E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Inappropriate sinus tachycardia |
Inappropriate sinus tachycardia |
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E.1.1.1 | Medical condition in easily understood language |
An abnormal increase in heart rate due to malfunction of sympathetic nervous system
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A szimpatikus idegrendszer stimulációjának következményeként bekövetkező rendellenes szívfrekvencia emelkedés |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cardiovascular Diseases [C14] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10043083 |
E.1.2 | Term | Tachycardia sinus |
E.1.2 | System Organ Class | 100000004849 |
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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 |
To assess the efficacy of BGP-15 administration as compared to placebo
in patients with inappropriate sinus tachycardia (IST) receiving betablocking treatment with bisoprolol. To assess the safety and tolerability of once daily 400 mg BGP-15 administration for 4 weeks.
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Male and female patients diagnosed with IST, 18 years of age or
older
Female subjects of childbearing potential agree to undergo
pregnancy tests and to use a medically accepted, appropriate method
of contraception (i.e. oral contraceptive steroids, intrauterine device,
barrier method)
Male subjects ready to use condom to prevent a pregnancy with a
partner of childbearing potential during the study and the following
month
Documented sinus tachycardia during administration of bisoprolol
monotherapy according to the following (at least one):
Sinus tachycardia periods with HR 100 beats/min during rest or
after minimal physical stress
Symptomatic mean resting HR 90 beats/min during the daytime
hours of 24-h Holter monitoring
Rapid stable symptomatic increase in resting HR 25 beats/min
when moving from a supine to a standing position
During Holter monitoring the mean HR above 100/min during alert
state
Patient complaints compatible with tachycardia: palpitation
(paroxysmal or persistent) fatigue, exercise intolerance, orthostatic
intolerance, vertigo, fainting or near fainting feeling, chest pain,
dyspnea, anxiety
Willingness to undergo a pre-study physical examination and preand post-study laboratory investigations
Ability to comprehend and willingness to sign statements of
informed consent (for the study)
Ability, reliability and willingness to take the study compounds at the
prescribed time points
Taking bisoprolol (or placed on bisoprolol or at least 14 days before
first treatment period).
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E.4 | Principal exclusion criteria |
Secondary sinus tachycardia (structural heart disease,
hyperthyroidism, anaemia, infection, hypovolemia, pheochromocytoma,
diabetes mellitus, or drug abuse)
Paroxysmal orthostatic tachycardia syndrome (POTS)
Any other cardiology or internal medicine disease which changes HR
or necessitating enduring administration of cardioactive drugs, like sick
sinus syndrome, diagnosis of orthostatic hypotension, antiarrhythmic
therapy, renal or hepatic insufficiency
History of, or current compulsive alcohol abuse (more than 10 drinks
weekly); or regular exposure to other substances of abuse
History of drug addiction, positive urine screen for drugs of abuse
Donation or loss of blood equal to or exceeding 500 ml during 90
days before the first administration of study medication
Positive testing for HIV, HBsAg and HCV
Participation in another study with an experimental drug within at
least 30 days (or within five elimination half-lives of the previous
experimental drug, whichever is longer) before the first administration
of study medication
Pregnant women (positive pregnancy test)
Lactating women
Unwillingness or inability to comply with the study protocol or studyrelated procedures
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint of the study will be the proportion of subjects reaching at least 70% decrease of symptoms. The proportions obtained in the Placebo and the active treatment groups will be compared. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
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 | Yes |
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 | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | Yes |
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 | 2 |
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
|
20 patient completes 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 | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |