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 the effect of SLx-2101 5 mg or 10 mg dosed once daily for 14 days on supine and 2-minute standing peripheral systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate up to 24 h post-dose in patients with hypertension. |
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E.2.2 | Secondary objectives of the trial |
• To determine the effect of single doses of SLx-2101 5 mg or 10 mg on supine and 2-minute standing peripheral SBP and DBP and heart rate in patients with hypertension. • To explore the effect of SLx-2101 5 mg and 10 mg dosed once daily for 14 days on 24 h ambulatory blood pressure and heart rate in patients with hypertension. • To evaluate the single and repeat dose pharmacokinetic profile of SLx-2101 and its M1 metabolite, SLx-2081, in hypertensive patients. • To determine the safety and tolerability of repeat oral doses of SLx-2101 5 mg or 10 mg for 14 days in patients with hypertension. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Male or female subjects aged between 18 and 70 years, inclusive. -Female subjects of non-childbearing potential including pre-menopausal females with documented (medical report verification) hysterectomy, double oophorectomy or tubal ligation or postmenopausal defined as 12 months of spontaneous amenorrhea with serum follicle stimulating hormone (FSH) levels > 40 mIU/mL and oestradiol levels < 30 pg/mL or − Females, who are of childbearing potential, must use adequate contraception with double protection prior to and during the trial: double barrier methods (condom, diaphragm, coil or intrauterine device (IUD,) in combination with spermicide) or hormonal contraception (oral, depot or implants) in combination with a barrier method. 2. Moderate to severe hypertension, defined as a DBP of >90 mmHg and <110 mmHg and a sustained SBP of >140 mmHg and < 180 mmHg or a sustained SBP of >140 mmHg and < 180 mmHg (ISH). (In case of subject receiving antihypertensive agents a DBP ³85 mmHg and £110 mmHg and a sustained SBP of ³130 mmHg and £180 mmHg or a sustained SBP of ³130 mmHg and £ 180 mmHg will be acceptable). 3. Body weight within a body mass index range of 18 – 32 kg/m2. 4. Able to provide written informed consent prior to the performance of any study specific procedures. 5. A 12-lead ECG at the pre-study medical, which in the opinion of the Investigator, has no abnormalities that will compromise safety in this study. 6. A negative pre-study urine drugs of abuse screen within 21 days of study start. 7. Available to complete all study measurements. |
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E.4 | Principal exclusion criteria |
1. Past or present disease that is judged by the Investigator to have the potential to interfere with the study procedures, compromise safety, or affect the pharmacodynamic evaluations. 2. The subject has a history of orthostatic hypotension, fainting spells or blackouts. 3. The subject is taking nitrates and/or alpha-blockers or medication known to affect BP except those allowed in the protocol, please refer to Section 4.2.4 for permitted and prohibited drugs).. 4. The subject has been a regular user of PDE-5 inhibitors and/or is unable to refrain from using these agents for 5 days before and for the period of their participation in the study. 5. The subject is receiving more than THREE antihypertensive agents. 6. The subject has malignant hypertension, primary hyperaldosteronism or secondary hypertension. 7. Screening liver function tests exceeding 1.5 times the upper limit of the normal range. 8. Active pancreatitis. 9. Abuse of alcohol, defined as a average weekly intake of greater than 21 units for males or 14 units for females (1 unit is equivalent to a half pint of beer or 1 measure of spirits or 1 glass of wine). 10. A history of drug abuse. 11. History or presence of gastro-intestinal, hepatic or renal disease or other condition known to interfere with the absorption, distribution, metabolism or excretion of drugs. 12. History or presence of severe peripheral vascular disease, coronary heart disease, heart failure (New York Heart Association type II, III or IV), myocardial infarction or cardiac surgery (in the last 12 months), hypertrophic obstructive cardiomyopathy, aortic or mitral valve stenosis, stroke, PCTA in the last 6 months. 13. Known to be infected with the human immunodeficiency virus or hepatitis B or C. 14. The subject has an abnormal thyroid function test assessed by thyroid stimulating hormone (TSH) levels at Screening. 15. Exposure to a new chemical entity within 3 months prior to the first dosing day. 16. Participation in a trial with any drug within 30 days before the start of the study. 17. The subject has a known significant history of non-compliance with prescribed medication. 18. If participation in the study will result in the volunteer having donated more than 500 mL blood (males) in the previous 6 months. 19. Male subjects attempting to father a child during and up to 3 months after the study Female subjects attempting to become pregnant during and up to 3 months after the study. 20. If in the Investigators opinion, the subject is unsuitable to participate in the study. 21. Inability to understand the protocol requirements, instructions and study-related restrictions; the nature, scope and possible consequences of the study. 22. Unlikely to complete the study; e.g., uncooperative attitude, inability to return for Follow-up Visits. 23. Subject is the Investigator or any sub-investigator, research assistant, pharmacist, study coordinator, other staff, or relative thereof directly involved in the conduct of the study. 24. Vulnerable individuals (e.g., persons kept in detention). |
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E.5 End points |
E.5.1 | Primary end point(s) |
Placebo-corrected supine peripheral SBP, DBP and heart rate at 1, 2, 4, 6, 8, 12, 16 and 24 h post-dose and 2-minute standing peripheral SBP, DBP and heart rate at 2, 4, 8, 12 and 24 h after SLx-2101 5 mg or 10 mg dosed once daily for 14 days. |
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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 | No |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | Yes |
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.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | No |
E.8.5.1 | Number of sites anticipated in the EEA | 1 |
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 | No |
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 | 1 |
E.8.9.1 | In the Member State concerned days | 5 |
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 | 1 |
E.8.9.2 | In all countries concerned by the trial days | 5 |