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CompletedNCT01478490Updated Apr 10, 2014

To Compare Blood and Urine Concentrations of Mirabegron (YM178) in Healthy Poor or Extensive Metabolizers for CYP2D6 and to Assess the Effect of Mirabegron on the Metabolism of Metoprolol

A Phase 1 interventional study of mirabegron and metoprolol in Pharmacokinetics of Mirabegron and Healthy Subjects, sponsored by Astellas Pharma Inc. Completed at 1 site in Netherlands. Open to male participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-04-10.

Sponsored by Astellas Pharma Inc · Phase 1 and Interventional

Phase
Phase 1
Study type
Interventional
Enrollment
28
Allocation
Non-randomized
Ages
18 Years to 55 Years
Sex
Male
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Study summary

The study aims to compare blood and urine concentrations of mirabegron (YM178) in healthy poor or extensive metabolizers for CYP2D6 and to evaluate if blood levels of metoprolol change whilst being dosed at the same time with daily miragebron.

Read the detailed description

The study is an open label, single center study. All subjects are genotyped for CYP2D6 before the study. Genotype expression is confirmed by dextromethorphan phenotyping.

Part I: The pharmacokinetic profile of a single dose of YM178 is compared in 8 healthy male subjects genotyped and phenotyped as poor metaboliser (PM) for CYP2D6 and in 8 healthy male subjects genotyped and phenotyped as extensive metaboliser (EM) for CYP2D6.

Part II: The effect of YM178 on the model substrate of CYP2D6 metoprolol is evaluated, using a cross-over design, in 12 healthy male subjects genotyped and phenotyped as EM for CYP2D6.

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Conditions studied

  • Pharmacokinetics of Mirabegron
  • Healthy Subjects

Keywords

  • Pharmacokinetics,
  • Mirabegron
  • Metoprolol
  • CYP2D6
  • Phase 1
03

In context

Lead sponsor

Astellas Pharma Inc is the lead sponsor of 512 studies on the registry; 4 are open to participants now.

Of its 27 completed or terminated interventional studies of FDA-regulated products, 19 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

For Part I:

  • Subject genotyped and phenotyped for CYP2D6
  • Body weight between 60 and 100 kg and Body Mass Index less than or equal to 30 kg/m2

For Part II:

  • Subject genotyped and phenotyped as extensive metaboliser for CYP2D6
  • Body weight between 60 and 100 kg and Body Mass Index less than or equal to 30 kg/m2

Exclusion criteria

Exclusion Criteria:

  • Known or suspected hypersensitivity to β-adrenergic receptor agonists or constituents of the formulations used
  • Any clinically significant history of asthma, eczema, any other allergic condition or previous severe hypersensitivity to any drug
  • Any clinically significant history of upper gastrointestinal symptoms (such as nausea, vomiting, abdominal discomfort or upset, or heartburn) in the 4 weeks prior to admission to the Research Unit
  • Any clinically significant history of any other disease or disorder - gastrointestinal, cardiovascular, respiratory, renal, hepatic, neurological, dermatological, psychiatric or metabolic
  • Any clinically significant abnormality following the investigator's review of the pre-study physical examination, ECG and clinical laboratory tests
  • QTc intervals of >430 msec
  • Abnormal pulse rate measurement (\<40 or >90 bpm) taken by manual counting at the pre-study visit after subject has been resting in supine position for 5 min
  • Abnormal blood pressure measurements taken at the pre-study visit after subject has been resting in supine position for 5 min as follows: systolic blood pressure \<95 or >160 mmHg; diastolic blood pressure \<40 or >95 mmHg
  • Positive orthostatic test at screening i.e. any symptoms of dizziness, light-headedness etc. and/or a fall of ≥ 20 mmHg in systolic blood pressure after 2 min standing (preceded by 5 min. supine rest) and/or an increase in pulse rate of ≥ 20 bpm
  • Regular use of any prescribed or OTC drugs except paracetamol up to 3 g/day, in the 4 weeks prior to admission to the Research Unit OR any use of such drugs in the 2 weeks prior to admission to the Research Unit
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Study design

Phase
Phase 1
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
28 participants (actual)

Study arms

  • Experimental
    Treatment Arm 1A

    mirabegron, poor metabolizers

    Drug: mirabegron

  • Experimental
    Treatment Arm 1B

    mirabegron, extensive metabolizers

    Drug: mirabegron

  • Experimental
    Treatment Arm 2

    mirabegron/metoprolol

    Drug: mirabegron · Drug: metoprolol

Interventions

  • Drugmirabegron

    oral

    Also known as: YM178

  • Drugmetoprolol

    oral

06

What researchers measure

Primary outcomes

  1. Pharmacokinetics of mirabegron assessed by plasma concentration

    Primary outcome measure for Part 1

    Time frame: Pre-dose until 72 hours after dosing

Secondary outcomes

  1. Pharmacokinetics of metoprolol assessed by plasma concentration

    Primary outcome measure for Part 2

    Time frame: Pre-dose until 48 hours after dosing

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Study locations

1 site
  • PRA International (former Pharma Bio-Research)
    Zuidlaren, 9471 GP, Netherlands
08

References and documents

Publications

  • Krauwinkel W, Dickinson J, Schaddelee M, Meijer J, Tretter R, van de Wetering J, Strabach G, van Gelderen M. The effect of mirabegron, a potent and selective beta3-adrenoceptor agonist, on the pharmacokinetics of CYP2D6 substrates desipramine and metoprolol. Eur J Drug Metab Pharmacokinet. 2014 Mar;39(1):43-52. doi: 10.1007/s13318-013-0133-1. Epub 2013 Jun 1. PubMed 23728524 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 10, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01478490
Lead sponsor
Astellas Pharma Inc
Responsible party
Sponsor
First posted
Nov 23, 2011
Start date
Sep 2002
Primary completion
Nov 2002
Completion
Nov 2002
Last update
Apr 10, 2014

Study contacts

Clinical Study Manager
study chair · Astellas Pharma Europe B.V.
Principal Investigator
principal investigator · Pharma Bio-Research Group B.V., Zuidlaren, The Netherlands

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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