Drug-Drug Interaction Study of Intravenous Administration of SyB V-1901 and Cyclosporine in Japanese Healthy Subjects

April 25, 2021 updated by: SymBio Pharmaceuticals

An Open-label, Randomized, Crossover Study to Evaluate the Drug Interaction of Coadministered Cyclosporine on the Pharmacokinetics and Safety of Intravenous Administration of SyB V-1901 in Japanese Healthy Subjects

To evaluate the effect of coadministered cyclosporine on the pharmacokinetics of brincidofovir following simultaneous administration of SyB V-1901 with cyclosporine, or coadministration of cyclosporine at 2 hours after the completion of SyB V-1901 infusion in healthy adult subjects

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This study is an open-label, randomized and crossover study designed to evaluate the effect of cyclosporine on the pharmacokinetics of SyB V-1901. Healthy adult subjects will receive an IV dose of SyB V-1901 alone, simultaneous administration of SyB V-1901 with cyclosporine, and coadministration of cyclosporine at 2 hours after completion of SyB V-1901 infusion. Eligible subjects will be randomized to one of two groups, to receive the treatment sequence of assigned group.

Study Type

Interventional

Enrollment (Actual)

13

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Tokyo
      • Hachioji-shi, Tokyo, Japan
        • Research Site

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

20 years to 55 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Male

Description

Main Inclusion Criteria:

  • Healthy adult male aged between 20 to 55 years at informed consent
  • BMI from 18 to 32 kg/m2 with a body weight of ≥ 50 kg
  • Creatinine Clearance ≥ 60 mL/min at screening
  • Judged to be in good general health, based on the review of medical history and the screening and Pre-Day1 examination

Main Exclusion Criteria:

  • Positive for HIV antibody, or HBs antigen, or HCV antibody at the screening or within 6 months prior to the start of screening
  • Have a history of infection of SARS-CoV-2, or subjects who have close contact with infected patients of SARS-CoV-2 within 2 weeks prior to screening or visit to epidemic area of SARS-CoV-2 infection in outside of Japan or have close contact with person who visit to epidemic area of SARS-CoV-2 infection within 2 weeks prior to screening
  • Positive for SARS-CoV-2 polymerase chain reaction (PCR) in lower respiratory tract specimens, nasopharyngeal swabs or saliva and so on at screening or have a fever ≥ 37.5 °C and respiratory symptoms
  • Have a history of drug abuse or alcohol dependence within 2 years prior to the start of screening
  • Have a history of gastrointestinal disorders or cholecystectomy etc., which could interfere with the absorption of cyclosporine or could interfere with normal gastrointestinal anatomy or motility, but except for uncomplicated appendectomy.
  • Have a history or symptoms of cardiovascular disease, including but not limited to coronary artery disease, hypertension, congestive heart disease, and clinically significant cardiac disorder.
  • Have a history of hematological disorders or have a risk of gastrointestinal bleeding
  • Have a history of chronic liver disease or hepatic impairment, including but not limited to alcoholic liver disease, chronic viral hepatitis, autoimmune hepatitis, steatosis or hemochromatosis.
  • Have increased Alanine aminotransferase (ALT) or Aspartate aminotransferase (AST) greater than ULN at screening or Pre-Day1
  • History of Gilbert's syndrome or increased total bilirubin greater than 1.5x the upper limit of the normal range at screening or Pre-Day1
  • Have symptoms of infection within 2 weeks prior to Pre-Day1
  • Have clinically significant abnormal hemoglobin at the screening or Pre-Day1, or a clinically significant iron deficiency
  • Have a history of blood donation or had clinically significant blood loss within 30 days prior to Day 1, or platelet/plasma donation within 7 days prior to Day 1
  • Have received any investigational drug, or device within 30 days prior to Day1
  • History of tobacco- or nicotine-containing product use within 6 months prior to Day1

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Basic Science
  • Allocation: Randomized
  • Interventional Model: Crossover Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Group 1
SyB V-1901 alone, Simultaneous administration of SyB V-1901 and cyclosporine, Coadministration of cyclosporine at 2 hours after the completion of SyB V-1901 infusion
SyB V-1901 10 mg via IV infusion for 2 hours
200 mg Capsule
Experimental: Group 2
Simultaneous administration of SyB V-1901 and cyclosporine, SyB V-1901 alone, Coadministration of cyclosporine at 2 hours after the completion of SyB V-1901 infusion
SyB V-1901 10 mg via IV infusion for 2 hours
200 mg Capsule

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Maximum Plasma Concentration (Cmax) of brincidofovir (BCV)
Time Frame: From initiation of SyB V-1901 administration though 16 days
From initiation of SyB V-1901 administration though 16 days
Area under the plasma concentration versus time curve (AUC) of BCV
Time Frame: From initiation of SyB V-1901 administration though 16 days
From initiation of SyB V-1901 administration though 16 days

Secondary Outcome Measures

Outcome Measure
Time Frame
Cmax of cidofovir (CDV)
Time Frame: From initiation of SyB V-1901 administration though 16 days
From initiation of SyB V-1901 administration though 16 days
AUC of CDV
Time Frame: From initiation of SyB V-1901 administration though 16 days
From initiation of SyB V-1901 administration though 16 days
Cmax of Intercellular Cidofovir diphosphate (CDV-PP) in Peripheral Blood Mononuclear Cells (PBMCs)
Time Frame: From initiation of SyB V-1901 administration though 18 days
From initiation of SyB V-1901 administration though 18 days
AUC of Intercellular CDV-PP in PBMCs
Time Frame: From initiation of SyB V-1901 administration though 18 days
From initiation of SyB V-1901 administration though 18 days
Cmax of cyclosporine in blood
Time Frame: From initiation of cyclosporine administration though 16 days
From initiation of cyclosporine administration though 16 days
AUC of cyclosporine in blood
Time Frame: From initiation of cyclosporine administration though 16 days
From initiation of cyclosporine administration though 16 days
Number of subjects with adverse events (AE)
Time Frame: Follow up 22 days post dose
Follow up 22 days post dose
Number of subjects with severity of AEs
Time Frame: Follow up 22 days post dose
Follow up 22 days post dose
Number of subjects with abnormal findings for laboratory parameters
Time Frame: Follow up 22 days post dose
Follow up 22 days post dose
Number of subjects with abnormal findings for blood pressure
Time Frame: Follow up 22 days post dose
Follow up 22 days post dose
Number of subjects with abnormal findings for respiratory rate
Time Frame: Follow up 22 days post dose
Follow up 22 days post dose
Number of subjects with abnormal findings for heart rate
Time Frame: Follow up 22 days post dose
Follow up 22 days post dose
Number of subjects with abnormal findings for temperature
Time Frame: Follow up 22 days post dose
Follow up 22 days post dose

Other Outcome Measures

Outcome Measure
Time Frame
Genotype of CYP4F2
Time Frame: Pre-Day1
Pre-Day1
Genotype of OATP1B1
Time Frame: Pre-Day1
Pre-Day1

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Takeshi Yoshida, SymBio Pharmaceuticals

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 9, 2020

Primary Completion (Actual)

December 22, 2020

Study Completion (Actual)

January 29, 2021

Study Registration Dates

First Submitted

August 29, 2020

First Submitted That Met QC Criteria

September 2, 2020

First Posted (Actual)

September 9, 2020

Study Record Updates

Last Update Posted (Actual)

April 27, 2021

Last Update Submitted That Met QC Criteria

April 25, 2021

Last Verified

April 1, 2021

More Information

Terms related to this study

Other Study ID Numbers

  • BCV-HV01

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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