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Healthy VolunteersPhase 1DACORSIN/4NCT04791345

Study of the Excretion of Orally Administered Corticosteroids for the Improval of the Detection of Said Substances in Anti-doping Controls

A Phase 1 study testing Methylprednisone, Deflazacort and Dexamethasone in people with Healthy Volunteers, run by Parc de Salut Mar at 1 site in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Background: Glucocorticoids (GC) were included in the list of banned substances in sports in 1986, because of evidences of positive effects on physical performance and the important health risks associated with its consumption. 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
Healthy Volunteers
What is being tested?
Methylprednisone, Deflazacort and Dexamethasone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteSpain
Study dates
26 Feb 2021to 26 Feb 2022
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

  • Male volunteers aged between 18 and 55 years.
  • Able to understand and accept the trial procedures and able to sign an informed consent prior to any study-mandated procedure.
  • History and physical examination that demonstrate not presenting organic or psychiatric disorders.
  • ECG, blood and urine tests performed before the experimental session within normal limits. Minor or occasional variations of these limits will be allowed if, in the opinion of the Principal Investigator and taking into account the state of science, they have no clinical significance, do not pose a risk to the subject and do not interfere in the product evaluation. These variations and their non-relevance will be specifically justified in writing.
  • Body mass index (weight/height^2) between 19 and 27 kg/m2 and weight between 50 and 100 kg. BMI of 27-28 kg/m2 may be included according to Principal Investigator's criteria.

Who cannot join

  • Failure to meet inclusion criteria.
  • History of allergy, idiosyncrasy, hypersensitivity or adverse reactions to glucocorticoids or any of the excipients. Serious adverse reactions to any drug.
  • Contraindications to treatment with study drugs (according to the respective summary of product characteristics, SmPC).
  • Clinical background or evidence of gastrointestinal, hepatic, renal disorder or others that may involve an alteration of the absorption, distribution, metabolism or excretion of the drug.
  • Clinical background or evidence of psychiatric disorders, alcoholism, drug abuse or habitual consumption of psychoactive drugs.
  • Having participated in another clinical trial with medication in the three months prior to the start of the study.
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  • Having donated blood in the three months prior to the start of the study, in the event that blood extractions are made.
  • Having suffered some organic disease or major surgery in the six months prior to the start of the study.
  • Clinical background or evidence of cardiovascular, respiratory, renal, hepatic, endocrine, gastrointestinal, hematological, neurological, or other acute or chronic diseases that, in the opinion of the Principal Investigator or the collaborators designated by him/her, may pose a risk to the subjects or may interfere with the objectives of the study. Especially osteoporosis, hypertension, Cushing syndrome, diabetes mellitus, and viral infections such as herpes or varicella.
  • Having taken medication regularly in the month prior to the study sessions -in case of glucocorticoids 3 months prior- with the exception of vitamins, herbal remedies or dietary supplements that, in the opinion of the Principal Investigator or the collaborators designated by him/her, may not pose a risk to the subjects or may not interfere with the objectives of the study. Treatment with a single dose of symptomatic medication in the week prior to the study sessions will not be a reason for exclusion if it is assumed that the drug has been completely eliminated on the day of the experimental session.
  • Smokers of more than 20 cigarettes a day in the 3 months before the study.
  • Consumption of more than 40 g of alcohol daily.
  • Consumers of more than 5 coffees, teas, cola drinks, or other stimulant drinks or with xanthines daily in the 3 months prior to the study start.
  • Being unable to understand the nature, consequences of the trial and the procedures that are asked to follow.
  • Positive serology for hepatitis B, C or HIV.

Trial locations and contacts

1 site in 1 country.

