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Completed

NCT Number: NCT05505097

Safety and Pharmacokinetics of Dioxidin, Solution for Topical and External Use, 0.25 mg/ml and Dioxidin, Solution for Infusion and External Use, 5 mg/ml in Healthy Volunteers

The study aimed for:

1. To study the safety of the drug Dioxidin, solution for topical and external use; 2. To determine the concentrations of the active substance of the studied drugs Dioxidin, solution for topical and external use, and Dioxidin, solution for infusion and external use in discrete time intervals; 3. To study pharmacokinetics of the drug Dioxidin, solution for topical and external application; 4. To determine the absolute bioavailability of the drug Dioxidine, solution for topical and external use.

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Key information

Conditions

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Limited Liability Company "X7 Clinical Research"

Saint Petersburg, 194156, Russia

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Voluntary and handwritten informed consent form signed by a healthy volunteer to participate in the study before any of the study procedures
  • Age from 18 to 45 years (inclusive)
  • Verified diagnosis "healthy" by standard clinical, laboratory, instrumental methods of examination
  • Blood pressure level: systolic from 100 to 130 mmHg, diastolic from 60 to 90 mmHg (inclusive)
  • Heart rate 60 to 90 beats per minute (inclusive)
  • Body mass index (BMI) is 18.5 ≤ BMI ≤ 30.0 kg/m², with a body weight of ≥55 kg for men and ≥45 kg for women
  • Volunteers must behave appropriately, coherent speech must be observed
  • For women of childbearing potential, negative pregnancy test; consent of volunteers to either abstain from sexual intercourse or use a dual barrier method of contraception for the duration of study participation, beginning with the Screening Period, and for 3 weeks after study termination
  • Ability to follow the daily routine and dietary regimen of the study protocol
  • Ability to attend all scheduled appointments and stay at the Research Center for all Study Periods

Exclusion criteria

  • A history of allergic reactions
  • A history of drug intolerance to the active and/or excipients in the study medications
  • Inability to successfully perform oropharyngeal rinse test
  • Any chronic illnesses
  • History of gastrointestinal surgery (except appendectomy)
  • Acute infectious diseases less than 4 weeks prior to screening
  • Taking medications that significantly affect hemodynamics and medications that affect liver function (barbiturates, omeprazole, cimetidine, etc.) less than 2 months before screening
  • Regularly taking medications less than 2 weeks before screening and taking a single medication 7 days before screening
  • Donating blood (450 mL of blood or plasma or more) less than 3 months before screening
  • For women, the last intake of oral contraceptives at least 2 months prior to screening
  • Pregnant and lactating women, and women and men of childbearing age who cannot or do not abstain from sexual intercourse or use a dual barrier method of contraception for the duration of study participation, beginning with the Screening Period, and for 3 weeks after the study ends
  • Participation in another clinical trial less than 3 months before screening or concurrently with this study
  • Taking more than 10 units of alcohol (1 unit of alcohol is equivalent to 330 ml of beer, 150 ml of wine, or 40 ml of spirits) in the week in the last month before inclusion in the study or anamnestic evidence of alcoholism, drug abuse, or medication abuse
  • Smoking more than 10 cigarettes per day currently, or a history of smoking this number of cigarettes in the 6 months prior to screening
  • A positive blood test for HIV, syphilis, hepatitis B/C
  • A positive urine test for narcotics and powerful drugs
  • Positive breath alcohol test
  • Positive COVID-19 test
  • Scheduled inpatient hospitalization during the study for any reason other than hospitalization as required by this protocol
  • Inability or inability to meet the requirements of the protocol, including for physical, mental or social reasons, in the opinion of the Researcher
  • Work/study regimen that is likely to make it impossible for the volunteer to complete the study and/or comply with the schedule of procedures
  • Other conditions that, in the opinion of the Researcher, prevent the inclusion of the volunteer in the study

Treatment and study plan

Hydroxymethylquinoxalindioxyde

Drug

Dioxidin (Hydroxymethylquinoxalindioxyde), solution for topical and external use, 0.25 mg/ml, applied as:

A - single rinsing of the oropharynx with 15.0 ml of the drug solution for at least 30 seconds B - single irrigation of the oropharynx by spraying the preparation 4 times with a spray nozzle C - irrigation of the skin on the back by spraying the preparation 4 times from a distance of 10 cm on 1% of the body surface using a spray nozzle and exposing the solution for 30 minutes or D - Dioxidin (Hydroxymethylquinoxalindioxyde), solution for infusion and external application, 5 mg/ml, single intravenous 5 mg/ml in 1 ml

