E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
This is a Phase I study in helathy subjects. No condition is being treated. The IMP is approved for symptomatic treatment of allergic rhinitis and urticaria in adults and adolescents (over 12 years of age). |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Ear, nose and throat diseases [C09] |
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 assess the safety and tolerability of RUPATADINE following single and multiple oral administrations to healthy Japanese subjects. |
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E.2.2 | Secondary objectives of the trial |
1. To investigate the pharmacokinetics (PK) of RUPATADINE and its two main metabolites desloratadine (UR 12790) and hydroxylatedesloratadine (UR 12788) in plasma and urine (including free and conjugated UR12788) following single and multiple dosing of RUPATADINE once daily in healthy Japanese subjects.
2. To investigate the pharmacodynamic (PD) activity of RUPATADINE by assessment of dose on
cognitive function.
3. To measure the effect of RUPATADINE on ECG parameters. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Healthy male or female Japanese subject, aged 20 - 45 years, inclusive, at screening.
Japanese subjects must meet the following criteria: i) born in Japan to both
Japanese parents and grandparents; ii) lived less than 5 years outside of Japan;
iii) no significant change in lifestyle, including diet, since leaving Japan
2. Subject has a Body Mass Index (BMI) of 18 – 25 kg/m2 inclusive at screening.
3. Subjects must agree to use acceptable methods of contraception:
If female, subjects of childbearing potential must agree to use medically acceptable
methods of contraception from the time of signing the informed consent until 3 months following administration of the last treatment or dose of study medication as
outlined in the protocol. Male subjects must utilise at least one of the methods outlined in the protocol.
4. All subjects included in the study must meet the ECG screening selection criteria.
ECG criteria to be signed off for inclusion by a cardiologist (if applicable).
5. Subjects must be capable of understanding and complying with the requirements of
the protocol and must have signed the informed consent form prior to undergoing
any study-related procedures. |
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E.4 | Principal exclusion criteria |
Subjects will be prohibited from participation in this clinical study if they meet any of the
following criteria at the screening and/or admission visits:
1. Subject has a clinically significant disease or any condition or disease that might affect
drug absorption, distribution or excretion.
2. Any clinically significant abnormal laboratory, vital signs or other safety findings as
determined by medical history, physical examination or other evaluations conducted at
screening or on admission.
3. Electrocardiogram (ECG) abnormalities in the standard 12-lead ECG (at screening)
which in the opinion of the Investigator is clinically relevant or will interfere with the
ECG analysis.
4. History or current evidence of any clinically relevant cardiovascular, pulmonary,
hepatic, renal, gastrointestinal, haematological, endocrinological, metabolic,
neurological, psychiatric or other disease.
5. Positive results in any of the serology tests for Hepatitis B Surface Antigen (HbsAg),
anti-Hepatitis core antibody (anti-HBc Ig G [and anti-HBc IgM if IgG is positive],
Hepatitis C antibodies (anti-HCV), and Human Immunodeficiency Virus (HIV) 1 and 2
antibodies, (anti-HIV 1/2).
6. Confirmed positive results from urine drug screen (amphetamines, benzodiazepines,
cocaine, cannabinoids, opiates, barbiturates, and methadone) or from the alcohol
breath test at screening and on admission (Day -1).
7. History or clinical evidence of alcohol or drug abuse. Alcohol abuse is defined as
regular weekly intake of more than 21 units (Using alcohol tracker
http://www.nhs.uk/Tools/Pages/NHSAlcoholtracker.aspx); drug abuse is defined as
compulsive, repetitive and/or chronic use of drugs or other substances with or without
problems related to their use and/or where stopping or a reduction in dose will lead to
withdrawal symptoms.
8. Mentally handicapped.
9. Participation in a drug trial within 90 days prior to first drug administration.
10. Use of any medication (including over-the-counter (OTC) medication) within 2 weeks
prior to admission (Day -1) or within less than 10 times the elimination half-life of the
respective drug, or anticipated concomitant medication during the treatment periods.
Single intake of a drug may be accepted if judged by the investigators to have no
clinical relevance and no relevance for the trial objectives.
11. Use of any substance inhibiting CYP3A4 enzymes within 2 weeks prior to admission
(Day -2).
12. Donation of more than 500 mL of blood within 90 days prior to drug administration.
13. Subjects who smoke more than 10 cigarettes or equivalent amount of tobacco per day
and/or who cannot stop smoking for the duration of the study whilst in the CPU.
14. Treatment with herbal supplements during the 7 days prior to dosing, or use of vitamins
during 48 hours prior to admission to the CPU (Day -2).
15. Any circumstances or conditions, which, in the opinion of the PI, may affect full
participation in the trial or compliance with the protocol.
16. Legal incapacity or limited legal capacity at screening.
17. Subjects who are vegetarians, vegans or have any dietary restrictions conflicting with
the study standardised menus. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Drug plasma levels
Pharmacodynamic (cognitive) assessment
ECG
Adverse event monitoring |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Drug plasma levels from day -1 through day 11 (6 days after last dose)
Pharmacodynamic (cognitive) assessment day -2, -1, 1 and 5
ECG day -1, 1 and 5
Adverse event monitoring daily from day -2 through day 11 (6 days after last dose) |
|
E.5.2 | Secondary end point(s) |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
|
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 | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
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 | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
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.8.2.4 | Number of treatment arms in the trial | 3 |
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 | No |
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
|
|
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 | 4 |
E.8.9.1 | In the Member State concerned days | 0 |