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Single Ascending Dose Safety and Pharmacokinetics of CDRI-97/78: First-in-Human Study of a Novel Antimalarial Drug.
Shafiq, N; Rajagopalan, S; Kushwaha, H N; Mittal, N; Chandurkar, N; Bhalla, A; Kaur, S; Pandhi, P; Puri, G D; Achuthan, S; Pareek, A; Singh, S K; Srivastava, J S; Gaur, S P S; Malhotra, S.
Afiliación
  • Shafiq N; Department of Pharmacology, PGIMER, Chandigarh, India.
  • Rajagopalan S; Department of Pharmacology, PGIMER, Chandigarh, India.
  • Kushwaha HN; Pharmacokinetics and Metabolism Division, Central Drug Research Institute, Lucknow, India.
  • Mittal N; Department of Pharmacology, PGIMER, Chandigarh, India.
  • Chandurkar N; IPCA Laboratories Ltd., Mumbai, Maharashtra, India.
  • Bhalla A; Department of Internal Medicine, PGIMER, Chandigarh, India.
  • Kaur S; Department of Pharmacology, PGIMER, Chandigarh, India.
  • Pandhi P; Department of Pharmacology, PGIMER, Chandigarh, India.
  • Puri GD; Department of Anaesthesia Incharge, Critical Care, PGIMER, Chandigarh, India.
  • Achuthan S; Department of Pharmacology, PGIMER, Chandigarh, India.
  • Pareek A; IPCA Laboratories Ltd., Mumbai, Maharashtra, India.
  • Singh SK; Pharmacokinetics and Metabolism Division, Central Drug Research Institute, Lucknow, India.
  • Srivastava JS; Clinical and Experimental Medicine, Central Drug research Institute, Lucknow, India.
  • Gaur SP; Clinical and Experimental Medicine, Central Drug research Institute, Lucknow, India.
  • Malhotra S; Department of Pharmacology, PGIMER, Chandigarh, India.
Malar Res Treat ; 2014: 372521, 2014.
Article en En | MEDLINE | ID: mdl-24800100
Background. CDRI 97/78 has shown efficacy in animal models of falciparum malaria. The present study is the first in-human phase I trial in healthy volunteers. Methods. The study was conducted in 50 healthy volunteers in a single, ascending dose, randomized, placebo-controlled, double blind design. The dose ranges evaluated were from 80 mg to 700 mg. Volunteers were assessed for clinical, biochemical, haematological, radiographic, and electrocardiographic parameters for any adverse events in an in-house facility. After evaluation of safety study results, another cohort of 16 participants were administered a single oral dose of 200 mg of the drug and a detailed pharmacokinetic analysis was undertaken. Results. The compound was found to be well tolerated. MTD was not reached. The few adverse events noted were of grade 2 severity, not requiring intervention and not showing any dose response relationship. The laboratory and electrocardiographic parameters showed statistically significant differences, but all were within the predefined normal range. These parameters were not associated with symptoms/signs and hence regarded as clinically irrelevant. Mean values of T 1/2, MRT, and AUC0-∞ of the active metabolite 97/63 were 11.85 ± 1.94 h, 13.77 ± 2.05 h, and 878.74 ± 133.15 ng·h/mL, respectively Conclusion. The novel 1,2,4 trioxane CDRI 97/78 is safe and will be an asset in malarial therapy if results are replicated in multiple dose studies and benefit is shown in confirmatory trials.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Malar Res Treat Año: 2014 Tipo del documento: Article País de afiliación: India Pais de publicación: Egipto

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Malar Res Treat Año: 2014 Tipo del documento: Article País de afiliación: India Pais de publicación: Egipto