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Trial record 21 of 389 for:    CLARITHROMYCIN

TAK-438_110 Drug Interaction With Cytochrome P450 3A4 (CYP3A4) Inhibitor Clarithromycin

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ClinicalTrials.gov Identifier: NCT02774902
Recruitment Status : Completed
First Posted : May 17, 2016
Last Update Posted : May 17, 2016
Sponsor:
Information provided by (Responsible Party):
Takeda

Brief Summary:
The purpose of this study is to evaluate the effect of multiple oral doses of clarithromycin on the pharmacokinetics of TAK-438 and its metabolites in healthy male adult participants following a single oral dose of TAK-438.

Condition or disease Intervention/treatment Phase
Healthy Volunteers Drug: TAK-438 Drug: Clarithromycin Phase 1

Detailed Description:

The drug being tested in this study is called TAK-438. TAK 438 is being tested to assess the effect of multiple oral doses of clarithromycin on the pharmacokinetics of TAK-438.

The study will enroll approximately 16 healthy adult male participants of non-Japanese origin. Participants will be assigned:

  • TAK-438 40 mg
  • Clarithromycin 500 mg

All participants will be asked to take 2 tablet of TAK-438 20 mg orally, once on Days 1 and 8 along with Clarithromycin 500 mg, tablets, orally twice daily from Days 3 to 9.

This single center trial will be conducted in Europe. The overall time to participate in this study is maximum of 44 days. Participants will be confined to site for 10 days, and a final visit after 4 days after discharge from the unit for a follow-up assessment.


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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 16 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase 1, Open-Label, Sequential Design Study to Evaluate the Effect of Multiple Oral Doses of Clarithromycin on the Pharmacokinetics of a Single Oral Dose of TAK-438
Study Start Date : August 2010
Actual Primary Completion Date : September 2010
Actual Study Completion Date : September 2010

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: TAK-438 40 mg + Clarithromycin 500 mg
TAK-438 40 mg, tablets, orally once on Days 1 and 8 along with clarithromycin 500 mg, tablets, orally twice daily from Days 3 to 9.
Drug: TAK-438
TAK-438 tablets

Drug: Clarithromycin
Clarithromycin tablets




Primary Outcome Measures :
  1. Cmax: Maximum Observed Plasma Concentration for TAK-438 and TAK-438 Metabolites (M-I, M-II, M-III, M-IV-Sul) [ Time Frame: Days 1 and 8 pre-dose and at multiple timepoints (up to 48 hours) post-dose ]
  2. AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-438 and TAK-438 Metabolites (M-I, M-II, M-III, M-IV-Sul) [ Time Frame: Days 1 and 8 pre-dose and at multiple timepoints (up to 48 hours) post-dose ]
  3. AUC∞: Area Under the Plasma Concentration-time Curve from Time 0 to Infinity for TAK-438 and TAK-438 Metabolites (M-I, M-II, M-III, M-IV-Sul) [ Time Frame: Days 1 and 8 pre-dose and at multiple timepoints (up to 48 hours) post-dose ]
  4. AUC(0-24): Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours Postdose for TAK-438 and TAK-438 Metabolites (M-I, M-II, M-III, M-IV-Sul) [ Time Frame: Days 1 and 8 pre-dose and at multiple timepoints (up to 48 hours) post-dose ]

Secondary Outcome Measures :
  1. Ratio of TAK-438 Metabolites Cmax to TAK-438 Cmax [ Time Frame: Days 1 and 8 pre-dose and at multiple timepoints (up to 48 hours) post-dose ]
  2. Ratio of TAK-438 Metabolites AUClast to TAK-438 AUClast [ Time Frame: Days 1 and 8 pre-dose and at multiple timepoints (up to 48 hours) post-dose ]
  3. Ratio of TAK-438 Metabolites AUC∞ to TAK-438 AUC∞ [ Time Frame: Days 1 and 8 pre-dose and at multiple timepoints (up to 48 hours) post-dose ]
  4. Ratio of TAK-438 Metabolites AUC(0-24) to TAK-438 AUC(0-24) [ Time Frame: Days 1 and 8 pre-dose and at multiple timepoints (up to 48 hours) post-dose ]
  5. Predose Observed Plasma Concentration of Clarithromycin [ Time Frame: Days 3 to 9 pre-dose (-1 hours [1 hour before TAK-438 dosing]) and (11 hours [11 hours after TAK 438 dosing]) ]
  6. Percentage of Participants who Experience at Least One Treatment Emergent Adverse Event (TEAE) [ Time Frame: Day 1 until Day 14 or early termination ]
  7. Percentage of Participants With Markedly Abnormal Laboratory Values [ Time Frame: Screening (Days -28 to -2) up to Day 10 ]
  8. Percentage of Participants With Markedly Abnormal Vital Sign Measurements at Least Once Post-dose [ Time Frame: Screening (Days -28 to -2) up to Day 10 ]
  9. Percentage of Participants With Markedly Abnormal Safety Electrocardiogram (ECG) Parameters at Least Once Post-dose [ Time Frame: Screening (Days -28 to -2) up to Day 10 ]
  10. Percentage of Participants With Clinical Significant Change in Physical Examination [ Time Frame: Screening (Days -28 to -2) up to Day 10 ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 45 Years   (Adult)
Sexes Eligible for Study:   Male
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. In the opinion of the investigator the participant is capable of understanding and complying with protocol requirements.
  2. The participant or, when applicable, the participant's legally acceptable representative signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures.
  3. Is a healthy adult male participant, of non-Japanese origin.
  4. Is aged 18 to 45 years, inclusive, at the time of informed consent and first study medication dose.
  5. Weighs at least 45 kg and has a body mass index (BMI) between 18 and 30 kg/m^2, inclusive at Screening.
  6. A male participant who is sexually active with a female partner of childbearing potential agrees to use adequate contraception from signing of informed consent throughout the duration of the study and for 12 weeks after last dose.
  7. Has clinical laboratory evaluations (including clinical chemistry, hematology, and urinalysis), within the reference range for the testing laboratory. Participants with evaluations outside the reference range that are deemed not clinically significant by the investigator may be included at investigator discretion unless these are specifically identified in the exclusion criteria.
  8. Is willing to abstain from caffeine and alcohol from 72 hours before first dose (Day 1) until the Follow-up call.
  9. Is willing to abstain from strenuous exercise from 72 hours before first dose (Day 1) until the Follow-up call.
  10. Is willing to provide a sample for pharmacogenomic analysis.