Other names: Dioxidin

Primary outcomes

  1. Pharmacokinetics - Cmax

    Time frame: From 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

    Maximum plasma concentration (Cmax) of Hydroxymethylquinoxalindioxyde (HMQD)

  2. Pharmacokinetics - tmax

    Time frame: From 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

    Time to reach Cmax (tmax) of HMQD

  3. Pharmacokinetics - tlag

    Time frame: From 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

    Time from administration to first accessible concentration of HMQD

  4. Pharmacokinetics - Vd

    Time frame: From 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

    Volume of distribution of HMQD

  5. Pharmacokinetics - AUC0-t

    Time frame: From 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

    Area under the plasma concentration-time curve from time 0 to t (AUC0-t) of HMQD

  6. Pharmacokinetics - AUC0-inf

    Time frame: From 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

    Area under the plasma concentration-time curve from time 0 to infinity (AUC0-inf) of HMQD

  7. Pharmacokinetics - AUCextr

    Time frame: From 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

    Extrapolated AUC of HMQD, defined as (AUC0-inf - AUC0-t)/AUC0-inf

  8. Pharmacokinetics - kel

    Time frame: From 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

    Elimination constant (kel) of HMQD

  9. Pharmacokinetics - t1/2

    Time frame: From 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

    Elimination half-life (t1/2) of HMQD

  10. Pharmacokinetics - MRT

    Time frame: From 0 to 16 hours after each drug application on day 1, 7, 14, and 21 of the study

    Mean residence time (MRT) of HMQD

Secondary outcomes

  1. Safety and Tolerability: adverse event (AE) rate

    Time frame: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to 43 days for each participant

    Number and frequency of adverse events (AEs) or serious AEs (SAEs)

  2. Safety and Tolerability: serious adverse event (AE) rate

    Time frame: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to 43 days for each participant

    Number and frequency of serious AEs (SAEs)

  3. Safety and Tolerability: vital signs - systolic blood pressure (SBP)

    Time frame: Screening, -10 h, -1 h, 2 h, 12, and 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    SBP, mmHg

  4. Safety and Tolerability: vital signs - diastolic blood pressure (DBP)

    Time frame: Screening, -10 h, -1 h, 2 h, 12, and 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    DBP, mmHg

  5. Safety and Tolerability: vital signs - respiratory rate (RR)

    Time frame: Screening, -10 h, -1 h, 2 h, 12, and 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    RR, breaths per minute

  6. Safety and Tolerability: vital signs - heart rate (HR)

    Time frame: Screening, -10 h, -1 h, 2 h, 12, and 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    HR, beats per minute

  7. Safety and Tolerability: vital signs - body temperature

    Time frame: Screening, -10 h, -1 h, 2 h, 12, and 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Body temperature, centigrade scale

  8. Safety and Tolerability: physical examination results

    Time frame: Screening, -10 h, -1 h, 2 h, and 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Physical examination will follow the general rules of internal medicine: general examination, examination of mucous membranes and skin, including palpation of lymph nodes, evaluation of the musculoskeletal system, palpation, percussion, and auscultation of the main organ systems (cardiovascular, respiratory, digestive, and urinary systems) will be performed sequentially.

  9. Safety and Tolerability: 12-lead electrocardiogram (ECG) - heart rate

    Time frame: Screening and the end of the study or an early termination visit, whichever came first, within 43 days of study participation

    12-lead ECG (I, II, III, aVR, aVL, aVF, V1-V6) taken while lying down: heart rate (beats per minute)

  10. Safety and Tolerability: 12-lead electrocardiogram (ECG) - PQ interval

    Time frame: Screening and the end of the study or an early termination visit, whichever came first, within 43 days of study participation

    12-lead ECG (I, II, III, aVR, aVL, aVF, V1-V6) taken while lying down: PQ interval (ms)

  11. Safety and Tolerability: 12-lead electrocardiogram (ECG) - QRS complex

    Time frame: Screening and the end of the study or an early termination visit, whichever came first, within 43 days of study participation

    12-lead ECG (I, II, III, aVR, aVL, aVF, V1-V6) taken while lying down: QRS complex (ms)

