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Hepatitis CPhase 1NCT01637922

Drug Interaction Study With BI 201335 and Methadone or Buprenorphine/Naloxone

A Phase 1 study testing BI 201335 in people with Hepatitis C, run by Boehringer Ingelheim at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Otherwise healthy subjects who are currently bein maintained on either methadone or buprenorphine/naloxone for opioid maintenance therapy who have been on a stable dose for at least 30 days will be administered BI 201335 daily to determine if a drug interaction occurs between BI 201335 and either methadone or… Read more about this study

Who is it for?
Ages 18 to 64 years
Conditions the study is for
Hepatitis C
What is being tested?
BI 201335
Could I receive a placebo?
No, everyone receives an active treatment
How many people
34 participants
Where
3 sitesUnited States
Study dates
Aug 2012to Nov 2012
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 64 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • stable dose of either methadone or buprenorphine/naloxone for 30 days for opioid maintenance therapy.
  • Male and female volunteers with a body mass index (BMI) = 18.5 and < 32 with a minimum weight of 50kg.

Who cannot join

  • any other significant medical illness of clinical significance.
  • history of rash or photosensitivity
  • chronic or acute infections including HIV, hepatitis B and hepatitis C.
  • history of allergy considered significant for this study
  • intake of any other medications except for methadone or buprenorphine/naloxone.
  • QTc on electrocardiogram (ECG) > 470.
Show all 18Show fewer
  • use of any other investigational drug within 30 days of the study.
  • drug or alcohol abuse (other than the defined opioid maintenance therapy with either methadone or buprenorphine/naloxone)
  • blood donation of more than 100mL within four weeks of the trial.
  • excessive physical activities one week prior to and during the trial.
  • any clinically relevant laboratory value.
  • concomitant use of any food product known to alter P450 or P-gp activity such as grapefruit juice, seville oranges and St. John's Wort.
  • inadequate venous access
  • For women of childbearing potential:
  • pregnancy or planning to become pregnant within 3 months of the trial
  • positive pregnancy test at screening visit
  • no proof of sterilization or unwilling or unable to use a double barrier method of birth control during the study and up to 3 months after the study.
  • lactation with active breastfeeding from screening up to 30 days after last study visit.

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • 1220.57.0001 Boehringer Ingelheim Investigational Site

    Atlanta, Georgia

  • 1220.57.0002 Boehringer Ingelheim Investigational Site

    Overland Park, Kansas

  • 1220.57.0003 Boehringer Ingelheim Investigational Site

    Salt Lake City, Utah

Other trials in United States

About this study

Official title: Effect of Multiple Dosing With BI 201335 on the Safety, Pharmacokinetics and Pharmacodynamics of Steady-state Methadone and Buprenorphine/Naloxone in Subjects on Stable Addiction Management Therapy

Otherwise healthy subjects who are currently bein maintained on either methadone or buprenorphine/naloxone for opioid maintenance therapy who have been on a stable dose for at least 30 days will be administered BI 201335 daily to determine if a drug interaction occurs between BI 201335 and either methadone or buprenorphine/naloxone.

Conditions
Hepatitis C
Being tested
BI 201335
Medical subject headings
Hepatitis C

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BI 201335Drug

    BI 201335 for 9 days

  • BI 201335Drug

    BI 201335 for 9 days

Study groups in NCT01637922
Study groupRoleWhat they receive
Methadone groupActive comparatorpatients on stable methadone therapy (at least 30 days) up to a maximum of 180mg per day
Receives: Drug: BI 201335
BuprenorphineActive comparatorpatients on stable buprenorphine/naloxone therapy (at least 30 days) up to a maximum dose of 24mg/6mg per day.
Receives: Drug: BI 201335

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. R-methadone: Geometric Mean Steady-state AUC0-24 on Day 1 and on Day 9.

    These are the unadjusted summary statistics on the original scale for area under the concentration time curve (AUC) of faldaprevir in plasma over a uniform dosing interval from 0 to 24 hours.

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  2. R-methadone: Geometric Mean Steady-state Cmax on Day 1 and on Day 9.

    These are the unadjusted summary statistics on the original scale for the maximum measured concentration of faldaprevir in plasma at steady state.

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  3. R-methadone: Geometric Mean Steady-state C24hr on Day 1 and on Day 9.

    These are the unadjusted summary statistics on the original scale for steady-state plasma concentration of faldaprevir 24 hours after the last dose

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  4. S-methadone: Geometric Mean Steady-state AUC0-24 on Day 1 and on Day 9

    These are the unadjusted summary statistics on the original scale for area under the concentration time curve (AUC) of faldaprevir in plasma over a uniform dosing interval from 0 to 24 hours.

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  5. S-methadone: Geometric Mean Steady-state Cmax on Day 1 and on Day 9

    These are the unadjusted summary statistics on the original scale for the maximum measured concentration of faldaprevir in plasma at steady state.

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  6. S-methadone: Geometric Mean Steady-state C24hr on Day 1 and on Day 9

    These are the unadjusted summary statistics on the original scale for steady-state plasma concentration of faldaprevir 24 hours after the last dose

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  7. Buprenorphine: Geometric Mean Steady-state AUC0-24 on Day 1 and on Day 9.

    These are the unadjusted summary statistics on the original scale for area under the concentration time curve (AUC) of faldaprevir in plasma over a uniform dosing interval from 0 to 24 hours.

