Pharmacokinetics Trial of Isosorbide Mononitrate 0.5% Gel for Intra Anal Application in Healthy Subjects

• ClinicalTrials.gov Identifier: NCT04729088
• Recruitment Status: Withdrawn
• First Posted: January 28, 2021
• Last Update Posted: February 1, 2021
• Sponsor: Biolab Sanus Farmaceutica
• Information provided by (Responsible Party): Biolab Sanus Farmaceutica

Study Description

Brief Summary:

This is a Phase I trial to evaluate pharmacokinetics and safety of Isosorbide Mononitrate gel for intra anal administration in healthy subjects.

Condition or disease	Intervention/treatment	Phase
Pharmacokinetics; Healthy Subjects	Drug: Isosorbide mononitrate	Phase 1

Detailed Description:

This is a Phase I trial to evaluate the pharmacokinetics and safety of Isosorbide Mononitrate gel for intra anal administration. For the current study 2g of a 0,5% gel will be used (as part of a safety investigational profile with doses up to 2% in other studies).

The investigational product will be administered to the participants by the study physician as a single dose. Blood samples will be collected prior dose and up to 36:00 hours to characterize the pharmacokinetic profile.

Safety parameters, including adverse events, will be monitored by the study team during confinement (up to 24 hours post dose), at the 36 hour sample collection (ambulatory basis) and as reported by the subjects or verified at the discharge visit, up to 15 days after dosing.

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 0 participants
• Allocation: N/A
• Intervention Model: Single Group Assignment
• Intervention Model Description: Phase I, single-center, single-dose clinical trial (test drug), in which participants will receive the test drug intra-anal
• Masking: None (Open Label)
• Primary Purpose: Other
• Official Title: Phase I Clinical Trial to Evaluate the Pharmacokinetic Profile of a Formulation With Isosorbide Mononitrate 0.5% Gel - Manufactured by Sanus Pharmaceutical Ltda, to Intra Anal Application in Healthy Males and Females' Subjects
• Actual Study Start Date: December 20, 2020
• Actual Primary Completion Date: December 20, 2020
• Actual Study Completion Date: December 20, 2020

Arms and Interventions

Arm	Intervention/treatment
Experimental: Test Drug; Isosorbide 0.5% gel	Drug: Isosorbide mononitrate; Intra-anal application performed by the study physician of 2 g of the study drug

Outcome Measures

Primary Outcome Measures :

1. Area under the plasma concentration versus time curve from time zero to last (AUC 0-last) [ Time Frame: 36 hours ]
2. Area under the plasma concentration versus time curve from time zero to infinite (AUC 0-inf) [ Time Frame: 36 hours ]
3. Maximum (peak) plasma concentration (Cmax) [ Time Frame: 36 hours ]
4. Time to reach maximum (peak) plasma concentration (Tmax) [ Time Frame: 36 hours ]
   Time frame from drug administration to sampling time of maximum plasma concentration
5. Elimination rate constant (Ke) [ Time Frame: 36 hours ]
6. Half life (t1/2) [ Time Frame: 36 hours ]

Secondary Outcome Measures :

1. Number of adverse events [ Time Frame: 15 days ]
2. Blood Pressure [ Time Frame: 1 day ]
   Blood pressure (Systolic and Diastolic Blood Pressure) pre-dose, at each hour until 12 hours after dose and 24 hours after dose
3. Pulse [ Time Frame: 1 day ]
   Pulse pre-dose, at each hour until 12 hours after dose and 24 hours after dose

Eligibility Criteria

• Ages Eligible for Study: 18 Years to 50 Years (Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Criteria

Inclusion Criteria:

• Male and female subjects aged from 18 to 50 years-old;
• Good health conditions or without significant diseases, according to medical judgement, according to protocol requirements and study evaluations: medical history, blood pressure and heart rate measurements, physical examination, electrocardiogram (ECG) and screening laboratory test;
• Ability to understand the nature and objectives of the trial, including risks and adverse events;
• Willingness to proceed according to all study requirements, which shall be confirmed by Informed Consent Form signature;
• Agree to use safe contraceptive method.

