A Clinical Study to Evaluate the Safety,Tolerability and PK of ZYT1, Following Oral Administration in Healthy Volunteers

This study is currently recruiting participants.
Verified February 2012 by Cadila Healthcare Limited
Sponsor:
Information provided by (Responsible Party):
Cadila Healthcare Limited
ClinicalTrials.gov Identifier:
NCT01543269
First received: February 21, 2012
Last updated: March 1, 2012
Last verified: February 2012
  Purpose

This is a clinical study to evaluate the safety, tolerability and pharmacokinetics of ZYT1, following oral administrations in healthy volunteers.

The study shall be divided into four plans as given below:

  1. Plan I: Single dose escalation trial
  2. Plan II: Multiple dose escalation trial
  3. Plan III: Food effect trial.
  4. Plan IV: Gender Effect trial.

The safety and tolerability shall be evaluated using physical examinations, Standard laboratory tests (hematology, biochemistry and urine examination), electrocardiogram (ECG) and thyroid scanning. Spontaneously reported and solicited adverse events will also be used for safety parameters.


Condition Intervention Phase
Obesity
Lipid Disorders
Drug: ZYT1
Drug: Placebo tablets
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomized, Double Blind, Placebo Controlled Phase I Clinical Study to Evaluate the Safety, Tolerability and Pharmacokinetics of ZYT1, a Selective TR ß Agonist, Following the Oral Administrations in Healthy Volunteers.

Resource links provided by NLM:


Further study details as provided by Cadila Healthcare Limited:

Primary Outcome Measures:
  • Safety and tolerability of ZYT1 (Plan I-IV) [ Time Frame: 14 Days ] [ Designated as safety issue: Yes ]

    Safety and tolerability for Plan I, II,III and IV (Time Frame upto 14 days) The safety and tolerability shall be evaluated using physical examinations, Standard laboratory tests (hematology, biochemistry and urine examination), electrocardiogram (ECG) and thyroid scanning. Spontaneously reported and solicited adverse events will also be used for safety parameters.

    Safety will be assesesed by noting the number of subjects who will develop the AE along with severity and causality assessment.



Secondary Outcome Measures:
  • Pharmacokinetics (PK) (Plan I, II, III, IV) and pharmacodynamics (PD)(Plan II) [ Time Frame: 14 days ] [ Designated as safety issue: Yes ]

    PK parameters:

    Plan I, III, IV:Cmax, Tmax, AUC0-t, AUC0-inf, T1/2, λz, CL, Vd Plan II:Cmin, Tmin, Cavg, % Fluctuation, Accumulation Index, Clss, Cmax, VZ or Vss For urine data (Plan I, II, III, IV):Amount recovered, recovered

    PD Parameters assessed include Bld glucose, TG, Total Chol., HDL, LDL, VLDL, FFA, Lipoprotein (a), Wt reduction, if any, after Plan II.

    Values compared for pre Rx and post Rx levels. PD Analysis made for differences among Rx groups as well as comparing Rx group with placebo.



Estimated Enrollment: 112
Study Start Date: February 2010
Estimated Study Completion Date: February 2013
Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: ZYT1 tablets
ZYT1 tablets: Route of administration: Oral Dosage: 0.5mg, 1mg, 2 mg, 4mg, 8 mg, 16mg, 32mg and 64mg
Drug: ZYT1
Oral dose of ZYT1 in fasting condition with 240±10 ml of water at sitting position in ambient temperature.
Other Name: ZYT1 is expected to demonstrate antidyslipidemic effect and possible wt. reduction through its selective TR β agonistic activity.
Placebo Comparator: Placebo
Placebo tablets: Route of administration: Oral Dosage: 0.5mg, 1mg, 2 mg, 4mg, 8 mg, 16mg, 32mg and 64mg
Drug: Placebo tablets
Oral dose of Placebo in fasting condition with 240±10 ml of water at sitting position in ambient temperature.

Detailed Description:

This is a clinical study to evaluate the safety, tolerability and pharmacokinetics of ZYT1, following oral administrations in healthy volunteers.

The study is divided into four plans as given below:

  1. Plan I: Single dose escalation trial: A study is to evaluate safety, tolerability and PKof ZYT1 in healthy volunteers.
  2. Plan II: Multiple dose escalation trial: A study is to evaluate safety, tolerability, PK and, if demonstrated, capture the Pharmacodynamics of ZYT1 in healthy volunteers.
  3. Plan III: Food effect trial Effect of food on pharmacokinetics will be studied in a cross over study, with selected dose and based on limit of detection of the investigational medicinal product (IMP) in analytical methods.
  4. Plan IV: Gender Effect trial . The gender effect study will be conducted after the completion of Panel S5 of single dose safety and tolerability study

The safety and tolerability shall be evaluated using physical examinations, Standard laboratory tests (hematology, biochemistry and urine examination), electrocardiogram (ECG) and thyroid scanning. Spontaneously reported and solicited adverse events will also be used for safety parameters.

