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Heart Failure, CongestivePhase 1NCT00742508

A Phase I/II Clinical Study of SK&F-105517-D in Japanese Patients With Chronic Heart Failure

A Phase 1 study testing SK&F-105517-D 10 mg capsule, Carvedilol-immediate release (IR) 2.5 mg tablet and SK&F-105517-D 20 mg capsule in people with Heart Failure, Congestive, run by GlaxoSmithKline at 23 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The primary objective of this study is to evaluate the safety and tolerability of SK\&F-105517-D in japanese patients with chronic heart failure. Read more about this study

Who is it for?
Ages 20 to 80 years
Conditions the study is for
Heart Failure, Congestive
What is being tested?
SK&F-105517-D 10 mg capsule, Carvedilol-immediate release (IR) 2.5 mg tablet and SK&F-105517-D 20 mg capsule
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
41 participants
Where
23 sitesJapan
Study dates
28 Aug 2008to 21 Aug 2009
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with symptomatically stable chronic heart failure (CHF) based on ischemic heart disease or dilated cardiomyopathy
  • Patients who are maintained on basic heart failure therapy with angiotensin converting enzyme (ACE) inhibitors or angiotensin II receptor blocker (ARB) and their dosage/administration is not changed within 2 weeks
  • Patients diagnosed with New York Heart Association (NYHA) class I to III
  • Patients with a left ventricular ejection fraction (LVEF) between 25% and 45%

Who cannot join

  • Patients contraindicated for ß-blockers
  • Patients with occurrence of acute myocardial infarction within 2 weeks
  • Patients with unstable angina, coronary spastic angina, or angina at rest
  • Patients who have collected blood >400 mL within 4 months prior to screening or >200 mL within 1 months

Trial locations and contacts

23 sites in 1 country.

23 sites in 1 country

Japan23 sites
  • GSK Investigational Site

    Chiba, 296-8602

  • GSK Investigational Site

    Ehime, 794-0006

  • GSK Investigational Site

    Hiroshima, 737-0023

  • GSK Investigational Site

    Hokkaido, 060-0033

  • GSK Investigational Site

    Hokkaido, 063-0005

  • GSK Investigational Site

    Kanagawa, 210-0852

  • GSK Investigational Site

    Kanagawa, 238-8558

  • GSK Investigational Site

    Mie, 511-0068

  • GSK Investigational Site

    Nagano, 397-8555

  • GSK Investigational Site

    Nagasaki, 859-3615

  • GSK Investigational Site

    Ōita, 879-5593

  • GSK Investigational Site

    Osaka, 565-8565

  • GSK Investigational Site

    Saga, 843-0393

  • GSK Investigational Site

    Saitama, 364-8501

  • GSK Investigational Site

    Shizuoka, 410-2295

  • GSK Investigational Site

    Shizuoka, 411-8611

  • GSK Investigational Site

    Shizuoka, 427-8502

  • GSK Investigational Site

    Shizuoka, 430-8502

  • GSK Investigational Site

    Tokyo, 141-0001

  • GSK Investigational Site

    Tokyo, 142-8666

  • GSK Investigational Site

    Tokyo, 153-8515

  • GSK Investigational Site

    Tokyo, 196-0003

  • GSK Investigational Site

    Wakayama, 640-8158

Other trials in Japan

About this study

Official title: A Study to Evaluate the Safety and Tolerability of SK&F-105517-D in Patients With Chronic Heart Failure- An Open-label Study to Evaluate the Safety and Tolerability, Pharmacokinetics and Pharmacodynamics of SK&F-105517-D in Patients With Chronic Heart Failure (Phase I/II Study)

The primary objective of this study is to evaluate the safety and tolerability of SK\&F-105517-D in japanese patients with chronic heart failure.

