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Healthy VolunteersPhase 1NCT04840641

Flucloxacillin as an Inducer of CYP-enzymes

A Phase 1 study testing Flucloxacillin in people with Healthy Volunteers and Drug Drug Interaction, run by University of Southern Denmark at 1 site in Denmark.

Completed

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

Official record
Search all trials

Trial summary

Worldwide there is an increase in antibiotic resistance which may have potential fatal long-term consequences. This is due to extensive use and sometimes misuse of antibiotics in the treatment of harmless infections. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers, Drug Drug Interaction
What is being tested?
Flucloxacillin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
14 participants
Where
1 siteDenmark
Study dates
25 Mar 2021to 28 Dec 2021
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

  • Age 18-55 years
  • The following data have to be in the normal range or only clinical insignificantly different from this: eGFR, ALAT, bilirubin, HbA1c, haemoglobin
  • BMI 18.5 - 29.9 kg m-2
  • Non-smoker (abstained from smoking minimum 2 weeks before the first study day and during the trial)
  • Generally healthy
  • Willing to give informed consent

Who cannot join

  • Known sensitivity to any of the used drugs or any excipients listed in section 6.1 in the Summary of Product Characteristics (SmPC).
  • Known allergy towards penicillin or cephalosporines
  • Any of the following diseases (current or previous):
  • Heart disease, known family history of prolonged QTc interval, sudden death or conditions that might prolonged QTc-intervals, hypotension, severe disturbance of electrolyte balance e.g. hypokalemia or hypomagnesemia, myasthenia gravis, lung- or respiratory diseases, an anatomically abnormality of the respiratory tract, sleep apnea syndrome
  • Intake of any significant prescription drugs, over-the- counter drugs, herbal drugs or dietary supplements. Contraindicated drugs include: Benzodiazepines, beta blockers, ergot alkaloids, herbal preparations containing St. John's wort, antiarrhythmics, neuroleptics, antidepressive agents, antibiotics, antifungal agents, non-sedating antihistamines, antimalarials, methadone, elbasvir, grazoprevir, nelfinavir cisapride, pimozide, bepridil
  • Alcohol abuse or if the Danish Health Authority recommendation regarding alcohol intake has been exceeded 2 weeks before the first study day (men 14 units alcohol/week, women 7 units alcohol/week)
Show all 9Show fewer
  • Women who are breastfeeding
  • Positive pregnancy test at inclusion screening or at any of the study days
  • Participation in any other interventional trials

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • University of Southern Denmark

    Odense, Region Syddanmark, 5000

Other trials in Denmark

About this study

Worldwide there is an increase in antibiotic resistance which may have potential fatal long-term consequences. This is due to extensive use and sometimes misuse of antibiotics in the treatment of harmless infections.

The aim of this study is to investigate if treatment with flucloxacillin increases drug metabolism in healthy volunteers through induction of cytochrome P450 (CYP) enzymes, CYP1A4, CYP2B6, CYP2C9, CYP2C19, CYP2D6, and CYP3A4.

Read more

The hypothesis is based on an in vitro study showing that flucloxacillin activates a receptor (PXR) responsible for transcription of CYP enzymes.

Trial subjects will ingest flucloxacillin for 31 days and at day 10 and 28 ingest a cocktail of 6 drugs to determine if the CYP enzymes have been induced. Plasma and urine will be drawn over 72 hours to determine the concentration of the 6 drugs and their metabolites.

Change in flucloxacillin concentration will also be measured at day 9 and 27 to establish if flucloxacillin induces its own metabolism.

Being tested
Flucloxacillin
Keywords
CYP enzymes, Induction of CYP enzymes

What participants receive

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

  • FlucloxacillinDrug

    Also called Caffeine, Efavirenz, Losartan, Omeprazole

    Healthy volunteers will take 2x500 mg flucloxacillin 3 times a day for 31 days. The investigators will measure the baseline concentration of the 6-cocktaildrugs and flucloxacillin before start of 31 days of flucloxacillin treatment. On day 9 and 27 the investigators will measure the concentration of flucloxacillin. On day 10 and 28 the investigators will measure the concentration of the 6 cocktaildrugs

Study groups in NCT04840641
Study groupRoleWhat they receive
BaselineNo interventionThe investigators measure the baseline of flucloxacillin and cocktaildrugs.
Flucloxacillin treatmentExperimentalThe investigators measure the concentration of flucloxacillin after 9 and 27 days and the concentration of cocktaildrugs after 10 and 28 days.
Receives: Drug: Flucloxacillin

What is being measured

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

  1. Change in Area under curve (AUC) of midazolam

    Change in the activity of the drug metabolizing enzyme CYP3A4

    Measured: Baseline and day 28

Secondary outcomes (70)
  1. Change in AUC of midazolam

    Change in the activity of the drug metabolizing enzyme CYP3A4

    Measured: Day 10 and 28

  2. Change in AUC of the metabolite of midazolam

    Change in the activity of the drug metabolizing enzyme CYP3A4

    Measured: Day 10 and 28

  3. Change in Peak Plasma concentration (Cmax) of midazolam

    Change in the activity of the drug metabolizing enzyme CYP3A4

    Measured: Day 10 and 28

  4. Change in Cmax of the metabolite of midazolam

    Change in the activity of the drug metabolizing enzyme CYP3A4

    Measured: Day 10 and 28

  5. Change in Time to reach Cmax (Tmax) of midazolam

    Change in the activity of the drug metabolizing enzyme CYP3A4

    Measured: Day 10 and 28

  6. Change in Tmax of the metabolite of midazolam

    Change in the activity of the drug metabolizing enzyme CYP3A4

    Measured: Day 10 and 28

  7. Change in Renal Clearence (CLr) of midazolam

    Change in the activity of the drug metabolizing enzyme CYP3A4

    Measured: Day 10 and 28

  8. Change in CLr of the metabolite of midazolam

    Change in the activity of the drug metabolizing enzyme CYP3A4

    Measured: Day 10 and 28

  9. Change in Elimination half-life (T1/2) of midazolam

    Change in the activity of the drug metabolizing enzyme CYP3A4

    Measured: Day 10 and 28

  10. Change in T1/2 of the metabolite of midazolam

    Change in the activity of the drug metabolizing enzyme CYP3A4

    Measured: Day 10 and 28

  11. Change in AUC of metoprolol

    Change in the activity of the drug metabolizing enzyme CYP2D6

    Measured: Day 10 and 28

  12. Change in AUC of the metabolite of metoprolol

    Change in the activity of the drug metabolizing enzyme CYP2D6

    Measured: Day 10 and 28

  13. Change in Cmax of metoprolol

    Change in the activity of the drug metabolizing enzyme CYP2D6

    Measured: Day 10 and 28

  14. Change in Cmax of the metabolite of metoprolol

    Change in the activity of the drug metabolizing enzyme CYP2D6

    Measured: Day 10 and 28

  15. Change in Tmax of metoprolol

    Change in the activity of the drug metabolizing enzyme CYP2D6

    Measured: Day 10 and 28

  16. Change in Tmax of the metabolite of metoprolol

    Change in the activity of the drug metabolizing enzyme CYP2D6

    Measured: Day 10 and 28

  17. Change in CLr of metoprolol

    Change in the activity of the drug metabolizing enzyme CYP2D6

    Measured: Day 10 and 28

  18. Change in CLr of the metabolite of metoprolol

    Change in the activity of the drug metabolizing enzyme CYP2D6

    Measured: Day 10 and 28

  19. Change in T1/2 of metoprolol

    Change in the activity of the drug metabolizing enzyme CYP2D6

    Measured: Day 10 and 28

  20. Change in T1/2 of the metabolite of metoprolol

    Change in the activity of the drug metabolizing enzyme CYP2D6

    Measured: Day 10 and 28

  21. Change in AUC of omeprazole

