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Trial registered on ANZCTR
Registration number
ACTRN12617000542392
Ethics application status
Approved
Date submitted
3/04/2017
Date registered
18/04/2017
Date last updated
15/02/2019
Date data sharing statement initially provided
15/02/2019
Date results provided
15/02/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Blood pressure, heart rate and energy expenditure effects of the drug mirabegron.
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Scientific title
Metabolic and cardiovascular responses to a beta-3 adrenergic receptor drug in healthy adults.
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Secondary ID [1]
291604
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Nil known
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Universal Trial Number (UTN)
U1111-1195-0358
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Trial acronym
N/A
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Linked study record
N/A
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Health condition
Health condition(s) or problem(s) studied:
Obesity
302718
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Condition category
Condition code
Metabolic and Endocrine
302240
302240
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0
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Metabolic disorders
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Diet and Nutrition
302265
302265
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a dose finding study to determine the dose response to increasing amounts of the beta-3 adrenergic receptor agonist mirabegron (outcome measurements listed subsequently).
Participants will be screened and given a medical assessment by a physician. If cleared for participation the physician will approve a prescription for participants to partake in the drug trials described below.
Participation will involve visiting the laboratory on 4 separate occasions, with each visit involving an oral dose of the drug mirabegron in a multiple ascending dose manner, each separated by between 3-14 days (based on participant availability). The 4 doses will be 50, 100, 150 and 200 mg.
Measurements of blood pressure, heart rate and energy expenditure (via indirect calorimetry) will be collected before and at 30 minute intervals after drug ingestion for 3 hours.
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Intervention code [1]
297673
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Treatment: Drugs
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Comparator / control treatment
Dose comparison (between all 4 different doses).
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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Energy expenditure via indirect calorimetry
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Assessment method [1]
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Timepoint [1]
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Energy expenditure will be assessed by measurement for 10 minutes before administering the drug dose, then for 10 minutes, every 30 minutes (eg, from 20-30 min, 50-60 min, 80-90 min, and so on) until 3 hours (from 170-180 minutes) post dosing. While multiple measurements will be obtained, the primary endpoint comparison will be between pre-drug ingestion and 3 hours post ingestion.
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Secondary outcome [1]
333436
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heart rate via an automated sphygmomanometer
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Assessment method [1]
333436
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Timepoint [1]
333436
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Heart rate will be assessed by measurement before administering the drug dose, then every 30 minutes post dosing for 3 hours. Each individual measurement will take approximately 30 seconds. While multiple measurements will be obtained, the primary endpoint comparison will be between pre-drug ingestion and 3 hours post ingestion.
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Secondary outcome [2]
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Blood pressure via an automated sphygmomanometer
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Assessment method [2]
333437
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Timepoint [2]
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Blood pressure will be assessed by measurement before administering the drug dose, then every 30 minutes post dosing for 3 hours. Each individual measurement will take approximately 30 seconds. While multiple measurements will be obtained, the primary endpoint comparison will be between pre-drug ingestion and 3 hours post ingestion.
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Eligibility
Key inclusion criteria
- Aged 18 – 40 years
- Not currently taking any prescription medications or other supplements or medications known to alter cardiovascular parameters or increase energy expenditure (as assessed by the study physician during medical screening)
- No history of major illness (as assessed by the study physician during medical screening)
- BMI equal to or less than 30 kg/m^2
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Minimum age
18
Years
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Maximum age
40
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
- Hypertension (resting supine blood pressure greater than 140/90 mmHg)
- Pregnancy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
N/A
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/A
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
N/A
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Phase
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Type of endpoint/s
Pharmacodynamics
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Statistical methods / analysis
Repeated measures ANOVA will be used to determine whether differences exist between treatment doses for the key outcomes.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
3/04/2017
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Date of last participant enrolment
Anticipated
19/11/2018
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Actual
31/07/2017
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Date of last data collection
Anticipated
17/12/2018
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Actual
27/10/2017
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Sample size
Target
30
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Accrual to date
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Final
22
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Baker Heart and Diabetes Institute - Melbourne
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Recruitment postcode(s) [1]
15700
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3004 - Melbourne
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
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Baker Heart and Diabetes Institute
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Address [1]
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PO Box 6492
Melbourne, Vic
3004
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Country [1]
296091
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Australia
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Primary sponsor type
Other
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Name
Baker Heart and Diabetes Institute
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Address
PO Box 6492
Melbourne, Vic
3004
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
294987
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Address [1]
294987
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Country [1]
294987
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297347
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Alfred Hospital Human Ethics Committee
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Ethics committee address [1]
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Old Baker Building, Level 1, 55 Commercial Rd, Melbourne VIC 3004
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Ethics committee country [1]
297347
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Australia
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Date submitted for ethics approval [1]
297347
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18/01/2017
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Approval date [1]
297347
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31/03/2017
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Ethics approval number [1]
297347
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047/17
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Summary
Brief summary
Increasing energy expenditure to reverse obesity may be possible using beta-3 adrenergic receptor agonist drugs, however it was not until recently that such drugs have been available under prescription. These approved drugs were developed for purposes other than treatment of obesity, so they have never been studied in this context. In this proposal, we will conduct a pilot study to determine the effects of multiple doses (the highest prescription dose of 50 mg, plus 100, 150 and 200mg) of the beta-3 adrenergic receptor agonist, mirabegron, on whole body energy expenditure and cardiovascular responses. This will be a dose finding study for which the purpose is to obtain data in order to inform a larger trial which will be conducted subsequently. We aim to determine the highest dose which will maximise energy expenditure without effects on the cardiovascular system.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Andrew Carey
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Address
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Baker Heart and Diabetes Institute
PO Box 6492
Melbourne, Vic
3004
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Country
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Australia
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Phone
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61 3 8532 1251
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Andrew Carey
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Address
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Baker Heart and Diabetes Institute
PO Box 6492
Melbourne, Vic
3004
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Country
73775
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Australia
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Phone
73775
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61 3 8532 1251
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Fax
73775
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Email
73775
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[email protected]
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Contact person for scientific queries
Name
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Andrew Carey
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Address
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Baker Heart and Diabetes Institute
PO Box 6492
Melbourne, Vic
3004
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Country
73776
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Australia
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Phone
73776
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61 3 8532 1251
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Fax
73776
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Acute metabolic and cardiovascular effects of mirabegron in healthy individuals.
2019
https://dx.doi.org/10.1111/dom.13516
N.B. These documents automatically identified may not have been verified by the study sponsor.
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