Exclusion Criteria:

  1. Has received any investigational compound within 90 days prior to the first dose on Day 1.
  2. Has received TAK-438 in a previous clinical study or as a therapeutic agent.
  3. Is an immediate family member, study site employee, or in a dependant relationship with a study site employee who is involved in the conduct of this study (eg, spouse, parent, child, sibling) or may consent under duress.
  4. Has a known hypersensitivity or allergies to clarithromycin or any associated excipients.
  5. Has a history of drug abuse (defined as any illicit drug use) or a history of alcohol abuse within 5 years prior to the Screening Visit or is unwilling to agree to abstain from alcohol and drugs throughout the study.
  6. Has taken or is required to take any excluded medication.
  7. Intends to donate sperm during the course of this study or for 12 weeks thereafter.
  8. Has evidence of current cardiovascular, central nervous system, hepatic, hematopoietic disease, renal dysfunction, metabolic or endocrine dysfunction, serious allergy, asthma hypoxemia, hypertension, seizures, or allergic skin rash. There is any finding in the participant's medical history, physical examination, or safety laboratory tests giving reasonable suspicion of a disease that would contraindicate taking TAK-438, or a similar drug in the same class, or clarithromycin, or that might interfere with the conduct of the study. This includes, but is not limited to, peptic ulcer disease, seizure disorders, and cardiac arrhythmias.
  9. Has a history or clinical manifestations of significant symptomatic, gastroesophageal reflux disease (GERD), erosive esophagitis (EE), duodenal ulcer, gastric ulcer, dyspepsia, Barrett esophagus (BE), or Zollinger-Ellison syndrome.
  10. Has current or recent (within 6 months) gastrointestinal disease that would be expected to influence the absorption of drugs (ie, a history of malabsorption, esophageal reflux, peptic ulcer disease, EE frequent [more than once per week], occurrence of heartburn, or any surgical intervention [eg, cholecystectomy]).
  11. Has a history of cancer, except basal cell carcinoma that has been in remission for at least 5 years prior to Day 1.
  12. Has a positive test result for hepatitis A, hepatitis B surface antigen, antibody to hepatitis C virus, or human immunodeficiency virus at Screening.
  13. Has used nicotine-containing products (including but not limited to cigarettes, pipes, cigars, chewing tobacco, nicotine patch or nicotine gum) within 6 weeks prior to Check-in Day -1. Urine test is positive at Screening or Check-in (Day -1).
  14. Has a positive alcohol breath test at the Screening or Check-in (Day -1).
  15. Has confirmed positive result for drugs of abuse at the Screening Visit or Check-in (Day -1).
  16. Has abnormal Screening or Day -1 laboratory values that suggest a clinically significant underlying disease or participant with the following laboratory abnormalities: has an alanine aminotransferase (ALT) or aspartate aminotransferase (AST) level which exceeds 3*upper limit of normal (ULN) set by the testing laboratory at the Screening Visit or Check-in (Day -1).
  17. Has poor peripheral venous access.
  18. Has donated or lost 450 mL or more of his or her blood volume (including plasmapheresis), or had a transfusion of any blood product within 90 days prior to Day 1.
  19. Is unable to understand verbal or written English or any other language for which a certified translation of the informed consent and other material supplied for completion by participant is available.
  20. Has a Screening or Check-in (Day -1) abnormal (clinically significant) electrocardiogram (ECG). Entry of any participant with an abnormal (not clinically significant) ECG must be approved, and documented by signature by the principal investigator.
  21. Has a marked baseline prolongation of QT/QTc interval (eg, repeated demonstration of a QTc interval >450 ms) on ECG at the Screening Visit.
  22. Has a history of clinically significant inflammatory disease or allergy (eg, hay fever [hay fever sufferers who do not require medication may be permitted], asthma, eczema), autoimmune disease (eg, psoriasis, lupus), or history of chronic respiratory disease (eg, emphysema or chronic obstructive pulmonary disease).
  23. Has a history of additional risk factors for torsades de pointes (eg, heart failure, hypokalemia, family history of Long QT Syndrome).
  24. Is considered by the investigator, for any reason, to be an unsuitable candidate for participating in this study.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02774902


Sponsors and Collaborators
Takeda
Investigators
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Study Director: Medical Director Clinical Science Takeda

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Takeda
ClinicalTrials.gov Identifier: NCT02774902     History of Changes
Other Study ID Numbers: TAK-438-110
2010-020813-10 ( EudraCT Number )
U1111-1181-8324 ( Registry Identifier: WHO )
First Posted: May 17, 2016    Key Record Dates
Last Update Posted: May 17, 2016
Last Verified: May 2016
Keywords provided by Takeda:
Drug Therapy
Additional relevant MeSH terms:
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Clarithromycin
Anti-Bacterial Agents
Anti-Infective Agents
Protein Synthesis Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Cytochrome P-450 CYP3A Inhibitors
Cytochrome P-450 Enzyme Inhibitors