E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Healthy volunteers. There is not intended indication. |
Este estudio se realizará en voluntarios sanos sin ninguna patología concurrente. |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Investigative Techniques [E05] |
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 |
The collection of biological samples positive to somatropin in the context of a controlled clinical trial study for their further use for the evaluation of biomarkers of recombinant growth hormone misuse in humans. |
La generación de muestras biológicas positivas a somatropina en el contexto de un ensayo clínico controlado, para la evaluación de los biomarcadores de esta hormona que permiten detectar el abuso de esta sustancia en personas sanas. |
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E.2.2 | Secondary objectives of the trial |
Primary Objectives: - To demonstrate that concentrations of biomarkers in blood change in a dose dependent manner with the exposure to rhGH. - To explore the time window in which changes in biomarkers may be detected after hrGH exposure
Secondary Objectives: - To evaluate potential gender differences - To evaluate potential interethnic differences |
Objetivos principales: - Demostrar que las concentraciones de biomarcadores en sangre de rhGH es dosis-dependiente. - Conocer los intervalos de tiempo en los que pueden detectarse los biomarcadores de rhGH tras su administración.
Objetivos secundarios: - Evaluar las diferencias entre géneros. - Evaluar las diferencias interétnicas. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Healthy male and females volunteers aged from 18 to 30 years, both ages included. - Caucasian and non-Caucasian individuals (Europeans, Africans, Asians, Indians). - Body mass index (BMI) between 19 and 26 Kg/m2, and weight between 50 and 90 kg. - Subjects with high level of physical training including regular high-resistance strength training, training at least 5 hours a week or an expenditure of energy of about 5000 kcal a week. - A health profile devoid of organic or physiological disorders. - Pass the review based on medical history, physical examination and clinical laboratory tests. - Understand and accept the trial procedures. - Signature of the written informed consent to participate. |
- Individuos (hombres y mujeres) de 18 a 40 años, ambas edades incluidas. - Individuos caucásicos (europeos) y no caucásicos (de origen africano, asiático, indio). - Índice de masa corporal (IMC: peso/altura2) de cada participante entre 19 y 26 y peso entre 50 y 90 kg. - Deportistas que realicen actividad física moderada-intensa al menos 5 horas a la semana, o que realicen un gasto energético de aproximadamente 5.000 kcal a la semana en la práctica deportiva. - Historial y examen físico que demuestren no presentar trastornos orgánicos o psiquiátricos. - Pasar una revisión médica basada en la historia clínica, examen físico y pruebas de laboratorio clínico. - Comprender y aceptar los procedimientos del ensayo. - Firma del consentimiento informado. |
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E.4 | Principal exclusion criteria |
- Non compliance of the inclusion criteria. - Prior or current history of consumption of addictive substances (except nicotine). Smokers of more than 10 cigarettes / day should be excluded. Have some organic disease or major surgery in the 3 months prior to the start the study. - Suffer any kind of disease, acute or chronic, at the moment of the study. - Regular consumers of medications that contain any of the following substances: steroids, erythropoietin (EPO), growth hormone (hGH), insulin-like growth factor-1 (IGF-1), diuretics and plasma expanders. Intake of beta blockers and glucocorticoids in asthmatics is accepted. Other medication will be accepted depending on the Principal Investigator criteria, as flu containing ephedrines. - A prior history of or presence of significant cardiovascular, neurological, haematological, psychiatric, hepatic, gastrointestinal, pulmonary, endocrine, immunologic or renal disease or other condition known to interfere with absorption, distribution, metabolism, or excretion of the drug administered in the study. If the subjects will be at risk as decided by the Investigator. - Suffer any kind of bone or connective tissues injuries in the last 3 months. - A significant psychiatric disorder, alcoholism, substance abuse or dependence (except for nicotine, criteria defined above), or consumption of psychoactive drugs. - Alcohol consumption over 15 grams per day in men and 10 grams per day in women. - Caffeine or another drinks specified like drinking > 3 cups of coffee and tea per day, drinking > 3 units of coke, stimulants or equivalent per day, in the 2 months prior to the study. - Have used a medication regularly in the last month previous to the start of the study. Other type of medication may be allowed, depending on the Investigator. - To be blood donor or have taken part in studies with blood donation in the last 4 weeks prior to the study. - History of allergy or adverse reactions to any medication. - Have been a volunteer in another study with drugs in the last 3 months prior to start this study. - Subjects for whom the drug involved in the study is counter indicated. - Subjects with positive serology for hepatitis B, C or HIV. - Women with pregnancy or in the breast-feeding period or that are taking contraception treatment during the period of the study. - Subjects that not have capacity to understand the nature, consequences of the study or the procedures requested to follow. |
