Drug-Drug InteractionsPhase 1NCT07426042
Effect of Dexamethasone on CYP Enzyme Activity in Healthy Male Subjects
A Phase 1 study testing Dexamethasone, CYP Probe Cocktail and voriconazole in people with Drug-Drug Interactions, run by Min Kyu Park.
Trial summary
Purpose: The purpose of this study is to understand how dexamethasone affects the activity of drug-metabolizing enzymes in the body and how this may influence interactions with other medicines, such as voriconazole. Background: Many medicines are broken down in the body by enzymes called cytochrome P450 (CYP) enzymes. Read more about this study
- Who is it for?
- Ages 19 to 50 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Drug-Drug Interactions
- What is being tested?
- Dexamethasone, CYP Probe Cocktail and voriconazole
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 12 participants
- Where
- No sites listed yet
- Study dates
- Apr 2026to Jun 2026
- Phase
- Phase 1
- Are there results?
- Not yet: the study is under way
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 19 to 50 years
- Men only
- Healthy volunteers accepted
- Adult
[Inclusion Criteria]
- Healthy male volunteers aged 19 to 50 years, inclusive, at the time of screening.
- Body weight between 50.0 kg and 90.0 kg, and body mass index (BMI) between 18.5 kg/m² and 29.9 kg/m² at the time of screening.
- BMI (kg/m²) = body weight (kg) / [height (m)]²
- Subjects with a CYP2C19 genotype classified as either normal metabolizers (*1/*1) or poor metabolizers (*2/*2, *2/*3, 3/3) based on genotyping results.
- Subjects who have received sufficient explanation of the study, fully understood the study procedures, voluntarily agreed to participate, and provided written informed consent prior to any study-related procedures.
[Exclusion Criteria]
- Subjects with any clinically significant disease or medical history involving the hepatobiliary, renal, neurological, immunological, respiratory, gastrointestinal, endocrine, hematologic/oncologic, cardiovascular (including heart failure and Torsades de pointes), urogenital, psychiatric (including mood disorders and obsessive-compulsive disorder), or sexual dysfunction systems.
- Subjects with a history of gastrointestinal diseases (e.g., Crohn's disease, ulcer, gastritis, gastric spasm, gastroesophageal reflux disease) or gastrointestinal surgery that may affect the safety or pharmacokinetics of the investigational products, except for uncomplicated appendectomy or hernia repair.
- Subjects with known hypersensitivity or clinically significant allergic reactions to any components of the investigational products or to other drugs (e.g., aspirin, antibiotics).
- Subjects with hereditary disorders, including sucrase-isomaltase deficiency, galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption.
- Subjects who have received any live vaccine within 6 months prior to screening.
- Subjects with a history of active infection (including herpes simplex, herpes zoster, varicella, or systemic fungal infection) within 4 weeks prior to screening, or with evidence of ongoing infection at screening.
- Subjects without a history of varicella or measles infection and who have not been vaccinated against these diseases.
- Subjects with active or latent tuberculosis.
- Subjects with positive serologic test results for hepatitis B, hepatitis C, human immunodeficiency virus (HIV), or syphilis.
- Subjects with a history of drug abuse or a positive urine drug screening test for drugs of abuse at screening.
- Subjects with the following vital sign abnormalities measured in the seated position after at least 3 minutes of rest at screening:
- Systolic blood pressure ≤ 90 mmHg or ≥ 150 mmHg
- Diastolic blood pressure ≤ 60 mmHg or ≥ 100 mmHg
- Subjects with a QTc interval > 450 msec or any clinically significant abnormal cardiac rhythm on a 12-lead electrocardiogram (ECG) at screening.
- Subjects with any of the following clinically significant laboratory abnormalities at screening (including additional confirmatory tests):
- AST or ALT > 60 IU/L
- Estimated glomerular filtration rate (eGFR, CKD-EPI equation) < 90 mL/min/1.73 m²
- Fasting plasma glucose ≥ 126 mg/dL
- Subjects who have taken any prescription medications or herbal medicines within 2 weeks, or any over-the-counter medications (OTC), dietary supplements, functional foods, or vitamin products (including liver function supplements) within 1 week prior to the first planned dose of the investigational product, or who are expected to require such products during the study period (except when deemed acceptable by the investigator).
