A Phase 1 interventional study of P03277 0.1 mmol/kg and Moxifloxacin 400mg in Healthy Volunteers, sponsored by Guerbet. Completed at 1 site in Belgium. Open to participants aged 18 Years to 59 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-07-18.
Sponsored by Guerbet · Phase 1, Interventional, and Diagnostic
The study is a Phase I, Single center, Randomized, Cross-over Double-blind Placebo-controlled and Open-label Positive-controlled (moxifloxacin) in healthy volunteers.
The primary objective is to assess the cardiac safety after administration of P03277 to 48 healthy volunteers at dose of 0.1 mmol/kg (anticipated clinical dose) and 0.3 mmol/kg (supra-clinical dose) by evaluating the QT and QTc intervals.
Each subjects will be administered with 4 products (P03277 at the 2 different doses, placebo and moxifloxacin) in a 4*4 cross over sequence balanced for first order carry over effect. Twelve subjects will be assigned to each sequence (6 males and 6 females). The volunteers will be enrolled sequentially by cohort of 8 subjects.
ECG measurements will be compared with ECG parameters collected after administration of placebo (Nacl 0.9%). The test sensitivity will be assessed using a positive control (moxifloxacin 400 mg per os) known to induce delays in QT intervals.
Guerbet is the lead sponsor of 42 studies on the registry; 2 are open to participants now.
Of its 8 completed or terminated interventional studies of FDA-regulated products, 7 (88%) have results posted.
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Exclusion Criteria:
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The sequence of administration is: P/ScD/PC/CD Where: * P = Placebo (Nacl 0.9%) * CD = P03277 tested at 0.1 mmol/kg * ScD = P03277 tested at 0.3 mmol/kg * PC = Positive control (moxifloxacin 400 mg - per os).
Drug: P03277 0.1 mmol/kg · Drug: Moxifloxacin 400mg · Drug: NaCl 0.9% · Drug: P03277 0.3 mmol/kg
The sequence of administration is: CD/PC/ScD/P Where: * P = Placebo (Nacl 0.9%) * CD = P03277 tested at 0.1 mmol/kg * ScD = P03277 tested at 0.3 mmol/kg * PC = Positive control (moxifloxacin 400 mg - per os).
Drug: P03277 0.1 mmol/kg · Drug: Moxifloxacin 400mg · Drug: NaCl 0.9% · Drug: P03277 0.3 mmol/kg
The sequence of administration is: ScD/CD/P/PC Where: * P = Placebo (Nacl 0.9%) * CD = P03277 tested at 0.1 mmol/kg * ScD = P03277 tested at 0.3 mmol/kg * PC = Positive control (moxifloxacin 400 mg - per os).
Drug: P03277 0.1 mmol/kg · Drug: Moxifloxacin 400mg · Drug: NaCl 0.9% · Drug: P03277 0.3 mmol/kg
The sequence of administration is: PC/P/CD/ScD Where: * P = Placebo (Nacl 0.9%) * CD = P03277 tested at 0.1 mmol/kg * ScD = P03277 tested at 0.3 mmol/kg * PC = Positive control (moxifloxacin 400 mg - per os).
Drug: P03277 0.1 mmol/kg · Drug: Moxifloxacin 400mg · Drug: NaCl 0.9% · Drug: P03277 0.3 mmol/kg
Drug page: Gadopiclenol
Single intravenous bolus injection at 2 mL/sec
Also known as: Gadopiclenol
One tablet per os
Single intravenous bolus injection at 2 mL/sec
Drug page: Gadopiclenol
Single intravenous bolus injection at 2 mL/sec
Also known as: Gadopiclenol
Change-from-baseline Mean Effect of P03277 on QT Interval Expressed as QTc According to Fridericia's Formula (∆QTcF)
Each subject was monitored with a 12-lead Holter electrocardiogram (ECG). The study had to show that both 0.1 and 0.3 mmol/kg doses of P03277 do not increase the QT interval corrected by Fridericia formula (QTcF). The study is successful if the difference between each of the two doses of P03277 and placebo for the largest mean change from baseline for the QTcF is lower than 10 milliseconds. The baseline was defined as the mean of the 3 triplicates ECG measured within 1 hour before each product administration.
