PrimaryPart 1: - To determine the respiratory response of low and high doses of GAL-021 in conjunction with a low dose of opioids and hypercapnia in healthy subjects. Part 2: - To determine the respiratory response of low and high doses of GAL-021…
ID
Source
Brief title
Condition
- Respiratory disorders NEC
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
- Safety: Safety laboratory tests (hematology, clinical chemistry, and
urinalysis), vital signs, ECG parameters, physical examinations, subject
sedation scale, BP, HR, adverse events, and CSSRS.
- Respiratory parameters: tidal volume (VT) minute ventilation (VE),
respiratory rate (RR), end-tidal CO2 (ETCO2), and transcutaneous hemoglobin
saturation (SpO2).
- Cardiac parameters: Heart rate, systolic and diastolic blood pressure.
- Pain threshold values (part 2 only).
- Arterial blood gas values.
Secondary outcome
PK parameters will include but not limited to Cmax, AUCinf, and Tmax, and if
possible, t* for GAL-021 and potentially alfentanil.
Background summary
This study is for GAL-021 (a BK channel agonist) , which is being developed as
an intravenous therapeutic agent for short-term use to stimulate ventilation in
patients with respiratory insufficiency. This study is a proof-of concept study
to investigate if GAL-021can reverse opioid-induced respiratory depression in
healthy male subjects.
Study objective
Primary
Part 1:
- To determine the respiratory response of low and high doses of GAL-021 in
conjunction with a low dose of opioids and hypercapnia in healthy subjects.
Part 2:
- To determine the respiratory response of low and high doses of GAL-021 in
conjunction with a low dose of opioids in healthy subjects.
Parts 1 and 2:
- To determine the single-dose safety and tolerability of GAL-021 compared to
placebo in healthy subjects after intravenous administration.
- Estimate the reproducibility of sequential treatments under hypercapnic and
ambient air conditions.
Secondary
Part 1:
- To determine the respiratory response of a high dose of GAL-021 in
conjunction with a high dose of opioids in healthy subjects.
- To evaluate the tolerability of GAL-021 in conjunction with a low and high
dose of opioids in healthy subjects.
Parts 1 and 2:
- To determine the PK parameters of GAL-021 and opioids in healthy volunteers.
Exploratory
Part 1:
- To evaluate PK-PD relationship of the respiratory responses of GAL-021 in
conjunction with a low and high dose of opioids in healthy subjects.
- To estimate the reproducibility of PD effects during repeated exposure of
alfentanil in Part 1, Segment 2 and 3.
- To evaluate the effect of GAL-021 on the change in the responsiveness to CO2
with and without opioids.
Part 2:
- To evaluate the effect of respiratory stimulants on pain intensity and
threshold during a transient experimental pain model in healthy subjects
Study design
A Two-Part, Double Blinded, Placebo Controlled, Crossover Repeated Stepped
Infusion Dose Study of Respiratory Pharmacodynamics of GAL- 021 and alfentanil.
Intervention
Alfentanil and GAL-021
Study burden and risks
Alfentanil dosing: The adverse events associated with this drug are nausea and
vomiting, slow heart rate, high blood pressure, low blood pressure, fast heart
rate, muscle stiffness, respiratory depression, stopping breathing, blurred
vision, dizziness, sleepiness, severe allergic reactions, headaches,
involuntary muscle movements, shivering, itching, redness to skin, high levels
of carbon dioxide and spasms in the bronchia and larynx.
GAL-021 dosing: From previous studies in healthy subjects the follwing adverse
events were infusion related reactions (burning sensation), headache,
nasopharyngitis (common cold symptoms), nausea, and catheter site pain (pain
from the site of pharmacokinetic sample collection), dizziness, vomiting,
abdominal pain, hyperventilation, diarrhoea. All of the AEs were reported as
mild to moderate in severity.
Sometimes people may have allergic reaction to drugs (e.g. rash, shortness of
breath, sudden drop in blood pressure, fast pulse and sweating).
Arterial/venapuncture: Inserting a catheter for the administration the study
drugs and for taking blood for testing may cause pain and discomfort such as
bleeding, bruising, dizziness, fainting, inflammation of the vein and
infection.
Carbon dioxinde clamp (method described in section J, additional comments):
will cause hyperventilation and may cause headache and dry mouth.
No benefit for the subjects is expected. Development of GAL-021 could consitute
an additional pharmacotherapy for the treatment of respiratory insufficiency.
Galleon Pharmaceuticals Inc, Witmer Rd 213
Horsham PA 19044
US
Galleon Pharmaceuticals Inc, Witmer Rd 213
Horsham PA 19044
US
Listed location countries
Age
Inclusion criteria
1. Subjects must be willing to give written informed consent for the trial and able to ad-here to dose and visit schedules.