- Subjects who have taken enzyme-inducing drugs (e.g., barbiturates) or enzyme-inhibiting drugs (e.g., clarithromycin) within 1 month prior to the first planned dose of the investigational product.
- Subjects who have participated in another clinical trial (including bioequivalence studies) and received any investigational product within 6 months prior to the first planned dose.
- Subjects who have donated whole blood within 2 months, donated blood components within 1 month, or received a blood transfusion within 6 months prior to the first planned dose.
- Current smokers, unless smoking cessation occurred at least 3 months prior to the first planned dose of the investigational product.
- Subjects with chronic alcohol consumption exceeding 21 units per week (1 unit = 10 g of pure alcohol), or who are unable to abstain from alcohol from 3 days prior to the first dose until the end of the study.
- Subjects with excessive habitual caffeine intake (> 5 units per day; 1 unit = 80 mg caffeine), or who are unable to refrain from consuming caffeine-containing foods and beverages (e.g., coffee, tea, carbonated beverages, coffee milk, tonic drinks, energy drinks) from 3 days prior to the first dose until the end of the study.
- Subjects who have consumed grapefruit, grapefruit juice, or grapefruit-containing products from 3 days prior to the first dose until the end of the study, or who are unable to refrain from consuming such products during this period.
- Subjects with unusual dietary habits (e.g., consumption of more than 1 L of grapefruit juice per day) or who are unable to consume the standardized meals provided by the study site during the confinement period.
- Subjects who do not agree to use condoms, and whose female partners of childbearing potential do not agree to use a highly effective method of contraception from 3 days prior to the first dose until the end of the study. <Highly effective methods of contraception include>
- Combined hormonal contraception associated with inhibition of ovulation (oral, vaginal, transdermal)
- Progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable)
- Intrauterine device (IUD) or intrauterine hormone-releasing system (IUS)
- Bilateral tubal occlusion or a vasectomized partner
- Sexual abstinence, defined as refraining from heterosexual intercourse throughout the entire period of risk
- Subjects who do not agree to refrain from sperm donation from 3 days prior to the first dose until the end of the study.
- Subjects who are deemed unsuitable for participation in the study at the investigator's discretion for any reason not otherwise specified above.
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Official title: A Clinical Study Evaluating the Effects of Dexamethasone on the Activities of CYP2C9, CYP2C19, and CYP3A4 Substrates in Healthy Male Subjects
Purpose:
The purpose of this study is to understand how dexamethasone affects the activity of drug-metabolizing enzymes in the body and how this may influence interactions with other medicines, such as voriconazole.
Read more
Background:
Many medicines are broken down in the body by enzymes called cytochrome P450 (CYP) enzymes. Differences in CYP enzyme activity between individuals can lead to variability in drug response and drug-drug interactions. Dexamethasone is known to affect CYP enzyme activity, and voriconazole is a medication that is metabolized by these enzymes.
Participants:
This study will include a total of 12 healthy adult male volunteers. Participants will be grouped based on their metabolic status, including 6 normal metabolizers (NM) and 6 poor metabolizers (PM).
Interventions:
Participants will receive a combination of probe drugs known as a CYP probe cocktail to assess baseline CYP enzyme activity. Dexamethasone will be administered, and the CYP probe cocktail will be given again to evaluate changes in enzyme activity. Voriconazole will be used to assess the potential for drug-drug interactions related to changes in CYP enzyme activity. Blood samples will be collected during the study.
Outcome Measures:
The main outcomes of this study are changes in blood concentrations of the probe drugs, which reflect changes in CYP enzyme activity, and comparisons of these changes between normal metabolizers and poor metabolizers.
Hypothesis:
The study hypothesizes that dexamethasone alters CYP enzyme activity and that the magnitude of this effect differs between normal metabolizers and poor metabolizers, potentially affecting the metabolism of drugs such as voriconazole.
Read the detailed description
This study is designed as an open-label, single-sequence clinical pharmacology study to evaluate the effects of dexamethasone on cytochrome P450 (CYP) enzyme activity in healthy adult male volunteers.
