A Comparison of the Bioavailability of OZ439 When Delivered Directly to the Small Intestine, or Via the Oral Route
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Purpose
The purpose of this study is to determine the bioavailability of nanoparticulate OZ439 delivered to the proximal small bowel (PSB) via the Enterion™ capsule relative to oral OZ439 suspension (current "powder in bottle" [PIB]) and oral nanoparticulate OZ439.
The study will also characterise the plasma concentration time profile of OZ439 when delivered via Enterion capsule to the PSB in comparison with OZ439 PIB formulation delivered orally and nanoparticulate OZ439 delivered orally Safety and tolerability of OZ439 formulations will be determined following delivery to the PSB and administered orally
| Condition | Intervention | Phase |
|---|---|---|
|
Malaria |
Drug: OZ439 120mg PIB Drug: 120 mg OZ439 caplet Drug: 120mg OZ439 caplet via Enterion capsule |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Bio-availability Study Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | Three Way Randomised CrossOver Study in Healthy Subjects to Compare the Relative Bioavailability of Nanoparticulate OZ439 Delivered Via the Enterion™ Capsule to the Proximal Small Bowel With Orally Administered OZ439 as PIB Suspension and Orally Administered Nanoparticulate |
- The area under the concentration versus time curve (AUC) for OZ439 in each regimen [ Time Frame: pre dose, 2, 4, 6, 8, 12, 16, 24, 36 and 48 hours post dose ] [ Designated as safety issue: No ]
- Peak plasma concentration of OZ439 for rech regimen (Cmax) [ Time Frame: pre dose, 2, 4, 6, 8, 12, 16, 24, 36, 48 hours post dose ] [ Designated as safety issue: No ]
- plasma concentration versus time profiles for each regimen [ Time Frame: pre dose, 2, 4, 6, 8, 12, 16, 24, 36, 48 hours post dose ] [ Designated as safety issue: No ]Tlag, Tmax, Cmax, landa-Z and t1/2el will be measured
- safety laboratory tests [ Time Frame: screening (Day -28 to day -2), 48 hours, final follow-up ] [ Designated as safety issue: Yes ]clinical chemistry and urinalysis
- 12 lead ECG [ Time Frame: screening (Day -28 to Day -2), pre-dose, 2, 4, 8, 24, 48 hours post dose and final follow-up ] [ Designated as safety issue: Yes ]
- adverse events [ Time Frame: screening (Day -28 to day -2), pre dose, 2, 4, 6, 8, 12, 16, 24, 36, 48 hours post dose and final follow up ] [ Designated as safety issue: Yes ]
- vital signs [ Time Frame: screening (Day -28 to day -2), pre dose, 2, 4, 8, 24 hours post dose and final follow up ] [ Designated as safety issue: Yes ]
| Enrollment: | 11 |
| Study Start Date: | November 2012 |
| Study Completion Date: | December 2012 |
| Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Regimen A 'OZ439 120mg PIB'
120mg OZ439 provided as powder in bottle (PIB) formulation
|
Drug: OZ439 120mg PIB
120mg dose (as free base) of OZ439 as a solution made up from powder in bottle (PIB)
|
|
Active Comparator: Regimen B '120 mg OZ439 caplet'
120 mg OZ439 immediate-release (IR) caplet formulation containing nanoparticulate, administered directly via the oral route
|
Drug: 120 mg OZ439 caplet
120 mg (as free base) of OZ439 immediate-release (IR) caplet formulation containing nanoparticulate, administered directly via the oral route
|
|
Active Comparator: Regimen C '120mg OZ439 caplet via Enterion capsule'
120 mg OZ439 caplet formulation containing nanoparticulate, administered orally via the Enterion capsule and delivered to the proximal small bowel (PSB)
|
Drug: 120mg OZ439 caplet via Enterion capsule
120 mg OZ439 (as free base) in an immediate release (IR) caplet formulation containing nanoparticulate,administered orally via the Enterion capsule and delivered directly to the proximal small bowel (PSB)
|
Detailed Description:
Previous clinical studies with OZ439 have shown variable PK and a food effect. One hypothesis is that this may be related to a 'common ion effect' leading to precipitation of the drug as a less soluble hydrochloride salt in the stomach, resulting in variable absorption of the drug. This study is designed to investigate the possibility of improving the PK profile by delivering the drug directly to the PSB, thereby bypassing the stomach. The study will compare a previously dosed PIB formulation with oral delivery of a nanoparticulate as a caplet formulation. The same caplet formulation containing nanoparticulate will be administered to the PSB via the Enterion capsule.
