Multiple-dose Pharmacokinetics Study of Tolvaptan Tablets in Chinese Patients With Hepatocirrhosis
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Purpose
For hepatic cirrhosis subjects with ascites or lower extremities, to study Pharmacokinetics, pharmacology, and safety of the drug under fasting condition.
| Condition | Intervention | Phase |
|---|---|---|
|
Hepatic Cirrhosis Ascites |
Drug: tolvaptan |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Pharmacokinetics Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Clinical Study of Multiple-dose Pharmacokinetics of Tolvaptan Tablets Administered Orally (15mg Daily) for Consecutively 7 Days in Chinese Patients With Hepatocirrhosis |
- Serum concentration of tolvaptan and its metabolites DM-4103 and DM-4107 [ Time Frame: blood sample will be collected at predose, 2,4,6,8,12,24 hour of first drug administration and predose of sixth drug administration and predose,2,4,6,8,12,24 hour of seventh drug administration ] [ Designated as safety issue: No ]
- pharmacological parameter:Serum concentration of sodium and potassium [ Time Frame: Blood sample will be collected at predose on day1;12,24hour of first dosing;before breakfast on day3 to day6;predose and 12,24hour of seventh dosing ] [ Designated as safety issue: No ]
- pharmacological parameter:24-hr urine [ Time Frame: From day-1 to day 8 ] [ Designated as safety issue: No ]
| Enrollment: | 11 |
| Study Start Date: | April 2009 |
| Study Completion Date: | January 2010 |
| Primary Completion Date: | November 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Tolvaptan 15mg tablet |
Drug: tolvaptan
Drug: tolvaptan tablet, 15mg, Qd, for 7 days. Other Name: SAMSCA
|
Detailed Description:
This study is to evaluate the multiple-dose pharmacokinetics, pharmacological actions and safety of Tolvaptan tablets administered orally (15 mg daily) for consecutively 7 days in Chinese adult patients with confirmed Child-Pugh Class B(score 7-9) hepatocirrhosis (accompanied by ascites).
Trial Design:
- Open, single-center, multi-dose pharmacokinetics study
Study population:
Chinese adult patients with confirmed Child-Pugh Class B (score 7-9) hepatocirrhosis (accompanied by ascites)
Dosage and mode of administration of investigational product:
Oral administration of 1 tablet (15mg) once daily, for consecutive 7 days starting from day 1 of treatment.
- Study duration:
Screening: 14 days in maximum; Treatment(s): 7 days; Observation: 1 day
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Hepatic Cirrhosis with ascites or lower extremities edema
- Hospitalized patients
- 18 years old~75 years old
- Inform Consent Form Signed
Exclusion Criteria:
Patients with any of the following diseases, complications or symptoms:
- Hepatic encephalopathy (coma degree classification note 1 Grade 2 or above);
- Malignant ascites;
- Spontaneous bacterial peritonitis;
- Likely to have gastrointestinal bleeding during the study period;
- Heart failure (NYHA Note 2 Class Ⅲ andⅣ);
- Anuria (daily urine output below 100mL);
- Dysuria induced by urinary tract stenosis, calculus, or tumor.
Patients with any of the following history:
- With gastrointestinal bleeding within 10 days prior to screening;
- With cerebrovascular accident within 1 month prior to screening;
- With gout attack within 1 month prior to screening;
- With allergy or atopy to benzodiazepine drugs (benazepril hydrochloride, etc.).
- Patients whose systolic blood pressure is below 90mmHg during screening;
Patients with abnormal values in the following lab examination indicators:
Serum creatinine higher than 2.5 times the upper limit of normal range, serum Na+>145mmol/L(or higher than the upper limit of normal range), serum K+> 5.5 mmol/L, uric acid>476µmol/L, child-Pugh score>10
- Patients ineligible for oral medication
- Patients in pregnancy or lactation; female of childbearing potential not taking contraceptive measures;
- Patients having taken blood products including albumin products within 4 days prior to application of investigational product;
- Patients having participated in clinical trials of other drugs within 1 month prior to screening;
- Patients used to participate in clinical trials of Tolvaptan and take the said drug;
- Patients determined by the investigator as illegible for the study.
Contacts and Locations| China, Shanghai | |
| Renji Hospital, Shanghai Jiao Tong University School of Medicine | |
| Shanghai, Shanghai, China, 200001 | |
| Principal Investigator: | Minde Zeng | Renji hospital, Shanghai Jiaotong University School of Medicine |
More Information
No publications provided
| Responsible Party: | Ms. Feng Yan, Otsuka Beijing Research Institute |
| ClinicalTrials.gov Identifier: | NCT01359462 History of Changes |
| Other Study ID Numbers: | 156-09-806-01 |
| Study First Received: | March 5, 2010 |
| Last Updated: | May 23, 2011 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by Otsuka Beijing Research Institute:
|
hepatic cirrhosis patients with ascites |
Additional relevant MeSH terms:
|
Ascites Liver Cirrhosis Fibrosis |
Pathologic Processes Liver Diseases Digestive System Diseases |
ClinicalTrials.gov processed this record on June 18, 2013