To Evaluate the Effect of Mirabegron (YM178) on Blood Levels of Desipramine When They Are Taken Together
An Open-label, One-sequence Crossover Study to Evaluate the Effect of Multiple Doses of YM178 on the Pharmacokinetics of the CYP2D6 Substrate Desipramine in Healthy Subjects
2 other identifiers
interventional
28
1 country
1
Brief Summary
The study aims to evaluate if blood levels of desipramine change whilst being dosed at the same time with daily mirabegron.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started Oct 2008
Shorter than P25 for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2009
CompletedFirst Submitted
Initial submission to the registry
November 21, 2011
CompletedFirst Posted
Study publicly available on registry
November 23, 2011
CompletedApril 10, 2014
July 1, 2013
3 months
November 21, 2011
April 8, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pharmacokinetics of desipramine assessed by plasma concentration while at steady state levels of mirabegron
Pre-dose until 72 hours after dosing
Secondary Outcomes (2)
Monitoring of safety and tolerability through assessment of vital signs, ECG, clinical safety laboratory and adverse events
Baseline until End of Study Visit (7 to 14 days after last dose)
Pharmacokinetics of desipramine assessed by plasma concentration after wash-out of mirabegron
Pre-dose until 72 hours after wash-out
Study Arms (1)
mirabegron / desipramine
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- Body Mass Index between 18.5 and 30.0 kg/m2 inclusive
- Subject is genotyped and phenotyped as an extensive metabolizer for CYP2D6
You may not qualify if:
- Known or suspected hypersensitivity to YM178 or any of the components of the formulation used
- Known or suspected hypersensitivity to desipramine or any of the components of the formulation used
- Pregnant or breast feeding within 6 months before screening assessment
- Any clinical history of major depressive disorder, cardiovascular disease, urinary retention, glaucoma, thyroid disease and/or seizure disorder
- Any of the liver function tests (i.e. Alanine Aminotransferase (ALT), Asparate Aminotransferase (AST) and Alkaline phosphatase) above the upper limit of normal at repeated measurements
- Any clinically significant history of asthma, eczema, any other allergic condition or previous severe hypersensitivity to any drug (excluding non-active hay fever)
- Any clinically significant abnormality following the investigator's review of the pre-study physical examination, ECG and clinical laboratory tests
- Abnormal pulse rate and/or blood pressure measurements at the pre-study visit as follows: pulse rate \<40 or \>90 bpm; mean systolic blood pressure \>140 mmHg; mean diastolic blood pressure \>90 mmHg (blood pressure measurements taken in triplicate after subject has been resting in supine position for 5 min; pulse rate will be measured automatically)
- A marked baseline prolongation of QT/QTc interval after repeated measurements of \>450 ms, a history of unexplained syncope, cardiac arrest, unexplained cardiac arrhythmias or torsades de pointes, structural heart disease, or a family history of Long QT Syndrome (LQTS)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
SGS Aster
Paris, 75015, France
Related Publications (1)
Krauwinkel W, Dickinson J, Schaddelee M, Meijer J, Tretter R, van de Wetering J, Strabach G, van Gelderen M. The effect of mirabegron, a potent and selective beta3-adrenoceptor agonist, on the pharmacokinetics of CYP2D6 substrates desipramine and metoprolol. Eur J Drug Metab Pharmacokinet. 2014 Mar;39(1):43-52. doi: 10.1007/s13318-013-0133-1. Epub 2013 Jun 1.
PMID: 23728524BACKGROUND
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Clinical Study Manager
Astellas Pharma Europe B.V.
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Masking
- NONE
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 21, 2011
First Posted
November 23, 2011
Study Start
October 1, 2008
Primary Completion
January 1, 2009
Study Completion
January 1, 2009
Last Updated
April 10, 2014
Record last verified: 2013-07