Eligibility| Ages Eligible for Study: | 18 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Healthy males, or females of non-childbearing potential ie surgically sterilised or post-menopausal
- Age 18 to 55 years
- Body mass index of 18 to 30 kg/m2 inclusive
- Total body weight >50 kg
- Healthy as determined by pre-study medical history, physical examination (including body temperature) and 12-lead ECG
- Must have haematology, clinical chemistry and urinalysis results at screening that are within the reference range or ncs
- Must agree to use an adequate method of contraception
- Must demonstrate their ability to swallow an empty size 000 capsule
- Must be willing and able to communicate and participate in the whole study
- Must provide written informed consent
Exclusion Criteria:
- Evidence or history of clinically significant oncological, pulmonary, chronic respiratory, hepatic, cardiovascular, haematological, metabolic, neurological, immunological, nephrological, endocrine or psychiatric disease, or current infection
- Clinically relevant abnormalities in the ECG (12 standard leads) and/or QTcF >450 ms (males) or >470 ms (females)
- Evidence or history of clinically significant GI disease or surgery (excluding appendectomy or cholecystectomy)
- Any condition that could possibly affect drug absorption, eg gastrectomy or diarrhoea
- History of post-antibiotic colitis
- History of any drug or alcohol abuse in the past 2 years prior to screening
- Subjects who have a breath carbon monoxide reading of greater than 10 ppm at screening. Subjects who are tobacco users (including smokers and users of snuff, chewing tobacco and other nicotine or nicotine-containing products) must have stopped use within 90 days before screening
- Receipt of an investigational drug or participation in another clinical research study within the previous 3 months
- Subjects who are study site employees, or immediate family members of a study site or sponsor employee
- Subjects who have previously been enrolled in this study
- Use of any prescription or non-prescription medications, vitamins, herbal supplements or dietary supplements within 14 days prior to the first dose
- Positive hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (HCV Ab)or human immunodeficiency virus (HIV-1 or HIV-2 antibody) results
- Positive urine drug screen result
- History of intolerance or hypersensitivity to artemisinins
- Serious adverse reaction or serious hypersensitivity to any drug or the formulation excipients
- Presence or history of allergy requiring treatment; hayfever is allowed unless it is active
- Donation or loss of >400 mL of blood within the previous 3 months
- Haemoglobin result below the lower limit of the reference range
- Regular alcohol consumption in males >21 units per week and females >14 units per week
- Subjects who do not have suitable veins
- Acute diarrhoea or constipation in the 7 days before the predicted first study day.
- Presence of non-removable metal objects in the abdomen
- Radiation exposure exceeding 5 mSv in the last 12 months or 10 mSv in the last 5 years
- Failure to satisfy the investigator of fitness to participate for any other reason
Contacts and Locations
More Information
Additional Information:
No publications provided
| Responsible Party: | Medicines for Malaria Venture |
| ClinicalTrials.gov Identifier: | NCT01732588 History of Changes |
| Other Study ID Numbers: | MMV_OZ439_12_003 |
| Study First Received: | October 22, 2012 |
| Last Updated: | January 25, 2013 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Keywords provided by Medicines for Malaria Venture:
|
malaria bioavailability |
Additional relevant MeSH terms:
|
Malaria Protozoan Infections Parasitic Diseases |
ClinicalTrials.gov processed this record on June 17, 2013