Being tested
SK&F-105517-D 10 mg capsule, Carvedilol-immediate release (IR) 2.5 mg tablet, SK&F-105517-D 20 mg capsule, SK&F-105517-D 40 mg capsule, Carvedilol-IR 10 mg tablet
Keywords
carvedilol phosphate, ß-blocker, SK&F-105517-D, Chronic heart failure(CHF)
Medical subject headings
Heart Failure

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SK&F-105517-D 10 mg capsuleDrug

    Also called carvedilol phosphate

    1 capsule once a day

  • Carvedilol-immediate release (IR) 2.5 mg tabletDrug

    1 or 2 tablet(s) twice a day

  • SK&F-105517-D 20 mg capsuleDrug

    Also called carvedilol phosphate

    1 capsule once a day

  • SK&F-105517-D 40 mg capsuleDrug

    Also called carvedilol phosphate

    1 or 2 capsule(s) once a day

  • Carvedilol-IR 10 mg tabletDrug

    1 tablet twice a day

Study groups in NCT00742508
Study groupRoleWhat they receive
SK&F-105517-D groupExperimentalSK\&F-105517-D 10-80 mg/day
Receives: Drug: SK&F-105517-D 10 mg capsule; Drug: SK&F-105517-D 20 mg capsule; Drug: SK&F-105517-D 40 mg capsule
Carvedilol-IR groupOtherCarvedilol-IR 5-20 mg/day
Receives: Drug: Carvedilol-immediate release (IR) 2.5 mg tablet; Drug: Carvedilol-IR 10 mg tablet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Adverse Events by Severity From Week 0 Through Week 8 (CRV-IR) or Week 14 (SK&F-105517-D)

    Drug-related adverse events (AEs) were defined as AEs that were judged to have a relationship with the investigational product by the investigator (or subinvestigator) with the use of clinical judgment and the Clinical Investigator Brochure to determine the relationship. Refer to adverse event information for type and frequency of adverse events.

    Measured: Treatment Period from Week 0 (Baseline) to Week 8 and 1-week Follow-up Period (Week 9) for CRV-IR; Treatment Period from Week 0 (Baseline) to Week 14 and 1-week Follow-up Period (Week 15) for SK&F-105517-D

  2. Mean Change From Baseline in Albumin and Total Protein at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value.

    Measured: Baseline and Week 8

  3. Mean Change From Baseline in Alkaline Phosphatase, Alanine Aminotransferase, Aspartate Aminotransferase, Creatine Kinase, and Gamma Glutamyl Transferase at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value

    Measured: Baseline and Week 8

  4. Mean Change From Baseline in Amylase at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value

    Measured: Baseline and Week 8

  5. Mean Change From Baseline in Total Bilirubin, Creatinine, and Uric Acid at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value

    Measured: Baseline and Week 8

  6. Mean Change From Baseline in Calcium, Chloride, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value

    Measured: Baseline and Week 8

  7. Mean Change From Baseline in Creatine Kinase BB Percentage, Creatine Kinase MB Percentage, and Creatine Kinase MM Percentage at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value. (BB, brain-derived; MB=cardiac muscle-derived; MM=skeletal muscle-derived.

    Measured: Baseline and Week 8

  8. Mean Change From Baseline in Each Type of White Blood Cell (WBC) (Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils) at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value.

    Measured: Baseline and Week 8

  9. Mean Change From Baseline in Hemoglobin and Mean Corpuscular Hemoglobin Concentration at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value.

    Measured: Baseline and Week 8

  10. Mean Change From Baseline in Hematocrit at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value.

    Measured: Baseline and Week 8

  11. Mean Change From Baseline in Platelet Count and White Blood Cell Count at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value.

    Measured: Baseline and Week 8

  12. Mean Change From Baseline in Red Blood Cell Count at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value.

    Measured: Baseline and Week 8

  13. Mean Change From Baseline in Mean Corpuscular Hemoglobin at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value.

    Measured: Baseline and Week 8

  14. Mean Change From Baseline in Mean Corpuscular Volume at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value.

    Measured: Baseline and Week 8

  15. Number of Participants With the Indicated Urinalysis Dipstick Results at Baseline and Week 8

    Dipstick test values: Negative (-), Traces (+-), +1, +2, +3. +4. Normal ranges (qualitative): protein, - or +-; glucose, - or +-; occult blood, -; ketones, -.

    Measured: Baseline and Week 8

  16. Mean Change From Baseline in Systolic Blood Pressure and Diastolic Blood Pressure at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value.