CYP enzyme activity will be assessed using a validated CYP probe cocktail consisting of multiple probe substrates administered concurrently to evaluate the functional activity of selected CYP isoforms. The probe cocktail will be administered at baseline to characterize individual CYP enzyme activity prior to dexamethasone exposure.
Following baseline assessment, dexamethasone will be administered for a predefined period. After completion of dexamethasone administration, the CYP probe cocktail will be administered again to evaluate changes in CYP enzyme activity induced by dexamethasone. Voriconazole, a CYP-metabolized drug, will be included to assess the potential impact of dexamethasone-induced enzyme modulation on clinically relevant drug-drug interactions.
Serial blood samples will be collected after administration of the probe cocktail and voriconazole to determine pharmacokinetic parameters, including maximum plasma concentration (Cmax) and area under the concentration-time curve (AUC). Changes in these parameters before and after dexamethasone administration will be used as indicators of alterations in CYP enzyme activity.
Participants will be stratified based on CYP2C19 genotype into normal metabolizers (NM) and poor metabolizers (PM). Comparative analyses will be conducted between these groups to explore the influence of genetic polymorphism on dexamethasone-induced changes in CYP enzyme activity.
The results of this study are expected to provide mechanistic insight into dexamethasone-mediated modulation of CYP enzymes and its potential implications for drug-drug interactions involving CYP-metabolized medications.
- Conditions
- Drug-Drug Interactions
- Being tested
- Dexamethasone, CYP Probe Cocktail, voriconazole
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DexamethasoneDrug
Also called Dexahigh Tablet
Dexamethasone will be administered orally to evaluate its effect on cytochrome P450 enzyme activity.
CYP Probe CocktailDrug
Also called GL Timing Tablet, Throcul Troche, OMP Tablet, Midazolam Injection
A CYP probe cocktail composed of approved, commercially available drugs (caffeine, flurbiprofen, omeprazole, and midazolam) will be administered concomitantly as a single-dose cocktail to phenotypically assess cytochrome P450 enzyme activities before and after dexamethasone administration.
voriconazoleDrug
Also called Vfend Tablet
Voriconazole will be administered to assess drug-drug interactions associated with changes in cytochrome P450 enzyme activity.
| Study group | Role | What they receive |
|---|---|---|
| Single Group | Experimental | A single-arm study in healthy subjects in which voriconazole, a CYP probe cocktail (caffeine, flurbiprofen, omeprazole, and midazolam), and dexamethasone are administered according to the study protocol. Receives: Drug: Dexamethasone; Drug: CYP Probe Cocktail; Drug: voriconazole |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cmax of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen)
Cmax of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen) will be assessed to evaluate the effects of dexamethasone on cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for midazolam, omeprazole, and flurbiprofen)
AUClast of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen)
AUClast of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen) will be assessed to evaluate the effects of dexamethasone on cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for midazolam, omeprazole, and flurbiprofen)
AUCinf of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen)
AUCinf of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen) will be assessed to evaluate the effects of dexamethasone on cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for midazolam, omeprazole, and flurbiprofen)
Secondary outcomes (40)
Tmax of Perpetrator(Dexamethasone)
Tmax of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
Cmax of Perpetrator(Dexamethasone)
Cmax of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
AUCtau of Perpetrator(Dexamethasone)
AUCtau of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
t1/2 of Perpetrator(Dexamethasone)
t1/2 of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
CL/F of Perpetrator(Dexamethasone)
CL/F of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
Vz/F of Perpetrator(Dexamethasone)
Vz/F of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
Tmax,ss of Perpetrator(Dexamethasone)
Tmax,ss of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
Cmax,ss of Perpetrator(Dexamethasone)
Cmax,ss of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
Cmin,ss of Perpetrator(Dexamethasone)
Cmin,ss of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
Cavg,ss of Perpetrator(Dexamethasone)
Cavg,ss of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
AUCtau,ss of Perpetrator(Dexamethasone)
AUCtau,ss of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
t1/2,ss of Perpetrator(Dexamethasone)
t1/2,ss of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
CLss/F of Perpetrator(Dexamethasone)
CLss/F of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
Vzss/F of Perpetrator(Dexamethasone)
