A Phase 1 Study to Examine the Drug-Drug Interaction of Ciprofloxacin, Itraconazole, and Rifampin on the Combination of Lumacaftor With Ivacaftor in Healthy Adult Subjects
This study is ongoing, but not recruiting participants.
Sponsor:
Vertex Pharmaceuticals Incorporated
Information provided by (Responsible Party):
Vertex Pharmaceuticals Incorporated
ClinicalTrials.gov Identifier:
NCT01768663
First received: January 11, 2013
Last updated: April 17, 2013
Last verified: April 2013
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Purpose
The purpose of this study is to examine the drug-drug interaction effects of ciprofloxacin, itraconazole, and rifampin on the pharmacokinetics of lumacaftor in combination with ivacaftor.
| Condition | Intervention | Phase |
|---|---|---|
|
Cystic Fibrosis |
Drug: Lumacaftor Drug: Ivacaftor Drug: Ciprofloxacin Drug: Itraconazole Drug: Rifampin |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Pharmacokinetics Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase 1, Open-Label Study to Examine the Effect of Ciprofloxacin, Itraconazole, and Rifampin on the Pharmacokinetics of Lumacaftor in Combination With Ivacaftor in Healthy Adult Subjects |
Resource links provided by NLM:
Genetics Home Reference related topics:
cystic fibrosis
Drug Information available for:
Rifampin
Itraconazole
Ciprofloxacin
Ciprofloxacin hydrochloride
Ivacaftor
U.S. FDA Resources
Further study details as provided by Vertex Pharmaceuticals Incorporated:
Primary Outcome Measures:
- PK parameters including maximum observed drug concentration and area under the concentration versus time curve from time of dosing to time tau of lumacaftor and ivacaftor in the absence and presence of ciprofloxacin, itraconazole, and rifampin [ Time Frame: up to 24 days ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Safety and tolerability is measured by the adverse events (AEs) and changes in laboratory test values (serum chemistry, hematology, coagulation, and urinalysis), vital signs, standard 12 lead electrocardiograms (ECGs), and spirometry [ Time Frame: up to 31 days ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 54 |
| Study Start Date: | January 2013 |
| Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Treatment Group (Cohort 1)
Subjects will take lumacaftor in combination with ivacaftor for 14 days. Beginning on Day 15, subjects will take lumacaftor in combination with ivacaftor and ciprofloxacin through Day 21.
|
Drug: Lumacaftor
tablet, taken every 12 hours
Other Name: VX-809
Drug: Ivacaftor
tablet, taken every 12 hours
Other Name: VX-770
Drug: Ciprofloxacin
750 mg taken every 12 hours
|
|
Experimental: Treatment Group (Cohort 2)
Subjects will take lumacaftor in combination with ivacaftor for 14 days. Beginning on Day 15, subjects will take lumacaftor in combination with ivacaftor and itraconazole through Day 21.
|
Drug: Lumacaftor
tablet, taken every 12 hours
Other Name: VX-809
Drug: Ivacaftor
tablet, taken every 12 hours
Other Name: VX-770
Drug: Itraconazole
200mg taken once daily
|
|
Experimental: Treatment Group (Cohort 3)
Subjects will take lumacaftor in combination with ivacaftor for 14 days. Beginning on Day 15, subjects will take lumacaftor in combination with ivacaftor and rifampin through Day 24.
|
Drug: Lumacaftor
tablet, taken every 12 hours
Other Name: VX-809
Drug: Ivacaftor
tablet, taken every 12 hours
Other Name: VX-770
Drug: Rifampin
600mg taken once daily
|
Eligibility| Ages Eligible for Study: | 18 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Criteria
Inclusion Criteria:
- Male and female subjects must be between the ages of 18 and 55 years, inclusive
- Body mass index (BMI) of 18 to 31 kg/m2, inclusive, and a total body weight >50 kg.
Exclusion Criteria:
- History of any illness that, in the opinion of the investigator, might confound the results of the study or pose an additional risk in administering study drug(s) to the subject. This may include, but is not limited to, a history of relevant drug or food allergies; history of cardiovascular or central nervous system disease; history or presence of clinically significant pathology; or history of mental disease.
- History of febrile illness within 5 days before the first dose.
- Any condition possibly affecting drug absorption (e.g., gastrectomy, cholecystectomy, or other gastrointestinal tract surgery, except appendectomy)
- History of Gilbert's syndrome
- Pregnant or nursing female subjects
- Male subject who has a female partner who is pregnant, nursing, or planning to become pregnant during the study or within 90 days of the last dose of study drug
- Blood donation of approximately 1 pint (500 mL) within 56 days before study drug administration
- Subjects who smoke (subjects who have stopped smoking at least 6 months before screening are considered nonsmokers)
- Treatment with an investigational drug within 30 days or 5 half-lives (or as determined by the local requirements, whichever is longer) preceding the first dose of study drug
- Known hypersensitivity or prior adverse reaction to ciprofloxacin, or any member of the quinolone class of antimicrobial agents (Cohort 1 only); itraconazole, or to any of the other azoles (Cohort 2 only); rifampin, or to any of the rifamycins (Cohort 3 only)
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Vertex Pharmaceuticals Incorporated |
| ClinicalTrials.gov Identifier: | NCT01768663 History of Changes |
| Other Study ID Numbers: | VX12-809-009 |
| Study First Received: | January 11, 2013 |
| Last Updated: | April 17, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Cystic Fibrosis Fibrosis Pancreatic Diseases Digestive System Diseases Lung Diseases Respiratory Tract Diseases Genetic Diseases, Inborn Infant, Newborn, Diseases Pathologic Processes Ciprofloxacin Rifampin Hydroxyitraconazole Itraconazole |
Nucleic Acid Synthesis Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Anti-Infective Agents Therapeutic Uses Antibiotics, Antitubercular Anti-Bacterial Agents Antitubercular Agents Leprostatic Agents 14-alpha Demethylase Inhibitors Antifungal Agents |
ClinicalTrials.gov processed this record on May 23, 2013