Pharmacokinetic Study to Characterize Phenotyping Metrics of the "Basel" Cocktail After CYP Induction or Inhibition
This study has been completed.
Sponsor:
University Hospital, Basel, Switzerland
Information provided by (Responsible Party):
University Hospital, Basel, Switzerland
ClinicalTrials.gov Identifier:
NCT01386593
First received: June 29, 2011
Last updated: March 5, 2012
Last verified: March 2012
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Purpose
The purpose of this study is to assess how the pharmacokinetic profiles of each drug of a cocktail of six approved drugs (so-called "Basel cocktail") change when the cytochrome P450 system is inhibited or induced.
| Condition | Intervention | Phase |
|---|---|---|
|
Metabolic Detoxication, Phase I |
Drug: Basel cocktail+(Fluconazole, Ciprofloxacin, Paroxetine) Drug: "Basel" Cocktail Drug: Basel cocktail + Rifampicin |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Pharmacokinetics Study Intervention Model: Crossover Assignment Masking: Open Label |
| Official Title: | Single-center, Randomized, Open-label, Two-way Crossover Study to Characterize Phenotyping Metrics of the "Basel" Cocktail After CYP Induction or Inhibition in Healthy Male Subjects |
Resource links provided by NLM:
Drug Information available for:
Rifampin
Paroxetine
Paroxetine hydrochloride
Ciprofloxacin
Fluconazole
Ciprofloxacin hydrochloride
Paroxetine hydrochloride hemihydrate
Paroxetine Mesylate
U.S. FDA Resources
Further study details as provided by University Hospital, Basel, Switzerland:
Primary Outcome Measures:
- Area under the plasma concentration versus time curve from timepoint 0 to 24 h (AUC24h) of the "Basel Cocktail" after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Area under the plasma concentration versus time curve from timepoint 0 to infinity (AUC0-inf) of the "Basel Cocktail" after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
- Peak Plasma Concentration (Cmax) of the "Basel Cocktail" after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
- Peak Time (Tmax) of the "Basel Cocktail" in plasma after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
- Plasma Halflife (t1/2) in the elimination phase of the "Basel Cocktail" after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
- Area under the concentration in oral fluid versus time curve from timepoint 0 to 24 h (AUC24h) of the "Basel Cocktail" after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
- Area under the concentration in oral fluid versus time curve from timepoint 0 to infinity (AUC0-inf) of the "Basel Cocktail" after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
- Peak Concentration (Cmax) of the "Basel Cocktail" in oral fluid after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
- Peak Time (Tmax) of the "Basel Cocktail" in oral fluid after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
- Halflife (t1/2) in the elimination phase of the "Basel Cocktail" in oral fluid after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
- Area under the concentration in dried blood spots versus time curve from timepoint 0 to 24 h (AUC24h) of the "Basel Cocktail" after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
- Area under the concentration in dried blood spots versus time curve from timepoint 0 to infinity (AUC0-inf) of the "Basel Cocktail" after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
- Peak Concentration (Cmax) of the "Basel Cocktail" in dried blood spots after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
- Peak Time (Tmax) of the "Basel Cocktail" in dried blood spots after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
- Halflife (t1/2) in the elimination phase of the "Basel Cocktail" in dried blood spots after inhibition with ciprofloxacin, fluconazole and paroxetine and after induction with rifampicin. [ Designated as safety issue: No ]
| Enrollment: | 16 |
| Study Start Date: | May 2011 |
| Study Completion Date: | January 2012 |
| Primary Completion Date: | January 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| (A) Baseline | Drug: "Basel" Cocktail |
| (B) Inhibition | Drug: Basel cocktail+(Fluconazole, Ciprofloxacin, Paroxetine) |
| (C) Induction | Drug: Basel cocktail + Rifampicin |
Eligibility| Ages Eligible for Study: | 18 Years to 35 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
Criteria
Inclusion Criteria:
- Male aged between 18 and 35 years (inclusive) at screening.
- No clinically significant findings on the physical examination at screening.
- Body mass index (BMI) between 18 and 28 kg/m2 (inclusive) and body weight at least 50 kg at screening.
- Systolic blood pressure (SBP) 100-145 mmHg, diastolic blood pressure (DBP) 50-90 mmHg and heart rate (HR) 45-90 bpm (inclusive).
- 12-lead electrocardiogram (ECG) without clinically relevant abnormalities at screening.
- Hematology and clinical chemistry results not deviating from the normal range to a clinically relevant extent at screening.
- Ability to communicate well with the investigator and to understand and comply with the requirements of the study.
Exclusion Criteria:
- Known hypersensitivity to any excipients of the drug formulations.
- Treatment with another investigational drug within 30 days prior to screening.
- History or clinical evidence of alcoholism or drug abuse within the 3-year period prior to screening.
- Positive results from urine drug screen at screening.
- Excessive caffeine consumption, defined as >800 mg per day at screening*.
- African or Hispanic ethnicity.
- History or clinical evidence of any disease and/or existence of any surgical or medical condition, which might interfere with the absorption, distribution, metabolism or excretion of the study drugs, or which might increase the risk for toxicity.
- Smoking within the last 3 months prior to screening.
- Previous treatment with any prescribed or OTC medications (including herbal medicines such as St John's Wort) within 2 weeks prior to the intended start of study.
- Loss of 250 ml or more of blood within 3 months prior to screening.
- Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol.
- Legal incapacity or limited legal capacity at screening.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01386593
Locations
| Switzerland | |
| Phase I Research Unit, University Hospital | |
| Basel, Switzerland | |
Sponsors and Collaborators
University Hospital, Basel, Switzerland
Investigators
| Principal Investigator: | Manuel Haschke, MD | University Hospital, Basel, Switzerland |
More Information
No publications provided
| Responsible Party: | University Hospital, Basel, Switzerland |
| ClinicalTrials.gov Identifier: | NCT01386593 History of Changes |
| Other Study ID Numbers: | EKBB-89/11, 2011 DR 1074 |
| Study First Received: | June 29, 2011 |
| Last Updated: | March 5, 2012 |
| Health Authority: | Switzerland: Swissmedic |
Keywords provided by University Hospital, Basel, Switzerland:
|
Cytochrome Phenotyping Pharmacokinetics |
Additional relevant MeSH terms:
|
Ciprofloxacin Rifampin Fluconazole Paroxetine Nucleic Acid Synthesis Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Anti-Infective Agents Therapeutic Uses Antifungal Agents 14-alpha Demethylase Inhibitors Antibiotics, Antitubercular |
Anti-Bacterial Agents Antitubercular Agents Leprostatic Agents Serotonin Uptake Inhibitors Neurotransmitter Uptake Inhibitors Neurotransmitter Agents Serotonin Agents Physiological Effects of Drugs Antidepressive Agents, Second-Generation Antidepressive Agents Psychotropic Drugs Central Nervous System Agents |
ClinicalTrials.gov processed this record on June 17, 2013