Rosa Ventura Alemany, PharmD, PhD contact

+34 933 160 471

rventura@imim.es

Ana M Aldea Perona, MD, PhD contact

+34 933 160 490

aaldea@imim.es

Spain1 site, 1 recruiting
  • IMIM (Hospital del Mar Medical Research Institute)

    Barcelona, 08003

    Ana M Aldea Perona, MD, PhD, +34933160490, aaldea@imim.es

    Ana M Aldea Perona, MD, PhD

    Recruiting

Other trials in Spain

About this study

Background:

Glucocorticoids (GC) were included in the list of banned substances in sports in 1986, because of evidences of positive effects on physical performance and the important health risks associated with its consumption.

Read more

Due to the fact that GC are commercialized in a variety of pharmaceutical forms and are administered in different ways, it is necessary to establish discrimination criteria to guarantee the therapeutic use of these drugs and to prevent doping.

Hypothesis:

Discrimination criteria between allowed and prohibited administrations of GC must be specific for each of the compounds. Further studies are needed to provide discrimination criteria related to oral administration of GC.

Objectives:

To conduct excretion studies with dexamethasone, methylprednisolone and deflazacort in order to define notification levels and wash-out periods after the administration of a single dose (DEX, MP and DEF) or repeated doses (DEX and MP) of these drugs.

Methods:

Non-randomized, open-label, pharmacokinetics clinical trial where a single dose of DEF, MP and DEX and also a multi-dose of DEX and MP will be administered orally to healthy volunteers (total n=50).

Read the detailed description

The World Anti-Doping Agency (WADA) has established a general notification level of 30 ng/mL for GC to discriminate allowed and not allowed administrations. However, recent studies have proven that the use of a unique criteria is not adequate given the diversity of administration routes, doses and pharmacokinetics and pharmacodynamics properties of each drug.

The goal of this study is to conduct additional studies using dexamethasone (DEX), methylprednisolone (MP) and deflazacort (DEF) in order to generate additional data of urinary concentrations and wash-out periods after single and repeated oral doses of these drugs.

Being tested
Methylprednisone, Deflazacort, Dexamethasone
Keywords
Anti-doping control, Glucocorticoids, Corticosteroids, Dexamethasone, Methylprednisolone, Deflazacort

What participants receive

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

  • MethylprednisoneDrug

    Also called Urbason®

    12 mg of methylprednisone (3 pills of 4 mg each) administered orally in a single dose.

  • MethylprednisoneDrug

    Also called Urbason®

    12 mg of methylprednisone (3 pills of 4 mg each) administered orally every 24 hours during 3 days.

  • DeflazacortDrug

    30 mg of deflazacort (1 pill) administered orally in a single dose.

  • DexamethasoneDrug

    4 mg of dexamethasone (1 pill) administered orally in a single dose.

  • DexamethasoneDrug

    2 mg of dexamethasone (1/2 pill) administered orally every 12 hours during 5 days.

Study groups in NCT04791345
Study groupRoleWhat they receive
Methylprednisone single-doseExperimentalSubjects receive a single dose treatment. Urine samples will be collected until 5 days after administration in 10 fractions: 0-4h, 4-8h, 8-12h, 12-24h, 24-36h, 36-48h, 48-72h, 72-96h, 96-120h post-administration. Blood samples will be collected until 6 days after administration in 5 fractions: pre-administration and 24h, 48h, 72h and 120h post-administration.
Receives: Drug: Methylprednisone
Methylprednisone multiple-doseExperimentalSubjects receive a multiple dose treatment. Urine samples will be collected until 7 days after administration in 20 fractions.
Receives: Drug: Methylprednisone
Deflazacort single-doseExperimentalSubjects receive a single-dose treatment. Urine samples will be collected until 5 days after administration in 10 fractions: 0-4h, 4-8h, 8-12h, 12-24h, 24-36h, 36-48h, 48-72h, 72-96h, 96-120h post-administration. Blood samples will be collected until 6 days after administration in 5 fractions: pre-administration and 24h, 48h, 72h and 120h post-administration.
Receives: Drug: Deflazacort
Dexamethasone single-doseExperimentalSubjects receive a single-dose treatment. Urine samples will be collected until 13 days after administration in 11 fractions: 0-4h, 4-8h, 8-12h, 12-24h, 24-36h, 36-48h, 48-72h, 72-96h, 96-120h, 120-144h post-administration. Blood samples will be collected until 9 days after administration in 6 fractions: pre-administration and 24h, 48h, 72h, 120h and 192h post-administration.
Receives: Drug: Dexamethasone
Dexamethasone multiple-doseExperimentalSubjects receive a multiple dose treatment. Urine samples will be collected until 10 days after administration in 34 fractions. Blood samples will be collected until 13 days after the first administration.
Receives: Drug: Dexamethasone

