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Pharmacokinetics of YM178Phase 1NCT01646294

A Study to Compare the Actions in the Body of Healthy Subjects of Three Modified Release Formulations of YM178 Under Fasted and Fed Conditions With One Immediate Release Formulation of YM178 Under Fasted Conditions

A Phase 1 study testing YM178 modified release (OCAS) and YM178 immediate release (IR) in people with Pharmacokinetics of YM178 and Healthy Subjects, run by Astellas Pharma Europe B.V. at 1 site in Netherlands.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the study is to investigate how quickly and to what extent YM178 is absorbed and eliminated from the body, and how well it is tolerated, when given in three different tablet formulations (sustained release) once a day with and without food, and to compare the results with the profile of the YM178… Read more about this study

Who is it for?
Ages 18 to 55 years, men onlyHealthy volunteers can take part
Conditions the study is for
Pharmacokinetics of YM178, Healthy Subjects
What is being tested?
YM178 modified release (OCAS) and YM178 immediate release (IR)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
34 participants
Where
1 siteNetherlands
Study dates
Jan 2005to May 2005
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Body weight between 60.0 and 100.0 kg, and BMI between 18.0 and 30.0 kg/m2

Who cannot join

  • Known or suspected hypersensitivity to β-adrenergic receptor agonists or constituents of the formulations used
  • Clinically significant elevation of serum creatinine or liver enzymes as evidenced by creatinine and/or abnormal serum bilirubin
  • Any clinically significant history of asthma, eczema, any other allergic condition or previous severe hypersensitivity to any drug
  • Any clinically significant history of upper gastrointestinal symptoms in the 4 weeks prior to the first admission to the Research Unit
  • Any clinically significant history of any other disease or disorder -gastrointestinal, cardiovascular, respiratory, renal, hepatic, neurological, dermatological, psychiatric or metabolic
  • QTcB interval of >430 msec at screening (mean QTcB of two measurements>430msec)
Show all 14Show fewer
  • Abnormal pulse rate measurement (<40 or >90 bpm) at the pre-study visit after subject has been resting in supine position for 5 min
  • Abnormal blood pressure measurements taken at the pre-study visit after subject has been resting in supine position for 5 minutes
  • Positive orthostatic test at screening i.e. any symptoms of dizziness, light-headedness etc. and a fall of > 20 mmHg in systolic blood pressure after 2 min standing (as outlined in section 12.5) and an increase in pulse rate of ≥ 20 bpm
  • History of smoking more than 10 cigarettes (or equivalent amount of tobacco) per day within 3 months prior to first admission to the Research Unit.
  • History of drinking more than 21 units of alcohol per week within 3 months prior to first admission to the Research Unit
  • Donation of blood or blood products (more than 400 ml) within 3 months prior to first admission to the Research Unit or plasmapheresis within 4 weeks preceding the start of this study
  • Positive serology test for HBsAg, HAV IgM, anti-HCV or anti-HIV 1+2
  • Subject who is not willing to complete standard FDA high fat breakfast

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Pharma Bio-Research B.V.

    Zuidlaren, 9471 GP

Other trials in Netherlands

About this study

Official title: An Exploratory Open Label, Three-way Crossover Study to Compare the Pharmacokinetic Profiles of Three Different YM178 Modified Release (OCAS) Formulations Under Fasted and Fed Conditions With YM178 Immediate Release (IR) Formulation Under Fasted Conditions in Healthy Subjects

The purpose of the study is to investigate how quickly and to what extent YM178 is absorbed and eliminated from the body, and how well it is tolerated, when given in three different tablet formulations (sustained release) once a day with and without food, and to compare the results with the profile of the YM178 immediate release formulation taken twice daily without food.

Read the detailed description

Subjects reside in the clinical research unit for 3 periods of 11 days each, with a washout period of at least 7 days between treatment periods. . Each subject is treated with multiple oral doses of the IR formulation (b.i.d.) under fasted conditions and, OCAS-F, OCAS-M or OCAS-S formulation (q.d.) under fasted and fed conditions (high fat breakfast).

The study is completed with a post-study visit between 7 and 14 days after discharge of period 3.

Being tested
YM178 modified release (OCAS), YM178 immediate release (IR)
Keywords
Pharmacokinetics, Phase I, YM178, Modified release (Oral Controlled Absorption System (OCAS)), Immediate release (IR), Fasted conditions, Fed conditions

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • YM178 modified release (OCAS)Drug

    Also called mirabegron, Myrebtriq

    oral

  • YM178 immediate release (IR)Drug

    Also called mirabegron, Myrebtriq

    oral

Study groups in NCT01646294
Study groupRoleWhat they receive
OCAS-FExperimentalYM178 OCAS tablet (OCAS-Fast) taken orally under fasted and fed condition
Receives: Drug: YM178 modified release (OCAS); Drug: YM178 immediate release (IR)
OCAS-SExperimentalYM178 OCAS tablet (OCAS-Slow) taken orally under fasted and fed condition
Receives: Drug: YM178 modified release (OCAS); Drug: YM178 immediate release (IR)
OCAS-MExperimentalYM178 OCAS tablet (OCAS-Medium) taken orally under fasted and fed condition
Receives: Drug: YM178 modified release (OCAS); Drug: YM178 immediate release (IR)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pharmacokinetics profile of OCAS and IR assessed by plasma concentration

    AUC0-12h (Area under the plasma concentration - time curve from t=0 to t=12h) Cmax (Maximum concentration), tmax (Time to attain Cmax) and Ctrough (Pre-dose plasma concentration)

    Measured: Day 1 & Day 6 - Day 8

  2. Pharmacokinetics profile of OCAS assessed by plasma concentration

    AUC0-24h (Area under the plasma concentration - time curve from t=0 to t=24h) Cmax, Tmax and Ctrough

    Measured: Day 8

  3. Pharmacokinetics profile of IR assessed by plasma concentration

    AUC0-12h , AUC12-24h (Area under the plasma concentration - time curve from t=12 to t=24h), AUC0-24h, PTR (Peak trough ratio), Cmax, Tmax and Ctrough

    Measured: Day 8

Secondary outcomes (1)
  1. Monitoring of safety parameters through assessment of vital signs, adverse events, Electrocardiogram (ECG) and clinical laboratory assessments

    Measured: Baseline until Post Study Visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Jul 2012 (estimated)
  2. Study startJan 2005
  3. Primary completionMay 2005
  4. Study completionMay 2005

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01646294
Sponsor's protocol ID
178-CL-030
Other IDs
2004-003876-12, 2004
Status last verified
Jul 2013
First submitted
18 Jul 2012
Last updated
2 Jul 2013
Results posted
No
Data monitoring committee
No

Publications

  • Lee J, Zhang W, Moy S, Kowalski D, Kerbusch V, van Gelderen M, Sawamoto T, Grunenberg N, Keirns J. Effects of food intake on the pharmacokinetic properties of mirabegron oral controlled-absorption system: a single-dose, randomized, crossover study in healthy adults. Clin Ther. 2013 Mar;35(3):333-41. doi: 10.1016/j.clinthera.2013.02.014.

    PubMed 23497763

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing YM178 modified release (OCAS) and YM178 immediate release (IR) in people with Pharmacokinetics of YM178 and Healthy Subjects, run by Astellas Pharma Europe B.V. at 1 site in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Jul 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pharmacokinetics profile of OCAS and IR assessed by plasma concentration (time frame: Day 1 & Day 6 - Day 8). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01646294, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jul 2013.

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