    Change in the activity of the drug metabolizing enzyme CYP2C19

    Measured: Day 10 and 28

  22. Change in AUC of the metabolite of omeprazole

    Change in the activity of the drug metabolizing enzyme CYP2C19

    Measured: Day 10 and 28

  23. Change in Cmax of omeprazole

    Change in the activity of the drug metabolizing enzyme CYP2C19

    Measured: Day 10 and 28

  24. Change in Cmax of the metabolite of omeprazole

    Change in the activity of the drug metabolizing enzyme CYP2C19

    Measured: Day 10 and 28

  25. Change in Tmax of omeprazole

    Change in the activity of the drug metabolizing enzyme CYP2C19

    Measured: Day 10 and 28

  26. Change in Tmax of the metabolite of omeprazole

    Change in the activity of the drug metabolizing enzyme CYP2C19

    Measured: Day 10 and 28

  27. Change in CLr of omeprazole

    Change in the activity of the drug metabolizing enzyme CYP2C19

    Measured: Day 10 and 28

  28. Change in CLr of the metabolite of omeprazole

    Change in the activity of the drug metabolizing enzyme CYP2C19

    Measured: Day 10 and 28

  29. Change in T1/2 of omeprazole

    Change in the activity of the drug metabolizing enzyme CYP2C19

    Measured: Day 10 and 28

  30. Change in T1/2 of the metabolite of omeprazole

    Change in the activity of the drug metabolizing enzyme CYP2C19

    Measured: Day 10 and 28

  31. Change in AUC of losartan

    Change in the activity of the drug metabolizing enzyme CYP2C9

    Measured: Day 10 and 28

  32. Change in AUC of the metabolite of losartan

    Change in the activity of the drug metabolizing enzyme CYP2C9

    Measured: Day 10 and 28

  33. Change in Cmax of losartan

    Change in the activity of the drug metabolizing enzyme CYP2C9

    Measured: Day 10 and 28

  34. Change in Cmax of the metabolite of losartan

    Change in the activity of the drug metabolizing enzyme CYP2C9

    Measured: Day 10 and 28

  35. Change in Tmax of losartan

    Change in the activity of the drug metabolizing enzyme CYP2C9

    Measured: Day 10 and 28

  36. Change in Tmax of the metabolite of losartan

    Change in the activity of the drug metabolizing enzyme CYP2C9

    Measured: Day 10 and 28

  37. Change in CLr of losartan

    Change in the activity of the drug metabolizing enzyme CYP2C9

    Measured: Day 10 and 28

  38. Change in CLr of the metabolite of losartan

    Change in the activity of the drug metabolizing enzyme CYP2C9

    Measured: Day 10 and 28

  39. Change in T1/2 of losartan

    Change in the activity of the drug metabolizing enzyme CYP2C9

    Measured: Day 10 and 28

  40. Change in T1/2 of the metabolite of losartan

    Change in the activity of the drug metabolizing enzyme CYP2C9

    Measured: Day 10 and 28

  41. Change in AUC of efavirenz

    Change in the activity of the drug metabolizing enzyme CYP2B6

    Measured: Day 10 and 28

  42. Change in AUC of the metabolite of efavirenz

    Change in the activity of the drug metabolizing enzyme CYP2B6

    Measured: Day 10 and 28

  43. Change in Cmax of efavirenz

    Change in the activity of the drug metabolizing enzyme CYP2B6

    Measured: Day 10 and 28

  44. Change in Cmax of the metabolite of efavirenz

    Change in the activity of the drug metabolizing enzyme CYP2B6

    Measured: Day 10 and 28

  45. Change in Tmax of efavirenz

    Change in the activity of the drug metabolizing enzyme CYP2B6

    Measured: Day 10 and 28

  46. Change in Tmax of the metabolite of efavirenz

    Change in the activity of the drug metabolizing enzyme CYP2B6

    Measured: Day 10 and 28

  47. Change in CLr of efavirenz

    Change in the activity of the drug metabolizing enzyme CYP2B6

    Measured: Day 10 and 28

  48. Change in CLr of the metabolite of efavirenz

    Change in the activity of the drug metabolizing enzyme CYP2B6

    Measured: Day 10 and 28

  49. Change in T1/2 of efavirenz

    Change in the activity of the drug metabolizing enzyme CYP2B6

    Measured: Day 10 and 28

  50. Change in T1/2 of the metabolite of efavirenz

    Change in the activity of the drug metabolizing enzyme CYP2B6

    Measured: Day 10 and 28

  51. Change in AUC of caffeine

    Change in the activity of the drug metabolizing enzyme CYP1A2