What is being measured

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

  1. Urine concentration of methylprednisone

    Concentration of methylprednisone in each fraction of urine samples

    Measured: 0-4h (hours), 4-8h, 8-12h, 12-24h, 24-36h, 36-48h, 48-72h, 72-96h, 96-120h post-administration

  2. Urine concentration of methylprednisone metabolites

    Concentration of methylprednisone metabolites in each fraction of urine samples

    Measured: 0-4h (hours), 4-8h, 8-12h, 12-24h, 24-36h, 36-48h, 48-72h, 72-96h, 96-120h post-administration

  3. Urine concentrations of deflazacort

    Concentration of deflazacort in each fraction of urine samples

    Measured: 0-4h (hours), 4-8h, 8-12h, 12-24h, 24-36h, 36-48h, 48-72h, 72-96h, 96-120h post-administration

  4. Urine concentrations of deflazacort metabolites

    Concentration of deflazacort metabolites in each fraction of urine samples

    Measured: 0-4h (hours), 4-8h, 8-12h, 12-24h, 24-36h, 36-48h, 48-72h, 72-96h, 96-120h post-administration

  5. Urine concentration of dexamethasone

    Concentration of dexamethasone in each fraction of urine samples

    Measured: 0-4h (hours), 4-8h, 8-12h, 12-24h, 24-36h, 36-48h, 48-72h, 72-96h, 96-120h, 120-144h post-administration

  6. Urine concentration of dexamethasone metabolites

    Concentration of dexamethasone metabolites in each fraction of urine samples

    Measured: 0-4h (hours), 4-8h, 8-12h, 12-24h, 24-36h, 36-48h, 48-72h, 72-96h, 96-120h, 120-144h post-administration

Secondary outcomes (23)
  1. Plasma concentrations of drug metabolites

    Concentrations of drug metabolites (DEX, MP, DEF) in plasma

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  2. Plasma concentrations of cortisol

    Concentrations of cortisol in plasma

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  3. Plasma concentrations of endogen steroids

    Concentrations of endogen steroids in plasma [testosterone (T), epitestosterone (E), androsterone (A), etiocholanolone (Etio), 5α-androstane-3α,17β-diol (5aAdiol), 5β-androstane-3α,17β-diol (5bAdiol), and the quotients T/E, A/T, A/Etio, 5aAdiol/5bAdiol and 5aAdiol/ET]

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  4. Plasma concentrations of testosterone

    Concentrations of testosterone in plasma

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  5. Plasma concentrations of epitestosterone

    Concentrations of epitestosterone in plasma

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  6. Plasma concentrations of androsterone

    Concentrations of androsterone in plasma

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  7. Plasma concentrations of etiocholanolone

    Concentrations of etiocholanolone (Etio) in plasma

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  8. Plasma concentrations of 5α-androstane-3α,17β-diol

    Concentrations of 5α-androstane-3α,17β-diol (5aAdiol) in plasma

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  9. Plasma concentrations of 5β-androstane-3α,17β-diol

    Concentrations of 5β-androstane-3α,17β-diol (5bAdiol) in plasma

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  10. Quotient testosterone/epitestosterone in plasma

    Concentrations of testosterone/epitestosterone (T/E) in plasma

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  11. Quotient androsterone/testosterone in plasma

    Concentrations of androsterone/testosterone (A/T) in plasma

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  12. Quotient androsterone/Etio in plasma