Vzss/F of Perpetrator(Dexamethasone) will be assessed to evaluate the effects of cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4 on dexamethasone, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 )
Tmax of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen)
Tmax of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen) will be assessed to evaluate the effects of dexamethasone on cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for midazolam, omeprazole, and flurbiprofen)
t1/2 of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen)
t1/2 of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen) will be assessed to evaluate the effects of dexamethasone on cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for midazolam, omeprazole, and flurbiprofen)
CL/F of CYP Probe Substrates(Voriconazole, Omeprazole, Flurbiprofen)
CL/F of CYP Probe Substrates(Voriconazole, Omeprazole, Flurbiprofen) will be assessed to evaluate the effects of dexamethasone on cytochrome P450 enzyme activity, specifically CYP2C9 and CYP2C19, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for omeprazole, and flurbiprofen)
CL of CYP Probe Substrates(Midazolam)
CL of CYP Probe Substrates(Midazolam) will be assessed to evaluate the effects of dexamethasone on cytochrome P450 enzyme activity, specifically CYP3A4, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 8 for midazolam)
Vz of CYP Probe Substrates(Midazolam)
Vz of CYP Probe Substrates(Midazolam) will be assessed to evaluate the effects of dexamethasone on cytochrome P450 enzyme activity, specifically CYP3A4, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 8 for midazolam)
Vz/F of CYP Probe Substrates(Voriconazole, Omeprazole, Flurbiprofen)
Vz/F of CYP Probe Substrates(Voriconazole, Omeprazole, Flurbiprofen) will be assessed to evaluate the effects of dexamethasone on cytochrome P450 enzyme activity, specifically CYP2C9 and CYP2C19, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for omeprazole, and flurbiprofen)
Metabolic ratio of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen)
Metabolic ratio of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen) will be assessed to evaluate the effects of dexamethasone on cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4, in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for midazolam, omeprazole, and flurbiprofen)
Tmax of Metabolite(Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
Tmax of metabolites (Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, and 4'-OH-flurbiprofen) will be assessed in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 for Voriconazole N-oxide; Period 2 Day 8 for 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
Cmax of Metabolite(Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
Cmax of metabolites (Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, and 4'-OH-flurbiprofen) will be assessed in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 for Voriconazole N-oxide; Period 2 Day 8 for 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
AUClast of Metabolite(Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
AUClast of metabolites (Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, and 4'-OH-flurbiprofen) will be assessed in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 for Voriconazole N-oxide; Period 2 Day 8 for 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
AUCinf of Metabolite(Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
AUCinf of metabolites (Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, and 4'-OH-flurbiprofen) will be assessed in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 for Voriconazole N-oxide; Period 2 Day 8 for 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
t1/2 of Metabolite(Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
t1/2 of metabolites (Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, and 4'-OH-flurbiprofen) will be assessed in healthy adult male subjects.
Measured: Up to the last PK sampling time (Period 2 Day 9 for Voriconazole N-oxide; Period 2 Day 8 for 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
12-lead electrocardiograms
Assessment of the electrical activity of the heart to monitor cardiac safety, including intervals such as PR, QRS, QT, and QTc
Measured: From enrollment up to Day 12 in Period 2(EOS)
physical examinations
Assessment of the subject's physical condition across all major body systems to evaluate safety and identify any clinically significant changes
Measured: From enrollment up to Day 12 in Period 2(EOS)
oxygen saturation
Measurement of blood oxygen saturation levels using a pulse oximeter to monitor safety.
Measured: From enrollment up to Day 12 in Period 2(EOS)
sedation assessments
Assessment of the subject's status according to the Observer's Assessment of Alertness/Sedation (OAA/S) scale.
Measured: From enrollment up to Day 12 in Period 2(EOS)
adverse events
Monitoring and recording of all treatment-emergent adverse events (TEAEs) through spontaneous reporting and investigator observation.
Measured: From enrollment up to Day 12 in Period 2(EOS)
Systolic Blood Pressure
Systolic blood pressure will be monitored to assess subject safety.
Measured: From enrollment up to Day 12 in Period 2 Day 9
Diastolic Blood Pressure
Diastolic blood pressure will be monitored to assess subject safety.
