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HealthyPhase 1NCT02182336

Effects of BI 201335 NA on Cytochrome P450 and P-glycoprotein Activity Using a Probe Drug Cocktail in Healthy Volunteers

A Phase 1 study testing BI 201335 NA, Caffeine and Warfarin sodium in people with Healthy, run by Boehringer Ingelheim.

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

The objective of this trial was to quantify the effect of oral single-dose (480 mg) and steady-state BI 201335 NA (240 mg BID) on intestinal and hepatic cytochrome P450 (CYP) and P-glycoprotein (P-gp) probe drugs as a means of predicting drug interactions. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
BI 201335 NA, Caffeine and Warfarin sodium
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
23 participants
Where
No sites listed yet
Study dates
Jun 2008to Sep 2008
Phase
Phase 1
Are there results?
None posted in the registry

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 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Signed and dated written informed consent prior to admission to the study in accordance with GCP (Good Clinical Practice) and the local legislation
  • Healthy males and female subjects age ≥18 to ≤55 years and according to the following criteria:
  • Complete medical history, including the physical examination, vital signs (Blood Pressure (BP), Pulse Rate (PR)), 12-lead EKG (electrocardiogram)(including determination of QTcB, and QtcF intervals), and clinical laboratory tests; all with acceptable findings
  • Weighing at least 50 kg, and BMI ≥18.5 and BMI ≤29.9 kg/m2 (Body Mass Index)
  • Volunteers must not leave the research unit, during the days of over-night stays, which include the periods from evening of Day-1 to morning of Day 5, and evening of Day 9 to morning of Day 24
  • Volunteers must be willing to complete all study-related activities

Who cannot join

  • Any finding of the medical examination (including blood pressure, pulse rate and EKG) deviating from normal and of clinical relevance, as assessed by the investigator
  • Active diseases of the gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, musculoskeletal, immunologic, rheumatologic, hormonal, neurological system, cancer, or bleeding disorders that require current medical treatment, may be unstable, or may be exacerbated by participation in the study
  • Any evidence of a clinically relevant concomitant disease, which is not defined in the exclusion criteria 2 above, including but not limited to relevant chronic or acute infection
  • Surgery of the gastrointestinal tract (except appendectomy and endoscopic removal of colon polyps)
  • History or presence of allergy to any of the study drugs (e.g., BI 201335 NA, caffeine, warfarin, vitamin K, omeprazole, dextromethorphan, digoxin, midazolam, omeprazole) or their components or drugs of their class, or a history of drug or other allergy that, in the opinion of the physician responsible, contraindicates their participation
  • Concomitant drugs, nutraceuticals, and herbal remedies that in the opinion of the investigator (in consultation with the BI medical monitor or pharmacokineticist), would interfere with either the absorption, distribution or metabolism of BI 201335 NA, or other study drugs
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  • Use of drugs, which might reasonably influence the results of the trial or that prolong the QT/QTc interval within 30 days prior to screening until trial completion
  • Use of any investigational drug within 30 days prior to enrollment; or the planned usage of any investigational drug during the course of the current study
  • Smoking (>10 cigarettes or >3 cigars or >3 pipes/day)
  • Inability to abstain from alcohol from day of screening to 7 days after last study drug administration.
  • Drug abuse
  • Blood donation (more than 100 mL within four weeks prior to administration or during the trial)
  • Excessive physical activities (within one week prior to administration or during the trial
  • Any laboratory value outside the reference range that is of clinical relevance at screening, according to the judgment of the investigator, and in consultation with the clinical monitor
  • Known elevated liver enzymes in past with any compound (experimental or marketed)
  • Concomitant administration of any food product known to alter P450 enzyme or P-gp activity such as grapefruit juice, Seville oranges, St. John's Wort
  • Concomitant administration of any drug that could affect bleeding (e.g., aspirin, clopidogrel, ticlopidine, warfarin in addition to the studied warfarin dose, heparin, low-molecular weight heparin)
  • Concomitant administration of oral contraceptives (may be included with 7-day washout period)
  • Inadequate venous access
  • Renal or hepatic insufficiency
  • A marked baseline prolongation of QT/QTc interval e.g., repeated demonstration of a QTcF, or QTcB interval >450 ms)
  • Infection with hepatitis B (HBV), or hepatitis C virus (HCV), defined as either being hepatitis B surface antigen and /or hepatitis B core antibody positive, or hepatitis C antibody positive)
  • Positive Enzyme-linked immunosorbent assay (ELISA) for Human Immunodeficiency Virus (HIV)-1 or HIV-2
  • Fasting screening laboratory testing with direct bilirubin within the normal range and elevated total bilirubin, defined as 30% above the upper limit of normal
  • For female subjects:
  • Pregnancy or planning to become pregnant within 2 months of study completion
  • Positive pregnancy test at screening visit
  • No adequate contraception, e.g., sterilisation, IUD (intrauterine device), have not been using a barrier method of contraception for at least 3 months prior to participation in the study
  • Are not willing or are unable to use a reliable method of barrier contraception (such as diaphragm with spermicidal cream/jelly or condoms with spermicidal foam), during and up to 2 months after completion/termination of the trial
  • Lactation period with active breastfeeding from time of screening to 30 days after end of trial visit

