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Pilot study of the effect of a substance P antagonist, aprepitant, on aldosterone and cortisol secretions in healthy volunteers

Pilot study of the effect of a substance P antagonist, aprepitant, on aldosterone and cortisol secretions in healthy volunteers - APHOS

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2008-003367-40-FR
Enrollment
20
Registered
2009-02-06
Start date
2009-03-03
Completion date
Unknown
Last updated
2020-06-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

The aim is to measure plasma aldosterone and cortisol concentrations in basal conditions and in response to different stimulation tests of the adrenal function

Interventions

Trade Name: EMEND Pharmaceutical Form: Capsule INN or Proposed INN: APREPITANT CAS Number: 170729-80-3 Concentration unit: mg milligram(s) Concentration type: up to Concentration number: 125- Pharmace

Sponsors

CHU de Rouen
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: o Male subjects; o Age ranging 18 - 30 years old; o Submitted to a social security regimen; o Agreeing to the study & Informed consent form signed; o Body mass index (weight (kg)/height (m)²) =65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: • Subject not agreeing to the study or impossible to follow-up; the persons in detention by judicial or administrative decision, patients hospitalized without consent, individuals admitted to a health or social facility for purposes other than research and legally protected adults or not in a position to express their consent. • Known history of significant medical or surgical pathology, notably endocrine; • Renal or hepatic insufficiency; • Nephrotic syndrome; • Edematous syndrome; • Hypertension or postural hypotension; • Cardiac rhythm or conduction pathologies; • Cardiac insufficiency; • Epilepsy; • Significant psychiatric disorder; • Known history of severe allergy, hypersensitivity to aprepitant and/or metoclopramide; • Hereditary problems of fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase deficit; • Impaired lactose tolerance.

Design outcomes

Primary

MeasureTime frame
Main Objective: The aim of the study is to use the NK1 receptor antagonist aprepitant as a pharmacological tool to determine the physiological role of the regulation of adrenocortical secretions by the sympathetic system via SP. The influence of the compound on plasma aldosterone and cortisol concentrations will be evaluated in basal conditions and after stimulation. This pilot “proof-of-concept" study will allow us verifying that corticosteroid secretions are actually controlled in vivo by a neural stimulatory tone via SP ;Secondary Objective: To determine the physiological conditions that involve the regulation of corticosteroid production by tachykinins.;Primary end point(s): Plasma aldosterone levels during orthostatic test;Timepoint(s) of evaluation of this end point: Day 4 of treatment

Secondary

MeasureTime frame
Secondary end point(s): Basal aldosterone alteration, aldosterone variation during metoclopramide and hypoglycaemia tests. Basal and stimulated alterations of renin, cortisol and ACTH during 3 different stimulatory tests (upright, metoclopramide and hypoglycaemia tests) ;Timepoint(s) of evaluation of this end point: Day 4, day 5 and day 7 of treatment

Countries

France

Contacts

Public ContactTEILLARD

CHU de Rouen

secretariat.drc@chu-rouen.fr+33232888265

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 27, 2026