Major Depressive DisorderPhase 1NCT01919008
Comparison of Plasma Concentration Changes Between Two Types of Tablets of FK949E Administration to Patients With Major Depressive Disorder
A Phase 1 study testing FK949E in people with Major Depressive Disorder, run by Astellas Pharma Inc at 1 site in Japan.
Trial summary
This study is to compare the pharmacokinetics of FK949E low dose tablets and FK949E high dose tablets in non-elderly patients with major depressive disorder. The safety of FK949E in the population was also evaluated. Read more about this study
- Who is it for?
- Ages 20 to 64 years
- Conditions the study is for
- Major Depressive Disorder
- What is being tested?
- FK949E
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 16 participants
- Where
- 1 siteJapan
- Study dates
- 26 Mar 2012to 22 Jun 2012
- 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 20 to 64 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients considered to be able to understand and follow subject requirements, as judged by the investigator/sub-investigator.
- Patients diagnosed with major depressive disorder according to the DSM-IV-TR by means of M.I.N.I.
- BMI: 17.6 (inclusive) to 26.4 (exclusive).
Who cannot join
- Current or past history of DSM-IV-TR Axis I disorder, except major depressive disorder, within the past 6 months before informed consent.
- Concurrent DSM-IV-TR Axis II disorder that is considered to greatly affect patient's current mental status.
- Current or past history of dependence of substances (other than caffeine and nicotine) or history of abuse or dependence of alcohol.
- Unable to suspend treatment with inducers or inhibitors of the drug-metabolizing enzyme, cytochrome P450 3A4 (CYP3A4), for 14 days before the screening assessment and throughout the study.
- Patients who could not use an appropriate contraception (condoms) during the study. Patients who were pregnant or lactating.
- Patients (carriers) with documented or suspected renal failure, hepatic failure, serious cardiac disease,
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- hepatitis B, hepatitis C, or acquired immunodeficiency syndrome (AIDS).
- Patients receiving treatment for hypertension, or patients with concurrent hypertension or unstable angina that may worsen with the study or may affect the study results based on the clinical judgment of the investigator/sub-investigator.
- Patients with concurrent hypotension (criterion for hypotension: a systolic blood pressure of less than 100 mmHg), or orthostatic hypotension
- Patients with a mean QTcF interval of ≥450 ms on a 12-lead ECG at the screening assessment
- Patients with the risk of torsades de pointe (e.g., those with a history of QT prolongation, those with familial long QT syndrome).
- Concurrent malabsorption syndrome, hepatic disease, or other conditions that may affect the absorption and/or metabolism of the study drug.
- Concurrent malignancy or history of cured malignancy within 5 years
- Current or past history of cerebrovascular disease or transient ischemic attack (TIA).
- Received electroconvulsive therapy within 90 days before the screening assessment
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Phase I Study of FK949E - Comparison of Pharmacokinetics Between FK949E 50 mg Tablets and FK949E 150 mg Tablets in Patients With Major Depressive Disorder
This study is to compare the pharmacokinetics of FK949E low dose tablets and FK949E high dose tablets in non-elderly patients with major depressive disorder. The safety of FK949E in the population was also evaluated.
Read the detailed description
The objective of the study is to compare the pharmacokinetics of FK949E low dose tablets and FK949E high dose tablets in non-elderly patients with major depressive disorder in a 2 × 2 crossover design. The safety of FK949E in the population is also evaluated.
- Conditions
- Major Depressive Disorder
- Being tested
- FK949E
- Keywords
- FK949E, Pharmacokinetics, Major Depressive Disorder
- Medical subject headings
- Depressive Disorder, Major
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FK949EDrug
Also called extended release formulation of quetiapine
Oral
| Study group | Role | What they receive |
|---|---|---|
| Group 1 (FK949E low dose tablet-first group) | Experimental | Days 1 and 2: One FK949E low dose tablet
Days 3 to 6: Three FK949E low dose tablets
Days 7 to 10: One FK949E high dose tablet Receives: Drug: FK949E |
| Group 2 (FK949E high dose tablet-first group) | Experimental | Days 1 and 2: One FK949E low dose tablet
Days 3 to 6: One FK949E high dose tablet
Days 7 to 10: Three FK949E low dose tablets Receives: Drug: FK949E |
What is being measured
The primary outcome is the main question the study is designed to answer.
Maximum plasma concentration (Cmax) of unchanged quetiapine
Frequent blood sampling on Day 6 and Day 10
Measured: For 24 hours after dosing
AUC24h (area under the curve for 24hr) of unchanged quetiapine
Frequent blood sampling on Day 6 and Day 10
Measured: For 24 hours after dosing
Secondary outcomes (8)
Trough value of plasma concentration of unchanged quetiapine
Frequent blood sampling on Day 6 and Day 10
Measured: For 24 hours after dosing
t1/2 of plasma concentration of unchanged quetiapine
Frequent blood sampling on Day 6 and Day 10
Measured: For 24 hours after dosing
Maximum plasma concentration (Cmax) of quetiapine metabolites
Frequent blood sampling on Day 6 and Day 10
Measured: For 24 hours after dosing
AUC (area under the curve) of quetiapine metabolites
Frequent blood sampling on Day 6 and Day 10
Measured: For 24 hours after dosing
trough value of plasma concentration of quetiapine metabolites
Frequent blood sampling on Day 6 and Day 10
Measured: For 24 hours after dosing
tmax of plasma concentration of quetiapine metabolites
Frequent blood sampling on Day 6 and Day 10
Measured: For 24 hours after dosing
t1/2 of plasma concentration of quetiapine metabolites
Frequent blood sampling on Day 6 and Day 10
Measured: For 24 hours after dosing
Safety assessed by the incidence of adverse events, clinical tab tests, vital signs, 12-lead ECGs and physical exam
Measured: Up to Day 11
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Aug 2013 (estimated)
- Study start26 Mar 2012
- Primary completion22 Jun 2012
- Study completion22 Jun 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Major Depressive DisorderStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Enrolment
- 16 participants (actual)
Sponsor and investigators
- Lead sponsor
- Astellas Pharma Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Astellas Pharma Inc
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01919008
- Sponsor's protocol ID
- 6949-CL-0006
- Status last verified
- Oct 2024
- First submitted
- 6 Aug 2013
- Last updated
- 31 Oct 2024
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No: Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
Publications
Fukushi R, Nomura Y, Katashima M, Komatsu K, Sato Y, Takada A. Approach to Evaluating QT Prolongation of Quetiapine Fumarate in Late Stage of Clinical Development Using Concentration-QTc Modeling and Simulation in Japanese Patients With Bipolar Disorder. Clin Ther. 2020 Aug;42(8):1483-1493.e1. doi: 10.1016/j.clinthera.2020.06.002. Epub 2020 Aug 11.
PubMed 32792252
Study at a glance
From the registry record, last updated by the sponsor on 31 Oct 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase I Study of FK949E - Comparison of Pharmacokinetics Between FK949E 50 mg Tablets and FK949E 150 mg Tablets in Patients With Major Depressive Disorder
- ClinicalTrials.gov ID
- NCT01919008
- Acronym / sponsor ID
- 6949-CL-0006
- Conditions
- Major Depressive Disorder
- Keywords
- FK949E, Pharmacokinetics, Major Depressive Disorder
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 16 participants (actual)
- Lead sponsor
- Astellas Pharma IncIndustry (pharma, biotech, devices)
- Study start
- 26 Mar 2012 (actual)
- Primary completion
- 22 Jun 2012 (actual)
- Study completion
- 22 Jun 2012 (actual)
- First posted
- 8 Aug 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is to compare the pharmacokinetics of FK949E low dose tablets and FK949E high dose tablets in non-elderly patients with major depressive disorder. The safety of FK949E in the population was also evaluated.
Detailed description
The objective of the study is to compare the pharmacokinetics of FK949E low dose tablets and FK949E high dose tablets in non-elderly patients with major depressive disorder in a 2 × 2 crossover design. The safety of FK949E in the population is also evaluated.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group 1 (FK949E low dose tablet-first group) | Experimental | Drug: FK949EDays 1 and 2: One FK949E low dose tablet Days 3 to 6: Three FK949E low dose tablets Days 7 to 10: One FK949E high dose tablet |
| Group 2 (FK949E high dose tablet-first group) | Experimental | Drug: FK949EDays 1 and 2: One FK949E low dose tablet Days 3 to 6: One FK949E high dose tablet Days 7 to 10: Three FK949E low dose tablets |
Who may qualify
- Ages
- 20 to 64 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Patients considered to be able to understand and follow subject requirements, as judged by the investigator/sub-investigator.
- Patients diagnosed with major depressive disorder according to the DSM-IV-TR by means of M.I.N.I.
- BMI: 17.6 (inclusive) to 26.4 (exclusive).
Key exclusion criteria (15 listed)
- Current or past history of DSM-IV-TR Axis I disorder, except major depressive disorder, within the past 6 months before informed consent.
- Concurrent DSM-IV-TR Axis II disorder that is considered to greatly affect patient's current mental status.
- Current or past history of dependence of substances (other than caffeine and nicotine) or history of abuse or dependence of alcohol.
- Unable to suspend treatment with inducers or inhibitors of the drug-metabolizing enzyme, cytochrome P450 3A4 (CYP3A4), for 14 days before the screening assessment and throughout the study.
- Patients who could not use an appropriate contraception (condoms) during the study. Patients who were pregnant or lactating.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| FK949EAlso: extended release formulation of quetiapineOral | Drug | Group 1 (FK949E low dose tablet-first group), Group 2 (FK949E high dose tablet-first group) |
Primary outcome
Maximum plasma concentration (Cmax) of unchanged quetiapine
Time frame: For 24 hours after dosing
Frequent blood sampling on Day 6 and Day 10
AUC24h (area under the curve for 24hr) of unchanged quetiapine
Time frame: For 24 hours after dosing
Frequent blood sampling on Day 6 and Day 10
8 secondary outcomes
Trough value of plasma concentration of unchanged quetiapine
Time frame: For 24 hours after dosing
t1/2 of plasma concentration of unchanged quetiapine
Time frame: For 24 hours after dosing
Maximum plasma concentration (Cmax) of quetiapine metabolites
Time frame: For 24 hours after dosing
AUC (area under the curve) of quetiapine metabolites
Time frame: For 24 hours after dosing
trough value of plasma concentration of quetiapine metabolites
Time frame: For 24 hours after dosing
tmax of plasma concentration of quetiapine metabolites
Time frame: For 24 hours after dosing
t1/2 of plasma concentration of quetiapine metabolites
Time frame: For 24 hours after dosing
Safety assessed by the incidence of adverse events, clinical tab tests, vital signs, 12-lead ECGs and physical exam
Time frame: Up to Day 11
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Oct 2024.
- Derived from this study: PubMed 32792252Fukushi R, Nomura Y, Katashima M, Komatsu K, Sato Y, Takada A. Approach to Evaluating QT Prolongation of Quetiapine Fumarate in Late Stage of Clinical Development Using Concentration-QTc Modeling and Simulation in Japanese Patients With Bipolar Disorder. Clin Ther. 2020 Aug;42(8):1483-1493.e1. doi: 10.1016/j.clinthera.2020.06.002. Epub 2020 Aug 11.
- Individual participant dataSharing planned: No. Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Astellas Pharma Inc
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing FK949E in people with Major Depressive Disorder, run by Astellas Pharma Inc at 1 site in Japan.
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 3 inclusion and 15 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 31 Oct 2024. 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 Japan. 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?
Maximum plasma concentration (Cmax) of unchanged quetiapine (time frame: For 24 hours after dosing). The study lists 2 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 NCT01919008, 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 31 Oct 2024.