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  8. Buprenorphine: Geometric Mean Steady-state Cmax on Day 1 and on Day 9.

    These are the unadjusted summary statistics on the original scale for the maximum measured concentration of faldaprevir in plasma at steady state.

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  9. Buprenorphine: Geometric Mean Steady-state C24hr on Day 1 and on Day 9.

    These are the unadjusted summary statistics on the original scale for steady-state plasma concentration of faldaprevir 24 hours after the last dose

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  10. Norbuprenorphine: Geometric Mean Steady-state AUC0-24 on Day 1 and on Day 9.

    These are the unadjusted summary statistics on the original scale for area under the concentration time curve (AUC) of faldaprevir in plasma over a uniform dosing interval from 0 to 24 hours.

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  11. Norbuprenorphine: Geometric Mean Steady-state Cmax on Day 1 and on Day 9.

    These are the unadjusted summary statistics on the original scale for the maximum measured concentration of faldaprevir in plasma at steady state.

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  12. Norbuprenorphine: Geometric Mean Steady-state C24hr on Day 1 and on Day 9.

    These are the unadjusted summary statistics on the original scale for steady-state plasma concentration of faldaprevir 24 hours after the last dose

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  13. Naloxone: Geometric Mean Steady-state AUC0-24 on Day 1 and on Day 9.

    These are the unadjusted summary statistics on the original scale for area under the concentration time curve (AUC) of faldaprevir in plasma over a uniform dosing interval from 0 to 24 hours.

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  14. Naloxone: Geometric Mean Steady-state Cmax on Day 1 and on Day 9.

    These are the unadjusted summary statistics on the original scale for the maximum measured concentration of faldaprevir in plasma at steady state.

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

  15. Naloxone: Geometric Mean Steady-state C24hr on Day 1 and on Day 9.

    These are the unadjusted summary statistics on the original scale for steady-state plasma concentration of faldaprevir 24 hours after the last dose

    Measured: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9

Secondary outcomes (2)
  1. Pharmacodynamic Assessment of Withdrawal From Either Methadone or Buprenorphine/Naloxone Using the Objective Opiate Withdrawal Scale (OOWS)-Change From Baseline

    The OOWS is conducted by a trained independent examiner for either the presence or absence of the following symptoms during a 10 minute observation period at designated times during the trial. The minimum possible OOWS score is 0 and the maximum possible score is 13. Objective criteria: Yawning, Rhinorrhoea, Piloerection, perspiration, lacrimation, mydriasis, hot and cold flushes, restlessness, vomiting, tremors, anxiety, muscle twitches, abdominal cramps. Higher score indicates increasing severity of opiate withdrawal syndrome.

    Measured: Baseline, Day 2, Day 3, Day 4, Day 5, Day 6, Day 7, Day 8, Day 9, Day 10, Day 11, Day 12 and End of treatment

  2. Pharmacodynamic Assessment of Withdrawal From Either Methadone or Buprenorphine/Naloxone Using the Subjective Opiate Withdrawal Scale (SOWS)-Change From Baseline

    The SOWS is a subjective scale self-evaluated by the subject. The SOWS shows items reflecting the common motor, autonomic, gastrointestinal, musculo-skeletal, and psychic symptoms of opiate withdrawal. Subjects are instructed to rate each symptom on a scale of 0 to 4 (0=not at all, 1=a little, 2=moderately, 3=quite a bit, 4=extremely) at designated times [c.f. Section 3.1]. The minimum possible SOWS score is 0, the maximum 64. The following subjective criteria are answered by the subject using the scale below: 1) I feel anxious, 2) I feel like yawning 3) I am perspiring, 4) My eyes are watering, 5) My nose is running, 6) I have goose flesh, 7) I am shaking 8) I have hot flushes, 9) I have cold flushes, 10) My bones and muscles ache, 11) I feel restless, 12) I feel nauseous, 13) I feel like vomiting, 14) My muscles twitch, 15) I have cramps in my stomach, 16) I feel like shooting up now. Higher score indicates increasing severity of opiate withdrawal syndrome.

    Measured: Baseline, Day 2, Day 3, Day 4, Day 5, Day 6, Day 7, Day 8, Day 9, Day 10, Day 11, Day 12 and End of treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Jul 2012 (estimated)
  2. Study startAug 2012
  3. Primary completionNov 2012
  4. Study completionNov 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01637922
Sponsor's protocol ID
1220.57
Status last verified
Jul 2015
First submitted
9 Jul 2012
Last updated
3 Aug 2015

Publications

  • Joseph D, Schobelock MJ, Riesenberg RR, Vince BD, Webster LR, Adeniji A, Elgadi M, Huang F. Effect of steady-state faldaprevir on the pharmacokinetics of steady-state methadone and buprenorphine-naloxone in subjects receiving stable addiction management therapy. Antimicrob Agents Chemother. 2015 Jan;59(1):498-504. doi: 10.1128/AAC.04046-14. Epub 2014 Nov 10.

    PubMed 25385094

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BI 201335 in people with Hepatitis C, run by Boehringer Ingelheim at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Aug 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Aug 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

R-methadone: Geometric Mean Steady-state AUC0-24 on Day 1 and on Day 9. (time frame: 0 hours, 0.5 hours, 1 hour, 1.5 hours, 2 hours, 2.5 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours on Day 1 and Day 9). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01637922, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Aug 2015.

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