  Eligibility

Ages Eligible for Study:   18 Years to 45 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. Age: 18-45 years
  2. Mentally, physically and legally eligible to give informed consent.
  3. Male and female volunteers weighing between 50-75kg and 45-75kg respectively.
  4. Ability to communicate effectively with the study personnel.
  5. Willingness to adhere to the protocol requirements.
  6. Normal Thyroid Function Tests (free and total T3, free and total T4 and TSH)
  7. Lipid criteria: Low density lipoprotein (LDL) cholesterol up to 160mg/dL and triglyceride (TG) level up to 500mg/dL
  8. For gender effect study, only females with history of sterility or one year menopause or use of long acting nonhormonal contraceptive measures (e.g., Intra uterine device) will be recruited.

Exclusion Criteria:

  1. Presence or history of hypersensitivity to any of the active or inactive ingredients of ZYT1 formulation.
  2. History of thyroid disorders (any form) within 24 weeks prior to the recruitment in the study.
  3. Active liver disease and/or liver transaminases greater than 1.5 X upper limit of normal (ULN).
  4. Renal insufficiency (serum creatinine > 1.5mg/dL).
  5. History of myocarditis, hypertrophic cardiomyopathy, valvular heart disease, restrictive cardiomyopathy, constrictive pericarditis, myocardial infarction, ischemic heart disease, stroke, congestive heart failure, cardiac arrhythmia or coronary revascularization procedure at any time.
  6. Subject who has QTc ³ 450 (male) or 470 (female).
  7. History or presence of musculo-skeletal disorders (e.g., myopathies, myolysis, fractures due to osteoporosis, etc.)
  8. History or presence of other systemic disorders or diseases (e.g., respiratory, gastrointestinal, endocrine, immunological, dermatological, neurological, psychiatric disease or any other body system involvement).
  9. Subjects taking other hormonal therapies e.g., glucocorticoids, androgens or growth hormones.
  10. Use of thyroid supplements (levothyroxine, liothyronine, etc.) or any preparation containing thyromimetic agents within 24 weeks prior to study entry.
  11. History of coagulopathy or use of anticoagulants such as warfarin.
  12. History or presence of chronic medications or any medications in the last 14 days.
  13. History or presence of significant alcoholism or drug abuse within the past one-year.
  14. History or presence of significant smoking (more than 10 cigarettes per day) or consumption of tobacco products (more than 10 times per day).
  15. Difficulty with donating blood.
  16. Systolic blood pressure more than 140mmHg and less than 100mmHg and diastolic blood pressure more than 90mmHg and less than 60mmHg.
  17. Pulse rate less than 60/minute and more than 100/minute.
  18. Any clinically significant abnormal X-ray or laboratory findings during screening.
  19. History or presence of any clinically significant ECG abnormalities during screening.
  20. Major illness and/or Major surgery in last 3 months.
  21. Volunteers who have participated in any drug research study other than the present trial within past 3 months.
  22. Volunteers who have donated one unit (350ml) of blood in the past 3 months.
  23. For gender effect study, female volunteers with following criteria will not be recruited:

    • History of pregnancy or lactation in the past 3 months b- Fertile female volunteers not protected against pregnancy by adequate long-term anti- fertility device or history of less than one year of menopause
    • Using hormonal contraceptives
    • Using hormone replacement therapy
    • Unable to give assurance for protection against pregnancy for 3 months after the participation in this trial
    • History of osteoporosis or history of fracture in the past 6 months
    • Positive urine pregnancy test on the day of check-in.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01543269

Contacts
Contact: Alpesh Kumar J Patel, MD +91 2717 665555 ext 417 alpeshkumarjpatel@zyduscadila.com
Contact: Kevin Kumar A Kansagra, MD +91 2717 665555 ext 417 kevinkumarkansagra@zyduscadila.com

Locations
India
Zydus Research Centre, Cadila Healthcare Limited Recruiting
Ahmedabad-, Gujarat, India, 382213
Contact: Alpesh Kumar J Patel, MD     +91 2717 665555 ext 417     alpeshkumarjpatel@zyduscadila.com    
Contact: Kevin Kumar A Kansagra, MD     +91 2717 665555 ext 417     kevinkumarkansagra@zyduscadila.com    
Principal Investigator: Alpesh Kumar J Patel, MD            
Sponsors and Collaborators
Cadila Healthcare Limited
Investigators
Study Director: Rajendra Kumar H Jani, PhD(Medical) Zydus Research Centre, Cadila Healthcare Limited,Moriya, Ahmedabad-382213, Gujrat, India
  More Information

No publications provided

Responsible Party: Cadila Healthcare Limited
ClinicalTrials.gov Identifier: NCT01543269     History of Changes
Other Study ID Numbers: ZYT1/1001, CTRI/2008/091/000256
Study First Received: February 21, 2012
Last Updated: March 1, 2012
Health Authority: India: Central Drugs Standard Control Organization

Keywords provided by Cadila Healthcare Limited:
Obesity
Lipid disorders

Additional relevant MeSH terms:
Obesity
Lipid Metabolism Disorders
Overnutrition
Nutrition Disorders
Overweight
Body Weight
Signs and Symptoms
Metabolic Diseases

ClinicalTrials.gov processed this record on October 17, 2012