ClinicalTrials.gg
CompletedNCT03437265PKPUUpdated Nov 29, 2023Results posted

A Pharmacokinetic Study of PLENVU® in Healthy Subjects

A Phase 1 interventional study of PLENVU powder for oral solution in Pharmacokinetic, sponsored by Norgine. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-11-29.

Sponsored by Norgine · Phase 1, Interventional, and Treatment

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Phase
Phase 1
Study type
Interventional
Enrollment
19
Allocation
Not applicable
Ages
18 Years to 30 Years
Sex
All
01

Study summary

This study characterises the pharmacokinetic (PK) profile of the active ingredients of PLENVU (NER1006) and their related substances/metabolites. Subjects will receive PLENVU.

Read the detailed description

PLENVU is a novel, low volume (1 L) PEG 3350 and ascorbate based bowel preparation that has been developed to provide whole bowel cleansing. Studies have shown that formulating the osmotically active agents sodium ascorbate/ascorbic acid (also known as vitamin C) and sodium sulfate in combination with PEG 3350 enable a reduction in the volume of the PEG-based lavage solution.

PLENVU has a dual formulation containing an initial majority PEG dose followed by a majority ascorbate dose to maximise the overall effectiveness. This novel formulation addresses the challenges faced by patients to comply with drinking higher volume, 2 and 3 L, preparations.

The purpose of this study is to determine if there is systemic exposure to components of the PLENVU formulation (PEG 3350, ascorbate and potential related substances/metabolites (oxalic acid, glycolic acid, ethylene glycol and diethylene glycol).

02

Conditions studied

  • Pharmacokinetic
03

In context

Lead sponsor

Norgine is the lead sponsor of 54 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 30 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Healthy males or non-pregnant, non-lactating healthy females
  2. Age 18 to 30 years
  3. of 18.0 to 35.0 kg/m2
  4. Must be willing and able to communicate and participate in the whole study
  5. Must provide written
  6. Must agree to use an adequate method of

Exclusion criteria

Exclusion Criteria:

  1. Subjects who have received any Medicinal Product (IMP) in a clinical research study within the previous 3 months
  2. Subjects who are study site employees, or immediate family members of a study site or sponsor employee
  3. Subjects who have previously been enrolled in this study.
  4. History of any drug or alcohol abuse in the past 2 years
  5. Regular alcohol consumption in males >21 units per week and females >14 units per week (1 unit = ½ pint beer, 25 mL of 40% spirit or a 125 mL glass of wine)
  6. Current smokers and those who have smoked within the last 12 months. A breath carbon monoxide reading of greater than 10 ppm at screening
  7. Current users of e-cigarettes and nicotine replacement products and those who have used these products within the last 12 months
  8. Females who are pregnant or lactating (all female subjects must have a negative urine pregnancy test at screening and admission).
  9. Subjects who do not have suitable veins for multiple venepunctures/cannulation as assessed by the investigator at screening
  10. abnormal biochemistry, haematology or urinalysis as judged by the investigator at screening
  11. Evidence of dehydration or abnormal electrolyte levels. Clinical evidence or suspicion of significant dehydration at admission/pre-dose.
  12. History or evidence of any clinically relevant abnormality and hypertension
  13. Positive drugs of abuse test result
  14. Positive surface antigen (HBsAg), virus antibody (HCV Ab) or (HIV) results
  15. History of clinically significant cardiovascular, renal, hepatic, chronic respiratory or psychiatric disorder, as judged by the investigator
  16. History or presence of organic or functional gastrointestinal conditions (e.g. chronic constipation, inflammatory bowel disease or irritable bowel syndrome)
  17. Previous or current relevant abnormal gastrointestinal motility according to clinical judgement
  18. History or presence of any clinically significant acute illness within 28 days prior to the first dose of IMP based on clinical judgement at screening or admission
  19. History of any of the mentioned in the PLENVU Summary of Product Characteristics (SmPC)
  20. Clinically relevant findings on physical examination based on investigator judgement
  21. Donation or loss of greater than 500 mL of blood within the previous 8 weeks
  22. Subjects who are taking, or have taken, any prescribed or over-the-counter drug (other than hormonal and occasional use of non-steroidal anti-inflammatory drugs [NSAIDs] and paracetamol) or herbal remedies in the 28 days before IMP administration Exceptions may apply on a case by case basis, if considered not to interfere with the objectives of the study, as agreed by the PI and sponsor's medical monitor.
  23. Use of laxatives and gastrointestinal motility altering drug in the last 3 months
  24. Evidence of current severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection
  25. Subjects who are ordered to live in an institution on court or authority order
  26. Failure to satisfy the investigator of fitness to participate for any other reason
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    PLENVU powder for oral solution

