Drug Interaction Study of GBT440 With Caffeine, S-warfarin, Omeprazole, and Midazolam in Healthy Subjects
A Phase 1, Open-Label Study to Evaluate the Effect of Multiple Doses of GBT440 on the Pharmacokinetics of Probe Substrates for CYP1A2, CYP2C9, CYP2C19, and CYP3A4 in Healthy Subjects
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Texas
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San Antonio, Texas, United States, 78209
- ICON Early Phase Services, LLC Clinical Research Unit
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject is a female of non-childbearing potential or male, who is healthy, nonsmoking, and 18 to 55 years old, inclusive, at screening
- Male subjects agree to use contraception
- Willing and able to give written informed consent
Exclusion Criteria:
- Evidence or history of clinically significant metabolic, allergic, dermatological, hepatic, renal,hematological, pulmonary, cardiovascular, gastrointestinal, neurological, or psychiatric disorder
- History of hypersensitivity or allergy to drugs, foods, or other substances
- History or presence of abnormal electrocardiogram or hypertension
- History of alcohol abuse, illicit drug use, significant mental illness, physical dependence to any opioid, or any history of drug abuse or addiction within 1 year of screening
- Participated in another clinical trial of an investigational drug within 30 days (or 5 half-lives of the investigational drug, whichever is longer) prior to Screening
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Fixed sequence, 2-periods
An open-label, fixed sequence, 2-period drug interaction study Period 1 Treatment A: Single dose of drug cocktail on Day 1 Period 2 Treatment B: GBT440 on Days 1 through 3 and Treatment C: Single dose of drug cocktail on Day 4 and GBT440 on Days 4 through 7
|
GBT440 capsules followed by Caffeine, S-warfarin+vitamin K, Omeprazole, and Midazolam
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Peak plasma concentration(Cmax) for caffeine, S warfarin, omeprazole, and midazolam in plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
Area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for caffeine, S warfarin, omeprazole, and midazolam
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
Area under the plasma concentration time curve from time 0 extrapolated to infinity (AUCinf) for caffeine, S warfarin, omeprazole, and midazolam
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The time that Cmax was observed (tmax) for caffeine, S warfarin, omeprazole, and midazolam in plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
Terminal elimination half-life (t½) for caffeine, S warfarin, omeprazole, and midazolam in plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
Cmax for metabolites of caffeine, warfarin, omeprazole, and midazolam in plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
tmax, for metabolites of caffeine, warfarin, omeprazole, and midazolam in plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
AUCt for metabolites of caffeine, warfarin, omeprazole, and midazolam in plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
AUCinf for metabolites of caffeine, warfarin, omeprazole, and midazolam in plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
t1/2 for metabolites of caffeine, warfarin, omeprazole, and midazolam in plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
Ratio of metabolite to parent Cmax corrected for molecular weight (Cmax M/P) for metabolites of caffeine, warfarin, omeprazole, and midazolam in plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
Ratio of metabolite to parent AUCt corrected for molecular weight (AUCt M/P)for metabolites of caffeine, warfarin, omeprazole, and midazolam in plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
Ratio of metabolite to parent AUCinf corrected for molecular weight (AUCinf M/P) for metabolites of caffeine, warfarin, omeprazole, and midazolam in plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
Cmax for GBT440 in whole blood and plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
tmax for GBT440 in whole blood and plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
AUC from time 0 to 24 hours (AUC0-24) (Days 4 and 7) for GBT440 in whole blood and plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
|
t1/2 (Day7) for GBT440 in whole blood and plasma
Time Frame: 0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
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0 - 168 hours post dose in Period 1 and 0-408 hours post dose in Period 2
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Treatment-emergent adverse events (TEAEs) and serious adverse events
Time Frame: Baseline to Period 2 Day 25
|
Baseline to Period 2 Day 25
|
|
Change in clinical laboratory tests
Time Frame: Baseline to Period 2 Day 25
|
Baseline to Period 2 Day 25
|
|
Change in physical examination findings
Time Frame: Baseline to Period 2 Day 25
|
Baseline to Period 2 Day 25
|
|
Change in vital signs
Time Frame: Baseline to Period 2 Day 25
|
Baseline to Period 2 Day 25
|
|
Change in pulse oximetry findings
Time Frame: Baseline to Period 2 Day 25
|
Baseline to Period 2 Day 25
|
|
Change in electrocardiograms (ECGs)
Time Frame: Baseline to Period 2 Day 25
|
Baseline to Period 2 Day 25
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Carla Washington, PhD, Global Blood Therapeutics
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study 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 (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- GBT440-003
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