An Study to Examine the Effect of Coated Suppositories on Anal Pressure in Healthy Subjects
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Purpose
This is an open label, dose-finding, 2-parts study. Approximately 6 subjects will be participating in this study. This study is composed of 2 parts:
Part 1 is a dose finding study. Part 2 is a pharmacodynamic and pharmacokinetic study of an elected dose. A screening will be used to determine patients' suitability for inclusion in the trial. Within one week after the screening visit, subjects who meet all inclusion criteria and none of the exclusion criteria will enter part 1 of the study, one day of dose escalation. During this part, patients will undergo rectal manometry to determine anal pressure at baseline. Afterwards coated suppositories at various drug concentrations will be inserted and follow up manometries will be performed to determine response.
Patients that presented with an increase in rectal resting pressure without adverse events will enter the second part of the study. In this part, patients will be administered with a coated suppository, at a dose found at part 1 of the study to cause significant anal contraction. Manometry studies will be performed before insertion (baseline) and at 1, 3 and 5 hours after insertion.
Blood levels for drug concentrations will be taken at times 0, 30, 60, 120, 180, 300 minutes after administration and rectal manometries will be done at times 0, 1, 3 and 5 hours after administration.
| Condition | Intervention | Phase |
|---|---|---|
|
Fecal Incontinence |
Drug: coated suppository |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open Label Study to Examine the Effect of Coated Suppositories on Anal Pressure in Healthy Subjects |
- Change in resting anal pressure [ Time Frame: 1 day ] [ Designated as safety issue: No ]The primary outcome is the change in resting anal pressure as measured 90 minutes after insertion of coated suppository and in comparison to baseline measurement taken before intervention.
- Drug absorption [ Time Frame: 1 day ] [ Designated as safety issue: No ]Blood samples for determining drug absorption be taken at times 0, 30, 60, 120, 180, 300 minutes after administration
| Estimated Enrollment: | 6 |
| Study Start Date: | August 2011 |
| Study Completion Date: | August 2011 |
| Primary Completion Date: | August 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: treatment |
Drug: coated suppository
Dose escalating study
|
Eligibility| Ages Eligible for Study: | 18 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Signed written informed consent.
- Male or female subjects 18 to 55 years of age;
Exclusion Criteria:
- Known allergy to the active drug or excipients.
- Pregnancy or lactation.
- Active cardiovascular or cerebrovascular disease including unstable angina, myocardial infarction, transient ischemic attacks/stroke, clinically significant arrhythmia, congestive heart failure, or cardiac valve abnormalities;
- Type 1 diabetes mellitus;
- Insulin treated type 2 diabetes mellitus;
- Renal insufficiency.
- Liver insufficiency.
- Malignant disease within 5 years of screening;
- History of rectal surgery.
- History of HIV, hepatitis B, hepatitis C.
- Has upon physical examination a rectal deformation or signs of rectal disease such as fissure, bleeding hemorrhoids, fistula, infection or space occupying lesion.
- Chronic use of medications with the exception of birth control pills.
Contacts and Locations| Israel | |
| Gastroeneterology dept, Asaf harofe Medical center | |
| Zrifin, Israel | |
| Principal Investigator: | Michael Shapiro, MD | Gastroenetrology dept, Asaf Harofe Medical Center |
More Information
No publications provided
| Responsible Party: | RDD Pharma Ltd |
| ClinicalTrials.gov Identifier: | NCT01265485 History of Changes |
| Other Study ID Numbers: | RDD 107 |
| Study First Received: | December 7, 2010 |
| Last Updated: | August 21, 2011 |
| Health Authority: | Israel: Ethics Commission |
Additional relevant MeSH terms:
|
Fecal Incontinence Rectal Diseases Intestinal Diseases Gastrointestinal Diseases Digestive System Diseases |
ClinicalTrials.gov processed this record on May 16, 2013