Ondansetron, also known as Zofran, is a marketed compound used for the prevention of nausea and vomiting. This study, called a thorough QT study, will characterize the effects of a single intravenous (IV) dose of ondansetron on cardiac repolarization as compared to placebo. Moxifloxacin, a commercially available antibiotic known to cause a mild QT prolongation, will be used as a positive control and will be given orally. The cardiac repolarization will be measured by taking consecutive ECGs on a recording device known as a Holter monitor and measuring the QT interval at specified times. In addition, blood samples will also be taken at specified times and will be used to measure the amount of study medication in the body.
Ondansetron was first approved in 1991 for treatment of nausea and vomiting associated with chemotherapy and surgical procedures and as ondansetron was developed prior to current regulatory requirements, a formal, thorough QT study has not been performed for this compound. The purpose of this study is to further define the safety of ondansetron as some effects on QT interval prolongation have been observed for this and other members of the 5-HT3 inhibitor class of compounds. In the case of ondansetron, these effects have been rare and transient and noted primarily with IV administration, however, the extent to which ondansetron prolongs the QT interval has not been defined. This study will quantify the effects of a single dose of IV ondansetron administered over 15 minutes on cardiac conduction in a double-blind, cross-over study and compared to placebo and a positive control, oral moxifloxacin. Pre- and post-dose digital electrocardiograms (ECGs) will be obtained by continuous Holter monitoring (1000 Hz) for blinded over-read by a third party vendor. This double-blind study will randomize approximately 60 healthy adult male and female volunteers to one of 12 sequences each consisting of 4 study treatment periods in a crossover design with a 7-day washout between each treatment period. Subjects will receive placebo, moxifloxacin (single 400 mg tablet), ondansetron 8 mg, and ondansetron 32 mg based on the randomized sequence. Both ondansetron and the placebo for ondansetron will be administered intravenously over 15 minutes. Moxifloxacin, a drug known to cause mild QTc prolongation, is included as a positive control and will be dosed as open label. Serial blood samples will be obtained to determine ondansetron and, if needed, moxifloxacin pharmacokinetic parameters. Safety and tolerability will be assessed through physical exams, adverse events, concurrent medications, clinical laboratory tests and vital signs.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
60
FDA approved drug used to treat nausea and vomiting
FDA approved antibiotic commonly used as a positive control in thorough QT studies
USP saline IV solution used as placebo for ondansetron IV.
GSK Investigational Site
Austin, Texas, United States
Change in QTcF after a single dose of Ondansetron given IV over 15 minutes.
Two doses of ondansetron willl be used, 8mg and 32mg. The change in QTcF will be time-matched, baseline adjusted and compared to placebo.
Time frame: Single dosing day at each of the 4 treatment periods with a 7-day washout between each period. The total duration of each subject's participation in the study, from screening through follow-up will be an average of 11 weeks.
characterize relationship between changes in ddQTc and plasma concentrations of ondansetron
The slope of the relationship between ddQTc and plasma ondansetron concentrations and predicted change in ddQtc will be used to determine.
Time frame: Single dosing day at each of the 4 treatment periods with a 7-day washout between each period. The total duration of each subject's participation in the study, from screening through follow-up will be an average of 11 weeks.
characterize relationship between QT interval and plasma ondansetron
The slope of the relationship between QTc interval and ondansetron concentrations and predicted change in QTc from baseline will be used to determine.
Time frame: Single dosing day at each of the 4 treatment periods with a 7-day washout between each period. The total duration of each subject's participation in the study, from screening through follow-up will be an average of 11 weeks.
characterize the effect on QTcI and QTcB relative to placebo between the two doses of ondansetron and moxifloxacin
ECG parameters will be measured and used to calculate this effect.
Time frame: Single dosing day at each of the 4 treatment periods with a 7-day washout between each period. The total duration of each subject's participation in the study, from screening through follow-up will be an average of 11 weeks.
characterize effect on QT and HR relative to placebo of the two doses of ondansetron and moxifloxacin.
ECG parameters will be measured along with vitals and used to calculate this effect.
Time frame: Single dosing day at each of the 4 treatment periods with a 7-day washout between each period. The total duration of each subject's participation in the study, from screening through follow-up will be an average of 11 weeks.
characterize the pharmacokinetics of ondansetron.
plasma concentrations of ondansetron will be measured and PK parameters (AUC, Cmax, tmax) determined.
Time frame: Single dosing day at each of the 4 treatment periods with a 7-day washout between each period. The total duration of each subject's participation in the study, from screening through follow-up will be an average of 11 weeks.
characterize safety and tolerability of the two doses of ondansetron.
Tolerability and safety will be assessed by 12-lead ECGs, telemetry, BP, HR, Adverse Events and clinical laboratory tests.
Time frame: Single dosing day at each of the 4 treatment periods with a 7-day washout between each period. The total duration of each subject's participation in the study, from screening through follow-up will be an average of 11 weeks.
characterize the pharmacokinetics of moxifloxacin if needed.
plasma concentrations of moxifloxacin will be measured and PK parameters (AUC, Cmax, tmax) determined if needed.
Time frame: Single dosing day at each of the 4 treatment periods with a 7-day washout between each period. The total duration of each subject's participation in the study, from screening through follow-up will be an average of 11 weeks.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.