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Jiashen Tablets as an oral, compound traditional chinese medicine prepatations, have an effect on improvement of the heart failure. This study will assess the safety, tolerability and pharmacokinetics (PK) of Jiashen Tablets, following oral administration of single and multiple ascending dose of Jiashen Tablets.
This study will include a randomized, double-blind, placebo-controlled, single ascending dose design study (Part A), and an open-label SDAD pre-multiple daily ascending dose (MDAD) study (Part B) and an open-label MDAD study (Part C) study.
The study will be conducted in healthy participants and performed at a single study center. 70 healthy participants are planned to be included in the study.
Part A will include six cohorts, 40 participants. Within each cohort, 2 participants will be randomized to receive placebo and other participants randomized to receive Jiashen Tablets. Each participant will receive Jiashen Tablets at the selected dose level or placebo by oral administration in a fasted state once daily.
Part B will include two cohorts, 6 participants, minimum dose group and maximum dose group respectively depending on the findings. Within each cohort, participant will receive Jiashen Tablets at the selected dose level by oral administration in a fasted state once daily.
Part C will include three cohorts, 24 participants. Within each cohort, participant will receive Jiashen Tablets at the selected dose level by oral administration in a fasted state once daily for 7 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| treatment group 1 | Active Comparator | Jiashen tablet, 0.47g, oral, once a day |
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| treatment group 2 | Active Comparator | Jiashen tablet, 0.94g, oral, once a day |
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| treatment group 3 | Active Comparator | Jiashen tablet,1.88g, oral, once a day |
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| treatment group 4 | Active Comparator | Jiashen tablet,2.82g, oral, once a day |
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| treatment group 5 | Active Comparator | Jiashen tablet,3.76g, oral, once a day |
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| treatment group 6 | Active Comparator | Jiashen tablet,4.23g, oral, once a day |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Jiashen Tablets | Drug | 1 tablet |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adverse events (AEs) | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants. Serious AEs will be recorded from the time of screening. | From screening (Day-7) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal blood pressure (BP) | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants. Blood pressure includes both systolic and diastolic BP. | From screening (Day-7) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal pulse | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants. | From screening (Day-7) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal temperature | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants. | From screening (Day-7) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal respiratory | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants. | From screening (Day-7) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal findings in 12-lead safety Electrocardiogram (ECG) |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma PK analysis: Area under curve at steady state (AUCss) | To characterize the multiple dose PK of Jiashen Tablets and assess the time required to reach steady state, the degree of accumulation and the time dependency of the PK in healthy participants. | Day 1,7/8: Pre-dose and 0.5,1.0,1.5,2.0,3.0,4.0,5.0,6.0,7.0,8.0,9.0,10,12,16,24,36,48 hours post-dose and Day 5-6/6-7: Pre-dose |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rui Liu | Tasly Group, Co. Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The second affiliated hospital of tianjin university of traditional Chinese medicine | Tianjin | Tianjin Municipality | China |
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Part A is double-blind with regard to treatment (Jiashen Tablets or placebo) at each dose level. Jiashen Tablets and placebo will be matched for formulation, appearance, and amount. Part B and Part C are open-label with regard to treatment (Jiashen Tablets) at each dose level.
| control group 1 | Placebo Comparator | Jiashen placebo tablet,0.47g, oral, once a day |
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| control group 2 | Placebo Comparator | Jiashen placebo tablet,0.94g, oral, once a day |
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| control group 3 | Placebo Comparator | Jiashen placebo tablet,1.88g, oral, once a day |
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| control group 4 | Placebo Comparator | Jiashen placebo tablet,2.82g, oral, once a day |
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| control group 5 | Placebo Comparator | Jiashen placebo tablet,3.76g, oral, once a day |
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| control group 6 | Placebo Comparator | Jiashen placebo tablet,4.23g, oral, once a day |
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| Jiashen Tablets | Drug | 2 tablets |
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| Jiashen Tablets | Drug | 4 tablets |
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| Jiashen Tablets | Drug | 6 tablets |
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| Jiashen Tablets | Drug | 8 tablets |
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| Jiashen Tablets | Drug | 9 tablets |
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| Jiashen Tablets Placebo | Drug | 1 tablet |
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| Jiashen Tablets Placebo | Drug | 2 tablets |
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| Jiashen Tablets Placebo | Drug | 4 tablets |
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| Jiashen Tablets Placebo | Drug | 6 tablets |
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| Jiashen Tablets Placebo | Drug | 8 tablets |
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| Jiashen Tablets Placebo | Drug | 9 tablets |
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To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants. |