    Measured: Baseline and Week 8

  17. Mean Change From Baseline in Heart Rate at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value.

    Measured: Baseline and Week 8

  18. Mean Change From Baseline in Weight at Week 8

    Mean change from baseline was calculated as the Week 8 value minus the Baseline value.

    Measured: Baseline and Week 8

  19. Number of Participants With the Indicated Electrocardiogram Findings at Baseline and Week 8

    There are 3 categories for electrocardiogram (ECG) findings: normal; abnormal, not clinically significant; and abnormal, clinically significant. Each of the findings was classified by the investigator according to whether it was normal. Abnormal ECGs were further classified according to whether they were felt to be clinically significant in the medical and scientific judgment of the investigator.

    Measured: Baseline and Week 8

  20. Cardiothoracic Ratio at Baseline and Week 8

    Cardiothoracic ratio is a marker of the degree of heart enlargement and was measured by chest X-ray. It is shown as the ratio of the transverse diameter of the heart to the transverse diameter of the thorax, and is measured as a percentage.

    Measured: Baseline and Week 8

Secondary outcomes (9)
  1. Maximum Plasma Concentration (Cmax) and Trough Plasma Concentration (Cmin) of S-carvedilol, R-carvedilol, and M4 Active Metabolite (SB-203231) at Week 8

    Maximum Plasma Concentration (Cmax) and Trough Plasma Concentration (Cmin) of S-carvedilol, R-carvedilol, and M4 active Metabolite (SB-203231) were measured. Participants in each treatment group were divided into 3 groups by pharmacokinetic sampling timing: Groups A, B, and C in the SK\&F-105517-D group and Groups D, E, and F in the CRV-IR group. The analysis was performed on log-transformed data. Carvedilol is a racemic mixture. Non-selective β-blocking activity is shown by S-carvedilol, while α1-blocking activity is shown by both S-carvedilol and R-carvedilol.

    Measured: Week 8

  2. Area Under the Plasma Concentration Versus Time Curve From Time Zero to 24 Hours (AUC0-24) of S-carvedilol, R-carvedilol, and M4 Active Metabolite (SB-203231) at Week 8

    Area under the plasma concentration versus time curve from time zero to 24 hours (AUC0-24) of S-carvedilol, R-carvedilol, and M4 active metabolite (SB-203231) was measured. Participants in each treatment group were divided into 3 groups by pharmacokinetic sampling timing: Groups A, B, and C in the SK\&F-105517-D group and Groups D, E, and F in the CRV-IR group. The analysis was performed on log-transformed data. Carvedilol is a racemic mixture. Non-selective β-blocking activity is shown by S-carvedilol, while α1-blocking activity is shown by both S-carvedilol and R-carvedilol.

    Measured: Week 8

  3. Time of Maximal Plasma Concentration (Tmax) of S-carvedilol, R-carvedilol, and M4 Active Metabolite (SB-203231) at Week 8

    Time of maximal plasma concentration (tmax) of S-carvedilol, R-carvedilol, and M4 active metabolite (SB-203231) was measured. Participants in each treatment group were divided into 3 groups by pharmacokinetic sampling timing: Groups A, B, and C in the SK\&F-105517-D group and Groups D, E, and F in the CRV-IR group. Carvedilol is a racemic mixture. Non-selective β-blocking activity is shown by S-carvedilol, while α1-blocking activity is shown by both S-carvedilol and R-carvedilol.

    Measured: Week 8

  4. Adjusted Mean Change From Baseline in Systolic Blood Pressure at Week 8

    Pharmacodynamic (PD) assessment points were 24 hours (h) (from time of first reading to time of last reading), morning (6 am-12 pm), afternoon (12-6 pm), night (6 pm-6 am on following day), waking (8 am-9 pm), sleeping (0-5 am), PDmax (maximal value obtained with each participant during the 0-24 h interval), PDmin (minimal value obtained with each participant during the 0-24 h interval), and PDmax/PDmin. PDmax/PDmim was calculated as the ratio of the PDmax to PDmin, and it showed the degree of change during the 0-24 h interval. The mean was adjusted for Baseline value.