- No cumplir con los criterios de inclusión. - Sujetos con historia previa o actual de dependencia de sustancias de adicción (excepto nicotina). En este sentido, los consumidores de más de 10 cigarrillos/día serán excluidos. - Haber padecido alguna enfermedad orgánica o cirugía mayor durante los tres meses anteriores al ensayo. - Padecer cualquier tipo de enfermedad, aguda o crónica en el momento del estudio. - Consumidores habituales de medicamentos de venta libre en farmacia que contengan alguna de las siguientes sustancias: esteroides, eritropoyetina (EPO), hormona de crecimiento (hGH), factor de crecimiento insulínico tipo 1 (IGF-1), diuréticos y expansores del plasma. Se acepta la ingesta de betabloqueantes y glucocorticoides en personas asmáticas. Otro tipo de medicación será admitida a criterio del investigador, como los medicamentos que contienen efedrinas, en el tratamiento de la gripe. - Antecedentes o evidencia clínica de patología cardiovascular, respiratoria, renal, hepática, endocrina, gastrointestinal, hematológica, neurológica, dermatológicas, u otras enfermedades agudas o crónicas que, a juicio del Investigador Principal o los colaboradores designados por éste, puedan suponer un riesgo para los sujetos o interferir en los objetivos del estudio o que puedan hacer sospechar una alteración de la absorción, distribución, metabolismo o excreción del fármaco. - Haber padecido algún tipo de lesión ósea o de ligamentos en los últimos tres meses. - Antecedentes o evidencia clínica de trastornos psiquiátricos, alcoholismo, abuso de fármacos u otras drogas o consumo habitual de fármacos o sustancias psicoactivas. - Consumo de alcohol superior a 15 g/día en hombres y 10 g/día en mujeres. - Consumidores de o bien 3 tazas de café y té al día, consumidores de más de 3 unidades de cola u otras bebidas estimulantes o equivalentes al día, en el mes previo al inicio del estudio. - Ingesta regular de medicación en el mes que precede al estudio. Otro tipo de medicación será admitida a criterio del Investigador. - Haber donado sangre o participado en estudios en los que haya extracciones de sangre en las 4 semanas anteriores. - Antecedentes de alergia, idiosincrasia, hipersensibilidad o reacciones adversas al principio activo o cualquiera de los excipientes. Reacciones adversas graves a medicamentos. - Haber participado en otro ensayo clínico con medicamentos en los tres meses previos al inicio del estudio. - Sujetos con contraindicaciones al tratamiento con el fármaco de estudio (según la ficha técnica). - Sujetos con serología positiva a hepatitis B, C y VIH. - Mujeres embarazadas o en período de lactancia, o que tomen contraceptivos orales en el momento del estudio. - Sujetos que no sean capaces de entender la naturaleza, consecuencias del ensayo y los procedimientos que se les solicita seguir. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Blood concentration of growth hormone biomarkers that reflect the activity of the growth hormone misuse in humans. Moreover, It will be assessed the pharmacokinetics and the bio-availability of the growth hormone. |
Concentraciones en sangre de los biomarcadores moleculares de la hormona de crecimiento que reflejan la administración exógena de la hormona en personas sanas. Además, se valorará la farmacocinética y la biodisponibilidad de la somatropina. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
20 days during 15 weeks period of evaluation of the growth hormone biomarkers |
20 días no consecutivos de análisis de biomarcadores de la hormona de crecimiento, durante un periodo de 15 semanas. |
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E.5.2 | Secondary end point(s) |
Drugs safety and tolerability |
Seguridad y tolerabilidad del fármaco empleado. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
From day 1 to 21 (both included) of somatropin treatment. |
Del día 1 al día 21 (ambos incluidos) de tratamiento con somatropina. |
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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 | Yes |
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 |
Pharmacokinetics |
Farmacocinética |
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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 | Yes |
E.8.1.4 | Double blind | No |
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 | 4 |
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
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LVLS |
Última visita del último sujeto que participa en el estudio |
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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 | 12 |
E.8.9.1 | In the Member State concerned days | |