  12. Safety and Tolerability: 12-lead electrocardiogram (ECG) - corrected QT interval (QTc)

    Time frame: Screening and the end of the study or an early termination visit, whichever came first, within 43 days of study participation

    12-lead ECG (I, II, III, aVR, aVL, aVF, V1-V6) taken while lying down: QTc (ms)

  13. Safety and Tolerability: complete blood count - hemoglobin

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Hemoglobin, g/dL

  14. Safety and Tolerability: complete blood count - red blood cells

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Red blood cells, 10^6/uL

  15. Safety and Tolerability: complete blood count - hematocrit

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Hematocrit, %

  16. Safety and Tolerability: complete blood count - platelets

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Platelets, 10^3/uL

  17. Safety and Tolerability: complete blood count - white blood cells

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and at the end of the study or at early termination visit within the time frame of the study

    White blood cells, 10^3/uL

  18. Safety and Tolerability: complete blood count - erythrocyte sedimentation rate

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Erythrocyte sedimentation rate, mm per hour

  19. Safety and Tolerability: complete blood count - lymphocytes

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Lymphocytes, %

  20. Safety and Tolerability: complete blood count - eosinophils

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Eosinophils, %

  21. Safety and Tolerability: complete blood count - monocytes

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Monocytes, %

  22. Safety and Tolerability: complete blood count - basophils

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Basophils, %

  23. Safety and Tolerability: complete blood count - neutrophils

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Neutrophils, % (segmented and stab)

  24. Safety and Tolerability: blood test results - glucose

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Glucose in blood serum, mmol/L

  25. Safety and Tolerability: blood test results - total cholesterol

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Total cholesterol in blood serum, mmol/L

  26. Safety and Tolerability: blood test results - total protein

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Total protein in blood serum, g/L

  27. Safety and Tolerability: blood test results - total bilirubin

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Total bilirubin in blood serum, umol/L

  28. Safety and Tolerability: blood test results - creatinine

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Creatinine in blood serum, umol/L

  29. Safety and Tolerability: blood test results - alkaline phosphatase (ALP)

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    ALP in blood serum, U/L

  30. Safety and Tolerability: blood test results - alanine transaminase (ALT)

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    ALT in blood serum, U/L

  31. Safety and Tolerability: blood test results - aspartate transaminase (AST)

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    AST in blood serum, U/L

  32. Safety and Tolerability: blood test results - aldosterone

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Aldosterone in blood serum, pmol/L

  33. Safety and Tolerability: blood test results - cortisol

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and at the end of the study or at early termination visit within the time frame of the study

    Cortisol in blood serum, pmol/L

  34. Safety and Tolerability: urinalysis - specific gravity

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Specific gravity of the urine

  35. Safety and Tolerability: urinalysis - color

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Color of the urine

  36. Safety and Tolerability: urinalysis - transparency

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Transparency of the urine

  37. Safety and Tolerability: urinalysis - pH

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    pH of the urine

  38. Safety and Tolerability: urinalysis - protein

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Protein in the urine (g/L)

  39. Safety and Tolerability: urinalysis - glucose

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Glucose in the urine (mmol/L)

  40. Safety and Tolerability: urinalysis (microscopy) - red blood cells

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Red blood cells in the urine (number in sight)

  41. Safety and Tolerability: urinalysis (microscopy) - white blood cells

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    White blood cells in the urine (number in sight)

  42. Safety and Tolerability: urinalysis (microscopy) - epithelial cells

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Epithelial cells in the urine (number in sight)

  43. Safety and Tolerability: urinalysis (microscopy) - cylinders

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Cylinders in the urine (number in sight)

  44. Safety and Tolerability: urinalysis (microscopy) - bacteria

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Bacteria in the urine (number in sight)

  45. Safety and Tolerability: urinalysis (microscopy) - mucus

    Time frame: Screening, 24 h after each drug application on day 1, 7, 14, and 21 of the study, and on the end-of-study visit or on the early termination visit, whichever came first, within 43 days of study participation

    Presence of mucus in the urine

Sponsors and collaborators

Lead sponsor

Valenta Pharm JSC

Industry

Registry information

Official study title

Open Randomized Comparative Crossover Study of the Safety and Pharmacokinetics of Dioxidin, Solution for Topical and External Use, 0.25 mg/ml and Dioxidin, Solution for Infusion and External Use, 5 mg/ml in Healthy Volunteers

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Aug 17, 2022
Registry last updated
Aug 21, 2023

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

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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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