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This will be a phase 1 randomized, double-blind, 2-period, 2-sequence crossover trial enrolling 6 healthy volunteers to assess the impact of IV-administered Bendavia on the endothelial dysfunction induced by a single cigarette.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Intravenous infusion of saline (0.9%) for 4 hours with smoking of one unfiltered cigarette at 30 minutes post-study-drug administration start |
|
| Bendavia | Experimental | Intravenous infusion of Bendavia (0.25mg/kg/hr) for 4 hours with smoking of one unfiltered cigarette at 30 minutes post-study-drug administration start |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bendavia | Drug | Bendavia for infusion Intravenous infusion (0.25mg/kg/hr) for 4 hours |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Analysis of variance (ANOVA) between group mean endothelial function (EndoPAT Index) following smoking a single cigarette with and without Bendavia | Endothelial function will be determined using EndoPAT 2000 (Itamar Medical Ltd) prior to and after smoking of one unfiltered cigarette and prior to and after initiation of study drug. Group comparison of endothelial function (EndoPAT Index) between placebo and active study drug within a subject will be performed. EndoPAT quantifies the endothelium-mediated changes in vascular tone. A post-occlusion to pre-occlusion ratio is calculated providing the EndoPAT index. | Baseline, +30, +60, +90 minutes post-study-drug administration start |
| Measure | Description | Time Frame |
|---|---|---|
| Anova between group mean inflammatory laboratory marker (hs-CRP; mg/L) after smoking one cigarette with and without Bendavia | hs-CRP will be evaluated prior to and after smoking of one unfiltered cigarette and prior to and after initiation of study drug. Group comparison of hs-CRP levels between placebo and active study drug within a subject will be performed. | Baseline to 24 hours post-study-drug administration |
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Inclusion Criteria:
- Healthy adult male smokers between 18 and 65 years of age with signed informed consent
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kenneth C Lasseter, MD | Clinical Pharmacology of Miami | Principal Investigator |
| Richard Straube, MD | Stealth Peptides | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Pharmaology of Miami | Miami | Florida | 33014-3616 | United States |
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| ID | Term |
|---|---|
| C506540 | arginyl-2,'6'-dimethyltyrosyl-lysyl-phenylalaninamide |
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| Sterile saline (0.9%) |
| Drug |
Sterile saline for infusion (0.9%) Intravenous infusion for 4 hours |
|
| Cigarette smoking | Other | One unfiltered cigarette will be smoked at approximately 30 minutes post-study-drug administration start. |
|
| ANOVA between group means of urinary 8-isoprostane (ng/mg of creatinine) after smoking one cigarette with and without Bendavia | 8-isoprostane will be measured prior to and after smoking of one unfiltered cigarette and prior to and after initiation of study drug. Group comparison of laboratory results between placebo and active study drug within a subject will be performed. | Baseline to 48 hours post-study-drug administration |
| Number adverse events with and without Bendavia | Adverse events will be tabulated by treatment group. No statistical analysis will be preformed. | Baseline to Study Day 10 |
| Assessment of Bendavia exposure measured by area Under the Curve (AUC; ng*hr/mL) | Bendavia levels will be measured and pharmacokinetic parameters reported. | Baseline to 48 hours post-study-drug administration |
| ANOVA between group means of urinary 8-hydroxy-2'-deoxyguanosine (pg/mL) after smoking one cigarette with and without Bendavia | 8-hydroxy-2'-deoxyguanosine will be measured prior to and after smoking of one unfiltered cigarette and prior to and after initiation of study drug. Group comparison of laboratory results between placebo and active study drug within a subject will be performed. | Baseline to 48 hours post-study-drug administration |