    Measured: Day 10 and 28

  52. Change in AUC of the metabolite of caffeine

    Change in the activity of the drug metabolizing enzyme CYP1A2

    Measured: Day 10 and 28

  53. Change in Cmax of caffeine

    Change in the activity of the drug metabolizing enzyme CYP1A2

    Measured: Day 10 and 28

  54. Change in Cmax of the metabolite of caffeine

    Change in the activity of the drug metabolizing enzyme CYP1A2

    Measured: Day 10 and 28

  55. Change in Tmax of caffeine

    Change in the activity of the drug metabolizing enzyme CYP1A2

    Measured: Day 10 and 28

  56. Change in Tmax of the metabolite of caffeine

    Change in the activity of the drug metabolizing enzyme CYP1A2

    Measured: Day 10 and 28

  57. Change in CLr of caffeine

    Change in the activity of the drug metabolizing enzyme CYP1A2

    Measured: Day 10 and 28

  58. Change in CLr of the metabolite of caffeine

    Change in the activity of the drug metabolizing enzyme CYP1A2

    Measured: Day 10 and 28

  59. Change in T1/2 of caffeine

    Change in the activity of the drug metabolizing enzyme CYP1A2

    Measured: Day 10 and 28

  60. Change in T1/2 of the metabolite of caffeine

    Change in the activity of the drug metabolizing enzyme CYP1A2

    Measured: Day 10 and 28

  61. Change in AUC of flucloxacillin

    Change in the activity of the enzyme responsible for metabolism of flucloxacillin

    Measured: Day 9 and 27

  62. Change in AUC of the metabolite of flucloxacillin

    Change in the activity of the enzyme responsible for metabolism of flucloxacillin

    Measured: Day 9 and 27

  63. Change in Cmax of flucloxacillin

    Change in the activity of the enzyme responsible for metabolism of flucloxacillin

    Measured: Day 9 and 27

  64. Change in Cmax of the metabolite of flucloxacillin

    Change in the activity of the enzyme responsible for metabolism of flucloxacillin

    Measured: Day 9 and 27

  65. Change in Tmax of flucloxacillin

    Change in the activity of the enzyme responsible for metabolism of flucloxacillin

    Measured: Day 9 and 27

  66. Change in Tmax of the metabolite of flucloxacillin

    Change in the activity of the enzyme responsible for metabolism of flucloxacillin

    Measured: Day 9 and 27

  67. Change in CLr of flucloxacillin

    Change in the activity of the enzyme responsible for metabolism of flucloxacillin

    Measured: Day 9 and 27

  68. Change in CLr of the metabolite of flucloxacillin

    Change in the activity of the enzyme responsible for metabolism of flucloxacillin

    Measured: Day 9 and 27

  69. Change in T1/2 of flucloxacillin

    Change in the activity of the enzyme responsible for metabolism of flucloxacillin

    Measured: Day 9 and 27

  70. Change in T1/2 of the metabolite of flucloxacillin

    Change in the activity of the enzyme responsible for metabolism of flucloxacillin

    Measured: Day 9 and 27

Timeline

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

  1. First posted12 Apr 2021
  2. Study start25 Mar 2021
  3. Primary completion17 Dec 2021
  4. Study completion28 Dec 2021

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
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
14 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04840641
Sponsor's protocol ID
AKF-396
Other IDs
2020-004044-28
Status last verified
Jan 2022
First submitted
23 Mar 2021
Last updated
11 Jan 2022
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data cannot be shared due to general data protection regulation (GDPR).

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Flucloxacillin in people with Healthy Volunteers and Drug Drug Interaction, run by University of Southern Denmark at 1 site in Denmark.

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 9 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 11 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. 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?

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?

Change in Area under curve (AUC) of midazolam (time frame: Baseline and day 28). 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 11 Jan 2022.

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