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This is a randomized, open-label, two-period, crossover Phase 1 to assess the impact of CIN-107 on the pharmacokinetics (PK) of metformin and the safety and tolerability of coadministration of CIN-107 and metformin as compared to metformin alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment A: Immediate-release metformin | Active Comparator | Treatment A: single 1000 mg dose of immediate-release metformin Subjects will be randomly assigned to 1 of 2 sequences: AB or BA.
All study medication will be administered at 8:00 AM (±2 hours). There will be a minimum 10-day washout between administration of study drug in each treatment period. |
|
| Treatment B: Immediate-release metformin coadministered with a CIN-107 | Experimental | Treatment B: a single 1000 mg dose of immediate-release metformin coadministered with a 10 mg dose of CIN-107 Subjects will be randomly assigned to 1 of 2 sequences: AB or BA.
All study medication will be administered at 8:00 AM (±2 hours). For Treatment B, the dose of CIN-107 will be administered 2 hours prior to the dose of metformin. There will be a minimum 10-day washout between administration of study drug in each treatment period. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Metformin | Drug | 1000 mg dose of immediate-release metformin |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum plasma concentration (Cmax) | This plasma PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites. | Up to day 3 |
| Time to Cmax (Tmax) | This plasma PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites. | Up to day 3 |
| Area under the concentration-time curve (AUC) from time 0 to 72 hours | This plasma PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites. | Up to day 3 |
| Maximum plasma concentration (Cmax) of metformin | This plasma PK parameter will be determined for metformin. | Up to day 3 |
| Time to Cmax (Tmax) of metformin | This plasma PK parameter will be determined for metformin. | Up to day 3 |
| AUC from time 0 to the time of last quantifiable plasma concentration of metformin | This plasma PK parameter will be determined for metformin. | Up to day 3 |
| AUC from time 0 to infinity of metformin | This plasma PK parameter will be determined for metformin. | Up to day 3 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Leela Leela Vrishabhendra, MD, MD | Medpace Clinical Pharmacology Unit | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medpace Clinical Pharmacology Unit | Cincinnati | Ohio | 45227 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36790596 | Background | Freeman MW, Bond M, Murphy B, Hui J, Isaacsohn J. Results From a Randomized, Open-Label, Crossover Study Evaluating the Effect of the Aldosterone Synthase Inhibitor Baxdrostat on the Pharmacokinetics of Metformin in Healthy Human Subjects. Am J Cardiovasc Drugs. 2023 May;23(3):277-286. doi: 10.1007/s40256-023-00572-x. Epub 2023 Feb 15. |
| Label | URL |
|---|---|
| Redacted CSR Synopsis | View source |
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Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. "Yes", indicates that AZ are accepting requests for IPD, but this does not mean all requests will be approved.
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA/PhRMA Data-Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. A Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D008687 | Metformin |
| ID | Term |
|---|---|
| D001645 | Biguanides |
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
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| CIN-107 | Drug | 10 mg dose of CIN-107 |
|
| Percent of AUC extrapolated of metformin |
This plasma PK parameter will be determined for metformin. |
| Up to day 3 |
| Terminal phase elimination half-life of metformin | This plasma PK parameter will be determined for metformin. | Up to day 3 |
| Cumulative amount of metformin excreted in the urine (Ae) of metformin | This urine PK parameter will be determined for metformin. | Up to day 3 |
| Renal clearance (calculated as Ae/AUC) of metformin | This urine PK parameter will be determined for metformin. | Up to day 3 |
| Fraction of the dose excreted renally of metformin | This urine PK parameter will be determined for metformin. | Up to day 3 |