    Dose 1: Oral administration of 1 sachet (115.96 g) PLENVU Dose 1, reconstituted with water and made up to 473 mL and 473 mL of additional water to be consumed; both to be consumed over a period of 60 min after the start of Dose 1. Dose 2: Oral administration of 2 sachets (101.91 g) comprising PLENVU Dose 2, reconstituted with water and made up to 473 mL and 473 mL of additional water to be consumed; both to be consumed over a period of 60 min after the start of Dose 2. Additional water was permitted ad libitum during and after each dose.

    Drug: PLENVU powder for oral solution

Interventions

06

What researchers measure

Primary outcomes

  1. Tmax (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)

    Time of maximum observed concentration (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the pharmacokinetic (PK) population.

    Time frame: Blood samples were taken pre-dose and up to 60 hours after start of Dose 1

  2. T1/2 (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)

    Apparent elimination half-life (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

    Time frame: Blood samples were taken pre-dose and up to 60 hours after start of Dose 1

  3. Cmax (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)

    The mean maximum observed concentration (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

    Time frame: Blood samples were taken pre-dose and up to 60 hours after start of Dose 1

  4. Area Under the Curve From 0 Time to 24 h Post-dose (AUC[0-24]) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)

    Area under the curve from 0 time to 24 h post-dose (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

    Time frame: Blood samples were taken pre-dose and up to 60 hours after start of Dose 1

  5. AUC(0-last) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)

    Area under the curve from 0 time to the last measurable concentration (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

    Time frame: Blood samples were taken pre-dose and up to 60 hours after start of Dose 1

  6. AUC(0-inf) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)

    Area under the curve from 0 time extrapolated to infinity (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

    Time frame: Blood samples were taken pre-dose and up to 60 hours after start of Dose 1

Secondary outcomes

  1. Timing and Number of Bowel Movements

    Pharmacodynamic outcome. The time of each bowel movement will be recorded for each subject, and the number of bowel movements after each dose per subject will be derived.

    Time frame: Start of dose 1 to 60 hours

  2. Time to Achieve Clear Effluent

    Pharmacodynamic outcome. Scoring was according to a 4-point scale (adapted from the stool characteristics rating tool described by Hsu et al, Adv Dig Med. 2016; 3 (3):144-147). A. Clear contents (may be coloured but able to visualise the bottom of the toilet bowl) B. Turbid contents C. Opaque contents (dark and murky) D. Any solid/semi-solid faecal material (irrespective of size) in the toilet bowl

    Time frame: Start of dose 1 to 60 hours

07

Results

Posted Nov 3, 2021
Limitations and caveats
In addition to PEG 3350, glycolic acid and ascorbic acid, PK parameters were to be determined for oxalic acid, ethylene glycol and diethylene glycol. However, this was not done, as no quantifiable concentrations of oxalic acid (LLOQ \<10.0 μg/mL), diethylene glycol (LLOQ \<2.50 μg/mL), or ethylene glycol (LLOQ \<2.50 μg/mL) were observed. Diarrhoea was expected as it is the intended pharmacodynamic effect of PLENVU bowel preparation.

Participant flow

Participant flow — Overall Study
MilestoneOverall Study
Started19
Completed13
Not completed6
Withdrew: Protocol violation6

Outcome measures

PrimaryTmax (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)

Time of maximum observed concentration (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the pharmacokinetic (PK) population.