    Concentrations of androsterone/etiocholanolone (A/Etio) in plasma

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  13. Quotient 5aAdiol/5bAdiol in plasma

    Concentrations of 5α-androstane-3α,17β-diol/5β-androstane-3α,17β-diol (5aAdiol/5bAdiol) in plasma

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  14. Quotient 5aAdiol/ET in plasma

    Concentrations of 5α-androstane-3α,17β-diol/etiocholanolone (5aAdiol/ET) in plasma

    Measured: Before drug administration and at 0.5h (hours), 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 24h, 48h, 72h, 120h, 192h post-administration

  15. Hemoglobin concentration

    Variation of hemoglobin concentrations in blood

    Measured: At -72h (hours), -48h, -24h (before first administration), and at 0h, 1h, 3h, 6h after each dose (in multiple-dose treatments)

  16. Hematocrit

    Variation of hematocrit value in blood

    Measured: At -72h (hours), -48h, -24h (before first administration), and at 0h, 1h, 3h, 6h after each dose (in multiple-dose treatments)

  17. Mean corpuscular hemoglobin

    Variation of mean corpuscular hemoglobin (MCH) levels in blood

    Measured: At -72h (hours), -48h, -24h (before first administration), and at 0h, 1h, 3h, 6h after each dose (in multiple-dose treatments)

  18. Mean corpuscular volume of erythrocytes

    Variation of mean corpuscular volume of erythrocytes (MCV) levels in blood

    Measured: At -72h (hours), -48h, -24h (before first administration), and at 0h, 1h, 3h, 6h after each dose (in multiple-dose treatments)

  19. Erythrocytes count

    Variation of erythrocytes count in blood

    Measured: At -72h (hours), -48h, -24h (before first administration), and at 0h, 1h, 3h, 6h after each dose (in multiple-dose treatments)

  20. Standard deviation of the range of distribution of erythrocytes

    Variation of standard deviation of the range of distribution of erythrocytes

    Measured: At -72h (hours), -48h, -24h (before first administration), and at 0h, 1h, 3h, 6h after each dose (in multiple-dose treatments)

  21. Platelet count

    Variation of platelet count in blood

    Measured: At -72h (hours), -48h, -24h (before first administration), and at 0h, 1h, 3h, 6h after each dose (in multiple-dose treatments)

  22. Reticulocyte count

    Variation of reticulocyte count in blood

    Measured: At -72h (hours), -48h, -24h (before first administration), and at 0h, 1h, 3h, 6h after each dose (in multiple-dose treatments)

  23. Fraction of immature reticulocytes

    Variation of immature reticulocytes fraction in blood

    Measured: At -72h (hours), -48h, -24h (before first administration), and at 0h, 1h, 3h, 6h after each dose (in multiple-dose treatments)

Timeline

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

  1. First posted10 Mar 2021
  2. Study start26 Feb 2021
  3. Primary completion26 Feb 2022 (estimated)
  4. Study completion26 Feb 2022 (estimated)

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
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Single-center, non-randomized, open-label clinical trial in healthy male volunteers. A single dose of DEX, MP and DEF, and multiple dose of DEX and MP will be administered to different subjects.
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04791345
Sponsor's protocol ID
IMIMFTCL/DACORSIN/4
Acronym
DACORSIN/4
Status last verified
Mar 2021
First submitted
5 Mar 2021
Last updated
1 Apr 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Methylprednisone, Deflazacort and Dexamethasone in people with Healthy Volunteers, run by Parc de Salut Mar at 1 site in Spain.

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 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: status not confirmed, as of the sponsor's last update on 1 Apr 2021. 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 Spain. 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?

Results are not available in the source record.

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

Contact Rosa Ventura Alemany, PharmD, PhD (+34 933 160 471, rventura@imim.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Urine concentration of methylprednisone (time frame: 0-4h (hours), 4-8h, 8-12h, 12-24h, 24-36h, 36-48h, 48-72h, 72-96h, 96-120h post-administration). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 1 Apr 2021.

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