Effects of Nevirapine on the Steady State Pharmacokinetics of Fluconazole in HIV Positive Patients
An Open-label Study in HIV+ Patients to Determine the Effects of Nevirapine (VIRAMUNE®) on the Steady State Pharmacokinetics of Fluconazole (DIFLUCAN®)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female patients between the ages of 18 and 65 years who are seropositive for HIV-1 antibody by an ELISA test and confirmed by an alternative method, e.g. Western Blot
- CD4 + cell count ≥ 100 cells/mm3
Patients who meet the following laboratory parameters
- Granulocyte count > 1000 cells/mm3
- Hemoglobin > 9.0 g/dl (men and women)
- Platelet count > 75,000 cells/mm3
- Alkaline phosphatase < 3.0 times the upper limit of normal
- Aspartame Transaminase (AST) and Alanine Transaminase (ALT) < 3.0 times the upper limit of normal
- Total bilirubin < 1.5 times the upper limit of normal
- Female patients of childbearing potential must be willing to use a reliable form of contraception which must include a medically approved from of barrier contraception
- Patients able to provide written informed consent and comply with study requirements
Exclusion Criteria:
- Female patients who are pregnant or breast-feeding
- Seated systolic blood pressure below 100 mmHg, or greater than 160 mmHg, and/or heart rate less than 50 or greater than 100 beats/min
- History of drug allergy or known drug hypersensitivity
- Patients receiving any investigational drug, antineoplastic agent or radiotherapy other than local skin radiotherapy treatment within 12 weeks before starting study medication
- Patients requiring systemic treatment with corticosteroids or drugs known to be hepatic enzyme inducers or inhibitors within 28 days of study entry (Study Day 1). Such substances in these categories include: macrolide antibiotics (e.g. erythromycin, clarithromycin, azithromycin, dirithromycin), azole antifungals (e.g. itraconazole), rifabutin and phenytoin
- Patients requiring systemic treatment with CYP3A4 (cytochrome P450 3A4) substrates such as terfenadine, astemizole, cisapride, triazolam and midazolam during the course of the trial
- Use of protease inhibitors or non-nucleoside reverse transcriptase inhibitors within 28 days of Study Day 1 or during the trial
- Patients with a current history of intravenous drug abuse, alcohol or substance abuse (within the last year)
- History of any clinically important disease including hepatic, renal, cardiovascular or gastrointestinal disease
- Patients with malabsorption, severe chronic diarrhea or patients unable to maintain adequate oral intake
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Fluconazole with and without Nevirapine
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Maximum concentration of the analyte in plasma (Cmax)
Time Frame: up to day 40
|
up to day 40
|
|
Minimum concentration of the analyte in plasma (Cmin)
Time Frame: up to day 40
|
up to day 40
|
|
Area under the plasma concentration time curve over the dosing interval (AUCτ)
Time Frame: up to day 40
|
up to day 40
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of patients with adverse events
Time Frame: up to 40 days
|
up to 40 days
|
|
Time of Cmax (Tmax)
Time Frame: up to day 40
|
up to day 40
|
|
Oral clearance (Cl/F)
Time Frame: up to day 40
|
up to day 40
|
|
Number of patients with abnormal changes in laboratory parameters
Time Frame: up to day 40
|
up to day 40
|
|
Number of patients with clinically significant changes in vital signs
Time Frame: up to day 39
|
up to day 39
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- Lentivirus Infections
- Retroviridae Infections
- Immunologic Deficiency Syndromes
- Immune System Diseases
- HIV Infections
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Reverse Transcriptase Inhibitors
- Nucleic Acid Synthesis Inhibitors
- Enzyme Inhibitors
- Anti-HIV Agents
- Anti-Retroviral Agents
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Cytochrome P-450 Enzyme Inhibitors
- Hormone Antagonists
- Cytochrome P-450 Enzyme Inducers
- Antifungal Agents
- Steroid Synthesis Inhibitors
- Cytochrome P-450 CYP3A Inducers
- 14-alpha Demethylase Inhibitors
- Cytochrome P-450 CYP2C9 Inhibitors
- Cytochrome P-450 CYP2C19 Inhibitors
- Nevirapine
- Fluconazole
Other Study ID Numbers
Other Study ID Numbers
- 1100.1361
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