiogenic reaction induced by the intravenous (i.v.) administration of cholecystokinin-tetrapeptide (CCK-4). |
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| E.2.2 | Secondary objectives of the trial |
1. To assess the influence of R317573 on CCK-4 induced changes in blood pressure, pulse rate, respiratory rate and adrenocorticotropic hormone (ACTH), cortisol, insulin and glucose plasma concentrations. 2. To assess the effects of R317573 on anticipatory anxiety. 3. To assess the safety and tolerability of multiple oral doses of R317573.. 4. To assess potential relationships between the R317573 pharmacokinetic (PK) profile and the pharmacodynamic (PD) effects, safety and tolerability of R317573.
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| E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
| E.3 | Principal inclusion criteria |
1. Healthy males 2. Age between 18 and 45 years, inclusive 3. Willingness to use an adequate contraception for the duration of the study and for 3 months thereafter. 4. BMI between 18 and 28 kg/m2 inclusive (BMI = weight/height2). 5. Non-smoker (not smoked for 3 months prior to screening). 6. Subjects must have signed an informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study. 7. In order to participate in the pharmacogenomic component, subjects (or their legally acceptable representative) must have signed the informed consent for DNA research indicating whether they do or do not wish to participate in the DNA component of the study (where local regulations permit). |
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| E.4 | Principal exclusion criteria |
At screening and Day -3 1. Having cardiovascular disease or a history of cardiovascular disease. 2. Current psychiatric illness as assessed by the Mini-International Neuropsychiatric Interview (M.I.N.I.) and the medical history. 3. Clinically significant abnormal values in TSH measured during the screening period. It is expected that the values will generally be within the normal range for the laboratory, though minor deviations, which are not considered to be of clinical significance, are acceptable. 4. Clinically significant abnormal values for hematology, clinical chemistry or urinalysis at screening or admission. It is expected that laboratory values will generally be within the normal range for the laboratory, though minor deviations, which are not considered to be of clinical significance to both the investigator and to the J&JPRD Safety Physician, are acceptable. 5. Clinically significant abnormal physical examination, vital signs or 12-lead electrocardiogram (ECG) at screening or admission. 6. History of or current significant medical illness including (but not limited to) cardiac arrhythmias or other cardiac disease, hematological disease, lipid abnormalities, bronchospastic respiratory disease, diabetes mellitus, renal or hepatic insufficiency, thyroid disease, Parkinson’s disease, infection, or any other illness that the Investigator considers should exclude the subject. 7. History of epilepsy or fits or unexplained black-outs. 8. Positive urine screen for drugs of abuse (opiates, barbiturates, cannabis, benzodiazepines, cocaine, amphetamines). 9. Serology positive for hepatitis B surface antigen, hepatitis C antibodies or HIV antibodies 1 and 2. 10. Recent history (within previous 6 months) of alcohol or drug abuse.
On Day -2 1. Clinically significant abnormal values in the daytime ACTH/Cortisol concentrations on Day -2. It is expected that the values will generally be within the normal range for the laboratory, though minor deviations, which are not considered to be of clinical significance, are acceptable.
On Day -1 1. Insignificant response to the first CCK-4 challenge test defined as NOT HAVING a score greater than or equal to 2 of the symptom fear/anxiety/apprehension in the Panic Symptom Score (PSS) and NOT HAVING a score of greater than or equal to 1 of at least 4 of the 18 symptoms in the PSS.
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| E.5 End points |
| E.5.1 | Primary end point(s) |
Efficacy of the CRF-1 receptor antagonist R317573 on CCK-4 induced anxiety.
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| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | No |
| E.6.2 | Prophylaxis | No |
| E.6.3 | Therapy | No |
| E.6.4 | Safety | Yes |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | Yes |
| E.6.7 | Pharmacodynamic | Yes |
| E.6.8 | Bioequivalence | No |
| E.6.9 | Dose response | Yes |
| E.6.10 | Pharmacogenetic | Information not present in EudraCT |
| E.6.11 | Pharmacogenomic | Yes |
| E.6.12 | Pharmacoeconomic | No |
| E.6.13 | Others | No |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | Information not present in EudraCT |
| E.7.1.1 | First administration to humans | Information not present in EudraCT |
| E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
| E.7.1.3 | Other | Information not present in EudraCT |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | Yes |
| E.7.3 | Therapeutic confirmatory (Phase III) | Information not present in EudraCT |
| E.7.4 | Therapeutic use (Phase IV) | Information not present in EudraCT |
| E.8 Design of the trial |
| E.8.1 | Controlled | Yes |
| E.8.1.1 | Randomised | Yes |
| E.8.1.2 | Open | No |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | Yes |
| E.8.1.5 | Parallel group | No |
| E.8.1.6 | Cross over | No |
| E.8.1.7 | Other | No |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | No |
| E.8.2.2 | Placebo | Yes |
| E.8.2.3 | Other | No |
| E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
| E.8.4 | The trial involves multiple sites in the Member State concerned | No |
| E.8.5 | The trial involves multiple Member States | No |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | No |
| E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
| E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | 0 |
| E.8.9.1 | In the Member State concerned months | 7 |
| E.8.9.1 | In the Member State concerned days | |
| E.8.9.2 | In all countries concerned by the trial years | 0 |
| E.8.9.2 | In all countries concerned by the trial months | 7 |