Short Communication
The Effects of a Meal on QTc to Demonstrate ECG Assay Sensitivity in Phase I Studies
Author(s): Jörg Täubel, Georg Ferber, Sara Fernandes, Ulrike Lorch, Mariano Sust and A John CammJörg Täubel, Georg Ferber, Sara Fernandes, Ulrike Lorch, Mariano Sust and A John Camm
In December 2015, the International Conference of Harmonization (ICH) E14 guideline generated guidance on
how exposure-response modelling can be used to characterise the potential for a drug to affect cardiac repolarisation
and to modulate the QTc interval. The released Q&A document describes how data from Phase I ascending dose
SAD and MAD studies can be used in the right circumstances to be accepted by regulatory bodies as an alternative
approach to TQT to demonstrate cardiac safety. While this strategy is now being expanded to all new drugs, this
alternative analysis has been extensively used in the past. This commentary discusses the results of a retrospective
analysis where a concentration-effect analysis validated by meal effects on the ECG was applied to a Phase I study
to investigate the PK, PD and safety of escalating single doses of a highly selectiv.. View More»
DOI:
10.4172/jbb.1000307