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Pulmonary Arterial HypertensionPhase 1ADMENCT04991181

Absorption, Distribution, Metabolism and Excretion of BIA 5-1058

A Phase 1 study testing 400 mg BIA 5-1058 in people with Pulmonary Arterial Hypertension, run by Bial - Portela C S.A. at 1 site in Netherlands.

Completed

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

Official record
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Trial summary

the purpose of this study is: to determine the rate and routes of excretion of BIA 5-1058 and the mass balance in urine, feces and exhaled air, after a single oral dose of 400 mg 14C labeled BIA 5 1058 containing 3.7 Megabecquerel (MBq) of radiocarbon; to determine the pharmacokinetics (PK) of total radioactivity… Read more about this study

Who is it for?
Ages 18 to 65 years, men onlyHealthy volunteers can take part
Conditions the study is for
Pulmonary Arterial Hypertension
What is being tested?
400 mg BIA 5-1058
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
15 participants
Where
1 siteNetherlands
Study dates
31 Mar 2017to 24 May 2017
Phase
Phase 1
Are there results?
None posted in the registry

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 18 to 65 years
  • Men only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Gender :male
  • Age :18-65 years, inclusive
  • Body Mass Index (BMI) :18.0-30.0 kg/m2 (BMI [kg/m2] = Body weight [kg] ÷ Height2 [m2]) at screening
  • Subjects, if not surgically sterilized, were willing to use adequate contraception and not donate sperm from admission to the clinical research center until 90 days after discharge on Day 15. Adequate contraception for the male subject (and his female partner) was defined as using hormonal contraceptives or an intrauterine device combined with at least 1 of the following forms of contraception: a diaphragm or cervical cap, or a condom. Also, total abstinence, in accordance with the lifestyle of the volunteer, was acceptable
  • All prescribed medication had to be stopped at least 30 days prior to admission to the clinical research center
  • All over-the-counter medication, vitamin preparations and other food supplements, or herbal medications (e.g., St. John's Wort) had to be stopped at least 14 days prior to admission to the clinical research center. An exception was made for paracetamol, which was allowed up to admission to the clinical research center
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  • Ability and willingness to abstain from alcohol, methylxanthine-containing beverages or food (coffee, tea, cola, chocolate and "powerdrinks"), commercially available orange juice (because of a potential interaction of radioactivity and vitamin C), grapefruit (juice) and tobacco products from 48 hours prior to admission to in the clinical research center until discharge (Day 15)
  • Normal resting supine blood pressure and pulse showing no clinically relevant deviations as judged by the PI
  • Computerized (12-lead) ECG recording without signs of clinically relevant pathology or showing no clinically relevant deviations as judged by the PI
  • All values for clinical laboratory tests of blood and urine within the normal range or showing no clinically relevant deviations as judged by the PI
  • Willing and able to sign the ICF.

Who cannot join

  • Employee of PRA or the Sponsor
  • Evidence of clinically relevant pathology or a medical history of a major pathology as judged by the PI
  • Frequent headaches and/or migraine, recurrent nausea, and/or vomiting (more than twice a month)
  • Mental handicap (i.e. a general or specific intellectual disability, resulting directly or indirectly from injury to the brain or from abnormal neurological development)
  • History of relevant drug and/or food allergies
  • Smoking more than 5 cigarettes, 1 cigar or 1 pipe daily; the use of tobacco products in the 48 hours (2 days) prior to admission to the clinical research center on Day 1 was not allowed
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  • History of alcohol abuse or drug addiction (including soft drugs like cannabis products)
  • Positive drug and alcohol screen (opiates, methadone, cocaine, amphetamines [including ecstasy], cannabinoids, barbiturates, benzodiazepines, tricyclic antidepressants and alcohol)
  • Average intake of more than 24 units of alcohol per week (1 unit of alcohol equals approximately 250 mL of beer, 100 mL of wine or 35 mL of spirits)
  • Positive screen for hepatitis B surface antigen (HBsAg), anti hepatitis C virus (HCV) antibodies or anti human immunodeficiency virus (HIV) 1 and 2 antibodies
  • Participation in a drug study within 90 days prior to drug administration in the current study. Participation in more than 2 other drug studies in the 12 months prior to drug administration in the current study
  • Donation or loss of more than 100 mL of blood within 90 days prior to drug administration. Donation or loss of more than 1.5 liters of blood in the 10 months prior to drug administration in the current study
  • Subject with irregular bowel habits (more than 3 times a day or less than once every 2 days)
  • Strenuous exercise within 96 hours (4 days) prior to admission to the clinical research center
  • Significant and/or acute illness within 5 days prior to drug administration that may impact the safety of the subject, in the opinion of the PI
  • Participation in another ADME study with a radiation burden >0.1 mSv in the period of 1 year prior to screening
  • Exposure to radiation for diagnostic reasons (except dental X rays and plain X rays of thorax and bony skeleton [excluding spinal column]), during work or during participation in a clinical study in the period of 1 year prior to screening
  • Previous use of BIA 5 1058.

