| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
|
| MedDRA Classification |
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 9.1 |
| E.1.2 | Level | LLT |
| E.1.2 | Classification code | 10053246 |
| E.1.2 | Term | Type II diabetes peripheral angiopathy |
|
| 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 study the influence of atazanavir induced hyperbilirubinemia on endothelial dysfunction related to type 2 diabetes. |
|
| E.2.2 | Secondary objectives of the trial |
| To study the influence of atazanavir induced hyperbilirubinemia on markers of vascular inflammation related to type 2 diabetes. |
|
| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
- At least 18 and not older than 65 years of age on the day of the first dosing. - Type 2 diabetes mellitus treated with diet, oral medication and/or insulin. - Subject has a Quetelet Index (Body Mass Index) of 18 to 30 kg/m2.
|
|
| E.4 | Principal exclusion criteria |
- Documented history of sensitivity/idiosyncrasy to medicinal products or excipients. - History of smoking within the past year - History of or current abuse of drugs, alcohol or solvents. - Current use of antihypertensive, cardiac or other vasoactive medication. - Current use of acetylsalicylic acid - Use of antioxidant vitamin supplements - Use of acid suppressive medication - Inability to suspend the use of statins during trial participation - Clinical evidence of cardiac or pulmonary disease - Laboratory evidence of renal or hepatic abnormalities, defined as results exceeding twice the upper limit of normal range. - Cardiac conduction abnormalities, consisting of a 2nd degree atrioventricular block or a complex bundle branch block. - Subjects with Gilbert Syndrome, which is suggested by an unconjucated hyperbilirubinemia (total bilirubin level above 10 μmol/L and a normal direct bilirubin level) and has to be confirmed by genetic testing.
|
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| E.5 End points |
| E.5.1 | Primary end point(s) |
| Forearm vasodilatory response to increasing doses of intra-arterially administered acetylcholine, serotonin and nitroglycerine (three doses each) following treatment with both atazanavir and placebo. |
|
| 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 | Yes |
| E.6.4 | Safety | No |
| E.6.5 | Efficacy | No |
| E.6.6 | Pharmacokinetic | No |
| E.6.7 | Pharmacodynamic | No |
| 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 | No |
| 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) | No |
| E.7.3 | Therapeutic confirmatory (Phase III) | No |
| E.7.4 | Therapeutic use (Phase IV) | Yes |
| 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 | 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.8.5 | 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 | 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
|
| Last visit of last subject undergoing the trial. |
|
| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | |
| E.8.9.1 | In the Member State concerned months | 3 |
| E.8.9.1 | In the Member State concerned days | |