About this study

Official title: Evaluation of the Effects of Single Oral Dose and Multiple Oral Doses of BI 201335 NA on Cytochrome P450 and P-glycoprotein Activity Using a Probe Drug Cocktail. An Open-label, Single-arm Phase I Study in Healthy Human Volunteers

The objective of this trial was to quantify the effect of oral single-dose (480 mg) and steady-state BI 201335 NA (240 mg BID) on intestinal and hepatic cytochrome P450 (CYP) and P-glycoprotein (P-gp) probe drugs as a means of predicting drug interactions. The AUCs for the probe drugs caffeine, warfarin, omeprazole, dextromethorphan, midazolam, and digoxin were assessed.

Conditions
Healthy
Being tested
BI 201335 NA, Caffeine, Warfarin sodium, Vitamin K, Omeprazole

What participants receive

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

  • BI 201335 NADrug

    1. 480 mg BI 201335 NA in the morning, 240 mg BI 201335 NA in the evening of day 10
    2. 240 mg BI 201335 NA bid from day 11 to 23
  • CaffeineDrug

    days 1, 10 and 19

  • Warfarin sodiumDrug

    days 1, 10 and 19

  • Vitamin KDrug

    days 1, 10 and 19

  • OmeprazoleDrug

    days 1, 10 and 19

  • Dextromethorphan hydrobromideDrug

    days 1, 10 and 19

  • Midazolam HCl solutionDrug

    Days 3 and 21

  • Midazolam HCl oral syrupDrug

    days 1, 10 and 19

  • DigoxinDrug

    Days 2 and 20

Study groups in NCT02182336
Study groupRoleWhat they receive
BI 201335 NAExperimentalNot described
Receives: Drug: BI 201335 NA; Drug: Caffeine; Drug: Warfarin sodium; Drug: Vitamin K; Drug: Omeprazole; Drug: Dextromethorphan hydrobromide; Drug: Midazolam HCl solution; Drug: Midazolam HCl oral syrup; Drug: Digoxin

What is being measured

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

  1. Area under the curve (AUC) 0-24h of caffeine

    Measured: Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours after treatment on days 1, 10 and 19

  2. AUC0-120h of Warfarin

    Measured: Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 48 hours after treatment on days 1, 10 and 19

  3. AUC0-24h of Omeprazole

    Measured: Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours after treatment on days 1, 10 and 19

  4. AUC0-24h of Dextromethorphan

    Measured: Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours after treatment on days 1, 10 and 19

  5. AUC0-24h of Midazolam IV

    Measured: Pre-dose and 0.08, 0.5, 1, 2, 3, 4, 6, 8, 12, 24 hours after treatment on days 3 and 21

  6. AUC0-24h of Midazolam oral

    Measured: Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours after treatment on days 1, 10 and 19

  7. AUC0-96h of Digoxin

    Measured: Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96 hours after treatment on days 2 and 20

