This is a phase I, randomized, single-blind, parallel group, placebo-controlled, multi-cohort, first-in-human dose escalation study of a single IV 3-hour administration of Cilastatin as stand-alone in healthy male and female volunteers. The study objectives are: The evaluation of safety and tolerability of single intravenous doses of cilastatin in healthy volunteers administered as a 3-hour infusion. The evaluation of the pharmacokinetic characteristics of Cilastatin after a single 3-hour infusion dose.
The study is designed as a phase I, randomized, single-blind, parallel group, placebo-controlled, multi-cohort, first-in-human dose escalation study of a single IV 3-hour administration of Cilastatin as stand-alone in healthy male and female volunteers. The study will involve 24 healthy male and female healthy subjects, divided in three study cohorts (8 subjects per cohort). The study is a dose escalating study, starting from 3 g of Cilastatin administered intravenously in 3 hours. Eight subjects will be randomized and assigned to either the study drug or placebo group for each study cohort in a 3:1 ratio (6 actives and 2 placebos). Randomization will also be gender balanced within each study cohort. The planned dose escalation scheme should not occur before participants in the previous dose level have been treated and safety profile of Cilastatin from those participants are assessed in accordande with the protocol.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
23
Dose escalation 3-hour single intravenous administration
3-hour single intravenous administration
Clinical Trials Unit, School of Medicine, Universidad Autónoma de Madrid
Madrid, Spain
Number of subjects with adverse events (AEs) and serious adverse events (SAEs)
Time frame: From baseline up to follow-up (approximately 7 days after treatment administration).
Safety measures: Changes in Heart rate values will be assessed for each dose level of cilastatin
Time frame: From baseline up to follow-up (approximately 7 days after treatment administration).
Safety measures: Changes in Blood pressure values will be assessed for each dose level of cilastatin
Time frame: From baseline up to follow-up (approximately 7 days after treatment administration).
Safety measures: Changes in Body temperature values will be assessed for each dose level of cilastatin
Time frame: From baseline up to follow-up (approximately 7 days after treatment administration).
Safety measures: Changes in clinical Laboratory testing will be assessed for each dose level of cilastatin.
Time frame: From baseline up to follow-up (approximately 7 days after treatment administration)
Safety measures: Changes in Electrocardiogram (ECG) parameters will be assessed for each dose level of cilastatin.
Changes in QTc Interval will be assessed.
Time frame: From baseline up to follow-up (approximately 7 days after treatment administration).
Safety measures: Continuous cardiac monitoring (by a holter monitor) will be assessed for each dose level of cilastatin.
Changes in electrocardiography heart activity will be assessed.
Time frame: From baseline up to 24 h Post-dose
Assessment of any infusion site reaction
Time frame: From baseline up to follow-up (approximately 7 days after treatment administration).
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Determination of the Area under the curve versus time
Time frame: From baseline up to 24 hours post start of drug administration
Determination of plasma concentrations
Time frame: From baseline up to 24 hours post start of drug administration
Determination of renal clearance
Time frame: From baseline up to 24 hours post start of drug administration