Time frame:
Blood samples were taken pre-dose and up to 60 hours after start of Dose 1
Reported as:
Median · hours
Tmax (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
hoursOverall Study
PEG 33503.00 (1.97 to 4.03)
Glycolic acid9.00 (4.00 to 36.07)
Ascorbic acid5.00 (4.00 to 6.00)
Statistical analysis
  • Overall Study ·
PrimaryT1/2 (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)

Apparent elimination half-life (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

Time frame:
Blood samples were taken pre-dose and up to 60 hours after start of Dose 1
Reported as:
Geometric mean · hours
T1/2 (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
hoursOverall Study
PEG 33503.58 ± 14.3
Glycolic acid4.63 ± 0
Ascorbic acid11.62 ± 270
Statistical analysis
  • Overall Study ·
PrimaryCmax (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)

The mean maximum observed concentration (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

Time frame:
Blood samples were taken pre-dose and up to 60 hours after start of Dose 1
Reported as:
Geometric mean · ng/mL
Cmax (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
ng/mLOverall Study
PEG 33501010 ± 42.5
Glycolic acid528 ± 113.0
Ascorbic Acid (μg/mL)59.1 ± 26.1
Statistical analysis
  • Overall Study ·
PrimaryArea Under the Curve From 0 Time to 24 h Post-dose (AUC[0-24]) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)

Area under the curve from 0 time to 24 h post-dose (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

Time frame:
Blood samples were taken pre-dose and up to 60 hours after start of Dose 1
Reported as:
Geometric mean · ng.h/mL
Area Under the Curve From 0 Time to 24 h Post-dose (AUC[0-24]) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
ng.h/mLOverall Study
PEG 33507220 ± 31.7
Glycolic acid3820 ± 53.1
Ascorbic acid (μg.h/mL)359 ± 17.3
Statistical analysis
  • Overall Study ·
PrimaryAUC(0-last) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)

Area under the curve from 0 time to the last measurable concentration (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

Time frame:
Blood samples were taken pre-dose and up to 60 hours after start of Dose 1
Reported as:
Geometric mean · ng.h/mL
AUC(0-last) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
ng.h/mLOverall Study
PEG 33507140 ± 32.2
Glycolic acid9020 ± 51.5
Ascorbic acid (μg.h/mL)437 ± 24.0
Statistical analysis
  • Overall Study ·
PrimaryAUC(0-inf) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)

Area under the curve from 0 time extrapolated to infinity (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

Time frame:
Blood samples were taken pre-dose and up to 60 hours after start of Dose 1
Reported as:
Geometric mean · ng.h/mL
AUC(0-inf) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
ng.h/mLOverall Study
PEG 33507340 ± 31.1
Gycolic acid6900 ± 0
Ascorbic acid (μg.h/mL)397 ± 23.9
Statistical analysis
  • Overall Study ·
SecondaryTiming and Number of Bowel Movements

Pharmacodynamic outcome. The time of each bowel movement will be recorded for each subject, and the number of bowel movements after each dose per subject will be derived.

Time frame:
Start of dose 1 to 60 hours
Reported as:
Count of participants · Participants
Timing and Number of Bowel Movements
ParticipantsOverall Study
0-6 hours — 0 bowel movements0
0-6 hours — 1 bowel movement0
0-6 hours — 2 bowel movements1
0-6 hours — 3 bowel movements0
0-6 hours — 4 bowel movements1
0-6 hours — 5 bowel movements2
0-6 hours — 6 bowel movements1
0-6 hours — 7 bowel movements4
0-6 hours — 8 bowel movements0
0-6 hours — 9 bowel movements1
0-6 hours — ≥10 bowel movements3
6 - 12 hours — 0 bowel movements1
6 - 12 hours — 1 bowel movement4
6 - 12 hours — 2 bowel movements4
6 - 12 hours — 3 bowel movements4
6 - 12 hours — 4 bowel movements0
6 - 12 hours — 5 bowel movements0
6 - 12 hours — 6 bowel movements0
6 - 12 hours — 7 bowel movements0
6 - 12 hours — 8 bowel movements0
6 - 12 hours — 9 bowel movements0
6 - 12 hours — ≥10 bowel movements0
12 - 24 hours — 0 bowel movements10
12 - 24 hours — 1 bowel movement3
12 - 24 hours — 2 bowel movements0
12 - 24 hours — 3 bowel movements0
12 - 24 hours — 4 bowel movements0
12 - 24 hours — 5 bowel movements0
12 - 24 hours — 6 bowel movements0
12 - 24 hours — 7 bowel movements0
12 - 24 hours — 8 bowel movements0
12 - 24 hours — 9 bowel movements0
12 - 24 hours — ≥10 bowel movements0
24 - 48 hours — 0 bowel movements10
24 - 48 hours — 1 bowel movement3
24 - 48 hours — 2 bowel movements0
24 - 48 hours — 3 bowel movements0
24 - 48 hours — 4 bowel movements0
24 - 48 hours — 5 bowel movements0
24 - 48 hours — 6 bowel movements0
24 - 48 hours — 7 bowel movements0
24 - 48 hours — 8 bowel movements0
24 - 48 hours — 9 bowel movements0
24 - 48 hours — ≥10 bowel movements0
48 - 60 hours — 0 bowel movements10
48 - 60 hours — 1 bowel movement3
48 - 60 hours — 2 bowel movements0
48 - 60 hours — 3 bowel movements0
48 - 60 hours — 4 bowel movements0
48 - 60 hours — 5 bowel movements0
48 - 60 hours — 6 bowel movements0
48 - 60 hours — 7 bowel movements0
48 - 60 hours — 8 bowel movements0
48 - 60 hours — 9 bowel movements0
48 - 60 hours — ≥10 bowel movements0
Statistical analysis
  • Overall Study ·
SecondaryTime to Achieve Clear Effluent

