Trial of safety, reactogenicity and pharmacokinetics of new anti-herpetic remedy Fortepren® in healthy adults

ISRCTN ISRCTN13096283
DOI https://doi.org/10.1186/ISRCTN13096283
Secondary identifying numbers N/A
Submission date
23/02/2015
Registration date
09/03/2015
Last edited
09/03/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The aims of this study are to run a pilot study of the safety, reactogenicity (potential to cause common adverse effects or side effects) and pharmacokinetics (what happens to the drug once it enters the body) of a new polyprenyl phosphate based anti-herpetic remedy Fortepren® in healthy adults. Fortepren® is a product obtained from fir needles polyprenols and belongs to antiviral remedies with immunomodulating activity (i.e. being able to adjust the immune response to a desired level). A set of performed pre-clinical trials has showed that the drug had no toxicity or any side effects in experiments on laboratory animals and good protective effect in the herpes virus infection model. We want to see if the same can be said for healthy adults.

Who can participate?
Healthy non-smoking adults aged 18 to 45.

What does the study involve
Participants first undergo a physical examination, where their heart rate, blood pressure and temperature at all taken. They then receive a series of Fortepren® injections at a dose of 5 mL (20 mg) administered intramuscularly. After the first injection of Fortepren® , a sample of blood is taken. Blood count, blood chemistry, urinalysis and an electrocardiogram (ECG) are all performed. 24 hours after the first injection of Fortepren® another physical examination takes place in which ECG, heart rate, blood pressure, body temperature, complete blood count, blood chemistry and urinalysis were all measured or performed. Participants are then invited to take part in the second part of the study, which takes place 9 days after the initial injection. If they agree, they are hospitalized for the next 5 days. Each participant then receives a further 5 or 6 Fortepren® injections. The total dose rate of the Fortepren® was 100-120 mg per participant. During the hospitalization, blood pressure and temperature are recorded every 3 hours (except for the interval from 23:00 to 08:00). Blood sampling for pharmacokinetics is performed before administration of the Fortepren®, then after 20 minutes, 40 minutes, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24 and 48 hours after injection. Safety and tolerability is assessed by collecting and analyzing information on adverse events (AEs) and serious adverse events (SAEs) during the study period, as well as changes in the general analysis of blood and urine tests, blood chemistry and vital signs.

What are the possible benefits and risks of participating?
Some participants may experience a rise in body temperature. There are no other risks to taking part in the study.

Where is the study run from?
I.M. Sechenov First Moscow State Medical University (Russia)

When is the study starting and how long is it expected to run for?
September 2013 to November 2013

Who is funding the study?
1. Ministry of Industry and Trade of the Russian Federation
2. GamaVetFarm Ltd

Who is the main contact?
Professor Alexander Pronin

Contact information

Professor Alexander Pronin
Scientific

Gamaleya st. 18
Moscow
123098
Russian Federation

ORCiD logoORCID ID 0000-0001-5266-9783

Study information

Study designOpen phase I controlled trial of safety, reactogenicity and pharmacokinetics
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleOpen phase I controlled trial of safety, reactogenicity and pharmacokinetics of new anti-herpetic remedy Fortepren® in healthy adults
Study objectivesFortepren® is safe for healthy adults
Ethics approval(s)1. Board of Ethics of the Ministry of Health of the Russian Federation, 24/04/2013, ref: N 61
2. Local Ethics Committees, f 30/07/2013 ref: N 08-13
Health condition(s) or problem(s) studiedHealthy adults
InterventionThe first injection of Fortepren® was performed 2 days after the screening. On the 9th day, volunteers were hospitalized for 5 days. Fortepren® at a dose of 5 mL (20 mg) was administered intramuscularly. Each volunteer underwent 5 or 6 daily injections. The total dose rate of the Fortepren® was 100-120 mg.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase I
Drug / device / biological / vaccine name(s)Fortepren® (sodium polyprenyl phosphate)
Primary outcome measureAdverse events or changes in physical, vital, blood, and biomarker indices.
Secondary outcome measuresEvaluation the safety and tolerability of Fortepren® was carried using the following parameters:
1. Adverse events and serious adverse events (AEs and SAEs)
2. Deviations of laboratory tests (common clinical and biochemical blood analysis)
Overall study start date09/09/2013
Completion date08/11/2013

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants24
Key inclusion criteria1. Aged 18 to 45 years old
2. Smoke less than 10 cigarettes per day
3. Verified diagnosis of "practically healthy" according to standard clinical, laboratory and instrumental methods of examination
4. Negative tests for HIV, syphilis (RW), HBs-antigen and hepatitis C (HCV RNA),
a negative pregnancy test (for female volunteers)
5. Body mass index of volunteers did not go beyond ± 15% overall weight and growth index. 6. Participants in the study complied with an adequate method of contraception during the entire time from the date of signing the informed consent form prior to the completion of participation in the study
Key exclusion criteria1. Liver or kidney disease; any other disease, which, in the opinion of the investigator, may affect the results of the study or may lead to poor health during the study
2. Clinically significant abnormalities in laboratory results
3. Course medication (including herbal products and dietary supplements) for prophylactic or therapeutic purposes in the past month
4. The presence of antibodies to HIV, hepatitis B and C
5. Consuming alcohol or narcotic drugs for 4 days prior to the study
6. Donation of blood / plasma, surgery (in the hospital) for 12 weeks prior to the study
7. Participation in other clinical studies (or study drug) within 3 months prior to the study
8. Failure to understand or follow the instructions of the Protocol
9. Receive more than 10 units of alcohol per week (1 unit of alcohol equivalent to ½ liter of beer, 200 ml of wine or 50 ml of alcohol) or anamnestic information about alcoholism, abuse of drugs
10. Smoking more than 10 cigarettes a day
11. A positive test for the presence of alcohol in the breath
12. A positive urine test for drug abuse and narcotics
Date of first enrolment11/09/2013
Date of final enrolment08/11/2013

Locations

Countries of recruitment

  • Russian Federation

Study participating centre

I.M. Sechenov First Moscow State Medical University
Moscow
119991
Russian Federation

Sponsor information

GamaVetFarm Ltd
Industry

Gamaleya st. 18
Moscow
123098
Russian Federation

Website www.gamavetfarm.com

Funders

Funder type

Government

Ministry of Industry and Trade of the Russian Federation

No information available

GamaVetFarm Ltd

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryStored in repository
Publication and dissemination plan
IPD sharing plan