2. The subject is male >18 to <=45 years of age.
3. Subject must weigh >=60 to <=90 kg .
4. Subjects must have Body Mass Index [weight/height2 (kg/m2)] between 18 to 30 kg/m2.
5. Have no clinical or electrocardiographic signs of ischemic heart disease as determined by the Investigator with normal cardiac intervals appropriate for their gender. The Screening 12 lead ECG conduction intervals must be within gender specific normal range (e.g., QTcF males <= 430 msec, PR interval <= 220 msec). ECGs are to be judged by the investigator or subinvestigator as per standardized procedures.
6. Subjects* clinical laboratory tests (CBC, blood chemistry, coagulation and urinalysis) must be within normal limits or clinically acceptable to the investigator and within an allowed expanded range supplied by sponsor (Appendix 2). However, subject*s liver function test results (i.e., AST, ALT) must not be elevated above the normal limits at Screening and on Day -1. No rescreening of liver function tests will be allowed.
7. Vital sign measurements must be within the following ranges: (Individuals with values outside (or indicate lower or higher) of these ranges may be enrolled if clinically acceptable to the investigator and sponsor.
a. body temperature, between 35.5 oC and 37.5 oC
b. systolic blood pressure, 90 to 150 mm Hg
c. diastolic blood pressure, 40 to 95 mm Hg
d. pulse rate, 40 to 100 bpm
8. Non-vasectomized men must agree to use a condom with spermicide (when marketed in the country), double-barrier contraception or abstain from sexual intercourse, during the trial and for 3 months after stopping the medication.
9. Subjects must be free of any clinically significant disease that would interfere with the study evaluations.
Subjects presenting out of range values of lab/ECG/vital signs compatible with normal variation of the normal healthy subject can be included in the study at the inves-tigator*s discretion and sponsor written approval.
Exclusion criteria
1. Current diagnosis of psychiatric disease requiring daily medication, including controlled or uncontrolled schizophrenia, current or recently treated depressive disorders, or Columbia-Suicide Severity Rating Scale (C-SSRS) indicative of suicidal ideation or behavior at screening.
2. Past history of the anxiety disorder including panic attack, depression, obsessive compulsive disorder, phobias restricting normal daily function, social anxiety, and paranoia.
3. History of alcohol abuse (more than an average of 2-drinks per day) within the past 2 years.
4. History of smoking within the past year.
5. Failure of the drug of abuse tests at screening or check-in.
6. Positive for HIV, or Hepatitis B or C at screening.
7. Blood donation or blood loss within 60 days of screening or plasma donation within 7 days of screening.
8. Subjects with a history of bleeding disorders or coagulopathies.
9. History of dyspnea, asthma, tuberculosis, chronic obstructive pulmonary disease, sleep apnea or any other ventilatory / lung disease.
10. Treatment with another investigational drug within 3 months prior to screening or having participated in more than four investigational drug studies within 1 year prior to screening.
11. Inability to perform acceptable, quality spirometry, and FEV1 <80% of predicted for age, sex and height according to ECCS criteria.
12. History of any abuse of or sensitivity (allergies, gastrointestinal adverse effects ) to opioids.
13. History of motion sickness.
14. Subjects with excessive facial hair preventing sealing of the occlusive face mask.
15. Subjects who, in the opinion of the investigator, will not be able to participate optimally in the study.
16. Any surgical or medical condition which might significantly alter the distribution, me-tabolism or excretion of any drug. The investigator should be guided by evidence of any of the following, and be discussed with the sponsor prior to enrollment into the trial:
a. history of pancreatic injury or pancreatitis;
b. history or presence of liver disease or liver injury;
c. history or presence of impaired renal function as indicated by clinically significant elevation in creatinine, BUN/urea, urinary albumin, or clinically significant urinary cellular constituents; or
d. history of urinary obstruction or difficulty in voiding.
17. Subject who has a history of any infectious disease within 4 weeks prior to drug ad-ministration that in the opinion of the investigator, affects the subject*s ability to participate in the trial.
18. Subjects who are part of the study staff personnel or family members of the study staff personnel.
19. Subjects who have demonstrated allergic reactions (e.g., food, drug, atopic reactions or asthmatic episodes) which, in the opinion of the investigator and sponsor, interfere with their ability to participate in the trial.
20. Subjects who have a history of malignancy.
21. Personal or family history of malignant hyperthermia.
22. Personal or family history of arrhythmias or ECG conductance abnormalities.
23. Subjects with a history of daily consumption of caffeine greater than 6 servings (40 mL each) from beverages (e.g., coffee, tea, soft drinks) and food stuffs (e.g., chocolate, ice cream, cookies) (45 gm each ).
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
EudraCT | EUCTR2012-004363-50-NL |
CCMO | NL42256.056.12 |