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Constipation - FunctionalPhase 1NCT06570668

Safety, Tolerability and Pharmacokinetics of CDD-2101 in Health Volunteers

A Phase 1 study testing CDD-2101 in people with Constipation - Functional, run by Centre for Chinese Herbal Medicine Drug Development Limited at 1 site in United States.

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

This is a single-center, randomized, double-blind, placebo-controlled, single-dose study to confirm the safety, tolerability and pharmacokinetic profile of CDD-2101 in healthy subjects. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Constipation - Functional
What is being tested?
CDD-2101
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
20 participants
Where
1 siteUnited States
Study dates
29 May 2024to 12 Jul 2024
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
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • An individual must meet all the criteria below to be eligible for participation in this study:
  • Male or female
  • Aged 18-65 years (inclusive)
  • Body weight of 50kg or more
  • BMI 18.5-29.9 kg/m2 (inclusive)
  • Normal hepatic: aspartate aminotransferase (AST), alanine aminotransferase (ALT), and gamma glutamyl transferase (GGT) and total bilirubin not elevated more than 1.2-fold above the upper limit of normal (ULN)
Show all 12Show fewer
  • Normal renal function: glomerular filtration rate (GFR) ≥ 90 mL/min/1.7m2
  • Understand the study procedures and agree to participate by providing written informed consent
  • Be willing and able to comply with all study procedures and restrictions
  • Be a nonsmoker who has not used tobacco- or nicotine-containing products (e.g., nicotine patch) for at least 6 months before administration of the investigational drug
  • Be judged to be in good health by the investigator, based on clinical evaluations including laboratory safety tests, medical history, physical examination, 12-lead ECG, and vital sign assessment performed at the Screening Visit and before administration of the investigational drug
  • Contraceptive use by men or women should be consistent with local regulations regarding the methods of conception for those participating in clinical study

Who cannot join

  • An individual who meets any of the following criteria will be excluded:
  • Pregnant, trying to become pregnant or lactating
  • Use of any prescription, non-prescription drug and investigational drug within 30 days prior to administration of the study drug
  • Has a substance abuse disorder
  • Has a history of clinically significant endocrine, gastrointestinal (including motility disorder and intestinal obstruction), cardiovascular, hematological, hepatic, immunological, renal, respiratory, genitourinary, or major neurological (including stroke and chronic seizures) abnormalities or diseases
  • Has a history of cancer (malignancy)
Show all 15Show fewer
  • Has a known hypersensitivity to any component of the formulation of CDD-2101, its related compounds or placebo, or allergy to Chinese herbal medicine
  • Has a history of significant multiple and/or severe allergies (e.g., food, drug or latex allergy) or has had an anaphylactic reaction or significant intolerability to prescription or nonprescription drugs or food
  • Had major surgery, donated, or lost 1 unit of blood (approximately 500 mL) within 8 weeks before administration of the investigational drug
  • Diagnosis of bowel disorders based on the Rome IV criteria
  • Has a history of positive for hepatitis B, hepatitis C or HIV
  • Has a history of alcohol consumption exceeding 2 standard drinks per day on average (1 standard drink is approximately equivalent to: beer (354 mL/12 ounces), wine (118 mL/4 ounces), or distilled spirits (29.5 mL/1 ounce)
  • Has participated in another investigational trial within 4 weeks before the pretrial (Screening) visit. The 4-week window will be derived from the date of the last trial procedure and/or AE related to the trial procedure in the previous trial to the pretrial/Screening Visit of the current trial.
  • Is an employee or immediate family member (e.g., spouse, parent, child, sibling) of the sponsor or Contract Research Organization (CRO)
  • Having received another investigational drug or been participated in an investigational drug or device study within 30 days before administration of the investigational drug.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Biotrial Inc

    Newark, New Jersey, 07103

Other trials in United States

About this study

Official title: Phase 1 Safety, Tolerability and Pharmacokinetics Study of CDD-2101 in Health Volunteers