Time frame: from 1 hour before any administration until 24 hours post-administration at the following timepoints: -1 hour, 5 min, 10 min, 20 min, 30 min, 1 hour, 1.5 hours, 2 hours, 3 hours, 4 hours, 8 hours, 24 hours.
Change-from-baseline Mean Effect of Moxifloxacin on QT Interval Expressed as QTc According to Fridericia's Formula (∆QTcF)
Each subject was monitored with a 12-lead Holter electrocardiogram (ECG). The assay sensitivity was assessed through this outcome. The difference between the positive control (moxifloxacin) and placebo for the largest mean change from baseline for the QTcF had to be greater than 5 milliseconds for at least one time point. The baseline was defined as the mean of the 3 triplicates ECG measured within 1 hour before each product administration.
Time frame: from 1 hour before any administration until 4 hours post-administration at the following timepoints: -1 hour, 1 hour, 1.5 hours, 2 hours, 3 hours, 4 hours.
Predicted Value of ∆∆QTc at Cmax
Concentration-response relationship was investigated between ∆QTc and P03277 concentrations using a mixed model approach. Plasma concentration of P03277 was measured at the same timepoints as ECG measurements.
Time frame: from 1 hour before any administration until 24 hours post-administration.
| Milestone | Sequence 1 | Sequence 2 | Sequence 3 | Sequence 4 |
|---|---|---|---|---|
| Started | 12 | 12 | 12 | 12 |
| Completed | 12 | 12 | 12 | 12 |
| Not completed | 0 | 0 | 0 | 0 |
Each subject was monitored with a 12-lead Holter electrocardiogram (ECG). The study had to show that both 0.1 and 0.3 mmol/kg doses of P03277 do not increase the QT interval corrected by Fridericia formula (QTcF). The study is successful if the difference between each of the two doses of P03277 and placebo for the largest mean change from baseline for the QTcF is lower than 10 milliseconds. The baseline was defined as the mean of the 3 triplicates ECG measured within 1 hour before each product administration.
| milliseconds | P03277 0.1 mmol/kg | P03277 0.3 mmol/kg | Placebo |
|---|---|---|---|
| 5 min | 0.97 ± 0.88 | 5.05 ± 0.89 | 0.24 ± 0.89 |
| 10 min | -0.11 ± 0.86 | 1.34 ± 0.86 | -0.59 ± 0.86 |
| 20 min | -1.25 ± 0.88 | -1.20 ± 0.88 | -1.41 ± 0.88 |
| 30 min | -1.06 ± 0.79 | -1.26 ± 0.79 | -1.69 ± 0.79 |
| 1 hour | -2.72 ± 0.92 | -2.44 ± 0.92 | -2.90 ± 0.92 |
| 1.5 hours | -3.08 ± 0.89 | -4.64 ± 0.89 | -3.53 ± 0.89 |
| 2 hours | -2.08 ± 0.99 | -3.22 ± 0.99 | -2.05 ± 0.99 |
| 3 hours | 2.34 ± 0.98 | -1.38 ± 0.98 | -0.05 ± 0.98 |
| 4 hours | 0.61 ± 0.97 | -0.51 ± 0.97 | 0.33 ± 0.97 |
| 8 hours | -2.55 ± 1.17 | -5.59 ± 1.17 | -3.66 ± 1.17 |
| 24 hours | -3.18 ± 0.92 | -3.28 ± 0.92 | -3.49 ± 0.93 |
Each subject was monitored with a 12-lead Holter electrocardiogram (ECG). The assay sensitivity was assessed through this outcome. The difference between the positive control (moxifloxacin) and placebo for the largest mean change from baseline for the QTcF had to be greater than 5 milliseconds for at least one time point. The baseline was defined as the mean of the 3 triplicates ECG measured within 1 hour before each product administration.
