Carbetocin is an oxytocin receptor agonist that selectively binds to receptors in the smooth muscle of the uterus, stimulates rhythmic contractions of the uterus, increases the frequency of existing contractions, and raises the tone of the uterine musculature. Carbetocin is approved in \>100 countries for the prevention of postpartum hemorrhage due to uterine atony in women following cesarean or vaginal delivery. Per regulatory requirements, the current trial will evaluate the effects of high clinical exposure of carbetocin on the QT interval corrected for heart rate (QTc) as measured by ECG in healthy men and women.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
40
Single infusion of Carbetocin
Single IV infusion of matching placebo
Single IV infusion of matching placebo in combination with Single Oral dose of Moxifloxacin
Ferring Investigational Site
Tempe, Arizona, United States
Observed Heart rate(HR) values
Part A
Time frame: Up to 240 minutes after Start of Infusion
Change from baseline of HR (∆HR).
Part A
Time frame: Up to 240 minutes after Start of Infusion
Placebo-corrected change from baseline in QT interval (∆∆QTc) using the most appropriate HR correction method (i.e., ∆∆QTcF if Fridericia's method is used).
Part B
Time frame: Up to 24 hours after Start of Infusion
Treatment-emergent adverse events (TEAEs)
Part A
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Vital signs; Systolic blood pressure and Diastolic blood pressure
Part A. The parameters which are measured are Systolic blood pressure and Diastolic blood pressure. Each vital sign parameter value is classified as either Low, Normal or High. Summary tables will be prepared by treatment displaying the number and percentage of subjects with normal pre-administration values who had at least one markedly abnormal post-administration values.
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Vital signs; Pulse rate
Part A. The parameter which is measured is Pulse rate. The vital sign parameter value is classified as either Low, Normal or High. Summary tables will be prepared by treatment displaying the number and percentage of subjects with normal pre-administration values who had at least one markedly abnormal post-administration values.
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Vital signs; Body temperature
Part A. The parameter which is measured is Body temperature. The vital sign parameter value is classified as either Low, Normal or High. Summary tables will be prepared by treatment displaying the number and percentage of subjects with normal pre-administration values who had at least one markedly abnormal post-administration values.
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Vital signs; Respiratory rate
Part A. The parameter which is measured is Respiratory rate. The vital sign parameter value is classified as either Low, Normal or High. Summary tables will be prepared by treatment displaying the number and percentage of subjects with normal pre-administration values who had at least one markedly abnormal post-administration values.
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
12-lead safety ECGs
Part A. The parameters which are measured are QT, QTc, QTcF, QRS, PR, RR and HR. Subjects' maximum change from baseline and subject's maximum post-baseline values in ECG parameters will be categorized and the number and percentage of subjects in each group will be summarized. The results will be interpreted as "normal", "abnormal, not clinically significant" or "abnormal clinically significant", and the interpretation will be summarized for each treatment and scheduled time point using frequency counts and percentages.
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Clinical chemistry: Changes in Concentration of Blood Urea Nitrogen
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Clinical chemistry: Changes in Concentration of Bilirubin Total
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Clinical chemistry: Changes in Concentration of Bilirubin direct
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Clinical chemistry: Changes in Concentration of Alkaline phosphatase
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Clinical chemistry: Changes in Concentration of Aspartate aminotransferase
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Clinical chemistry: Changes in Concentration of Alanine aminotransferase
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Clinical chemistry: Changes in Concentration of Albumin
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Clinical chemistry: Changes in Concentration of Sodium
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Clinical chemistry: Changes in Concentration of Potassium
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Clinical chemistry: Changes in Concentration of Magnesium
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Clinical chemistry: Changes in Concentration of Chloride
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Clinical chemistry: Changes in Concentration of Fasting glucose
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Clinical chemistry: Changes in Concentration of Creatinine
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Hematology: Changes in Concentration of Hemoglobin
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Hematology: Changes in Concentration of Hematocrit
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Hematology: Changes in Concentration of Total and differential leukocyte count
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Hematology: Changes in Concentration of Red blood cell count
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Hematology: Changes in Concentration of Platelet count
Part A. Assessed by blood sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Urinalysis parameters: Concentration of pH
Part A. Assessed by urine sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Urinalysis parameters: Concentration of specific gravity
Part A. Assessed by urine sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Urinalysis parameters: Concentration of Protein
Part A. Assessed by urine sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Urinalysis parameters: Concentration of Glucose
Part A. Assessed by urine sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Urinalysis parameters: Concentration of Bilirubin
Part A. Assessed by urine sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Urinalysis parameters: Concentration of Blood
Part A. Assessed by urine sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Urinalysis parameters: Concentration of Nitrite
Part A. Assessed by urine sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Urinalysis parameters: Concentration of Urobilinogen
Part A. Assessed by urine sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
Urinalysis parameters: Concentration of Leukocyte esterase
Part A. Assessed by urine sample collection
Time frame: Up to follow-up visit (7 to 10 days after the last dose)
∆HR, PR change from baseline (∆PR), RR change from baseline (∆RR), QRS change from baseline (∆QRS), and QTcF change from baseline (∆QTcF), if not selected as the primary endpoint.