This is a single-center, randomized, double-blind, placebo-controlled, single-dose study to confirm the safety, tolerability and pharmacokinetic profile of CDD-2101 in healthy subjects. A total of 20 subjects aged 18-65 years with a Body Mass Index (BMI) of 18.5-29.9 kg/m2 will be hospitalized and randomized in a 1:1:1:1:1 ratio (N=4/group) to receive one dose of CDD-2101 at 5, 10, 15 or 20 g and/or placebo by taking a suspension in water orally. Subjects will complete a daily bowel habit diary 7 days and refrain from food containing any of the botanicals in CDD-2101 for at least 3 days prior to randomization. Subjects will also need to abstain from the consumption of any xanthine containing products (e.g. coffee, tea, chocolate, or Coca-Cola like drinks) more than 6 cups per day (or equivalent) 24 hours before randomization. A 12-lead electrocardiogram (ECG) and a full physical examination will be performed at pre-dose and 24 h post-dose. Blood samples will be collected at 0 (pre-dose), 0.25, 0.5, 1, 2, 4, 8, 12 and 24 h post-dose. Urine samples will be collected immediately before and at 0-3 h, 3-6 h, 6-9 h, 9-12 h and 12-24 h post-dose. Vital signs will be measured at 0 (pre-dose), 1, 2, 3, 4, 8, 12 and 24 h post-dose. Adverse events (AEs) will be monitored during the study period. After the 24 h post-dose procedures are completed, the investigator will confirm the subjects are in good health before discharging them. All subjects will have a follow-up visit 3 days after the dose of investigational drug. Plasma samples will be analyzed for complete blood count, liver and kidney function markers, total cholesterol, glucose, calcium and marker compounds of CDD-2101. Urine samples will be processed for quantitation of marker compounds of CDD-2101. The primary endpoint will be safety and tolerability of CDD-2101, with vital signs, reported number and seriousness of AEs, physical examination, and laboratory tests as outcome measures. The secondary endpoints will be the pharmacokinetic profile, with outcome measures including peak plasma concentration (Cmax), time to reach Cmax (Tmax), area under the curve (AUC) from 0 to 24 h post-dose and renal excretion of marker compounds, and bowel movement with the number of complete spontaneous bowel movement (CSBM) and stool quality based on the Bristol Stool Form Scale as outcome measures.

Read the detailed description

A total of 20 eligible healthy subjects aged 18-65 years, body weight of 50kg or more with a BMI of 18.5-29.9 kg/m2 will be hospitalized and randomized in a 1:1:1:1:1 ratio (N=4/group) to receive one dose of CDD-2101 at 5, 10, 15 or 20 g and/or placebo by taking a suspension in water orally.

All subjects will be required to refrain from food containing any of the botanicals in CDD-2101 for at least 3 days prior to randomization.

Each subject will also be required to complete a daily bowel habit diary logging all clinical events during the study. The diary may be completed online using an electronic case report form (eCRF) or by pen and paper. Each subject will be provided with the study diary after the screening visit. Subjects will be instructed to record in the diary every day, including the day admitted to the CPU, and continue until 3 days after the dose of investigational drug.

Study diary will be collected and reviewed for completeness at baseline/randomization, and at the end-of-follow-up visit (Day 3). Authorized study personnel will transcribe all data collected from the physical diaries into eCRF. All information collected from the diaries will be analyzed for primary and secondary endpoints in the study.

All subjects will be instructed about diary completion at every study visit. Documentation that subjects have been appropriately instructed (and re-instructed as necessary) on diary completion should be recorded in the subject's source notes.

Subjects who are not consistent or thorough with study diary completion may receive phone reminders if deemed necessary by the investigators. The authorized study personnel providing phone reminders must document the phone contact process in the subject's source notes.

A sample of the diary is in Appendix 1. The diary is to record the number of bowel openings, a sense of complete/incomplete evacuation, and quality of stool according to the Bristol Stool Form Scale (Appendix 2). The Bristol Stool Form Scale is a medical aid designed to classify stools into seven groups and will be supplied to the subjects.

Bristol Stool Form Scale is defined as 7-point scale in which a score of 1 - separate hard lumps, 2 - sausage shaped but lumpy, 3 - sausage-like with cracks on the surface, 4 - sausage-like but smooth and soft, 5 - soft blobs with clearcut edge, 6 - fluffy pieces with ragged edges ragged edges, and 7 - watery with no solid pieces.

