E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
The bioavailability of Nicorandil in humans: A pilot study to investigate the variability of the pharmacokinetic parameters in healthy volunteers. The IMP Nicorandil (2-(pyridine-3-carbonylamino)ethyl nitrate) used in this pharmacokinetic study is approved for the treatment of coronary heart disease
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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 | 10007649 |
E.1.2 | Term | Cardiovascular disorder |
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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 |
Investigation of the bioavailability of Nicorandil and the intrasubject variability of these parameters. |
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E.2.2 | Secondary objectives of the trial |
Evaluation of the safety and tolerability of Nicorandil 20 mg in healthy male and female subjects. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Caucasians between 18 and 55 years of age in general good physical health as determined by medical history, physical examination, 12-lead electrocardiogram, vital signs and clinical laboratory tests. Weight within the normal range according to accepted values for the Body Mass Index (BMI) within 18 to 27 kg/m². Normal blood pressure (Systolic Blood Pressure (SBP) >90, <140 mm Hg; Diastolic Blood Pressure (DBP) >60, <100 mm Hg) measured after 5 min rest in supine position. A heart rate at rest of 40 and 99 min-¹ measured after 5 min rest in supine position. Electrocardiogram (ECG) recording without clinically significant abnormalities. Having had no febrile or infectious illness for at least two weeks prior to the first administration of the investigational product of the study. Women practicing one or a combination of the following methods of birth control: oral contraceptives, condoms, sponge, foams, jelly, diaphragm, or intrauterine device, or women who are surgically sterilized. Subjects are able to communicate well with the investigator and are able to comply with the requirements of the entire study. Subjects must voluntarily sign a written informed consent agreement approved by the Ethics Committee after explanation of the nature and objectives of the study and prior to any study specific procedure
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E.4 | Principal exclusion criteria |
Positive test for human immunodeficiency virus (HIV) antibodies. Positive hepatitis B surface antigen (HBsAg) test. Positive Anti-Hepatitits C virus (Anti-HCV) test. Female subjects with a positive pregnancy test (verified by human chorionic gonadotropin [ß-HCG]-urine test). Breast-feeding women. Demonstrating any active physical disease, acute or chronic. Subjects with seizure disorders. Subjects with active presence or history of alcoholism or drug addiction. More than moderate alcohol consumption (defined as more than 2 drinks per day). Any history or suspicion of barbiturate, benzodiazepine, amphetamine, cocaine, opiates, and cannabis abuse (verified by urinary drug test). More than moderate smoker (<10 cigarettes/day). Demonstrating excessive xanthine consumption (more than 5 cups of coffee or equivalent per day). Consumption of methylxanthine-containing food or beverages, grapefruit juice within 24 hours prior to administration. Vegetarians. Subjects with relevant drug hypersensitivity, asthma, urticaria or other severe allergic diathesis as well as current hay fever. Any history of hypersensitivity to the study drug. Subjects with active or a history of gastrointestinal disease. Any gastrointestinal complaints within seven days prior to dosing. Any history of chronic gastritis or peptic ulcers. Any relevant history of chronic or recurrent metabolic, renal, hepatic, pulmonary, gastrointestinal, neurological (especially history of epileptic seizures), endocrinological, immunological, psychiatric or cardiovascular disease, myopathies, and bleeding tendency. Subjects who take prescribed medication or over-the-counter medication within two weeks prior to dosing (except for occasional paracetamol use and use of hormonal contraceptives). Participation in the treatment phase of a clinical study within 30 days prior to the treatment phase of this study. Blood donation within 30 days prior to inclusion in this study. Laboratory values outside the reference range, if clinically relevant (e.g., suggesting an unknown disease and requiring further clinical evaluation assessed by the investigator)
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E.5 End points |
E.5.1 | Primary end point(s) |
PK target variables are: AUC0-tz, Cmax, tmax, AUC0-infinity, and t½el (pharmacokinetic variables will be calculated using non-compartmental methods).
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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 | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | Yes |
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 | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
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 | No |
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
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Participation of a per-protocol population of 12 subjects in 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 | |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |