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HealthyPhase 1NCT02224105

Safety, Tolerability, Pharmacodynamics and Pharmacokinetics of BI 653048 BS H3PO4 Capsule Assessing Endotoxin-induced Inflammatory Response in Healthy Male Subjects

A Phase 1 study testing BI 653048 BS, Prednisolone low and Prednisolone high in people with Healthy, run by Boehringer Ingelheim.

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 general aim of the current study was to investigate the safety and tolerability, and pharmacodynamics (endotoxin-induced inflammatory response of a single intravenous bolus administration of 2 ng/kg body weight Escherichia coli lipopolysaccharide (LPS)) of BI 653048 BS H3PO4 capsules in healthy male subjects… Read more about this study

Who is it for?
Ages 18 to 50 years, men onlyHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
BI 653048 BS, Prednisolone low and Prednisolone high
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
56 participants
Where
No sites listed yet
Study dates
Mar 2010to May 2010
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 50 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy males according to the following criteria:
  • Based upon a complete medical history, including the physical examination, vital signs (blood pressure, pulse rate and body temperature), 12-lead ECG, clinical laboratory tests
  • Age ≥18 and Age ≤50 years
  • Body mass index (BMI) ≥18.5 and BMI ≤29.9 kg/m2
  • Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice (GCP) and the local legislation

Who cannot join

  • Any finding of the medical examination (including blood pressure, pulse rate, orthostatic test, body temperature and ECG) deviating from normal and of clinical relevance
  • Any evidence of a clinically relevant concomitant disease
  • Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
  • Surgery of the gastrointestinal tract (except appendectomy)
  • Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
  • History of relevant orthostatic hypotension, fainting spells or blackouts
Show all 19Show fewer
  • Chronic or relevant acute infections
  • History of relevant allergy/hypersensitivity (including allergy to drug or its excipients)
  • Intake of drugs with a long half-life (>24 hours) within at least one month or less than 10 half-lives of the respective drug prior to administration or during the trial
  • Use of drugs which might reasonably influence the results of the trial or that prolong the QT/QTc interval based on the knowledge at the time of protocol preparation within 10 days prior to administration or during the trial
  • Participation in another trial with an investigational drug within 30 days prior to administration or during the trial
  • Smoker (>10 cigarettes or >3 cigars or >3 pipes/day)
  • Inability to refrain from smoking for 1 day prior to first drug administration until discharge from the study site
  • Alcohol abuse (more than 60 g/day)
  • Drug abuse
  • Blood donation (more than 100 mL within four weeks prior to administration or during the trial)
  • Excessive physical activities (within one week prior to administration or during the trial)
  • Any laboratory value outside the reference range that is of clinical relevance
  • Inability to comply with dietary regimen of trial site

About this study

Official title: Safety, Tolerability, Pharmacodynamics and Pharmacokinetics of a BI 653048 BS H3PO4 Capsule Formulation Administered as Multiple Doses of 25 mg to 200 mg Once Daily (qd) for 3 Days Assessing Pharmacodynamics as Endotoxin-induced Inflammatory Response of a Single Intravenous Bolus Administration of 2 ng/kg Body Weight Lipopolysaccharide (LPS). A Randomised, Double-blind Within Dose Groups, Placebo-controlled, Multiple Rising Dose Phase I Trial With Open-label Active Comparator in Healthy Male Subjects

The general aim of the current study was to investigate the safety and tolerability, and pharmacodynamics (endotoxin-induced inflammatory response of a single intravenous bolus administration of 2 ng/kg body weight Escherichia coli lipopolysaccharide (LPS)) of BI 653048 BS H3PO4 capsules in healthy male subjects following oral administration of multiple rising doses of 25 mg to 200 mg over three days compared to the active comparator prednisolone and placebo.

Pharmacodynamics were assessed by investigating the influence of LPS administration on inflammatory parameters. More specifically, it was evaluated whether and to what extent the symptoms induced by LPS challenge can be attenuated by ascending BI 653048 BS H3PO4 doses using prednisolone as positive control and placebo as negative control. A secondary objective was the exploration of pharmacokinetics of BI 653048 BS, the investigation of other pharmacodynamic parameters (biomarker) and of the tolerability of LPS.

Conditions
Healthy
Being tested
BI 653048 BS, Prednisolone low, Prednisolone high, Placebo, sodium chloride infusion

What participants receive

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

  • BI 653048 BSDrug

  • Prednisolone lowDrug

  • Prednisolone highDrug

  • PlaceboDrug

  • sodium chloride infusionDrug

  • endotoxin escherichia coli (E. coli) lipopolysaccharide (LPS)Drug

Study groups in NCT02224105
Study groupRoleWhat they receive
BI 653048 BSExperimentalescalating doses
Receives: Drug: BI 653048 BS; Drug: sodium chloride infusion; Drug: endotoxin escherichia coli (E. coli) lipopolysaccharide (LPS)
Prednisolone lowActive comparatorNot described
Receives: Drug: Prednisolone low; Drug: sodium chloride infusion; Drug: endotoxin escherichia coli (E. coli) lipopolysaccharide (LPS)
Prednisolone highActive comparatorNot described
Receives: Drug: Prednisolone high; Drug: sodium chloride infusion; Drug: endotoxin escherichia coli (E. coli) lipopolysaccharide (LPS)
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo; Drug: sodium chloride infusion; Drug: endotoxin escherichia coli (E. coli) lipopolysaccharide (LPS)

What is being measured

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

  1. Number of subjects with adverse events

    Measured: up to 37 days

  2. Number of subjects with clinically significant findings in vital signs

    blood pressure, pulse rate and body temperature

    Measured: up to day 15

  3. Number of subjects with clinically significant findings in 12-lead electrocardiogram (ECG)

    Measured: up to day 15

  4. Number of subjects with clinically significant findings in laboratory tests

    Measured: up to day 15

  5. Assessment of tolerability by investigator on a 4-point scale

    Measured: up to day 15

  6. Maximum measured concentration of the biomarker level in plasma (Emax)

    Measured: up to 96 hours after first drug administration

  7. Area under the concentration-time curve of the biomarker in plasma over the time interval from 0 to the last measurable time point of the dose (AUEC)

    Measured: up to 96 hours after first drug administration

Secondary outcomes (13)
  1. Maximum measured concentration of the analyte in plasma at steady state (Cmax,ss)

    Measured: up to 96 hours after first drug administration

  2. Time from dosing to maximum measured concentration of the analyte at steady state (tmax,ss)

    Measured: up to 96 hours after first drug administration

  3. Area under the concentration-time curve of the analyte in the plasma over the time interval from 0 to the last measurable time point of the dose at steady state (AUC0-tz,ss)

    Measured: up to 96 hours after first drug administration

  4. Area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity at steady state (AUC0-∞,ss)

    Measured: up to 96 hours after first drug administration

  5. Percentage of the AUC0-∞ that is obtained by extrapolation at steady state (%AUCtz-∞,ss)

    Measured: up to 96 hours after first drug administration

  6. Terminal phase elimination rate constant at steady state (λz,ss)

    Measured: up to 96 hours after first drug administration

  7. Terminal phase elimination half life at steady state (t1/2,ss)

    Measured: up to 96 hours after first drug administration

  8. Mean residence time of the analyte in the body after oral administration at steady state (MRTpo,ss)

    Measured: up to 96 hours after first drug administration

  9. Apparent clearance of the analyte in plasma following extravascular administration at steady state (CL/Fss)

    Measured: up to 96 hours after first drug administration

  10. Apparent volume of distribution during the terminal phase λz following an extravascular dose at steady state (Vz/Fss)

    Measured: up to 96 hours after first drug administration

  11. Minimum measured concentration of the biomarker during the treatment interval (Emin)

    Measured: up to 96 hours after first drug administration

  12. Area under the concentration-time curve of the biomarker in serum over the time interval from 0 to the last measurable time point of the dose (AUEC)

    Measured: up to 96 hours after first drug administration

  13. Measured concentration of the biomarker at time t after the beginning of the treatment interval (Et)

    Measured: up to 96 hours after first drug administration

Timeline

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

  1. First posted25 Aug 2014 (estimated)
  2. Study startMar 2010
  3. Primary completionMay 2010

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02224105
Sponsor's protocol ID
1262.9
Status last verified
Aug 2014
First submitted
21 Aug 2014
Last updated
25 Aug 2014
Results posted
No

Publications

  • Harcken C, Scholl P, Nabozny G, Thomson D, Bianchi D. Clinical profile of the functionally selective glucocorticoid receptor agonist BI 653048 in healthy male subjects. Expert Opin Investig Drugs. 2019 May;28(5):489-496. doi: 10.1080/13543784.2019.1599859. Epub 2019 Apr 9.

    PubMed 30908082

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BI 653048 BS, Prednisolone low and Prednisolone high in people with Healthy, run by Boehringer Ingelheim.

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 5 inclusion and 19 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 25 Aug 2014. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. 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?

Number of subjects with adverse events (time frame: up to 37 days). The study lists 7 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 NCT02224105, 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 25 Aug 2014.

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