E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Healthy volunteer trial at 4459m to investigate the effect of inhaled budenoside on the incidence and severity of Acute Mountain Sickness. |
Studie an gesunden Freiwilligen auf 4559m um Effekte von inhalativem Budesonid auf die Inzidenz und den Schweregrad der Akuten Bergkrankheit zu untersuchen. |
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E.1.1.1 | Medical condition in easily understood language |
Acute mountain sickness (AMS) is a constellation of symptoms (headache, nausea, lightheadedness, fatigue, and poor sleep) occurring in unacclimatized mountaineers ascending too fast, too high |
Die Akute Bergkrankheit besteht aus Kopfschmerz, Übelkeit, Verwirrtheit, Müdigkeit und Schlaflosigkeit und tritt bei nicht-akklimatisierten Bergsteigern auf, die zu schnell in zu große Höhe aufsteigen |
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E.1.1.2 | Therapeutic area | Body processes [G] - Physical Phenomena [G01] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10020045 |
E.1.2 | Term | High altitude illness |
E.1.2 | System Organ Class | 100000004863 |
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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 |
Does inhaled budenoside reduce the incidence of AMS after rapid and active ascent to 4559 m? |
Reduziert inhalatives Budesonid die Inzidenz der Akuten Bergkrankheit nach schnellem und aktivem Aufstieg auf 4559m? |
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E.2.2 | Secondary objectives of the trial |
1.Does inhaled budenoside reduce the severity of AMS after rapid and active ascent to 4559 m? 2.Are the effects of inhaled budenoside on AMS incidence and severity related to its plasma concentration? |
1. Reduziert inhalatives Budesonid den Schweregrad der Akuten Bergkrankheit nach schnellem und aktivem Aufstieg auf 4559m? 2. Sind die Effekte von inhalativem Budesonid auf Inzidenz und Schweregrad der Akuten Bergkrankheit abhängig von der Plasmakonzentration von Budenosid? |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
-Age 18-60 years -Good physical condition -No relevant pathologies upon the pre-examination prior to the study -Written informed consent to participate in the study -Males and females are included without prioritization -Permanent residency below 1000 m |
-Alter: 18-60 Jahre -Guter Gesundheitszustand (geistig/körperlich) -Keine klinisch relevanten pathologischen Befunde bei der Voruntersuchung -Freiwillig unterzeichnete Einverständniserklärung nach vollständiger Information bezüglich der Studie -Bezüglich der Geschlechterverteilung gibt es keine Vorgaben und werden Männer und Frauen gleichermaßen berücksichtigt - Wohnhaft unter 1000m
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E.4 | Principal exclusion criteria |
-Acute and chronic lung diseases -Conventional systolic blood pressure (average of two measurements) ≥150 mmHg and conventional diastolic blood pressure ≥95 mmHg in untreated or treated subjects Cardiovascular diseases other than hypertension (coronary heart disease, heart failure, atrial fibrillation, peripheral artery disease) -Chronic headache / migraine -Diabetes mellitus -Smoking (>6 cigarettes/day) or equivalent nicotine substitutes -Alcohol (>30 g/d) or drug abuse -Obesity (Body Mass Index >30) -Other conditions deemed relevant by the investigator (including liver disease, renal disease, thyroid disorders) -Sojourn >2000 m within the last 4 weeks before the 1st study day -Drug intake within the last 2 moth before the 1st study day if the drug intake could affect the data quality (eg. corticosteroids) or the safety of the participants (eg. anti- coagulants) -Blood donation within the last 2 month before the 1st study day |
-Akute und chronische Lungenerkrankungen -Koronare Herzerkrankung -Systolischer Blutdruck (Durchschnitt von 2 Messungen)≥150 mmHg und diastolischer Blutdruck ≥ 95mmHg bei behandelten und unbehandelten Probanden. - pAVK und Gefäßanomalien - Chronischer Kopfschmerz / Migräne - Diabetes mellitus - Leber- und Nierenfunktionsstörungen - Nikotinkonsum (>6 Zigaretten/Tag), Nicorette - Alkoholabusus (>30 g/Tag), Drogenabusus - Adipositas (Body Mass Index >30) - Aufenthalt über 2000 m innerhalb der letzten 4 Wochen vor dem Untersuchungsbeginn - Medikamenteneinnahme innerhalb der letzten 2 Monate, wenn sie die Probanden-sicherheit oder die Datenqualität beeinflussen könnte - Blutspende innerhalb der letzten 2 Monate
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E.5 End points |
E.5.1 | Primary end point(s) |
Incidence of Acute Mountain Sickness |
Inzidenz der Akuten Bergkrankheit |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
After 48 h at 4559 m |
Nach 48 Std auf 4559 m |
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E.5.2 | Secondary end point(s) |
1. Severity of Acute Mountain Sickness 2. Relationship between severity of Acute Mountain Sickness and budenoside plasma levels |
1. Schweregrad der Akuten Bergkrankheit 2. Quantitative Assoziation zwischen Schweregrad der Akuten Bergkrankheit und Budesonid-Plasmakonzentration |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
After 48 h at 4559 m |
Nach 48 Std auf 4559 m |
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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 | Yes |
E.6.3 | Therapy | No |
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) | 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
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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 | 0 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 11 |