| milliseconds | Positive Control (Moxifloxacin) | Placebo |
|---|---|---|
| 1 hour | 1.73 ± 0.91 | -2.89 ± 0.91 |
| 1.5 hours | 6.13 ± 0.88 | -3.27 ± 0.88 |
| 2 hours | 8.60 ± 0.97 | -1.95 ± 0.97 |
| 3 hours | 10.50 ± 0.97 | 0.17 ± 0.97 |
| 4 hours | 11.28 ± 0.95 | 0.63 ± 0.95 |
Concentration-response relationship was investigated between ∆QTc and P03277 concentrations using a mixed model approach. Plasma concentration of P03277 was measured at the same timepoints as ECG measurements.
| milliseconds | P03277 0.1 mmol/kg | P03277 0.3 mmol/kg |
|---|---|---|
| Predicted Value of ∆∆QTc at Cmax | 0.41 (-0.08 to 0.90) | 2.23 (1.19 to 3.26) |
Collected over From informed consent signature until the end of the confinement period, i.e. a period ranging from 32 to 41 days.. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| P03277 0.1 mmol/kg | 0/48 (0%) | 0/48 (0%) | 25/48 (52.1%) |
| P03277 0.3 mmol/kg | 0/48 (0%) | 0/48 (0%) | 22/48 (45.8%) |
| Positive Control (Moxifloxacin) | 0/48 (0%) | 0/48 (0%) | 16/48 (33.3%) |
| Placebo | 0/48 (0%) | 0/48 (0%) | 22/48 (45.8%) |
| Event | P03277 0.1 mmol/kg | P03277 0.3 mmol/kg | Positive Control (Moxifloxacin) | Placebo |
|---|---|---|---|---|
| Application site irritationGeneral disorders | 6/48 | 7/48 | 5/48 | 6/48 |
| HeadacheNervous system disorders | 6/48 | 5/48 | 4/48 | 4/48 |
| Injection site haematomaGeneral disorders | 4/48 | 3/48 | 0/48 | 1/48 |
| Injection site painGeneral disorders | 2/48 | 0/48 | 0/48 | 4/48 |
| DiarrhoeaGastrointestinal disorders | 0/48 | 1/48 | 3/48 | 2/48 |
| Injection site erythemaGeneral disorders | 2/48 | 1/48 | 0/48 | 1/48 |
| DysgeusiaNervous system disorders | 1/48 | 1/48 | 0/48 | 2/48 |
| DizzinessNervous system disorders | 1/48 | 0/48 | 2/48 | 0/48 |
| NauseaGastrointestinal disorders | 0/48 | 2/48 | 0/48 | 1/48 |
| Back painMusculoskeletal and connective tissue disorders | 0/48 | 2/48 | 0/48 | 0/48 |
| Age, Continuous(years) | Sequence 1 | Sequence 2 | Sequence 3 | Sequence 4 | Total |
|---|---|---|---|---|---|
| Mean | 35.8 ± 13.5 | 41.9 ± 11.1 | 44.8 ± 11.1 | 39.8 ± 10.2 | 40.5 ± 11.6 |
| Sex: Female, Male(Participants) | Sequence 1 | Sequence 2 | Sequence 3 | Sequence 4 | Total |
|---|---|---|---|---|---|
| Female | 6 | 6 | 6 | 6 | 24 |
| Male | 6 | 6 | 6 | 6 | 24 |
| Race (NIH/OMB)(Participants) | Sequence 1 | Sequence 2 | Sequence 3 | Sequence 4 | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 |
| Asian | 1 | 0 | 0 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 | 0 |
| White | 11 | 12 | 12 | 12 | 47 |
| More than one race | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Weight(kg) | Sequence 1 | Sequence 2 | Sequence 3 | Sequence 4 | Total |
|---|---|---|---|---|---|
| Mean | 76.3 ± 10.4 | 77.6 ± 11.1 | 75.9 ± 8.3 | 71.3 ± 9.8 | 75.3 ± 9.9 |
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Studies of the drug tested here: Gadopiclenol