Exclusion Criteria:

• Known to have hypersensitivity reaction to the studied drug or to chemically related compounds;
• History or presence of chronic gastrointestinal diseases or other condition that may interfere with drug absorption, distribution, metabolism or excretion;
• Maintenance therapy with any drug known to interact with the investigational drug, except contraceptives;
• History of liver, kidney, lung, gastrointestinal, epileptic, haematological or psychiatric disease; hypertension of any etiology; history of myocardial infarction, angina and / or heart failure or malignant neoplasms. Have any current disease, acute or chronic, in follow-up or treatment;
• Have active orificial pathology, such as hemorrhoidal thrombosis, acute or chronic anal fissures, as assessed by the study physician within 15 days from confinement;
• Electrocardiographic findings not recommended at the physician's discretion to participate in the study;
• History of cardiac (any), renal (renal exeresis or agenesis), gastrointestinal (partial or total removal of the esophagus, stomach, duodenum, jejunum, ileum, ascending colon, transverse colon, descending colon, sigmoid or rectum), liver or pancreas surgery;
• Screening laboratory test results outside normal ranges set by the clinical analysis laboratory, unless considered non-clinically significant by the Principal Investigator / Physician;
• Smoker (more than five cigarettes / day);
• Eating foods containing xanthine, including more than five cups of coffee or tea per day;
• Unusual eating habits, eg vegetarians;
• History of excessive alcohol consumption (drinking 4 or more alcoholic beverages in one day or 8 or more alcoholic beverages per week for women and 5 or more alcoholic beverages in one day or 15 or more alcoholic beverages per week for men);
• History of drug use;
• Use of regular medication within two weeks prior to initiation of treatment and the date of pre-confinement clinical assessment;
• Use of medication containing sildenafil, vardenafil or riociguate, up to 03 days before confinement;
• Use medication containing tadalafil up to 08 days before confinement;
• Use of any medication, except contraceptives or cases where, based on the half-life of the drug and / or active metabolites, complete elimination may be assumed;
• Hospitalization due to any reason up to eight weeks before the start of the trial treatment;
• Treatment with any drug known to have well established toxic potential in the large organs, within three months prior to the study;
• Participation in any other experimental research or administration of any experimental drug within six months prior to the commencement of this trial;
• Pregnancy or breastfeeding or wish to become pregnant during the trial period;
• Donation or loss of 450 mL or more of blood within the three months prior to the trial or donation of more than 1500 mL within the twelve months preceding the trial;
• Any condition that, according to the investigator's best judgement, precludes participation in this trial;
• Inability to lie down, preferably on the side, for 1 hour or as long as necessary at the doctor's discretion;
• Positive test for pregnancy;
• Breathalyzer test result greater than zero;
• Positive result for drug of abuse testing;
• Unavailability for registration on the National Register for Bioequivalence Studies (CNVB)

Contacts and Locations

Sponsors and Collaborators

Biolab Sanus Farmaceutica

Investigators

• Principal Investigator: José Pedrazzoli Jr., MD; CAEP - Centro Avançado de Estudos e Pesquisas Ltda.

More Information

• Responsible Party: Biolab Sanus Farmaceutica
• ClinicalTrials.gov Identifier: NCT04729088
• Other Study ID Numbers: CAEP 56.003.19PC
• First Posted: January 28, 2021
• Last Update Posted: February 1, 2021
• Last Verified: January 2021

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Biolab Sanus Farmaceutica:

Isosorbide Mononitrate; Pharmacokinetics; Intra anal application; Anal Fissure; Healthy volunteers

Additional relevant MeSH terms:

Isosorbide; Isosorbide Dinitrate; Isosorbide-5-mononitrate; Diuretics, Osmotic; Diuretics; Natriuretic Agents; Physiological Effects of Drugs; Vasodilator Agents; Nitric Oxide Donors; Molecular Mechanisms of Pharmacological Action