scholarly journals A Thorough QT Study to Evaluate the Effects of a Supratherapeutic Dose of Sertraline on Cardiac Repolarization in Healthy Subjects

2020 ◽  
Vol 9 (3) ◽  
pp. 307-320
Author(s):  
Richat Abbas ◽  
Steve Riley ◽  
Robert R. LaBadie ◽  
Mary Bachinsky ◽  
Phillip B. Chappell ◽  
...  

2015 ◽  
pp. 2653 ◽  
Author(s):  
Liat Adar ◽  
Noa Avisar ◽  
Andreas Lammerich ◽  
Robert B. Kleiman ◽  
Ofer Spiegelstein


2020 ◽  
Vol 42 (7) ◽  
pp. 1317-1329
Author(s):  
Rajneet K. Oberoi ◽  
Weihan Zhao ◽  
Matthew Rosebraugh ◽  
Federico Mensa ◽  
Haoyu Wang ◽  
...  


2009 ◽  
Vol 104 ◽  
pp. S17-S18
Author(s):  
Dan Chen ◽  
Ritu Lal ◽  
Jacob F. Huff ◽  
Juthamas Sukbuntherng ◽  
Wendy Luo ◽  
...  


Author(s):  
Richat Abbas ◽  
Steve Riley ◽  
Sunil Nepal ◽  
Mary Bachinsky ◽  
Kimberly C. Lee ◽  
...  


2011 ◽  
Vol 49 (10) ◽  
pp. 594-604 ◽  
Author(s):  
H. Linnebjerg ◽  
M. Seger ◽  
P.A. Kothare ◽  
T. Hunt ◽  
A.M. Wolka ◽  
...  


Author(s):  
Lori M. Newman ◽  
Martin Kankam ◽  
Aya Nakamura ◽  
Tom Conrad ◽  
John Mueller ◽  
...  

Zoliflodacin is a novel spiropyrimidinetrione antibiotic being developed as single oral dose treatment to address the growing global threat of Neisseria gonorrhoeae . To evaluate the cardiac safety of zoliflodacin, a thorough QT/QTc (TQT) study was performed in healthy subjects. In this randomized, double-blind, placebo-controlled, 4-period crossover study, 72 subjects in a fasted state received a single dose of zoliflodacin 2 g (therapeutic), zoliflodacin 4 g (supratherapeutic), placebo, and moxifloxacin 400 mg as a positive comparator. Cardiac repolarization was measured by duration of the corrected QT interval by Fridericia’s formula (QTcF). At each time point up to 24 hours after zoliflodacin administration, the upper limit of the one-sided 95% confidence interval (CI) for the placebo-corrected change from the pre-dose baseline in QTcF (ΔΔQTcF) was less than 10 ms, indicating an absence of a clinically meaningful increase in QT prolongation. The lower limit of the one-sided multiplicity-adjusted 95% CI of ΔΔQTcF for moxifloxacin was longer than 5 ms at four time points from 1-4 hours after dosing, demonstrating adequate sensitivity of the QTc measurement. There were no clinically significant effects on heart rate, PR and QRS intervals, ECG morphology, or laboratory values. Treatment-emergent adverse events (AEs) were mild or moderate in severity and transient. This was a negative TQT study according to regulatory guidelines (E14) and confirms that a single oral dose of zoliflodacin is safe and well-tolerated. These findings suggest zoliflodacin is not proarrhythmic and contribute to the favorable assessment of cardiac safety for a single oral dose of zoliflodacin.



2016 ◽  
Vol Volume 10 ◽  
pp. 3509-3517 ◽  
Author(s):  
Zancong Shen ◽  
Michael Gillen ◽  
Kathy Tieu ◽  
Mai Nguyen ◽  
Erin Harmon ◽  
...  


2012 ◽  
Vol 56 (5) ◽  
pp. 2408-2413 ◽  
Author(s):  
Manoli Vourvahis ◽  
Rong Wang ◽  
Marie-Noella Ndongo ◽  
Melissa O'Gorman ◽  
Margaret Tawadrous

ABSTRACTThe objective of this study was to investigate the effect of a supratherapeutic dose of lersivirine (LRV) on corrected QT (QTc) interval using Fridericia's equation (QTcF) in healthy subjects. In this randomized, single-dose, placebo- and active-controlled 3-way crossover study, healthy adult males (n= 48) were randomized to receive LRV (2,400 mg), moxifloxacin (400 mg), or placebo for each treatment period. Triplicate 12-lead electrocardiogram measurements were performed, PK samples were collected, and vital signs were measured. Adverse event monitoring and safety laboratory testing were performed. All subjects were white (mean age, 39 years; body mass index [BMI], 25.6 kg/m2) and completed the study. Following LRV administration, the upper bound of the 90% confidence interval (CI) for time-matched adjusted mean differences to placebo QTcF at each time point postdose was below the regulatory threshold of 10 ms, satisfying the criteria for a negative thorough QT/QTc study. The highest upper bound of QTcF 90% CI occurred at 6 h for LRV (3.32 ms; 90% CI, 1.47 to 5.17 ms). The study was deemed adequately sensitive as the lower bound of the 90% CI for the adjusted mean QTcF differences between moxifloxacin and placebo at the moxifloxacin historicalTmaxof 3 h was >5 ms (15.29 ms; 90% CI, 13.44 to 17.14 ms). There was no statistically significant relationship between LRV exposure and placebo-adjusted change from baseline QTcF or clinically significant changes in QRS complex, pulse rate (PR) interval, heart rate, or blood pressure. LRV (2,400 mg) did not prolong the QTcF interval, and no clinically relevant electrocardiogram or vital sign changes were observed in healthy subjects.



Author(s):  
Song Mu ◽  
Borje Darpo ◽  
Zhiyu Tang ◽  
William Novotny ◽  
Manal Tawashi ◽  
...  


Sign in / Sign up

Export Citation Format

Share Document