Measured: From enrollment up to Day 12 in Period 2 Day 9
Pulse Rate
Pulse rate will be monitored to assess subject safety.
Measured: From enrollment up to Day 12 in Period 2 Day 9
Respiratory rate
Respiratory rate will be monitored to assess subject safety.
Measured: From enrollment up to Day 12 in Period 2 Day 9
Body Temperature
Body temperature will be monitored to assess subject safety.
Measured: From enrollment up to Day 12 in Period 2 Day 9
Hematology
Hematology tests(including WBC, RBC, Hemoglobin, Hematocrit, Platelet) will be evaluated to assess subject safety throughout the study period.
Measured: From enrollment up to Day 12 in Period 2 Day 9
Blood Chemistry
Blood chemistry tests (including Calcium, Phosphorus, Glucose, BUN, Uric acid, Cholesterol, Protein, Albumin, Bilirubin total, ALP, AST, ALT, γ-GT, CPK, LDH, Creatinine, eGFR, Sodium, Potassium, Chloride, Triglyceride, hs-CRP ) will be evaluated to assess subject safety throughout the study period.
Measured: From enrollment up to Day 12 in Period 2 Day 9
Coagulation
Coagulation tests (including PT(INR), aPTT) will be evaluated to assess subject safety throughout the study period.
Measured: From enrollment up to Day 12 in Period 2 Day 9
Urinalysis
Urinalysis tests (including Dipstick(Color, pH, Specific Gravity, Protein, Bilirubin, Glucose, Urobilinogen, Ketone, Nitrite, Blood, WBC)) will be evaluated to assess subject safety throughout the study period.
Measured: From enrollment up to Day 12 in Period 2 Day 9
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Feb 2026
- Study startApr 2026 (estimated)
- Primary completionMay 2026 (estimated)
- Study completionJun 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Drug-Drug InteractionsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 12 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Min Kyu Park
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Min Kyu Park, Chungbuk National University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07426042
- Sponsor's protocol ID
- Dexamethasone_cocktail
- Status last verified
- Jan 2026
- First submitted
- 31 Dec 2025
- Last updated
- 23 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be shared because this is an investigator-initiated, exploratory pharmacokinetic drug-drug interaction study conducted in a limited number of healthy volunteers. The collected data are intended for predefined analyses only, and no data sharing plan has been established.
Study at a glance
From the registry record, last updated by the sponsor on 23 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Clinical Study Evaluating the Effects of Dexamethasone on the Activities of CYP2C9, CYP2C19, and CYP3A4 Substrates in Healthy Male Subjects
- ClinicalTrials.gov ID
- NCT07426042
- Acronym / sponsor ID
- Dexamethasone_cocktail
- Conditions
- Drug-Drug Interactions
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 12 participants (estimated)
- Lead sponsor
- Min Kyu ParkUniversity, hospital or other
- Study start
- Apr 2026 (estimated)
- Primary completion
- May 2026 (estimated)
- Study completion
- Jun 2026 (estimated)
- First posted
- 23 Feb 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Purpose:
The purpose of this study is to understand how dexamethasone affects the activity of drug-metabolizing enzymes in the body and how this may influence interactions with other medicines, such as voriconazole.
Background:
Many medicines are broken down in the body by enzymes called cytochrome P450 (CYP) enzymes. Differences in CYP enzyme activity between individuals can lead to variability in drug response and drug-drug interactions. Dexamethasone is known to affect CYP enzyme activity, and voriconazole is a medication that is metabolized by these enzymes.
Participants:
This study will include a total of 12 healthy adult male volunteers. Participants will be grouped based on their metabolic status, including 6 normal metabolizers (NM) and 6 poor metabolizers (PM).
Interventions:
Participants will receive a combination of probe drugs known as a CYP probe cocktail to assess baseline CYP enzyme activity. Dexamethasone will be administered, and the CYP probe cocktail will be given again to evaluate changes in enzyme activity. Voriconazole will be used to assess the potential for drug-drug interactions related to changes in CYP enzyme activity. Blood samples will be collected during the study.
