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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 mai 2018 mis à jour par: 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.

Aperçu de l'étude

Statut

Complété

Les conditions

Intervention / Traitement

Type d'étude

Interventionnel

Inscription (Réel)

24

Phase

  • La phase 1

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

  • États-Unis
    • Minnesota
      • Saint Paul, Minnesota, États-Unis, 55114
        • Prism Clinical Research

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

18 ans à 55 ans (Adulte)

Accepte les volontaires sains

Oui

Sexes éligibles pour l'étude

Tout

La description

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.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Autre
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation à un seul groupe
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: 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
Médicament: 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.
Médicament: 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
Expérimental: 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.
Médicament: 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.
Médicament: 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.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
The Effect of Vapendavir on the PK Profile of Midazolam
Délai: 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
Délai: 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)

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Assess Whether PK Profile of Vapendavir is Affected by Presence of Midazolam
Délai: 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
Délai: 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

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Biota Scientific Management Pty Ltd

Les enquêteurs

  • Chercheur principal: Mark Matson, MD, Prism Clinical Research

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 mai 2014

Achèvement primaire (Réel)

1 juin 2014

Achèvement de l'étude (Réel)

1 juin 2014

Dates d'inscription aux études

Première soumission

27 mai 2014

Première soumission répondant aux critères de contrôle qualité

29 juillet 2014

Première publication (Estimation)

30 juillet 2014

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

30 mai 2018

Dernière mise à jour soumise répondant aux critères de contrôle qualité

29 mai 2018

Dernière vérification

1 mai 2018

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • BTA798-102

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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