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • PRA Health Sciences (PRA) - Early Development Services (EDS)

    Groningen, 9728 NZ

Other trials in Netherlands

About this study

Official title: An Open-label Study to Assess the Absorption, Distribution, Metabolism and Excretion, Including the Mass Balance, of [14C] Labeled BIA 5-1058 and Metabolites Following a Single Oral Dose Administration in Healthy Male Subjects

the purpose of this study is:

  • to determine the rate and routes of excretion of BIA 5-1058 and the mass balance in urine, feces and exhaled air, after a single oral dose of 400 mg 14C labeled BIA 5 1058 containing 3.7 Megabecquerel (MBq) of radiocarbon;
  • to determine the pharmacokinetics (PK) of total radioactivity (TRA) in plasma and whole blood and to assess the blood-to-plasma ratio;
  • to determine the PK of BIA 5-1058 and its metabolites in plasma.
Read the detailed description

This was a Phase 1, single-center, open-label, absorption, distribution, metabolism, and excretion study in 8 healthy adult male subjects. Subjects received a single oral dose of 400 mg BIA 5-1058, containing approximately 3.7 MBq (0.08 milliSievert [mSv]) of 14C-BIA 5-1058 as oral capsules. Screening was between Day -21 and Day -2 and confinement period was of one period in the clinic involving drug administration on Day 1, with admission on Day 1 and discharge on Day 15 (336 hours post-dose).

Being tested
400 mg BIA 5-1058
Medical subject headings
Pulmonary Arterial Hypertension

What participants receive

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

  • 400 mg BIA 5-1058Drug

    Also called Zamicastat

    Capsules, oral administered to subjects between 08:00 and 09:00 hours in the morning of Day 1after an overnight fast of at least 10 hours. The study drug was swallowed together with 240 mL tap water (room temperature).

Study groups in NCT04991181
Study groupRoleWhat they receive
BIA 5-1058ExperimentalCapsules; 400 mg; single dose; oral administration.
Receives: Drug: 400 mg BIA 5-1058

What is being measured

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

  1. Cmax - Maximum observed plasma concentration

    Pharmacokinetic Parameters for BIA 5-1058 (and Metabolites) in Plasma and for TRA in Plasma and Whole Blood.

    Blood sampling was collected at pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 120, 168, 240 and 336 hours post-dose, and at 504 (±24 h), 672 (±24 h), 1008 (±48 h), 1344 (±48 h), and 1848 (±72 h) hours post-dose

    Measured: Up to 20 days

  2. Tmax - Time to attain maximum observed plasma concentration

    Pharmacokinetic Parameters for BIA 5-1058 (and Metabolites) in Plasma and for TRA in Plasma and Whole Blood.

    Blood sampling was collected at pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 120, 168, 240 and 336 hours post-dose, and at 504 (±24 h), 672 (±24 h), 1008 (±48 h), 1344 (±48 h), and 1848 (±72 h) hours post-dose

    Measured: Up to 20 days

  3. AUC0-t Area under the plasma concentration-time curve up to time t, where t is the last point with concentrations above the lower limit of quantitation (LLOQ)

    Pharmacokinetic Parameters for BIA 5-1058 (and Metabolites) in Plasma and for TRA in Plasma and Whole Blood.

    Blood sampling was collected at pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 120, 168, 240 and 336 hours post-dose, and at 504 (±24 h), 672 (±24 h), 1008 (±48 h), 1344 (±48 h), and 1848 (±72 h) hours post-dose

    Measured: Up to 20 days

  4. AUC0-inf - Area under the plasma concentration-time curve from time 0 extrapolated to infinity

    Pharmacokinetic Parameters for BIA 5-1058 (and Metabolites) in Plasma and for TRA in Plasma and Whole Blood.

    Blood sampling was collected at pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 120, 168, 240 and 336 hours post-dose, and at 504 (±24 h), 672 (±24 h), 1008 (±48 h), 1344 (±48 h), and 1848 (±72 h) hours post-dose

    Measured: Up to 20 days

  5. t1/2 - Elimination half-life

    Pharmacokinetic Parameters for BIA 5-1058 (and Metabolites) in Plasma and for TRA in Plasma and Whole Blood.

    Blood sampling was collected at pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 120, 168, 240 and 336 hours post-dose, and at 504 (±24 h), 672 (±24 h), 1008 (±48 h), 1344 (±48 h), and 1848 (±72 h) hours post-dose

    Measured: Up to 20 days

  6. CLR - Renal clearance

    Pharmacokinetic Parameters for BIA 5-1058 (and Metabolites) in Plasma and for TRA in Plasma and Whole Blood.

