Effect of Tipranavir and Ritonavir on the Pharmacokinetic Characteristics of Norethindrone-Ethinyl Estradiol in Healthy Female Adult Volunteers
A Single Centre, Open-label, Randomized, Parallel Group, Multiple Dose Comparison of the Effect of TPV 750 mg and RTV 200 mg or TPV 500 mg and RTV 100 mg, Administered Twice Daily, on the Pharmacokinetic Characteristics of Norethindrone-Ethinyl Estradiol (Ortho®-1/35 ) Administered as a Single Dose, in Healthy Female Adult Volunteers.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Female subjects between 18 and 50 years of age inclusive
- A Body Mass Index (BMI) between 18 and 29 kg/m2
- Signed informed consent prior to trial participation
- Ability to swallow numerous large capsules without difficulty
- Acceptable laboratory values that indicate adequate baseline organ function are required at the time of screening. Laboratory values are considered to be acceptable if severity is less than or equal to Grade 1, based on the AIDS Clinical Trials Group Grading Scale. All abnormal laboratory values greater than Grade 1 are subject to approval by the trial clinical monitor.
- Acceptable medical history, physical examination and ECG, and chest X-ray (if not conducted within the last 12 months) are required prior to entering the treatment phase of the study
- Willingness to abstain from alcohol for 48 hours prior to Study Day 0 and abstain from alcohol for the duration of the study. In addition, red wine must not have been ingested within 5 days prior to Day 0 (Visit 2)
- Willingness to abstain from ingesting grapefruit, grapefruit juice, or products containing grapefruit juice, within 10 days before Day 0, Visit 2 and for the duration of the study
- Willingness to abstain from ingesting Seville oranges, garlic supplements, St. John's Wort, Milk Thistle, or methylxanthine-containing drinks or food (coffee, tea, cola, energy drinks, chocolate, etc) within 5 days of Day 0, Visit 2 and for the duration of the study
- Willingness to abstain from over the counter herbal medications for the duration of the study
- Reasonable probability for completion of the study
Exclusion Criteria:
Female subjects who are of reproductive potential who:
- Have positive serum beta-human chorionic gonadotropin at Visit 1, or on Day 0 or Day 1
- Have not been using a barrier contraceptive method for at least 3 months prior to Visit 3 (Day 1)
- Are not willing to use a reliable method of double-barrier contraception (such as diaphragm with spermicidal cream/jelly or condoms with spermicidal foam), during the trial and 30 days after completion/termination
- Are breast-feeding
- Participation in another trial with an investigational medicine within 30 days prior to Day 0 (Visit 2)
- Use of any medication listed in the protocol within 30 days prior to Day 0 (Visit 2)
- Use of any other pharmacological contraceptive (including oral, patch or injectable contraceptives) for 1 month prior to study initiation and for the duration of the study
- Administration of antibiotics within 10 days prior to Day 0 (Visit 2) or during the trial
- History of central nervous system (CNS), gastrointestinal, hepatic, or renal disorders within the past sixty (60) days. Subjects will be excluded for these disorders greater than sixty days if, in the opinion of the investigator, the subject does not qualify as a healthy volunteer
- History of thrombotic disease
- History of migraine headache
- Have serological evidence of hepatitis B or C virus
- Have serological evidence of exposure to HIV
- Recent history of alcohol or substance abuse (within 6 months of study period)
- Cigarette smoking (greater than 10 cigarettes per day)
- Blood or plasma donations within 30 days prior to Day 0 (Visit 2) or during the trial.
- Subjects with a seated systolic blood pressure either <100 mm Hg or >150 mm Hg; resting heart rate either <50 beats/min or >90 beats/min. For subjects with a resting heart rate below 50, due to a high fitness level, the investigator may discuss exclusion with the medical monitor on a case-by-case basis
- Subjects with a history of any illness or allergy that, in the opinion of the investigator, might confound the results of the study or pose additional risk in administering Tipranavir, Ritonavir or NET/EE to the subject
- Subjects who have had an acute illness within 2 weeks prior to Day 0 (Visit 2)
- Subjects who are currently taking any over-the-counter drug within 7 days prior to Day 0,(Visit 2) or who are currently taking any prescription drug that, in the opinion of the investigator in consultation with the clinical monitor, might interfere with either the absorption, distribution or metabolism of the test substances
- Known hypersensitivity to TPV, RTV, or NET/EE
- Inability to comply with the protocol
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: TPV/RTV low dose
|
Other Names:
Other Names:
|
|
Experimental: TPV/RTV high dose
|
Other Names:
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Area under plasma concentration time curve
Time Frame: up to day 17
|
up to day 17
|
|
Maximum plasma concentration of the analyte
Time Frame: up to day 17
|
up to day 17
|
|
Drug concentration of the analyte in plasma at 12 hours after administration
Time Frame: up to day 17
|
up to day 17
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Oral clearance of the analyte
Time Frame: up to day 17
|
up to day 17
|
|
Time of maximum concentration of the analyte
Time Frame: up to day 17
|
up to day 17
|
|
Apparent terminal half life of the analyte
Time Frame: up to day 17
|
up to day 17
|
|
Number of subjects with adverse events
Time Frame: up to 45 days
|
up to 45 days
|
|
Number of subject with clinically relevant changes in laboratory parameters
Time Frame: up to 17 days
|
up to 17 days
|
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
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Enzyme Inhibitors
- Anti-HIV Agents
- Anti-Retroviral Agents
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Protease Inhibitors
- Estrogens
- Cytochrome P-450 CYP3A Inhibitors
- Cytochrome P-450 Enzyme Inhibitors
- Contraceptive Agents, Hormonal
- Contraceptive Agents
- Reproductive Control Agents
- Contraceptives, Oral, Combined
- Contraceptives, Oral
- Contraceptive Agents, Female
- Contraceptives, Oral, Synthetic
- HIV Protease Inhibitors
- Viral Protease Inhibitors
- Contraceptives, Oral, Hormonal
- Ritonavir
- Estradiol
- Ethinyl Estradiol
- Tipranavir
- Norethindrone
- Norethindrone Acetate
- Norinyl
Other Study ID Numbers
Other Study ID Numbers
- 1182.22
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