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This is a Phase I, open-label, single-site trial to evaluate the drug release, using scintigraphic images and mesalazine plasma levels (PK) in healthy subjects and patients with mildly active UC. Overall, nine [9] subjects per prototype coating (a total of 18) will be evaluated. Four [4] healthy subjects and five [5] patients will be administered one [1] radio-labelled tablet of either formulation D or formulation E, respectively.
Amendment: Overall, nine [9] subjects/patients will be evaluated. Four [4] healthy subjects and five [5] patients will be administered one [1] radio-labelled tablet of this new third improved formulation H.
In order to keep the number of patients low, recruitment of patients will be stopped when obtaining at least 3 patients with evaluable scintigraphic images. Healthy volunteers will then be recruited to achieve a full set of participants (n=9 per Arm).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Formulation D | Experimental | TP05 Coating D |
|
| Formulation E | Experimental | TP05 Coating E |
|
| Formulation H | Experimental | TP05 Coating H |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TP05 Coating D | Drug | One radio-labelled tablet given to subjects |
|
| Measure | Description | Time Frame |
|---|---|---|
| Tablet release | 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| Maximal Plasma concentration (Cmax) | 3 days | |
| Time to reach Cmax (Tmax) | 3 days | |
| Area under the concentration time-curve |
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Inclusion Criteria:
Main criteria for inclusion of healthy subjects include:
Main criteria for inclusion of patients with mildly active Ulcerative Colitis (UC):
Exclusion Criteria:
Main criteria for exclusion of healthy subjects include:
Participating in a clinical study involving investigational drugs or dosage forms within the previous 30 days.
History of alcohol or drug abuse.
Radiation exposure from clinical trials, including that from the present study and from diagnostic X-ray but excluding background radiation, exceeds 5 mSv (milli-Sievert) in the last five years. No subject whose occupational exposure is monitored will participate in the study.
Any nuclear medicine procedure prior to study day 1 that might interfere with the scintigraphic images that are acquired.
Clinically significant abnormal biochemistry, haematology or urinalysis:
History of gastrointestinal surgery, with the exception of appendectomy unless it was performed within the previous 12 months.
History of cardiovascular, renal, hepatic, respiratory and particularly gastrointestinal disease, especially peptic ulceration, gastrointestinal bleeding, ulcerative colitis, Crohn's disease or Irritable Bowel Syndrome (within the previous 12 months).
Acute diarrhoea or constipation in the 14 days before the predicted first study day. If screening occurs >14 days before first study day, this criterion is to be determined on the first study day. Diarrhoea will be defined as the passage of liquid faeces and/or a stool frequency of greater than three times per day. Constipation will be defined as a failure to open the bowels more frequently than every other day.
History of adverse reaction or allergy to aspirin, mesalazine or other salicylates.
Donation of blood within the previous three months.
Positive HBV-Antigen (Hepatitis-B), HCV-Antibody (Hepatitis-C) or HIV-antibody (Human Immunodeficiency Virus) result.
Over-the-counter (OTC) and prescription medication (including laxatives, vitamins and natural herbal remedies) between screening visit (visit 1) and completion of the study. Occasional paracetamol or acetyl-salicylic acid is permitted.
Failure to satisfy the Principal Investigator to participate for any other reason.
Main criteria for exclusion of UC patients include:
The patients will only be included in the study if they do not meet any of the following criteria:
Participating in a clinical study involving investigational drugs or dosage forms within the previous 30 days.
History of alcohol or drug abuse.
Radiation exposure from clinical trials, including that from the present study and from diagnostic X-ray but excluding background radiation, exceeds 5mSv in the last twelve months. No patient whose occupational exposure is monitored will participate in the study.
Any nuclear medicine procedure prior to study day 1 that might interfere with the scintigraphic images that are acquired.
Clinically significant abnormal biochemistry, haematology or urinalysis:
History of gastrointestinal surgery, with the exception of appendectomy unless it was performed within the previous 12 months.
History of cardiovascular, renal, hepatic, respiratory, peptic ulceration, gastrointestinal bleedings, Crohn's disease or Irritable Bowel Syndrome (within the previous 12 months) or any other disease which in the opinion of the investigator may interfere with the patient's ability to comply with the study procedures
Severe UC defined by the following criteria:
≥ 6 bloody stools daily with one or more of the following
History of adverse reaction or allergy to aspirin, mesalazine or other salicylates.
Donation of blood within the previous three months.
Positive HBV-Antigen, HCV-Antibody or HIV-antibody result.
Unwilling to stop oral or rectal mesalazine treatment on the treatment day if on mesalazine treatment before enrolment
History of colectomy or partial colectomy
History of dysplasia in colonic biopsies
Failure to satisfy the Principal Investigator to participate for any other reason
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| ID | Term |
|---|---|
| D003093 | Colitis, Ulcerative |
| ID | Term |
|---|---|
| D003092 | Colitis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D019804 | Mesalamine |
| ID | Term |
|---|---|
| D062368 | meta-Aminobenzoates |
| D062365 | Aminobenzoates |
| D001565 | Benzoates |
| D000146 | Acids, Carbocyclic |
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| TP05 Coating E | Drug | One radio-labelled tablet given to subjects |
|
|
| TP05 Coating H | Drug | One radio-labelled tablet given to subjects |
|
|
| 3 days |
| Elimination rate konstant (k) | 3 days |
| Lag time (T-lag) | 3 days |
| D015212 |
| Inflammatory Bowel Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D002264 |
| Carboxylic Acids |
| D009930 | Organic Chemicals |
| D000636 | Aminosalicylic Acids |
| D012459 | Salicylates |
| D062385 | Hydroxybenzoates |
| D006880 | Hydroxy Acids |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D010636 | Phenols |