| From screening (Day-7) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal findings in 24h Holter | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants. | From screening (Day -1) till end of trial period |
| Number of participants with abnormal physical examination findings | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy Japanese participants. The complete physical examinations will include an assessment of the general appearance, skin, cardiovascular, abdomen, head, and neck, lymph nodes, musculoskeletal and neurological systems. | From screening (Day -1) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal laboratory assessments: Hematology - absolute count of Red blood cell (RBC), White blood cell (WBC), Platelets | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants. | From screening (Day -1) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal laboratory assessments: Hematology-Hematocrit (HCT) | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants. | From screening (Day -1) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal laboratory assessments: Hematology - Hemoglobin (Hb) | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants. | From screening (Day -1) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal laboratory assessments: Hematology-percentage of Basophils, Eosinophils, Monocytes, Neutrophils, Lymphocytes | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants. | From screening (Day -1) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal laboratory assessments: Clinical Chemistry- Liver function, Renal function, Electrolyte | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants. Liver function: Alanine aminotransferase, Aspartate aminotransferase,Alkaline phosphatase, Gamma-glutamyltransferase,Total Bilirubin, Direct Bilirubin. Renal function: Creatinine,Urea,β2-microglobulin. Electrolyte: Potassium,Sodium,Chloridion,Calcium. | From screening (Day -1) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal laboratory assessments: Urinalysis - Urine leukocyte, urine erythrocyte,specific grvity,Glucose, Protein, urobilinogen,bilirubin, ketone, bacteria | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants | From screening (Day -1) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal laboratory assessments: coagulation function -Prothrombin Time, Activated Partial Thromboplastin Time,Thrombin Time,Fibrinogen, International Normalized Ratio | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants | From screening (Day -1) till follow-up visit (Up to 1 week) |
| Number of participants with abnormal laboratory assessments: Fecal -Fecal Routine and Occult Blood | To investigate the safety and tolerability of Jiashen Tablets following oral administration of single and multiple ascending doses at steady state in healthy participants | From screening (Day -1) till follow-up visit (Up to 1 week) |
| Plasma PK analysis: Maximum observed plasma concentration (Cmax) | To characterize the multiple dose PK of Jiashen Tablets and assess the time required to reach steady state, the degree of accumulation and the time dependency of the PK in healthy participants. | Day 1,7/8: Pre-dose and 0.5,1.0,1.5,2.0,3.0,4.0,5.0,6.0,7.0,8.0,9.0,10,12,16,24,36,48 hours post-dose and Day 5-6/6-7: Pre-dose |
| Plasma PK analysis: Time to reach peak or maximum observed concentration following drug administration (tmax) | To characterize the multiple dose PK of Jiashen Tablets and assess the time required to reach steady state, the degree of accumulation and the time dependency of the PK in healthy participants. | Day 1,7/8: Pre-dose and 0.5,1.0,1.5,2.0,3.0,4.0,5.0,6.0,7.0,8.0,9.0,10,12,16,24,36,48 hours post-dose and Day 5-6/6-7: Pre-dose |
| Plasma PK analysis: Apparent total body clearance of drug from plasma after extravascular administration (CL/F) | To characterize the multiple dose PK of Jiashen Tablets and assess the time required to reach steady state, the degree of accumulation and the time dependency of the PK in healthy participants. | Day 1,7/8: Pre-dose and 0.5,1.0,1.5,2.0,3.0,4.0,5.0,6.0,7.0,8.0,9.0,10,12,16,24,36,48 hours post-dose and Day 5-6/6-7: Pre-dose |
| Plasma PK analysis: Observed concentration at the end of the dosing interval following drug administration at steady state (Cssmin) | To characterize the multiple dose PK of Jiashen Tablets and assess the time required to reach steady state, the degree of accumulation and the time dependency of the PK in healthy participants. | Day 1,7/8: Pre-dose and 0.5,1.0,1.5,2.0,3.0,4.0,5.0,6.0,7.0,8.0,9.0,10,12,16,24,36,48 hours post-dose and Day 5-6/6-7: Pre-dose |
| Plasma PK analysis: Elimination half-life(t1/2) | To characterize the multiple dose PK of Jiashen Tablets and assess the time required to reach steady state, the degree of accumulation and the time dependency of the PK in healthy participants. | Day 1,7/8: Pre-dose and 0.5,1.0,1.5,2.0,3.0,4.0,5.0,6.0,7.0,8.0,9.0,10,12,16,24,36,48 hours post-dose and Day 5-6/6-7: Pre-dose |
| Plasma PK analysis: Maximum observed plasma concentration at steady state (Cmax,ss), time to reach peak or maximum observed concentration following drug administration at steady state (tmax,ss) | To characterize the multiple dose PK of Jiashen Tablets and assess the time required to reach steady state, the degree of accumulation and the time dependency of the PK in healthy participants. | Day 1,7/8: Pre-dose and 0.5,1.0,1.5,2.0,3.0,4.0,5.0,6.0,7.0,8.0,9.0,10,12,16,24,36,48 hours post-dose and Day 5-6/6-7: Pre-dose |
| Plasma PK analysis: Terminal elimination rate constant, estimated by log-linear least squares regression of the terminal part of the concentration-time curve following drug administration (λz) | To characterize the multiple dose PK of Jiashen Tablets and assess the time required to reach steady state, the degree of accumulation and the time dependency of the PK in healthy participants. | Day 1,7/8: Pre-dose and 0.5,1.0,1.5,2.0,3.0,4.0,5.0,6.0,7.0,8.0,9.0,10,12,16,24,36,48 hours post-dose and Day 5-6/6-7: Pre-dose |
| Plasma PK analysis: Terminal half-life, estimated as (ln2)/λz (t½λz) | To characterize the multiple dose PK of Jiashen Tablets and assess the time required to reach steady state, the degree of accumulation and the time dependency of the PK in healthy participants. | Day 1,7/8: Pre-dose and 0.5,1.0,1.5,2.0,3.0,4.0,5.0,6.0,7.0,8.0,9.0,10,12,16,24,36,48 hours post-dose and Day 5-6/6-7: Pre-dose |
| ID | Term |
|---|---|
| C000605767 | jiashen |
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