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This is a single-center, open-label phase I clinical study to investigate the effect of SKLB1028 on the pharmacokinetics of Midazolam and its metabolite 1'-OH-midazolam in healthy subjects. This study also aims to evaluate the safety and tolerability of SKLB1028 in the presence of Midazolam.
This study aims to characterize the drug-drug Interactions (DDI) potential of SKLB1028 with the sensitive index substrate drug (Midazolam) in Healthy Subjects. The study consists of a screening period (Day -14 to Day -2), a baseline period (Day -1), a treatment period, and a follow-up visit period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The DDI of SKLB1028 and Midazolam | Experimental | Eligible subjects received a single dose of Midazolam 15 mg on Day 1, and took a single dose of Midazolam 15 mg and a single dose of SKLB1028 150 mg with dosing interval of 0.5 h on Day 3. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SKLB1028 | Drug | SKLB1028, capsule, oral |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum concentration (Cmax)of Midazolam and its metabolite 1'-OH-midazolam | Day 1 and Day 3(0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24 hrs post-dose) | |
| Area under the concentration-time curve (AUC) from 0 to the last measurable concentration (AUC0-t) of Midazolam and its metabolite 1'-OH-midazolam | Day 1 and Day 3(0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24 hrs post-dose) | |
| AUC extrapolated to infinity (AUCinf) of Midazolam and its metabolite 1'-OH-midazolam | Day 1 and Day 3(0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24 hrs post-dose) |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Cmax (Tmax) of Midazolam and its metabolite 1'-OH-midazolam | Day 1 and Day 3(0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24 hrs post-dose) | |
| Terminal elimination half-life (t1/2) of Midazolam and its metabolite 1'-OH-midazolam | Day 1 and Day 3(0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24 hrs post-dose) |
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Inclusion Criteria:
-
Healthy subjects:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Friendship Hospital, Capital Medical University | Beijing | China |
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| ID | Term |
|---|---|
| C576190 | SKLB1028 |
| D008874 | Midazolam |
| ID | Term |
|---|---|
| D001569 | Benzodiazepines |
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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| Midazolam |
| Drug |
Midazolam Maleate, tablet, oral |
|
| Apparent Clearance (CLz/F) of Midazolam | Day 1 and Day 3(0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24 hrs post-dose) |
| Apparent volume of distribution (Vz/F) of Midazolam | Day 1 and Day 3(0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24 hrs post-dose) |
| Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in routine blood test were recorded as AEs at each visit time point. | Routine blood test included cell count (white blood cells, platelets, basophils, eosinophils, neutrophils, lymphocytes and monocytes) in 10^9/L. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in routine blood test were recorded as AEs at each visit time point. | Routine blood test included red blood cell count in 10^12/L. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in routine blood test were recorded as AEs at each visit time point. | Routine blood test included hemoglobin in g/L. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in blood biochemistry test were recorded as AEs at each visit time point. | Blood biochemistry test included total bilirubin and serum creatinine in μmol/L. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in blood biochemistry test were recorded as AEs at each visit time point. | Blood biochemistry test included alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase and creatine kinase in U/L. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in blood biochemistry test were recorded as AEs at each visit time point. | Blood biochemistry test included total protein and albumin in g/L. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in blood biochemistry test were recorded as AEs at each visit time point. | Blood biochemistry test included total cholesterol, triglyceride and blood glucose in mmol/L. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in routine urine test were recorded as AEs at each visit time point. | Routine urine test included urobilinogen, protein, glucose and ketones (positive or negative). | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in routine urine test were recorded as AEs at each visit time point. | Routine urine test included pH value and specific gravity. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in coagulation function test were recorded as AEs at each visit time point. | Coagulation function test included prothrombin time and activated partial thromboplastin time in seconds. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in coagulation function test were recorded as AEs at each visit time point. | Coagulation function test included antithrombin III as percentage. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in coagulation function test were recorded as AEs at each visit time point. | Coagulation function test included fibrinogen in g/L. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in 12-lead electrocardiogram (ECG) examination were recorded as AEs at each visit time point. | ECG monitoring included heart rate in bpm. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in 12-lead electrocardiogram (ECG) examination were recorded as AEs at each visit time point. | ECG monitoring included P-R, QRS, QT and QTcF in ms. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in vital signs examination were recorded as AEs at each visit time point. | Vital signs monitoring included body temperature in degrees Celsius. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in vital signs examination were recorded as AEs at each visit time point. | Vital signs monitoring included respiratory rate and pulse in times per minute. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in vital signs examination were recorded as AEs at each visit time point. | Vital signs monitoring included systolic blood pressure and diastolic blood pressure in mmHg. | Throughout the study period, with an average of 10 days |
| Clinically significant changes from baseline in physical examination were recorded as AEs at each visit time point. | Physical examination included general conditions, skin, mucous membranes, head, neck, chest, abdomen, spine, limbs, nervous system, and lymphatic system. | Throughout the study period, with an average of 10 days |
| D006571 | Heterocyclic Compounds |