Relative Bioavailability Trial of Oral Dispersible Praziquantel Tablets in Healthy Volunteers

Overview[ - collapse ][ - ]

Purpose This is a phase I, open-label, randomized, 4 period, crossover, single-center trial. The purpose of this trial is to assess the relative bio-availability of racemate Oral Dispersible Tablet praziquantel (ODT-PQZ) (MSC1028703A) 150 milligram (mg) versus the current marketed praziquantel (PZQ) (Cysticide® 500 mg) formulation in healthy male volunteers.
ConditionHealthy
InterventionDrug: ODT-PZQ
Drug: Cysticide
Drug: ODT-PZQ
Drug: ODT-PZQ
Drug: ODT-PZQ
Drug: Cysticide
PhasePhase 1
SponsorMerck KGaA
Responsible PartyMerck KGaA
ClinicalTrials.gov IdentifierNCT02325713
First ReceivedDecember 11, 2014
Last UpdatedDecember 21, 2014
Last verifiedDecember 2014

Tracking Information[ + expand ][ + ]

First Received DateDecember 11, 2014
Last Updated DateDecember 21, 2014
Start DateJanuary 2015
Estimated Primary Completion DateMarch 2015
Current Primary Outcome MeasuresArea under the plasma concentration-time curve (AUC) from time zero to Infinity (AUC0-inf) of L-PZQ [Time Frame: 0-24 hours] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Maximum observed concentration in plasma (Cmax) of L-PZQ, D-PZQ and racemate PZQ [Time Frame: 0-24 hours] [Designated as safety issue: No]
  • Time to reach maximum plasma concentration (tmax) of L-PZQ, D-PZQ, and racemate PZQ [Time Frame: 0-24 hours] [Designated as safety issue: No]
  • Apparent terminal half-life (t1/2) of L-PZQ, D-PZQ, and racemate PZQ [Time Frame: 0-24 hours] [Designated as safety issue: No]
  • Time prior to the first measurable (non-zero) concentration (tlag) of L-PZQ, D-PZQ, and racemate PZQ [Time Frame: 0-24 hours] [Designated as safety issue: No]
  • Area under the plasma concentration-time curve (AUC) from time zero to the last sampling time at which the concentration is at or above the lower limit of quantification (AUC0-t) of L-PZQ, D-PZQ, and racemate PZQ [Time Frame: 0-24 hours] [Designated as safety issue: No]
  • Extrapolated Area under the plasma concentration curve from time tlast to infinity given as percentage from AUC0-inf (AUCextra) of L-PZQ, D-PZQ, and racemate PZQ [Time Frame: 0-24 hours] [Designated as safety issue: No]
  • Apparent terminal elimination rate constant (lambda Z) of L-PZQ, D-PZQ, and racemate PZQ [Time Frame: 0-24 hours] [Designated as safety issue: No]
  • Relative Bioavailability (Frel) of L-PZQ, D-PZQ, and racemate PZQ [Time Frame: 0-24 hours] [Designated as safety issue: No]
  • Apparent total body clearance of drug from plasma (CL/f) of L-PZQ, D-PZQ, and racemate PZQ [Time Frame: 0-24 hours] [Designated as safety issue: No]
  • Apparent volume of distribution during the terminal phase (Vz/f) of L-PZQ, D-PZQ, and racemate PZQ [Time Frame: 0-24 hours] [Designated as safety issue: No]
  • Area under the plasma concentration-time curve (AUC) from time zero to Infinity (AUC0-inf) of D-PZQ and racemate PZQ [Time Frame: 0-24 hours] [Designated as safety issue: No]
  • Number of subjects with Adverse events (AEs) and serious adverse events (SAEs) [Time Frame: Up to 7 Weeks] [Designated as safety issue: Yes]
  • Palatability score [Time Frame: Immediately and 2-5 minutes after dosing on Day 1] [Designated as safety issue: No]Palatability will be assessed using modified, 100 millimeter (mm) visual analog scale (VAS) incorporating a facial hedonic scale. Subject will complete a questionnaire to evaluate the liking of the study drug. Higher score indicates more acceptability.
  • Number of Subjects With Clinically Relevant Findings in Electrocardiogram (ECG) and Vital Signs [Time Frame: Baseline; Pre-dose on Day 1; 4 and 24 hours post-dose on Day 1; end of treatment (up to Day 32)] [Designated as safety issue: Yes]
  • Number of Subjects With Clinically Relevant Findings in Physical Examinations [Time Frame: Baseline, end of treatment (up to Day 32)] [Designated as safety issue: Yes]
  • Number of Subjects With Clinically Relevant Findings in Laboratory Parameters [Time Frame: Baseline; Day -1; 4 and 24 hours post-dose on Day 1; end of treatment (up to Day 32)] [Designated as safety issue: Yes]

