Primary Objectives- To replicate AVP-induced inhibition of anterior cingulate cortex (ACC) activity and functional connectivity as measured by BOLD fMRI during a face matching task. - To assess the effect of RO5285119 in the modulation of AVPā¦
ID
Source
Brief title
Condition
- Other condition
- Developmental disorders NEC
Synonym
Health condition
Onderzoek naar werkingsmechanisme
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Blood oxygenation level dependent (BOLD) changes during 3 functional MRI tasks:
face matching task; emotional face processing task (Part A only); Theory of
Mind Task.
Secondary outcome
- Safety and tolerability
- Resting state BOLD fMRI
- Arterial spin labelling fMRI
- Pharmacokinetic
- Cortisol (Part A only)
- Genotyping
Background summary
RO5285119 is a vasopressin 1 receptor antagonist under development as an
anxiolytic. One potential future indication is as a treatment to help people
with autism spectrum disorder to navigate the social world. In order to gain
more insight into the mechanism of action in relevant brain areas, however,
this study will use functional MRI to investigate the combination of
vasopressin and its antagonist RO5285119 in a pharmacological challenge model
in healthy volunteers.
Study objective
Primary Objectives
- To replicate AVP-induced inhibition of anterior cingulate cortex (ACC)
activity and functional connectivity as measured by BOLD fMRI during a face
matching task.
- To assess the effect of RO5285119 in the modulation of AVP effects on ACC
activity as measured by BOLD fMRI during a face matching task in healthy male
subjects.
Secondary Objectives
- To assess the effects of RO5285119 on brain activity modulated by AVP during
a Theory of Mind (ToM) task as evaluated by BOLD fMRI.
- To evaluate the effects of RO5285119 on brain activity modulated by AVP
during an implicit and explicit emotional face processing task as evaluated by
BOLD fMRI. (Part A only)
- To assess the relationship between RO5285119 plasma concentrations and the
modulation of AVP effects on brain activity as measured by BOLD fMRI in healthy
male subjects.
- To collect further data on safety and tolerability of RO5285119 in healthy
male subjects.
-To evaluate the effects of RO5285119 on brain activity during ASL MRI and BOLD
fMRI assessments (Resting state, Face matching and ToM tasks)
(Part B only).
Study design
A 2-part randomized, three-period cross-over, placebo controlled, proof of
mechanism study to investigate the effect of RO5285119 on vasopressin (AVP)
pathway activation in healthy male subjects
Intervention
RO5285119 and vasopressin in a placebo controlled, randomized fashion. In part
A the study is double-blind and placebo controlled for both RO5285119 and
vasopressin. In part B the study is only placebo controlled for RO5285119, and
only double-blind until day 6 of period 3. After this it is an open design in
which half of the subjects will receive active RO5285119.
Study burden and risks
There is no health benefit for participants. Risk is considered minimal. Burden
consists of time investment and life style restricitions.
Falcon Way, Shire Park 6
Welwyn Garden City AL7 1TW
GB
Falcon Way, Shire Park 6
Welwyn Garden City AL7 1TW
GB
Listed location countries
Age
Inclusion criteria
1. Right-handed (Righthandedness as confirmed on the Edinburgh Handedness inventory), healthy non smoking male adults (18 - 45 years of age)
2. BMI between 18 to 32 kg/m2 (inclusive), total weight in the range of 50-100 kg.
3. Subjects and their partners of childbearing potential must use 2 methods of contraception, one of which must be a barrier method for the duration of the study and for 90 days after the last dose.
4. Able to participate and willing to give written informed consent and to comply with the study restrictions.
5. In the investigator*s opinion, the subject is deemed appropriate for participation in the study, capable of following the study schedule of assessments and complying with the study restrictions and discontinuation of prohibited medication will not pose undue risks to the
subject.
6. Minimally completed secondary education or equivalent
Exclusion criteria
1. No alcohol and substance abuse/dependance
2. History of relapsing or current psychiatric or neurological disorders, including epilepsy and migraine.
3. Subjects who, in the Investigator's judgment, pose a suicidal risk, or any subject with a history of suicidal attempts or behavior
4. Positive results for serology test for HIV, Hepatitis B, hepatitis C viruses
5. Systolic blood pressure (SBP) greater than 140 or less than 90 mm Hg, and diastolic blood pressure (DBP) greater than 90 or less than 50 mm Hg.
6. Pulse below 40 BMP or above 90 BPM
7. Clinically significant abnormality on electrocardiogram (ECG), including QTcF > 450 ms.
8. Clinically significant abnormality in parameters of clinical chemistry and urinalysis.
9. Active stomach ulcer disease or active GI bleeding.
10. Personal or family history (first or second degree relatives) of cerebral aneurysm.
11. Personal history of stroke or traumatic head injury.
12. Clinically significant abnormality in parameters of hematology or coagulation.
13. History of coagulopathies, bleeding disorders or blood dyscrasias.
14. History of hematological malignancy or myelosuppression (including iatrogenic).
15. Contraindications to have MRI scans (e.g. no metallic implants)
16. Use of prohibited medications within 2 weeks prior to randomization, or 5 half-lives (whichever is longer).
17. No participation in other trials within 90 days prior to enrollment or prior participation in part
A of study BP29412.
18. Donation or loss of blood over 500mL within three months prior to randomization
19. Chronic rhinitis, allergic rhinitis, nasal polyps or any other nasal pathology that may affect the absorption of intranasal AVP.
20. Concomitant disease, condition or treatment which might interfere with the
conduct of the study, or what would, in the opinion of the investigator,
pose an unacceptable risk to the subject in this study such as asthma or
ischemic events like Raynaud syndrome, angina pectoris or stroke.
21. unwilling to comply with lifestyles
22. Known allergic reaction to vasopressin or excipients present in the
formulation used in this study.
23. For Part B only: Contraindications for lumbar puncture:
- Any history of raised intra-cerebral pressure or clinically significant vertebral joint pathology.
- Clinically significant abnormalities in lumbar spine.
- Any major illness within one month prior to the screening examination, or febrile illness or any
- clinically significant infections within 21 days prior to CSF sampling.
- Thrombocytopenia or other bleeding diathesis (including ongoing anticoagulant therapy).
- Allergy to lidocaine.
- Any other spine abnormality that will not allow a lumbar puncture or other pathology that according
to the investigator*s judgment may interfere with the LP or may pose unacceptable risk for LP.
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 | EUCTR2014-000867-42-NL |
CCMO | NL49141.056.14 |