    Measured: Baseline and Week 8

  5. Adjusted Mean Change From Baseline in Diastolic Blood Pressure at Week 8

    Pharmacodynamic (PD) assessment points were 24 hours (h) (from time of first reading to time of last reading), morning (6 am-12 pm), afternoon (12-6 pm), night (6 pm-6 am on following day), waking (8 am-9 pm), sleeping (0-5 am), PDmax (maximal value obtained with each participant during the 0-24 h interval), PDmin (minimal value obtained with each participant during the 0-24 h interval), and PDmax/PDmin. PDmax/PDmim was calculated as the ratio of the PDmax to PDmin, and it showed the degree of change during the 0-24 h interval. The mean was adjusted for Baseline value.

    Measured: Baseline and Week 8

  6. Adjusted Mean Change From Baseline in Mean Heart Rate at Week 8

    Pharmacodynamic (PD) assessment points were 24 hours (h) (from time of first reading to time of last reading), morning (6 am-12 pm), afternoon (12-6 pm), night (6 pm-6 am on following day), waking (8 am-9 pm), sleeping (0-5 am), PDmax (maximal value obtained with each participant during the 0-24 h interval), PDmin (minimal value obtained with each participant during the 0-24 h interval), and PDmax/PDmin. PDmax/PDmim was calculated as the ratio of the PDmax to PDmin, and it showed the degree of change during the 0-24 h interval. The mean was adjusted for Baseline value.

    Measured: Baseline and Week 8

  7. Number of Participants With the Indicated Change From Baseline New York Heart Association (NYHA) Functional Class at Week 8

    The NYHA classification assesses the severity of symptoms of heart failure as judged by the investigator and is comprised of. 4 classes: I, no resulting limitations on physical activity (PA); II, slight limitations on PA; III, marked limitations on PA; IV, inability to carry out any PA without discomfort. The number of participants with any change from Baseline in the NYHA Functional Class at Week 8 was calculated. Improved=class at the visit is decreased compared to baseline class, Unchanged=class at the visit is stable, Worsened=class at the visit is increased compared to baseline class.

    Measured: Baseline and Week 8

  8. Mean Plasma Brain Natriuretic Peptide Concentration at Baseline and Week 8

    Brain natriuretic peptide is a surrogate marker of the severity of heart failure and was measured by a central laboratory.

    Measured: Baseline and Week 8

  9. Echocardiogram Results: Left Ventricular Ejection Fraction at Baseline and Week 8

    Left ventricular ejection fraction (LVEF) is a marker of left ventricular systolic function and was measured by echocardiogram. It is shown as the ratio of left ventricular stroke volume (LVSV) to left ventricular end-diastolic volume (LVEDV), and is measured as a percentage.

    Measured: Baseline and Week 8

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Aug 2008 (estimated)
  2. Study start28 Aug 2008
  3. Primary completion21 Aug 2009
  4. Study completion21 Aug 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00742508
Sponsor's protocol ID
CRV110734
Status last verified
Jun 2017
First submitted
26 Aug 2008
Last updated
2 Aug 2017
Data monitoring committee
No
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • Kitakaze M, Sarai N, Ando H, Sakamoto T, Nakajima H. Safety and tolerability of once-daily controlled-release carvedilol 10-80 mg in Japanese patients with chronic heart failure. Circ J. 2012;76(3):668-74. doi: 10.1253/circj.cj-11-0210. Epub 2012 Jan 12.

    PubMed 22240593

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing SK&F-105517-D 10 mg capsule, Carvedilol-immediate release (IR) 2.5 mg tablet and SK&F-105517-D 20 mg capsule in people with Heart Failure, Congestive, run by GlaxoSmithKline at 23 sites in Japan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Aug 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Aug 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Adverse Events by Severity From Week 0 Through Week 8 (CRV-IR) or Week 14 (SK&F-105517-D) (time frame: Treatment Period from Week 0 (Baseline) to Week 8 and 1-week Follow-up Period (Week 9) for CRV-IR; Treatment Period from Week 0 (Baseline) to Week 14 and 1-week Follow-up Period (Week 15) for SK&F-105517-D). The study lists 20 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00742508, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Aug 2017.

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