Secondary outcomes (52)
  1. AUC of caffeine

    Measured: Baseline and day 1, day 1 and day 19

  2. Cmax (Maximum Plasma Concentration after a single dose) of caffeine

    Measured: Baseline and day 1, baseline and day 19

  3. Ct (Plasma concentration at a given time t after a single dose) of caffeine

    Measured: Baseline and day 1, baseline and day 19

  4. tmax (Time of Maximum Concentration after a single dose) of caffeine

    Measured: Baseline and day 1, baseline and day 19

  5. CL/F (Oral Clearance after a single dose) of caffeine

    Measured: Baseline and day1, baseline and day 19

  6. t1/2 (Apparent Terminal Half-Life) of caffeine

    Measured: Baseline and day 1, baseline and day 19

  7. AUC of Warfarin

    Measured: Baseline and day 1, day 1 and day 19

  8. Cmax of Warfarin

    Measured: Baseline and day 1, day 1 and day 19

  9. Ct of Warfarin

    Measured: Baseline and day 1, day 1 and day 19

  10. tmax of Warfarin

    Measured: Baseline and day 1, day 1 and day 19

  11. CL/F of Warfarin

    Measured: Baseline and day 1, day 1 and day 19

  12. t1/2 of Warfarin

    Measured: Baseline and day 1, day 1 and day 19

  13. AUC of Omeprazole

    Measured: Baseline and day 1, day 1 and day 19

  14. Cmax of Omeprazole

    Measured: Baseline and day 1, day 1 and day 19

  15. Ct of Omeprazole

    Measured: Baseline and day 1, day 1 and day 19

  16. tmax of Omeprazole

    Measured: Baseline and day 1, day 1 and day 19

  17. CL/F of Omeprazole

    Measured: Baseline and day 1, day 1 and day 19

  18. t1/2 of Omeprazole

    Measured: Baseline and day 1, day 1 and day 19

  19. AUC of Dextromethorphan

    Measured: Baseline and day 1, day 1 and day 19

  20. Cmax of Dextromethorphan

    Measured: Baseline and day 1, day 1 and day 19

  21. Ct of Dextromethorphan

    Measured: Baseline and day 1, day 1 and day 19

  22. tmax of Dextromethorphan

    Measured: Baseline and day 1, day 1 and day 19

  23. CL/F of Dextromethorphan

    Measured: Baseline and day 1, day 1 and day 19

  24. t1/2 of Dextromethorphan

    Measured: Baseline and day 1, day 1 and day 19

  25. AUC of Midazolam IV

    Measured: Baseline and day 1, day 1 and day 19

  26. Cmax of Midazolam IV

    Measured: Baseline and day 1, day 1 and day 19

  27. Ct of Midazolam IV

    Measured: Baseline and day 1, day 1 and day 19

  28. tmax of Midazolam IV

    Measured: Baseline and day 1, day 1 and day 19

  29. CL/F of Midazolam IV

    Measured: Baseline and day 1, day 1 and day 19

  30. t1/2 of Midazolam IV

    Measured: Baseline and day 1, day 1 and day 19

  31. AUC of Midazolam oral

    Measured: Baseline and day 1, baseline and day 19

  32. Cmax of Midazolam oral

    Measured: Baseline and day 1, baseline and day 19

  33. Ct of Midazolam oral

    Measured: Baseline and day 1, baseline and day 19

  34. tmax of Midazolam oral

    Measured: Baseline and day 1, baseline and day 19

  35. CL/F of Midazolam oral

    Measured: Baseline and day 1, baseline and day 19

  36. t1/2 of Midazolam oral

    Measured: Baseline and day 1, baseline and day 19

  37. AUC of Digoxin

    Measured: Baseline and day 1, baseline and day 19

  38. Cmax of Digoxin

    Measured: Baseline and day 1, baseline and day 19

  39. Ct of Digoxin

    Measured: Baseline and day 1, baseline and day 19

  40. tmax of Digoxin

    Measured: Baseline and day 1, baseline and day 19

  41. CL/F of Digoxin

    Measured: Baseline and day 1, baseline and day 19

  42. t1/2 of Digoxin

    Measured: Baseline and day 1, baseline and day 19

  43. AUCτ,N (Uniform Dosing Interval τ Following the Nth Dose) of BI201335 NA

    Measured: Day 10

  44. AUCτ,ss,N of BI201335 NA

    Measured: Day 19

  45. Cmax,N of BI 201335 NA

    Measured: Day 10

  46. Cmax,ss,N of BI 201335 NA

    Measured: Day 19

  47. tmax,N of BI 201335 NA

    Measured: Day 10

  48. tmax,ss,N of BI 201335 NA

    Measured: Day 19

  49. Cmin,N of BI 201335 NA

    Measured: Day 10

  50. Cmin,ss,N of BI 201335 NA

    Measured: Day 19

  51. CL/F,ss,N of BI 201335 NA

    Measured: Day 19

  52. Urinary metabolic ratios of the analyte of first-day and steady state

    Measured: up to day 19

Timeline

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

  1. First posted8 Jul 2014 (estimated)
  2. Study startJun 2008
  3. Primary completionSep 2008

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
23 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02182336
Sponsor's protocol ID
1220.32
Status last verified
Jul 2014
First submitted
2 Jul 2014
Last updated
18 Jul 2014
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BI 201335 NA, Caffeine and Warfarin sodium in people with Healthy, run by Boehringer Ingelheim.

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 6 inclusion and 30 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 18 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.

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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Area under the curve (AUC) 0-24h of caffeine (time frame: Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours after treatment on days 1, 10 and 19). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 18 Jul 2014.

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