Pharmacokinetic and Tolerance Study of Meloxicam Eye Drops in Healthy Volunteers

Sponsor
Beijing Tongren Hospital (Other)
Overall Status
Unknown status
CT.gov ID
NCT04322175
Collaborator
(none)
80
1
2
6.5
12.3

Study Details

Study Description

Brief Summary

The pharmacokinetics, safety, and tolerability of meloxicam eye drops in Chinese healthy volunteers were evaluated to provide a basis for the formulation of a phase II clinical trial dosing regimen for this product. Including pre-tests and formal trials, formal trials include single-dose pharmacokinetics tests and multiple-dose tolerance tests (4 times a day for 3 consecutive days).

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

Meloxicam eye drops is a new class 2 drug of the country. The main ingredients are meloxicam. The other ingredients are hydroxypropyl-β-cyclodextrin, sodium hydroxide, boric acid, sodium chloride and water for injection. Among them, hydroxypropyl-β-cyclodextrin can increase the solubility of meloxicam and improve the stability of the solution. The indication of meloxicam eye drops is non-infectious ocular inflammation, especially for inflammation and complications after cataract surgery. The possible adverse reaction is transient tingling in the eye after eye drops.

Meloxicam is a non-steroidal anti-inflammatory drug (NSAIDS) that selectively inhibits COX-2 cyclooxygenase. It is currently widely used in the treatment of acute and chronic inflammation and pain, and its mechanism of action is to prevent the production of prostaglandins (PGs) that cause inflammation by inhibiting cyclooxygenase (COX). Non-infectious ocular inflammation is usually caused by the synthesis and release of inflammatory mediators such as prostaglandin (PG) after eye tissues are stimulated. Because non-steroidal anti-inflammatory drugs have anti-inflammatory, anti-allergic and analgesic effects, and have no adverse effects of glucocorticoids, their application in ophthalmology has been valued.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
80 participants
Allocation:
Non-Randomized
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Pharmacokinetics and Tolerance of Meloxicam Eye Drops in Healthy Volunteers, a Phase I , Single-dose and Multiple-dose, Open-labeled Clinical Trial
Actual Study Start Date :
Dec 16, 2019
Anticipated Primary Completion Date :
Jun 1, 2020
Anticipated Study Completion Date :
Jul 1, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: Single dose pharmacokinetic test

The 72 healthy subjects enrolled were admitted to the trial ward the day before the trial. On the day of dosing, the subjects were given 0.1% meloxicam eye drops once, 1 drop / time.

Drug: Meloxicam
Meloxicam Eye Drops
Other Names:
  • Mobic
  • Experimental: Multiple dose tolerance test

    Eight healthy subjects were enrolled in the trial ward the day before the trial. 0.1% meloxicam eye drops were administered 4 times, 1 drop / time, and were administered at 8:00, 12:00, 16:00 and 20:00 daily for 3 consecutive days.

    Drug: Meloxicam
    Meloxicam Eye Drops
    Other Names:
  • Mobic
  • Outcome Measures

    Primary Outcome Measures

    1. Concentration of drug prototype-meloxicam in tears of each subject, ng · h / ml [2 days]

      In a single administration test, tear samples were collected 0.5, 1, 2, 4, 6, 8, 10, 12 and 24 hours after administration, and 8 eyes were taken at each time point.LC-MS

    2. Intraocular pressure examination,mmHg [1 day]

      In the multiple dose tolerance test, IOP was performed 2 hours (± 20min) after the second dose of Day2.

    3. Corneal fluorescence staining,levels [3 days]

      Corneal fluorescence staining during the multiple dose tolerance test (Day1-Day3) 1 h after the last daily dose (time window ± 10 min).

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 45 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Voluntarily participate in this trial and sign the informed consent before the trial;

    • Age: 18 to 45 years old (including 18 and 45 years old) healthy subjects, both male and female;

    • Weight and body mass index: female subjects weigh ≥45.0kg and male subjects weigh ≥50.0kg,BMI is in the range of 19 ~ 26 kg / m2 (including 19 and 26);

    • Physical examination, vital signs, laboratory examination and ECG examination during the screening period are normal or different Often without clinical significance;

    • The corrected visual acuity of both eyes should be ≥1.0. The intraocular pressure, slit lamp, and fundus examination are normal or abnormal. It has no clinical significance. The target eye SchirmerⅠ test result during the screening period is ≥10 mm;

    • Subjects were able to communicate well with the researcher and understood and were willing to comply with the requirements of this study.

    Exclusion Criteria:
    • Allergic constitution, allergic diseases or known allergies to research drugs / similar drugs;

    • Past or current suffering from circulatory system, respiratory system, digestive system, blood system,Menstrual system, immune system, urinary system, endocrine system, and mental illness may be significant Any condition that affects the absorption, distribution, metabolism, and excretion of the drug or affects the safety of the subject;

    • People with eye diseases, including history of internal eye surgery or laser surgery;

    • Infection screening is abnormal and clinically significant;

    • Used any medicine in the last 2 weeks;

    • Underwent surgery within 4 weeks prior to the trial, or plan to perform surgery within 2 weeks of the end of the study surgeon;

    • Those who need to wear contact lenses during the trial;

    • A history of substance abuse, or a positive urine test for substance abuse(Ketamine, morphine, methamphetamine, dimethylene oxyamphetamine, tetrahydrocannabinol);

    • Women with a positive blood pregnancy test; women who have not taken effective contraception in the last month,Pregnant and lactating women; women and men of childbearing age who cannot take effective contraception during the trial and within six months after the trial is over;

    • Smokers and alcoholics (smokers on average more than 5 cigarettes / day, alcohol consumption on average 2 units / day, 1unit = 10 mL of ethanol, ie 1 unit = 200 mL of beer with 5% alcohol or 25mL of white wine with 40% alcohol or 83mL of wine with 12% alcohol) or a positive breath test, or during the study Stop using any tobacco products and not stop alcohol intake;

    • Those who donated more than 200 mL of blood in the 90 days before the test, or lost blood of more than 200 mL for other reasons;

    • Participants in any other clinical trials within 90 days before screening;

    • Subjects refused to discontinue any use of methyl groups 48 hours before the end of the study until the end of the study xanthine drinks or foods, such as caffeine (coffee, tea, cola, chocolate, etc.), and beverages containing grapefruit;

    • Any other condition that the investigator considers inappropriate.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Institution of Drug Clinical Trials Beijing Beijing China 100730

    Sponsors and Collaborators

    • Beijing Tongren Hospital

    Investigators

    • Principal Investigator: Xiuli Zhao, Ph.D., Beijing Tongren Hospital, Capital Medical Univsersity

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Beijing Tongren Hospital
    ClinicalTrials.gov Identifier:
    NCT04322175
    Other Study ID Numbers:
    • MLXKDYY
    First Posted:
    Mar 26, 2020
    Last Update Posted:
    Apr 28, 2020
    Last Verified:
    Apr 1, 2020
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Beijing Tongren Hospital
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Apr 28, 2020