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A Drug-Drug Interaction Study to Evaluate the Effect of Vapendavir on the Pharmacokinetics of Midazolam in Healthy Male and Female Volunteers

29. maj 2018 opdateret af: Biota Scientific Management Pty Ltd

A Phase 1, Randomized, Open-Label Study to Evaluate the Effect of Vapendavir (BTA798) on the Pharmacokinetics of Orally Administered Midazolam, a CYP3A4 Substrate, in Healthy Male and Female Volunteers

The primary aim of this Phase 1 study is to evaluate the effect of vapendavir daily doses of 528 mg daily (QD) and 264 mg twice daily (BID) on the pharmacokinetic (PK) profile of midazolam, a cytochrome (CYP) 3A4 substrate. Additionally, the effect of midazolam on the PK profile of vapendavir, a PK profile comparison of vapendavir in males and females, as well as the safety of vapendavir will also be assessed.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

24

Fase

  • Fase 1

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Forenede Stater
    • Minnesota
      • Saint Paul, Minnesota, Forenede Stater, 55114
        • Prism Clinical Research

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 55 år (Voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Must be male or female between 18 and 55 years of age (inclusive) with BMI between 18 and 30 kg/m2 (inclusive), and weight ≥50 kg at the time of screening;
  • Capable of giving written informed consent;
  • Subject is able to understand and comply with the protocol requirements, instructions and restrictions;
  • Healthy on the basis of physical examination, medical history, medication usage, vital signs (VS), electrocardiograms (ECGs), and clinical laboratory tests;
  • Female subjects who are not post-menopausal for at least 2 years or surgically sterile with complete hysterectomy or bilateral oophorectomy and male subjects who are not surgically sterile via vasectomy, must agree to use a double barrier method of birth control, such as a condom plus spermicidal agent (foam/gel/film/cream/suppository); and
  • Female subjects must not be breastfeeding or pregnant.

Exclusion Criteria:

  • Positive results for Hepatitis B, Hepatitis C, or HIV;
  • Frequent use (defined as > 5 times/day) of tobacco products, including cigarettes, cigars, chewing tobacco;
  • A medical history of significant hematological, gastrointestinal, respiratory, renal, hepatic, cerebrovascular, immunologic, psychiatric or cardiovascular disease or event;
  • Current or recent respiratory infection (defined as within 14 days of first study visit participation)
  • Presence or history of significant allergy;
  • Clinically significant abnormalities noted on ECG;
  • Screening vital signs representing sustained elevated systolic blood pressure <90 mmHg or >140 mmHg, and/or diastolic blood pressure <55 mmHg or >90 mmHg.
  • Presence of significant gastrointestinal abnormalities such as diarrhea or constipation;
  • Safety laboratory abnormalities noted at screening which are clinically significant
  • Current or defined history of abuse of alcohol or illicit drugs;
  • A positive pregnancy test at screening;
  • Poor vein access or fear of venipuncture or sight of blood; and
  • Regular consumption of alcohol defined as either > 2 units (glass or shot) of alcoholic beverages per day or > 14 units per week.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Andet
  • Tildeling: Randomiseret
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Vapendavir 528 mg QD
Twelve subjects (6 male and 6 female) will receive 528 mg vapendavir (achieved with four 132 mg vapendavir capsules) QD in the morning for seven days
Medicin: Midazolam 5mg Syrup

All twenty four subjects will receive 5 mg midazolam syrup at four different time points during the study for a total of four non-subsequent dosing days.

  • On Study Days 0 and 12, subjects will receive only 5 mg midazolam syrup dosed in the morning.
  • On Study Days 6 and 9, subjects will have 5 mg midazolam syrup co-administered with their assigned dose of vapendavir in the morning. Co-administration of midazolam will not occur at the time of the evening dose for Group B.
Medicin: Vapendavir 528 mg QD
Twelve subjects (6 male and 6 female) will receive 528 mg vapendavir (achieved with four 132 mg vapendavir capsules) QD in the morning for seven days
Eksperimentel: Vapendavir 264 mg BID
Twelve subjects (6 male and 6 female) will receive 264 mg vapendavir (achieved with two 132 mg vapendavir capsules) BID daily as divided dose given in the morning and evening 12 hours apart for seven days.
Medicin: Midazolam 5mg Syrup

All twenty four subjects will receive 5 mg midazolam syrup at four different time points during the study for a total of four non-subsequent dosing days.