Pharmacodynamic outcome. Scoring was according to a 4-point scale (adapted from the stool characteristics rating tool described by Hsu et al, Adv Dig Med. 2016; 3 (3):144-147). A. Clear contents (may be coloured but able to visualise the bottom of the toilet bowl) B. Turbid contents C. Opaque contents (dark and murky) D. Any solid/semi-solid faecal material (irrespective of size) in the toilet bowl

Time frame:
Start of dose 1 to 60 hours
Reported as:
Mean · minutes
Time to Achieve Clear Effluent
minutesOverall Study
Time to clear effluent (A)226.0 (98 to 310)
Time to turbid contents (B)165.5 (58 to 410)
Statistical analysis
  • Overall Study ·

Adverse events

Collected over Screening (Day -28 to -2) to post study follow-up (Day 6 to 8). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Overall Study0/19 (0%)0/19 (0%)19/19 (100%)
Most frequent other events
Most frequent other events
EventOverall Study
DiarrhoeaGastrointestinal disorders19/19
NauseaGastrointestinal disorders8/19
ProctalgiaGastrointestinal disorders3/19
VomitingGastrointestinal disorders3/19
Feeling hotGeneral disorders1/19
HeadacheNervous system disorders1/19
Rectal haemorrhageGastrointestinal disorders1/19

Baseline characteristics

Healthy adult subjects who recieved at least a partial dose of PLENVU

Age, Categorical
Age, Categorical(Participants)Overall Study
<=18 years0
Between 18 and 65 years19
>=65 years0
Age, Continuous
Age, Continuous(years)Overall Study
Median25.0 (19 to 29)
Sex: Female, Male
Sex: Female, Male(Participants)Overall Study
Female9
Male10
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Overall Study
American Indian or Alaska Native0
Asian3
Native Hawaiian or Other Pacific Islander0
Black or African American1
White13
More than one race0
Unknown or Not Reported2
Region of Enrollment
Region of Enrollment(participants)Overall Study
United Kingdom19
BMI
BMI(kg/m2)Overall Study
Mean24.85 ± 3.896
Height
Height(cm)Overall Study
Mean171.5 ± 10.92
Weight
Weight(kg)Overall Study
Mean73.82 ± 17.011
08

Study locations

1 site
  • Quotient Sciences (Quotient),
    Ruddington, Nottingham NG11 6JS, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2020 to primary completion in Oct 2020, 1 month.

Results were first posted in Nov 2021, 1 year after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 16, 2018
First posted
Feb 19, 2018
StartActual
Sep 3, 2020
Primary completionActual
Oct 5, 2020
CompletionActual
Oct 5, 2020
Results first posted
Nov 3, 2021
Last update
Nov 29, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 29, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03437265
Lead sponsor
Norgine
Collaborators
Quotient Sciences
Responsible party
Sponsor
First posted
Feb 19, 2018
Start date
Sep 3, 2020
Primary completion
Oct 5, 2020
Completion
Oct 5, 2020
Results posted
Nov 3, 2021
Last update
Nov 29, 2023

Study contacts

Philip Evans, MBChB, MRCS
principal investigator · Quotient Sciences

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Polyethylene glycol 3350 · PEG-based Laxative NER1006

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