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Completed

NCT Number: NCT03475459

Investigation of Arrhythmogenic Effect of NPC-15 (NPC-15-7)

A study to assess the QTc prolongation effect of NPC-15 (melatonin 8mg or 16mg)

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Key information

Age range

20 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

SOUSEIKAI Hakata Clinic

Fukuoka, 8120025, Japan

About this study

This study is a single center, open label, dose escalation trial to evaluate prolongation effect on QT interval of NPC-15 (melatonin 8mg or 16mg).

The trial compose of 3 periods; During the each period, eligible volunteers wll be administered placebo, NPC-15 4g (melatonin 8mg) and NPC-15 8g(melatonin 16mg) as a sequential manner.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subject with BMI ≥ 17.6 kg/m2 and < 30.0 kg/m2.
  • Subject who falls asleep at between 21:00 and 25:00 and wakes up at between 5:00 and 9:00 during 1 week prior to the first study drug administration.
  • Subject who is able to comply with the study requirements during the study period.

Exclusion criteria

  • Subject with QTcF interval greater than 450 ms in male or greater than 470 ms in female on the 12-lead electrocardiogram (ECG), or with clinically significant ECG abnormalities in other findings.
  • Subject who has a family history of Torsades de Pointes (TdP) or long QT syndrome.
  • Subject who has a history of hypersensitivity or allergies to melatonin or ramelteon.
  • Subject who has a current or a history of disease which is considered inappropriate to be involved in the study, or who has any current disease to require treatments.
  • Subject who received any non-prescription or prescription drug within 2 weeks prior to the first study drug administration.
  • Subject who received any product containing St Jones Wart or any supplement containing melatonin within 4 weeks prior to the first study drug administration.
  • Subject who has a history of smoking habit or was possibly exposed to passive smoking on a daily basis within 24 weeks prior to the first study drug administration.
  • Subject who, in the opinion of the investigator or sub-investigator, is unsuitable to be involved in the study.

Treatment and study plan

NPC-15 and/or Placebo

Drug

The dosage and regimen of the study drug in each period is the following. Period I : NPC-15 placebo granules 8 g Period II : NPC-15 placebo granules 4 g + NPC-15 granules 0.2% 4 g (melatonin 8 mg) Period III : NPC-15 granules 0.2% 8 g (melatonin 16 mg)

Other names: Melatonin and/or Placebo

Primary outcomes

  1. Time matched, baseline-adjusted change in Fridericia-corrected QTc (QTcF) intervals

    Time frame: Day1 and Day2 of each periods (3 periods)

    QTcF interval is a common endpoints to evaluate arrhythmogenic effect of test drug

Secondary outcomes

  1. Serum melatonin concentration

    Time frame: Up to 12 hours post dose in each period (3 periods)

    NPC-15 is a preparation containing melatonin , therefore the change in blood concentration of melatonin is useful to evaluate the QTc prolongation effect of NPC-15.

  2. Maximum drug concentration (Cmax) of melatonin

    Time frame: Up to 12 hours post dose in each period (3 periods)

    NPC-15 is a preparation containing melatonin , therefore pharmacokinetic parameter is useful to evaluate the QTc prolongation effect of NPC-15.

  3. Maximum drug concentration time (Tmax) of melatonin

    Time frame: Up to 12 hours post dose in each period (3 periods)

    NPC-15 is a preparation containing melatonin , therefore pharmacokinetic parameter is useful to evaluate the QTc prolongation effect of NPC-15.

  4. Area under the blood concentration time curve (AUC) of melatonin

    Time frame: Up to 12 hours postdose in each period (3 periods)

    NPC-15 is a preparation containing melatonin , therefore pharmacokinetic parameter is useful to evaluate the QTc prolongation effect of NPC-15.

  5. Terminal elimination rate constant (λz) of melatonin

    Time frame: Up to 12 hours post dose in each period (3 periods)

    NPC-15 is a preparation containing melatonin , therefore pharmacokinetic parameter is useful to evaluate the QTc prolongation effect of NPC-15.

  6. Mean residence time (MRT) of melatonin

    Time frame: Up to 12 hours postdose in each period (3 periods)

    NPC-15 is a preparation containing melatonin , therefore pharmacokinetic parameter is useful to evaluate the QTc prolongation effect of NPC-15.

  7. Elimination half-life (t1/2) of melatonin

    Time frame: Up to 12 hours post dose in each period

    NPC-15 is a preparation containing melatonin , therefore pharmacokinetic parameter is useful to evaluate the QTc prolongation effect of NPC-15.

  8. Clearance (CL) of melatonin

    Time frame: Up to 12 hours post dose in each period (3 periods)

    NPC-15 is a preparation containing melatonin , therefore pharmacokinetic parameter is useful to evaluate the QTc prolongation effect of NPC-15.

  9. Volume of distribution (Vd) of melatonin

    Time frame: Up to 12 hours postdose in each period (3 periods)

    NPC-15 is a preparation containing melatonin , therefore pharmacokinetic parameter is useful to evaluate the QTc prolongation effect of NPC-15.

  10. Adverse Events

    Time frame: Up to 36 hours post dose of Period III

    All events that emerge during treatment, having been absent pretreatment, or worsens relative to the pretreatment state

Sponsors and collaborators

Lead sponsor

Nobelpharma

Industry

Registry information

Official study title

A Clinical Pharmacology Study of NPC-15 to Evaluate Arrhythmogenic Effect in Healthy Adults

Important dates

Study start
2018
Primary completion
2018
Study completion
2018
First posted
Mar 23, 2018
Registry last updated
Jun 28, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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