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Pharmacodynamic effects on heart rate (HR) at rest and during exercise and on flicker fusion frequency (FFF), FFF method evaluation
Safety, tolerability and pharmacokinetics of cilobradine
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cilobradine low dose 1 | Experimental |
| |
| Cilobradine low dose 2 | Experimental |
| |
| Cilobradine medium dose | Experimental |
| |
| Cilobradine high dose 1 | Experimental |
| |
| Cilobradine high dose 2 | Experimental |
| |
| Metoprolol succinate | Active Comparator | 1 tablet on day 1, day 2 followed by two tablets from day 3 to day 14 |
|
| Placebo | Placebo Comparator |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cilobradine low dose 1 | Drug |
| ||
| Cilobradine low dose 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in heart rate at rest | Pre-dose, up to day 20 after first drug administration | |
| Changes in heart rate during exercise | Pre-dose, up to day 20 after first drug administration | |
| Changes in flicker fusion frequency test (FFF) | Pre-dose, up to day 20 after first drug administration |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with clinically relevant changes in laboratory tests | Pre-dose, up to 12 days after last drug administration | |
| Number of patients with clinically relevant changes in vital signs (blood pressure, heart rate) | Pre-dose, up to 12 days after last drug administration |
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Inclusion Criteria:
All participants in the study should be healthy males and females. Volunteers will
Only post-menopausal females, or those who had had a hysterectomy, could participate. All females had to have a negative pregnancy test
In accordance with good clinical practice (GCP) and the local legislation all volunteers had to give their written informed consent prior to admission to the study
Exclusion Criteria:
Not necessarily clinically relevant abnormalities, but specific Exclusion criteria for the drugs under study or for the study:
Consumption of more than 2 cups of coffee or black tea, or cola drinks, per day during the last 6 weeks. However, subjects may participate if abstinence from the before mentioned beverages is well tolerated during an interval of at least 2 weeks between screening and first treatment
ECG: PQ interval > 210 ms
HR at rest < 55 bpm
Systolic BP < 115 mmHg
Colour vision test abnormal. However, subjects may participate if they are able to perform the flicker fusion test without difficulty
Psoriasis (own medical history or relative)
Relevant ophthalmological disease
History of asthma or obstructive pulmonary disease
History (including childhood) of traumatic injury to the head or brain
History (including childhood) of reduced seizure threshold
The following subjects will not be allowed to participate in the study
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| Drug |
|
| Cilobradine medium dose | Drug |
|
| Cilobradine high dose 1 | Drug |
|
| Cilobradine high dose 2 | Drug |
|
| Metoprolol succinate tablets | Drug |
|
| Placebo | Drug |
|
| Number of patients with clinically relevant changes in 12-lead ECG | Pre-dose, up to 12 days after last drug administration |
| Number of patients with adverse events | Up to 12 days after last drug administration |
| Assessment of global tolerability by the investigator | Up to 12 days after last drug administration |
| Changes in peripheral FFF | Pre-dose, up to day 20 after first drug administration |
| Area under the concentration-time curve of the analytes in plasma (AUC) | Up to day 20 after start of first drug administration |
| Maximum measured concentration of the analytes in plasma (Cmax) | Up to day 20 after start of first drug administration |
| Time from dosing to the maximum concentration of the analytes in plasma (tmax) | Up to day 20 after start of first drug administration |
| Terminal half-life of the analytes in plasma (t½) | Up to day 20 after start of first drug administration |
| Mean residence time of the analytes in the body after oral administration (MRTpo) | Up to day 20 after start of first drug administration |
| Total clearance of the analytes in plasma following extravascular administration (CL/F) | Up to day 20 after start of first drug administration |
| Apparent volume of distribution of the analytes during the terminal phase λz following extravascular administration (Vz/F) | Up to day 20 after start of first drug administration |
| ID | Term |
|---|---|
| C490484 | cilobradine |
| D008790 | Metoprolol |
| ID | Term |
|---|---|
| D050198 | Phenoxypropanolamines |
| D011412 | Propanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D020005 | Propanols |
| D000588 | Amines |
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