Descriptive Information[ + expand ][ + ]

Brief TitleRelative Bioavailability Trial of Oral Dispersible Praziquantel Tablets in Healthy Volunteers
Official TitleA Phase I, Open-label, Randomized, Four-period, Crossover, Single Center Trial to Assess the Relative Bioavailability of a Single Oral Dose of the New 150 mg Oral Dispersible Tablet (ODT) Formulation of Praziquantel (PZQ), MSC1028703A, at Different Dose Levels vs the Current Commercial 500 mg Tablet Formulation of PZQ in Healthy Male Volunteers
Brief Summary
This is a phase I, open-label, randomized, 4 period, crossover, single-center trial. The
purpose of this trial is to assess the relative bio-availability of racemate Oral
Dispersible Tablet praziquantel (ODT-PQZ) (MSC1028703A) 150 milligram (mg) versus the
current marketed praziquantel (PZQ) (Cysticide® 500 mg) formulation in healthy male
volunteers.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 1
Study DesignAllocation: Randomized, Endpoint Classification: Bio-availability Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionHealthy
InterventionDrug: ODT-PZQ
ODT-PZQ (MSC1028703A) at a single dose of 40 milligram per kilogram (mg/kg) orally dispersed in water after meal
Other Names:
MSC1028703ADrug: Cysticide
Cysticide tablet at a single dose of 40 mg/kg given with water orally after a meal
Other Names:
PZQDrug: ODT-PZQ
ODT-PZQ (MSC1028703A) at a single dose of 20 mg/kg orally dispersed in water after a meal
Other Names:
MSC1028703ADrug: ODT-PZQ
ODT-PZQ (MSC1028703A) at a single dose of 60 mg/kg orally dispersed in water after a meal
Other Names:
MSC1028703ADrug: ODT-PZQ
ODT-PZQ (MSC1028703A) at a single dose of 40 mg/kg orally dispersed in water without a meal
Other Names:
MSC1028703ADrug: Cysticide
Cysticide crushed tablets at a single dose of 40 mg/kg given with water orally after a meal
Other Names:
PZQ
Study Arm (s)
  • Experimental: Period 1 and 2
    A-B or B-A where A: ODT-PZQ (MSC1028703A) 40 mg/kg dispersed in water after meal; B: Cysticide 40 mg/kg with water after meal
  • Experimental: Period 3 and 4
    C1-D1 or D1-C1; C1-D2 or D2-C1; C2-D1 or D1-C2; C2-D2 or D2-C2 where C1: ODT-PZQ (MSC1028703A) 20 mg/kg in water after a meal; D1: ODT-PZQ (MSC1028703A) 40 mg/kg in water without meal; C2: ODT-PZQ (MSC1028703A) 60 mg/kg dispersed in water after meal; D2: Cysticide 40 mg/kg crushed tablets with water after meal

Recruitment Information[ + expand ][ + ]

Recruitment StatusNot yet recruiting
Estimated Enrollment32
Estimated Completion DateMarch 2015
Estimated Primary Completion DateMarch 2015
Eligibility Criteria
Inclusion Criteria:

- Healthy males 18-55 years of age (inclusive at screening)

- Male subjects with partners of childbearing potential must have had a vasectomy or
use acceptable methods of birth control (that is, condoms) and not donate sperm
during, and until 90 days after the last dose of the trial medication

- Provide written informed consent prior to any trial related procedure

- Body weight of greater than or equal to (>=)55.0 kg to less than (<) 95.0 kg and a
body mass index (BMI) between 18.5 and 29.9 kilogram per square meter (kg/m^2)

- Able to communicate well with the Investigator, understand the protocol
requirements and restrictions, and willing to comply with the requirements of the
entire trial

- Non-smoker (= 0 cigarettes, pipes, cigars or other) from at least 3 months prior to
start of trial

- Electrocardiogram (ECG) recording (12-lead) without signs of clinically
relevant pathology, in particular QTcB < 450 milliseconds (ms)

- Vital signs (systolic blood pressure, diastolic blood pressure and pulse) in supine
position are within the normal range or show no clinically relevant
deviation as judged by the Investigator

Exclusion Criteria:

- Any surgical or medical condition, including findings in the medical
history or in the pre-study assessments, or any other significant disease,
that in the opinion of the Investigator, constitutes a risk or a
contraindication for the participation of the subject in the trial or that could
interfere with the trial objectives, conduct or evaluation

- History of gastrointestinal (GI) tract surgery, other GI tract diseases or acute GI
tract infections within the last 2 weeks that could influence the GI absorption
and/or motility according to the Investigator's opinion

- Any clinically relevant abnormality in the safety laboratory parameters as judged by
the Investigator

- Positive results from serology examination for Hepatitis B surface antigen
(HBsAg), Hepatitis C Virus (HCV) or Human Immunodeficiency Virus (HIV)

- Have an ascertained or presumptive contraindication or hypersensitivity to
the active drug substance and/or formulations' ingredients

- Have any clinically significant history of allergic conditions which the Investigator
considers may affect the outcome of the trial

- History or presence of drug abuse or alcohol abuse (as defined by the
assessment of the investigator) at screening and on each admission

- Blood donation or loss of more than 400 mL of blood within 3 months before
the first administration of the investigational product

- Administration of any investigational product or use of any investigational device
within 60 days prior to first dosing that may affect the pharmacokinetics of the
investigational product

- Subjects who have used drugs that may affect the pharmacokinetics (PK) of PZQ from 15
days before the first administration of the investigational product until the last PK
sample

- Consumption of substances known to be potent inhibitors or inducers of
cytochrome P450s (CYPs) within 2 weeks before the first administration of
the investigational product

- Unlikely to comply with the protocol requirements, instructions and trial-related
restrictions

- Non-acceptance of the study breakfast

- Excessive consumption of beverages containing xanthine (greater than [>] 5 cups
of coffee a day or equivalent) and the inability to refrain from the use of
caffeine-containing beverages from 48 hours before the first administration of the
investigational product until discharge from the clinic

- Subject is the Investigator or any Sub-Investigator, research assistant,
pharmacist, trial coordinator, other staff or relative thereof directly involved in
the conduct of the trial

- Vulnerable subjects

- Legal incapacity or limited legal capacity
GenderMale
Ages18 Years
Accepts Healthy VolunteersAccepts Healthy Volunteers
ContactsContact: Merck KGaA Communication Center
+49 6151 72 5200
service@merckgroup.com
Location CountriesGermany

Administrative Information[ + expand ][ + ]

NCT Number NCT02325713
Other Study ID Numbers200585-001
Has Data Monitoring CommitteeNot Provided
Information Provided ByMerck KGaA
Study SponsorMerck KGaA
CollaboratorsNot Provided
Investigators Study Director: Medical Responsible Merck KGaA
Verification DateDecember 2014

Locations[ + expand ][ + ]

Please contact the Merck KGaA Communication Center
Darmstadt, Germany
Not yet recruiting