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    Summary
    EudraCT Number:2010-018902-35
    Sponsor's Protocol Code Number:TC-6499-12-CLP-004
    National Competent Authority:UK - MHRA
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2010-03-29
    Trial results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedUK - MHRA
    A.2EudraCT number2010-018902-35
    A.3Full title of the trial
    A Randomized, Double-Blind, Placebo Controlled, Parallel Group, Proof of Principle Study to Evaluate the Safety, Tolerability, and Efficacy of TC-6499-12 in the Treatment of Constipation Predominant Irritable Bowel Syndrome.
    A.3.2Name or abbreviated title of the trial where available
    QCL-105018 (TC-6499-12-CLP-004)
    A.4.1Sponsor's protocol code numberTC-6499-12-CLP-004
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorTargacept Inc
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameTC-6499-12 enteric coated capsules
    D.3.4Pharmaceutical form Capsule, hard
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNTC-6499
    D.3.9.2Current sponsor codeTC-6499
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number5
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboCapsule, hard
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Constipation Predominant Irritable Bowel Syndrome
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 12.1
    E.1.2Level LLT
    E.1.2Classification code 10066868
    E.1.2Term Constipation predominant irritable bowel syndrome
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The principal objective is to assess the effectiveness of TC-6499-12 in the treatment of Constipation Predonminant Irritable Bowel Syndrome (IBS-C).
    E.2.2Secondary objectives of the trial
    The secondary research objectives are to assess the safety, tolerability and drug absorption profile of TC-6499-12 in subjects with IBS-C when given as a capsule designed to bypass the stomach.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Male subjects aged 18-65 and Females between 18 to 65 years of age, inclusive
    Females of child-bearing potential i.e. females not documented surgical sterilization or at least 1 year post last menses, verified with elevated levels of FSH/LH must have a negative pregnancy test at baseline (screening and pre-dose Day 1) and must comply with the contraceptive advice given. In addition these females must also have had a confirmed menstrual period (as defined by first day of menses) within 12 days of first dosing day
    E.4Principal exclusion criteria
    History of or current clinically significant medical illness, other than IBS-C, including cardiac arrhythmias or other cardiac disease, hematologic disease, coagulation disorders, lipid abnormalities, significant pulmonary disease including bronchospastic respiratory disease, diabetes mellitus, renal or hepatic insufficiency, untreated thyroid disease, glaucoma, neurologic or psychiatric disease, or infection;
    Subjects with diarrhea predominant irritable bowel syndrome (IBS-D), or alternating irritable bowel syndrome (IBS-A);
    Subjects with evidence of structural abnormality of the gastrointestinal tract or diseases or conditions (other than IBS-C) that affect bowel transit;
    Subjects with a history of bowel obstruction, symptomatic gallbladder disease, suspected sphincter of Odii dysfunction, or abdominal adhesions;
    Subjects with evidence of cathartic colon or who admit to a history of laxative abuse;
    Subjects with clinically significant abnormal values for hematology, clinical chemistry or urinalysis at screening or at admission;
    Subjects with a clinically significant abnomal physical examination, vital signs or 12 lead electrocardiogram (ECG) at screening or admission;
    Subjects with a history or presence of gastrointestinal (other than IBS-C), hepatic, or renal disease or other condition known to interfere with the absorption, distribution, metabolism or excretion of drugs;
    Use of any prescription or nonprescription medication to treat IBS-C, including use of laxatives or lubiprostone (stable use of fiber supplements is allowed);
    Regular use of constipating medicines such as opioids or anticholinergic/antimuscarinic agents;
    Use of antacids, H2 blockers or protein pump inhibitors;
    Use of nicotine-containing substances, including tobacco products like cigarrettes, cigars, chewing tobacco, gum, patch, throughout the study duration and within the previous 6 months;
    Subjects with a history of or suspected history of drug or alcohol abuse (regular alcohol consumption in males >21 units per week and females >14 units per week) within the past 5 years;
    Positive test for drugs of abuse, such as cannabinoids, alcohol, opiates, cocaine, amphetamines, benzodiazepines, hallucinogens or barbiturates at screening or on admission on Day -1;
    Subjects with a history of clinically significant drug (or other) allergy;
    Subject with donated blood or blood products or had substantial loss of blood (more than 50mL) within 3 months of first administration of study drug, or subjects with intention to donate blood or blood products during the study or within 1 month after the completion of the study;
    Subjects who received an experimental drug or used an experimental medical device within 1 month or within a period less than 10 times the drug's half life, before the first dose of the study drug is scheduled;
    Subjects with a known history of infection with human immunodeficiency virus (HIV) or viral hepatitis;
    Subjects with preplanned surgery or procedures (including dental care) during the study period that would interefere with the conduct of the study;
    An employee of the investigator or study centre, with direct involvement in the proposed study or other studies under the direction of that investigator or study centre, as well as family members of the employees or the investigator;
    Subjects unlikely to cooperate in the study, and/or where poor compliance with the study prohibitions and restrictions is anticipated by the investigator;
    Subjects with no legal capacity or limited legal capacity to provide their own informed consent.
    E.5 End points
    E.5.1Primary end point(s)
    The primary evaluation of the effectiveness of TC-6499-12 will be the assessment of the global symptom relief question on study Day 29: "How would you rate your relief of IBS symptoms (abdominal discomfort/pain, bowel habits, and other IBS symptoms) over the past week compared to how you felt before you entered the study?"
    1 - much worse
    2 - worse
    3 - slightly worse
    4 - the same
    5 - slightly better
    6 - better
    7 - much better
    Scores for the global symptom relief questionnaire will be plotted by visit and treatment.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned2
    E.8.5The trial involves multiple Member States No
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.7Trial 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
    The end of trial is classified as the last visit of the last subject.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years0
    E.8.9.1In the Member State concerned months4
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years0
    E.8.9.2In all countries concerned by the trial months4
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state24
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 24
    F.4.2.2In the whole clinical trial 24
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    The subjects will not continue to take TC-6499-12 after the study is completed as the drug is in Phase II of development. This information will be contained within the volunteer information and consent.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2010-05-05
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2010-04-27
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2010-11-02
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