Two-Part, Randomized, Placebo and Active-Controlled, Double-Blind, Thorough QT Study Evaluating the Effects of Intravenous Exenatide on Cardiac Repolarization in Healthy Male and Female Volunteers
This single-center Phase I study will consist of 2 parts, a Pilot Part and a Core Part. The Pilot Part of the study will be an open-label, non-randomized, single-treatment design in 10 healthy male and female subjects to determine if an infusion regimen of a 6-h continuous IV infusion of exenatide will lead to a mean plasma steady state concentration of 500 pg/mL. The Core part of the study will be a double-blind (except for the use of open label active control moxifloxacin), randomized, placebo-controlled,3 period, 6-sequence, cross-over design in 72 healthy male and female subjects to evaluate whether exenatide at therapeutic and supra-therapeutic concentrations has a pharmacological effect on cardiac repolarization (threshold value \>10 msec).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
82
6 hour IV infusion (double infusion of 0.1250 mcg/kg/hour for 30 min followed by infusion rate (1X) of 0.0625 mcg/kg/hour for 5.5 hours).
6 hour IV infusion.
400 mg oral dose moxifloxacin within 1 min of start of infusion of exenatide
PRA-Groningen
Groningen, Netherlands
Pilot Study: Establishment of mean plasma steady state concentration of 500 pg/mL
Time frame: 35 days
Core Study: Changes to QTc interval changes (threshold > 10 msec) measurements
Time frame: 56 days
Pilot Study: Adverse events as assessed by subjective subject reporting, laboratory testing, ECG, physical examinations, and vital signs
Time frame: 35 days
Core Study: Measurement of exenatide plasma concentrations and relationship to changes in QTc interval measurements
Relationship between plasma concentrations of exenatide and QTc interval.
Time frame: 56 days
Core Study: Changes in PR, RR, QRS, QT, T- and U- wave morphology
Time frame: 56 days
Core Study: Measurement of QTc interval changes moxifloxacin as active control
Time frame: 56 days
Core Study: Adverse events as assessed by subjective subject reporting, laboratory testing, ECG, physical examinations, and vital signs
Time frame: 56 days
Pilot Study: Maximum concentration (CMax) of exenatide
Time frame: 35 days
Pilot Study: Time to maximum concentration (TMax) of exenatide
Time frame: 35 days
Pilot Study: Area under the curve (AUC) of exenatide
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0.25 mg administered IV within 30 minutes prior to initiating the infusion of exenatide
Time frame: 35 days
Pilot Study: Steady state concentration (Css) of exenatide
Time frame: 35 days
Pilot Study: Half life (T1/2) of exenatide
Time frame: 35 days
Core Study: Half life (T1/2) of exenatide
Time frame: 56 days
Core Study: Steady state concentration (Css) of exenatide
Time frame: 56 days
Core Study: Area under the curve (AUC) of exenatide
Time frame: 56 days
Core Study: Maximum concentration (CMax)
Time frame: 56 days
Core Study: Time to maximum concentration (TMax) of exenatide
Time frame: 56 days