  • On Study Days 0 and 12, subjects will receive only 5 mg midazolam syrup dosed in the morning.
  • On Study Days 6 and 9, subjects will have 5 mg midazolam syrup co-administered with their assigned dose of vapendavir in the morning. Co-administration of midazolam will not occur at the time of the evening dose for Group B.
Medicin: Vapendavir 264 mg BID
Twelve subjects (6 male and 6 female) will receive 264 mg vapendavir (achieved with two 132 mg vapendavir capsules) BID daily as divided dose given in the morning and evening 12 hours apart for seven days.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
The Effect of Vapendavir on the PK Profile of Midazolam
Tidsramme: End of Study (up to 46 weeks in duration)

To evaluate the effect of vapendavir daily dose of 264 mg BID on the PK profile of midazolam, a CYP3A4 substrate. The primary outcome will be evaluated through a series of analyses of PK parameters including:

  • for midazolam including maximum observed plasma concentration (Cmax)
  • time at which Cmax was observed (Tmax)
  • plasma concentration at the end of the dosing interval (Ctau)
  • area under the plasma concentration-time curve from time 0 to the last measurable plasma concentration (AUC0-last)
  • area under the plasma concentration-time curve from time 0 to the end of the dosing interval (AUC0-tau)
  • area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC0-inf)
  • elimination half-life (t1/2)
  • apparent oral clearance (CL/F)
  • apparent oral volume of distribution (Vz/F).
End of Study (up to 46 weeks in duration)
The Effect of Vapendavir on the PK Profile of Midazolam
Tidsramme: End of Study (up to 46 weeks in duration)

To evaluate the effect of vapendavir daily dose of 528 mg QD on the PK profile of midazolam, a CYP3A4 substrate. The primary outcome will be evaluated through a series of analyses of PK parameters including:

  • for midazolam including maximum observed plasma concentration (Cmax)
  • time at which Cmax was observed (Tmax)
  • plasma concentration at the end of the dosing interval (Ctau)
  • area under the plasma concentration-time curve from time 0 to the last measurable plasma concentration (AUC0-last)
  • area under the plasma concentration-time curve from time 0 to the end of the dosing interval (AUC0-tau)
  • area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC0-inf)
  • elimination half-life (t1/2)
  • apparent oral clearance (CL/F)
  • apparent oral volume of distribution (Vz/F).
End of Study (up to 46 weeks in duration)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Assess Whether PK Profile of Vapendavir is Affected by Presence of Midazolam
Tidsramme: End of Study (up to 46 weeks in duration)

To evaluate whether the PK profile of vapendavir, is affected by the presence of midazolam, a strong CYP3A4 substrate. This outcome will be evaluated through a series of analyses of PK parameters for vapendavir including:

  • maximum observed plasma concentration (Cmax)
  • time at which Cmax was observed (Tmax)
  • plasma concentration at the end of the dosing interval (Ctau)
  • area under the plasma concentration-time curve from time 0 to the last measurable plasma concentration (AUC0-last)
  • area under the plasma concentration-time curve from time 0 to the end of the dosing interval (AUC0-tau)
  • area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC0-inf)
  • elimination half-life (t1/2)
  • apparent oral clearance (CL/F)
  • apparent oral volume of distribution (Vz/F).
End of Study (up to 46 weeks in duration)
Assess the Safety of Vapendavir
Tidsramme: End of Study (up to 46 weeks in duration
To evaluate the safety of vapendavir. This will be accomplished by assessing adverse events, clinical laboratory tests (including blood chemistry, hematology with differential and urinalysis), physical exams, ECG assessments, vital sign assessments and concomitant medications.
End of Study (up to 46 weeks in duration

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Biota Scientific Management Pty Ltd

Efterforskere

  • Ledende efterforsker: Mark Matson, MD, Prism Clinical Research

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. maj 2014

Primær færdiggørelse (Faktiske)

1. juni 2014

Studieafslutning (Faktiske)

1. juni 2014

Datoer for studieregistrering

Først indsendt

27. maj 2014

Først indsendt, der opfyldte QC-kriterier

29. juli 2014

Først opslået (Skøn)

30. juli 2014

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

30. maj 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

29. maj 2018

Sidst verificeret

1. maj 2018

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • BTA798-102

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Interaktion med narkotikamarkedsinteraktion

Kliniske forsøg med Midazolam 5mg Syrup

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Narkotikainterventioner

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Betingelser

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Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

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