A 12-lead ECG will be performed at pre-dose and 24 h post-dose. Full physical examination will be performed 24 h post-dose. Blood samples will be collected at 0 (pre-dose), 0.25, 0.5, 1, 2, 4, 8, 12 and 24 h post-dose. Urine samples will be collected immediately before and at 0-3, 3-6, 6-9, 9-12 and 12-24 h post-dose. Vital signs will be assessed at 0 (pre-dose), 1, 2, 3, 4, 8, 12 and 24 h post-dose. AEs will be monitored during the study period. Upon completion of the 24 h post-dose procedures, the investigator will confirm that it is safe (i.e., the subject appears healthy) before discharging the participants. All subjects will return for a follow-up visit on Day 4 after the last dose of investigational drug.

The primary endpoint will be safety and tolerability of CDD-2101, with vital signs, reported number and seriousness of AEs, physical examination, and laboratory tests as outcome measures.

The secondary endpoint will be the pharmacokinetic profile with Cmax, Tmax, AUC from 0 to 24 h post-dose and renal excretion as outcome measures, and bowel movement with the number of CSBM and stool quality based on the Bristol Stool Form Scale as outcome measures.

Available data will be entered in a secure clinical database using eCRF, along with subject information.

Being tested
CDD-2101

What participants receive

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

  • CDD-2101Drug

    All subjects will receive 4 sachets of CDD-2101 and/or placebo at a time based on the computer-generated randomization. An unblinded pharmacist will mix the assigned dose of CDD-2101 and/or placebo with 400 mL of water at 70-80°C, cool it to a comfortable temperature and keep it at room temperature for not longer than 1 h. A blinded study nurse or investigator will dispense the suspension to the assigned subject. The subject will drink it under supervision within 15 minutes.

Study groups in NCT06570668
Study groupRoleWhat they receive
5 g of CDD-2101 and 15 g of placebo;ExperimentalCDD-2101 is a botanical drug candidate in granule form, with same formulation as the Chinese herbal medicine MZRW, based on the water extract from six botanical raw materials (in the form of decoction pieces) including Huomarean, Dahuang, Kuxingren, Houpo, Baishao and Zhishi (stir-fried with wheat bran). Dextrin and magnesium stearate are added as excipients. The placebo is in the form of granules for oral use. The granules are a mixture of color and flavor additives (caramel coloring, riboflavin, citric acid and sucrose octaacetate) with dextrin as an excipient.
Receives: Drug: CDD-2101
10 g of CDD-2101 and 10 g of placebo;ExperimentalCDD-2101 is a botanical drug candidate in granule form, with same formulation as the Chinese herbal medicine MZRW, based on the water extract from six botanical raw materials (in the form of decoction pieces) including Huomarean, Dahuang, Kuxingren, Houpo, Baishao and Zhishi (stir-fried with wheat bran). Dextrin and magnesium stearate are added as excipients. The placebo is in the form of granules for oral use. The granules are a mixture of color and flavor additives (caramel coloring, riboflavin, citric acid and sucrose octaacetate) with dextrin as an excipient.
Receives: Drug: CDD-2101
15 g of CDD-2101 and 5 g of placebo;ExperimentalCDD-2101 is a botanical drug candidate in granule form, with same formulation as the Chinese herbal medicine MZRW, based on the water extract from six botanical raw materials (in the form of decoction pieces) including Huomarean, Dahuang, Kuxingren, Houpo, Baishao and Zhishi (stir-fried with wheat bran). Dextrin and magnesium stearate are added as excipients. The placebo is in the form of granules for oral use. The granules are a mixture of color and flavor additives (caramel coloring, riboflavin, citric acid and sucrose octaacetate) with dextrin as an excipient.
Receives: Drug: CDD-2101
20 g of CDD-2101ExperimentalCDD-2101 is a botanical drug candidate in granule form, with same formulation as the Chinese herbal medicine MZRW, based on the water extract from six botanical raw materials (in the form of decoction pieces) including Huomarean, Dahuang, Kuxingren, Houpo, Baishao and Zhishi (stir-fried with wheat bran). Dextrin and magnesium stearate are added as excipients.
Receives: Drug: CDD-2101
20 g of placeboPlacebo comparatorThe placebo is in the form of granules for oral use. The granules are a mixture of color and flavor additives (caramel coloring, riboflavin, citric acid and sucrose octaacetate) with dextrin as an excipient.
Receives: Drug: CDD-2101