Outcome Measures:
The main outcomes of this study are changes in blood concentrations of the probe drugs, which reflect changes in CYP enzyme activity, and comparisons of these changes between normal metabolizers and poor metabolizers.
Hypothesis:
The study hypothesizes that dexamethasone alters CYP enzyme activity and that the magnitude of this effect differs between normal metabolizers and poor metabolizers, potentially affecting the metabolism of drugs such as voriconazole.
Detailed description
This study is designed as an open-label, single-sequence clinical pharmacology study to evaluate the effects of dexamethasone on cytochrome P450 (CYP) enzyme activity in healthy adult male volunteers.
CYP enzyme activity will be assessed using a validated CYP probe cocktail consisting of multiple probe substrates administered concurrently to evaluate the functional activity of selected CYP isoforms. The probe cocktail will be administered at baseline to characterize individual CYP enzyme activity prior to dexamethasone exposure.
Following baseline assessment, dexamethasone will be administered for a predefined period. After completion of dexamethasone administration, the CYP probe cocktail will be administered again to evaluate changes in CYP enzyme activity induced by dexamethasone. Voriconazole, a CYP-metabolized drug, will be included to assess the potential impact of dexamethasone-induced enzyme modulation on clinically relevant drug-drug interactions.
Serial blood samples will be collected after administration of the probe cocktail and voriconazole to determine pharmacokinetic parameters, including maximum plasma concentration (Cmax) and area under the concentration-time curve (AUC). Changes in these parameters before and after dexamethasone administration will be used as indicators of alterations in CYP enzyme activity.
Participants will be stratified based on CYP2C19 genotype into normal metabolizers (NM) and poor metabolizers (PM). Comparative analyses will be conducted between these groups to explore the influence of genetic polymorphism on dexamethasone-induced changes in CYP enzyme activity.
The results of this study are expected to provide mechanistic insight into dexamethasone-mediated modulation of CYP enzymes and its potential implications for drug-drug interactions involving CYP-metabolized medications.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Single Group | Experimental | Drug: Dexamethasone, Drug: CYP Probe Cocktail, Drug: voriconazoleA single-arm study in healthy subjects in which voriconazole, a CYP probe cocktail (caffeine, flurbiprofen, omeprazole, and midazolam), and dexamethasone are administered according to the study protocol. |
Who may qualify
- Ages
- 19 to 50 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DexamethasoneAlso: Dexahigh TabletDexamethasone will be administered orally to evaluate its effect on cytochrome P450 enzyme activity. | Drug | Single Group |
| CYP Probe CocktailAlso: GL Timing Tablet, Throcul Troche, OMP Tablet, Midazolam InjectionA CYP probe cocktail composed of approved, commercially available drugs (caffeine, flurbiprofen, omeprazole, and midazolam) will be administered concomitantly as a single-dose cocktail to phenotypically assess cytochrome P450 enzyme activities before and after dexamethasone administration. | Drug | Single Group |
| voriconazoleAlso: Vfend TabletVoriconazole will be administered to assess drug-drug interactions associated with changes in cytochrome P450 enzyme activity. | Drug | Single Group |
Primary outcome
Cmax of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen)
Time frame: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for midazolam, omeprazole, and flurbiprofen)
Cmax of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen) will be assessed to evaluate the effects of dexamethasone on cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4, in healthy adult male subjects.
AUClast of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen)
Time frame: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for midazolam, omeprazole, and flurbiprofen)
AUClast of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen) will be assessed to evaluate the effects of dexamethasone on cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4, in healthy adult male subjects.
AUCinf of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen)
Time frame: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for midazolam, omeprazole, and flurbiprofen)
AUCinf of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen) will be assessed to evaluate the effects of dexamethasone on cytochrome P450 enzyme activity, specifically CYP2C9, CYP2C19, and CYP3A4, in healthy adult male subjects.