    Blood sampling was collected at pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 120, 168, 240 and 336 hours post-dose, and at 504 (±24 h), 672 (±24 h), 1008 (±48 h), 1344 (±48 h), and 1848 (±72 h) hours post-dose

    Measured: Up to 20 days

  7. Aeurine - Cumulative amount excreted in urine

    Cumulative Recovery of Radioactivity in Urine URINE collection was at pre-dose (collected within 24 hours prior to drug administration) and at collection intervals of 0-6, 6-12, 12-24 and 24-48 hours post-dose, and in 24-hour collections intervals thereafter until discharge from the clinic on Day 15 (336 hours post-dose); and 24 hour collections on Days 21/22, 28/29, 42/43, 56/57 and 77/78, depending on recovery limits as assessed initially after Day 15.).

    Measured: Up to 20 days

  8. Ae feces - Cumulative amount excreted in feces

    Cumulative Recovery of Radioactivity in Feces

    FECES collection was at pre-dose and at collection intervals of 0-24, 24-48, 48 72, 72 96, 96 120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264, 264-288, 288-312 and 312-336 hours post-dose; and 24-hour collections on Days 21/22, 28/29, 42/43, 56/57 and 77/78, depending on recovery limits as assessed initially after Day. The pre dose sample was collected within 48 hours prior to drug administration (if collected at home before admission on Day 1, subjects recorded the time of collection and brought the sample at admission). From 48 h before returning to the clinic for the 24-hour collections, the subjects also collected stools at home and recorded the time of collection.

    Measured: Up to 20 days

  9. Aeair - Cumulative amount excreted in exhaled air

    Cumulative Recovery of Radioactivity in Exhaled Air.

    EXHALED AIR sampling was at pre-dose and 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 and 240 hours post dose (with possible extension at 336 hours post-dose, if needed).

    Measured: Up to 20 days

  10. Aetotal - Total amount excreted, calculated as Aeurine + Aefeces + Aeair

    Cumulative Recovery of Radioactivity in Urine, Feces, Exhaled Air. URINE collection was at pre-dose (collected within 24 hours prior to drug administration) and at collection intervals of 0-6, 6-12, 12-24 and 24-48 hours post-dose, and in 24-hour collections intervals thereafter until discharge from the clinic on Day 15 (336 hours post-dose); and 24 hour collections on Days 21/22, 28/29, 42/43, 56/57 and 77/78, depending on recovery limits as assessed initially after Day 15.

    FECES collection was at pre-dose and at collection intervals of 0-24, 24-48, 48 72, 72 96, 96 120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264, 264-288, 288-312 and 312-336 hours post-dose; and 24-hour collections on Days 21/22, 28/29, 42/43, 56/57 and 77/78, depending on recovery limits as assessed initially after Day.

    EXHALED AIR sampling was at pre-dose and 0.5, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 and 240 hours post dose (with possible extension at 336 hours post-dose, if needed).

    Measured: Up to 20 days

  11. TRA t1/2 plasma

    Excretion Rates of TRA in Plasma PLASMA Blood sampling was collected at pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 120, 168, 240 and 336 hours post-dose, and at 504 (±24 h), 672 (±24 h), 1008 (±48 h), 1344 (±48 h), and 1848 (±72 h) hours post-dose

    Measured: Up to 20 days

  12. TRA t1/2 urine

    Excretion Rates of TRA in Urine

    URINE collection was at pre-dose (collected within 24 hours prior to drug administration) and at collection intervals of 0-6, 6-12, 12-24 and 24-48 hours post-dose, and in 24-hour collections intervals thereafter until discharge from the clinic on Day 15 (336 hours post-dose); and 24 hour collections on Days 21/22, 28/29, 42/43, 56/57 and 77/78, depending on recovery limits as assessed initially after Day 15

    Measured: Up to 20 days

  13. TRA t1/2 feces

    Excretion Rates of TRA in Feces

    FECES collection was at pre-dose and at collection intervals of 0-24, 24-48, 48 72, 72 96, 96 120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264, 264-288, 288-312 and 312-336 hours post-dose; and 24-hour collections on Days 21/22, 28/29, 42/43, 56/57 and 77/78, depending on recovery limits as assessed initially after Day. The pre dose sample was collected within 48 hours prior to drug administration (if collected at home before admission on Day 1, subjects recorded the time of collection and brought the sample at admission). From 48 h before returning to the clinic for the 24-hour collections, the subjects also collected stools at home and recorded the time of collection.

    Measured: Up to 20 days

Timeline

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

  1. First posted5 Aug 2021
  2. Study start31 Mar 2017
  3. Primary completion24 May 2017
  4. Study completion24 May 2017

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04991181
Sponsor's protocol ID
BIA-51058-104
Other IDs
2015-002407-28, 2015
Acronym
ADME
Status last verified
Jul 2021
First submitted
28 Jul 2021
Last updated
5 Aug 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing 400 mg BIA 5-1058 in people with Pulmonary Arterial Hypertension, run by Bial - Portela C S.A. at 1 site in Netherlands.

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 11 inclusion and 18 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 5 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Netherlands. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Cmax - Maximum observed plasma concentration (time frame: Up to 20 days). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 5 Aug 2021.

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