Part B
Time frame: Up to 24 hours after Start of Infusion
Placebo-corrected ∆HR (∆∆HR), placebo-corrected ∆PR (∆∆PR), placebo-corrected ∆RR (∆∆RR), placebo-corrected ∆QRS (∆∆QRS), and ∆∆QTcF, if not selected as the primary endpoint
Part B
Time frame: Up to 24 hours after Start of Infusion
Categorical outliers for QTcF
Part B
Time frame: Up to 24 hours after Start of Infusion
Categorical outliers for HR
Part B
Time frame: Up to 24 hours after Start of Infusion
Categorical outliers for PR
Part B
Time frame: Up to 24 hours after Start of Infusion
Categorical outliers for QRS
Part B
Time frame: Up to 24 hours after Start of Infusion
Abnormalities in T wave morphology and pathologic U waves, as appropriate.
Part B
Time frame: Up to 24 hours after Start of Infusion
Carbetocin PK parameters: AUClast
Part B
Time frame: Up to 24 hours after Start of Infusion
Carbetocin PK parameters: AUCinf
Part B
Time frame: Up to 24 hours after Start of Infusion
Carbetocin PK parameters: AUC%extrap
Part B
Time frame: Up to 24 hours after Start of Infusion
Carbetocin PK parameters: Cmax
Part B
Time frame: Up to 24 hours after Start of Infusion
Carbetocin PK parameters: Tmax
Part B
Time frame: Up to 24 hours after Start of Infusion
Carbetocin PK parameters: t½
Part B
Time frame: Up to 24 hours after Start of Infusion
Carbetocin PK parameters: MRTinf
Part B
Time frame: Up to 24 hours after Start of Infusion
Carbetocin PK parameters: CL
Part B
Time frame: Up to 24 hours after Start of Infusion
Carbetocin PK parameters: Vss
Part B
Time frame: Up to 24 hours after Start of Infusion
Carbetocin PK parameters: Vz.
Part B
Time frame: Up to 24 hours after Start of Infusion
∆∆QTc (i.e., ∆∆QTcF or the most appropriate HR correction method) following administration of moxifloxacin.
Part B
Time frame: Up to 24 hours after Start of Infusion
TEAEs
Part B
Time frame: End of Trial (Up to 25 days)
Vital signs; Systolic blood pressure and Diastolic blood pressure
Part B. The parameters which are measured are Systolic blood pressure and Diastolic blood pressure. Each vital sign parameter value is classified as either Low, Normal or High
Time frame: End of Trial (Up to 25 days)
Vital signs; Pulse rate
Part B. The parameter which is measured is Pulse rate. The sign parameter value is classified as either Low, Normal or High
Time frame: End of Trial (Up to 25 days)
Vital signs; Body temperature
Part B. The parameter which is measured is Body temperature. The sign parameter value is classified as either Low, Normal or High
Time frame: End of Trial (Up to 25 days)
Vital signs; Respiratory rate
Part B. The parameter which is measured is Respiratory rate. The sign parameter value is classified as either Low, Normal or High
Time frame: End of Trial (Up to 25 days)
12-lead safety ECGs
Part B. The parameters which are measured are QT, QTc, QTcF, QRS, PR, RR and HR. The results will be interpreted as "normal", "abnormal, not clinically significant" or "abnormal clinically significant".
Time frame: End of Trial (Up to 25 days)
Clinical chemistry: Changes in Concentration of Blood Urea Nitrogen
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Clinical chemistry: Changes in Concentration of Bilirubin total
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Clinical chemistry: Changes in Concentration of Bilirubin direct
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Clinical chemistry: Changes in Concentration of Alkaline phosphatase
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Clinical chemistry: Changes in Concentration of Aspartate aminotransferase
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Clinical chemistry: Changes in Concentration of Alanine aminotransferase
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Clinical chemistry: Changes in Concentration of Albumin
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Clinical chemistry: Changes in Concentration of Sodium
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Clinical chemistry: Changes in Concentration of Potassium
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Clinical chemistry: Changes in Concentration of Magnesium
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Clinical chemistry: Changes in Concentration of Chloride
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Clinical chemistry: Changes in Concentration of Fasting glucose
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Clinical chemistry: Changes in Concentration of Creatinine
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Hematology: Changes in Concentration of Hemoglobin
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Hematology: Changes in Concentration of Hematocrit
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Hematology: Changes in Concentration of Total and Differential leukocyte count
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Hematology: Changes in Concentration of Red blood cell count
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Hematology: Changes in Concentration of Platelet count
Part B. Assessed by blood sample collection
Time frame: End of Trial (Up to 25 days)
Urinalysis parameters: Concentration of pH
Part B. Assessed by urine sample collection
Time frame: End of Trial (Up to 25 days)
Urinalysis parameters: Concentration of Specific gravity
Part B. Assessed by urine sample collection
Time frame: End of Trial (Up to 25 days)
Urinalysis parameters: Concentration of Protein
Part B. Assessed by urine sample collection
Time frame: End of Trial (Up to 25 days)
Urinalysis parameters: Concentration of Glucose
Part B. Assessed by urine sample collection
Time frame: End of Trial (Up to 25 days)
Urinalysis parameters: Concentration of Bilirubin
Part B. Assessed by urine sample collection
Time frame: End of Trial (Up to 25 days)
Urinalysis parameters: Concentration of Blood
Part B. Assessed by urine sample collection
Time frame: End of Trial (Up to 25 days)
Urinalysis parameters: Concentration of Nitrite
Part B. Assessed by urine sample collection
Time frame: End of Trial (Up to 25 days)
Urinalysis parameters: Concentration of Urobilinogen
Part B. Assessed by urine sample collection
Time frame: End of Trial (Up to 25 days)
Urinalysis parameters: Concentration of Leukocyte esterase
Part B. Assessed by urine sample collection
Time frame: End of Trial (Up to 25 days)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.