40 secondary outcomes
Tmax of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
Cmax of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
AUCtau of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
t1/2 of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
CL/F of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
Vz/F of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
Tmax,ss of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
Cmax,ss of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
Cmin,ss of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
Cavg,ss of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
AUCtau,ss of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
t1/2,ss of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
CLss/F of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
Vzss/F of Perpetrator(Dexamethasone)
Time frame: Up to the last PK sampling time (Period 2 Day 9 )
Tmax of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen)
Time frame: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for midazolam, omeprazole, and flurbiprofen)
t1/2 of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen)
Time frame: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for midazolam, omeprazole, and flurbiprofen)
CL/F of CYP Probe Substrates(Voriconazole, Omeprazole, Flurbiprofen)
Time frame: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for omeprazole, and flurbiprofen)
CL of CYP Probe Substrates(Midazolam)
Time frame: Up to the last PK sampling time (Period 2 Day 8 for midazolam)
Vz of CYP Probe Substrates(Midazolam)
Time frame: Up to the last PK sampling time (Period 2 Day 8 for midazolam)
Vz/F of CYP Probe Substrates(Voriconazole, Omeprazole, Flurbiprofen)
Time frame: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for omeprazole, and flurbiprofen)
Metabolic ratio of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen)
Time frame: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for midazolam, omeprazole, and flurbiprofen)
Tmax of Metabolite(Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
Time frame: Up to the last PK sampling time (Period 2 Day 9 for Voriconazole N-oxide; Period 2 Day 8 for 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
Cmax of Metabolite(Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
Time frame: Up to the last PK sampling time (Period 2 Day 9 for Voriconazole N-oxide; Period 2 Day 8 for 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
AUClast of Metabolite(Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
Time frame: Up to the last PK sampling time (Period 2 Day 9 for Voriconazole N-oxide; Period 2 Day 8 for 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
AUCinf of Metabolite(Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
Time frame: Up to the last PK sampling time (Period 2 Day 9 for Voriconazole N-oxide; Period 2 Day 8 for 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
t1/2 of Metabolite(Voriconazole N-oxide, 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
Time frame: Up to the last PK sampling time (Period 2 Day 9 for Voriconazole N-oxide; Period 2 Day 8 for 1'-OH-midazolam, 5'-OH-omeprazole, 4'-OH-flurbiprofen)
12-lead electrocardiograms
Time frame: From enrollment up to Day 12 in Period 2(EOS)
physical examinations
Time frame: From enrollment up to Day 12 in Period 2(EOS)
oxygen saturation
Time frame: From enrollment up to Day 12 in Period 2(EOS)
sedation assessments
Time frame: From enrollment up to Day 12 in Period 2(EOS)
adverse events
Time frame: From enrollment up to Day 12 in Period 2(EOS)
Systolic Blood Pressure
Time frame: From enrollment up to Day 12 in Period 2 Day 9
Diastolic Blood Pressure
Time frame: From enrollment up to Day 12 in Period 2 Day 9
Pulse Rate
Time frame: From enrollment up to Day 12 in Period 2 Day 9
Respiratory rate
Time frame: From enrollment up to Day 12 in Period 2 Day 9
Body Temperature
Time frame: From enrollment up to Day 12 in Period 2 Day 9
Hematology
Time frame: From enrollment up to Day 12 in Period 2 Day 9
Blood Chemistry
Time frame: From enrollment up to Day 12 in Period 2 Day 9
Coagulation
Time frame: From enrollment up to Day 12 in Period 2 Day 9
Urinalysis
Time frame: From enrollment up to Day 12 in Period 2 Day 9
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Feb 2026.
- Individual participant dataSharing planned: No. Individual participant data will not be shared because this is an investigator-initiated, exploratory pharmacokinetic drug-drug interaction study conducted in a limited number of healthy volunteers. The collected data are intended for predefined analyses only, and no data sharing plan has been established.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Dexamethasone, CYP Probe Cocktail and voriconazole in people with Drug-Drug Interactions, run by Min Kyu Park.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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: opening soon, as of the sponsor's last update on 23 Feb 2026. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Soo yeon Lee (+82-43-269-8617, sy_lee@cbnuhctc.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Cmax of CYP Probe Substrates(Voriconazole, Midazolam, Omeprazole, Flurbiprofen) (time frame: Up to the last PK sampling time (Period 2 Day 9 for voriconazole; Period 2 Day 8 for midazolam, omeprazole, and flurbiprofen)). The study lists 3 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 23 Feb 2026.