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Completed

NCT Number: NCT02194257

Investigation of the Metabolism and Pharmacokinetics of Ambroxol in Healthy Male Volunteers

Study to determine the basic pharmacokinetics of ambroxol and [14C]-radioactivity including mass balance, excretion pathways and complete metabolism in healthy male volunteers following administration of a lozenge of 20 mg ambroxol together with an oral solution of 0.4 mg [14C]-ambroxol labelled in two different positions

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Key information

Conditions

Age range

18 year–65 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Healthy males according to the following criteria: Based upon a complete medical history, including the physical examination, vital signs (Blood Pressure (BP), Pulse Rate (PR)), 12-lead Electrocardiogram (ECG), clinical laboratory tests
  • Age ≥18 and ≤65 years
  • Body mass index (BMI) ≥18.5 and BMI ≤29.9 kg/m2
  • Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice (GCP) and the local legislation

Exclusion criteria

  • Any finding of the medical examination (including BP, PR and ECG) deviating from normal and of clinical relevance
  • Any evidence of a clinically relevant concomitant disease
  • Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
  • Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
  • History of relevant orthostatic hypotension, fainting spells or blackouts
  • Chronic or relevant acute infections
  • History of relevant allergy/hypersensitivity (including allergy to study drug or its excipients)
  • Intake of drugs with a long half-life (> 24 hours) within at least one month or less than ten half-lives of the respective drug prior to administration or during the trial
  • Use of drugs which might reasonably influence the results of the trial based on the knowledge at the time of protocol preparation within ten days prior to administration until after the last sample from Visit 2 is collected
  • Participation in another trial with an investigational drug within two months prior to administration or during the trial
  • Smoker (> 10 cigarettes or > 3 cigars or > 3 pipes/day)
  • Inability to refrain from smoking during the stay in the trial centre
  • Alcohol abuse (more than on average two units of alcoholic beverages per day or more than 14 units per week (one unit equals one pint [285 mL] of beer or lager, one glass [125 mL] of wine, 25 mL shot of 40% spirit)).
  • Drug abuse
  • Blood donation (more than 100 mL within 60 days prior to study drug administration or during the trial)
  • Excessive physical activities (within one week prior to administration or during the Trial until follow-up examination)
  • Any laboratory value outside the reference range that is of clinical relevance
  • Inability to comply with dietary regimen of study centre
  • A marked baseline prolongation of QT/QTc interval (e.g., repeated demonstration of a QTc interval >450 ms)

Exclusion criteria

specific for this study:

  • Veins unsuitable for blood sampling
  • PR interval >220 ms or QRS interval >120 ms
  • Exposure to radiation for diagnostic reasons (except dental X-rays and plain X-rays of thorax and bony skeleton [excluding spinal column]), during work or during participation in a medical trial in the previous year
  • Irregular defecation pattern (less than once per two days)

Treatment and study plan

[14C]-cyclohexane ambroxol oral solution

Drug

[14C]-benzyl ambroxol oral solution

Drug

Ambroxol lozenge

Drug

Primary outcomes

  1. Individual time course profiles of [14C]-radioactivity (in nmoleq/L or nmoleq/kg for faeces) in plasma

    Time frame: up to 120 hours after drug administration

  2. Individual time course profiles of ambroxol in plasma

    Time frame: up to 120 hours after drug administration

  3. Rate and extent of excretion mass balance based on the total radioactivity in urine and faeces

    Time frame: up to 216 hours after drug administration

  4. Identification of major metabolites in urine, feces and plasma in comparison with various animal species

    Time frame: up to 48 hours after drug administration

  5. Cblood cells/Cplasma ratio of [14C]-radioactivity and Cblood /Cplasma ratio of [14C]-radioactivity

    Time frame: up to 120 hours after drug administration

  6. Cmax (maximum concentration of the analyte(s) in plasma)

    Time frame: up to 120 hours after drug administration

  7. tmax (time from dosing to the maximum concentration of the analyte(s) in plasma)

    Time frame: up to 120 hours after drug administration

  8. AUC0-tz (area under the concentration-time curve of the analyte(s) in plasma over the time interval from 0 to the time of the last quantifiable data point)

    Time frame: up to 120 hours after drug administration

  9. AUC0-∞ (area under the concentration-time curve of the analyte(s) in plasma over the time interval from 0 to infinity)

    Time frame: up to 120 hours after drug administration

  10. λz (terminal rate constant in plasma)

    Time frame: up to 120 hours after drug administration

  11. t1/2 (terminal half-life of the analyte(s) in plasma)

    Time frame: up to 120 hours after drug administration

  12. MRTpo (mean residence time of the analyte(s) in the body after oral administration)

    Time frame: up to 120 hours after drug administration

  13. CL/F (total clearance of the analyte in plasma after oral administration)

    Time frame: up to 120 hours after drug administration

  14. Vz/F (apparent volume of distribution during the terminal phase λz following an oral dose)

    Time frame: up to 120 hours after drug administration

  15. Ae0-tz (amount of analyte that is eliminated in urine within the time interval zero to tz)

    Time frame: up to 216 hours after drug administration

  16. Aefaeces,0-tz (amount of analyte excreted in faeces within the time interval zero to tz)

    Time frame: up to 216 hours after drug administration

  17. fefaeces,0-tz (fraction of analyte excreted in faeces within the time interval zero to tz in % of dose)

    Time frame: up to 216 hours after drug administration

  18. CLR,t1-t2 (renal clearance of analyte from the within the time interval t1 to t2)

    Time frame: up to 216 hours after drug administration

  19. fe0-tz (fraction of analyte excreted in urine within the time interval zero to tz in % of dose)

    Time frame: up to 216 hours after drug administration

  20. Individual time course profiles of [14C]-radioactivity (in nmoleq/L or nmoleq/kg for faeces) in urine

    Time frame: up to 216 hours after drug administration

  21. Individual time course profiles of [14C]-radioactivity (in nmoleq/L or nmoleq/kg for faeces) in faeces

    Time frame: up to 216 hours after drug administration

  22. Individual time course profiles of ambroxol in urine

    Time frame: up to 216 hours after drug administration

Secondary outcomes

  1. Number of patients with clinically significant changes vital signs (blood pressure [BP], pulse rate [PR])

    Time frame: up to 39 days

  2. Number of patients with adverse events

    Time frame: up to 39 days

  3. Number of patients with clinically significant changes in 12-lead electrocardiogram (ECG)

    Time frame: up to 39 days

  4. Number of patients with abnormal changes in laboratory parameters

    Time frame: up to 39 days

  5. Assessment of tolerability on a 4-point scale

    Time frame: Day 14

Sponsors and collaborators

Lead sponsor

Boehringer Ingelheim

Industry

Registry information

Official study title

Investigation of the Metabolism and Pharmacokinetics of an Open Label Single Dose of 20 mg Ambroxol Administered as a Lozenge Together With an Oral Solution of 0.4 mg [14C]-Ambroxol in Healthy Male Volunteers

Important dates

Study start
2008
Primary completion
2008
First posted
Jul 18, 2014
Registry last updated
Jul 18, 2014

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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