What is being measured

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

  1. potential AEs

    based on the changes of vital signs, 12-leads ECG, clinical laboratory results and physical examinations

    Measured: baseline, pre-intervention, randomization, follow-up 4 days after randomization, through study completion, i.e. from screening till complete follow up visit which is about 26 days

Secondary outcomes (15)
  1. Maximum plasma concentration [Cmax] - cannabisin B

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose, and at 0.25, 0.5, 1, 2, 4, 8, 12 and 24 hours after dose

  2. Maximum plasma concentration [Cmax] - rhein

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose, and at 0.25, 0.5, 1, 2, 4, 8, 12 and 24 hours after dose

  3. Maximum plasma concentration [Cmax] - magnolol

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose, and at 0.25, 0.5, 1, 2, 4, 8, 12 and 24 hours after dose

  4. Maximum plasma concentration [Cmax] - paeoniflorin

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose, and at 0.25, 0.5, 1, 2, 4, 8, 12 and 24 hours after dose

  5. Maximum plasma concentration [Cmax] - albiflorin

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose, and at 0.25, 0.5, 1, 2, 4, 8, 12 and 24 hours after dose

  6. Maximum plasma concentration [Cmax] - synephrine

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose and at 0.25, 0.5, 1, 2, 4, 8, 12 and 24 hours after dose

  7. Maximum urine concentration [Cmax] - cannabisin B

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose and at 0-3, 3-6, 6-9, 9-12 and 12-24 hours after dose

  8. Maximum urine concentration [Cmax] - rhein

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose and at 0-3, 3-6, 6-9, 9-12 and 12-24 hours after dose

  9. Maximum urine concentration [Cmax] - aloe emodin

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose and at 0-3, 3-6, 6-9, 9-12 and 12-24 hours after dose

  10. Maximum urine concentration [Cmax] - amygdalin

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose and at 0-3, 3-6, 6-9, 9-12 and 12-24 hours after dose

  11. Maximum urine concentration [Cmax] - magnolol

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose and at 0-3, 3-6, 6-9, 9-12 and 12-24 hours after dose

  12. Maximum urine concentration [Cmax] - honokiol

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose and at 0-3, 3-6, 6-9, 9-12 and 12-24 hours after dose

  13. Maximum urine concentration [Cmax] - paeoniflorin

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose and at 0-3, 3-6, 6-9, 9-12 and 12-24 hours after dose

  14. Maximum urine concentration [Cmax] - albiflorin

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose and at 0-3, 3-6, 6-9, 9-12 and 12-24 hours after dose

  15. Maximum urine concentration [Cmax] - synephrine

    The marker compounds will be calculated by establishing curves of each analyte.

    Measured: pre-dose and at 0-3, 3-6, 6-9, 9-12 and 12-24 hours after dose

Timeline

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

  1. First posted26 Aug 2024
  2. Study start29 May 2024
  3. Primary completion12 Jul 2024
  4. Study completion12 Jul 2024

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
Model description
A total of 20 subjects aged 18-65 years with a Body Mass Index (BMI) of 18.5-29.9 kg/m2 will be hospitalized and randomized in a 1:1:1:1:1 ratio (N=4/group) to receive one dose of CDD-2101 at 5, 10, 15 or 20 g and/or placebo by taking a suspension in water orally.
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06570668
Sponsor's protocol ID
CDD-2101-P1-6
Status last verified
Aug 2024
First submitted
13 Aug 2024
Last updated
26 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing CDD-2101 in people with Constipation - Functional, run by Centre for Chinese Herbal Medicine Drug Development Limited at 1 site in United States.

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 12 inclusion and 15 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 26 Aug 2024. 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 United States. 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. Some participants in this study may receive a placebo. 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?

potential AEs (time frame: baseline, pre-intervention, randomization, follow-up 4 days after randomization, through study completion, i.e. from screening till complete follow up visit which is about 26 days). 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 26 Aug 2024.

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