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A Study to Investigate the Interaction Between Givosiran and a 5-probe Drug Cocktail in Patients With Acute Intermittent Porphyria (AIP)

Phase 1
Completed
Conditions
Acute Intermittent Porphyria (AIP)
Acute Porphyria
Acute Hepatic Porphyria (AHP)
Porphyria, Acute Intermittent
Interventions
Drug: 5-probe cocktail
Registration Number
NCT03505853
Lead Sponsor
Alnylam Pharmaceuticals
Brief Summary

The purpose of this study is to evaluate the effect of givosiran on the pharmacokinetics of the 5-probe cocktail of midazolam, caffeine, losartan, omeprazole, and dextromethorphan, and their metabolites, in asymptomatic patients with Acute Intermittent Porphyria.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
10
Inclusion Criteria
  • 18 to 65 years old
  • Weight between 45kg and 110kg, inclusive, if male
  • Weight between 45kg and 100 kg, inclusive, if female
  • Diagnosis of acute intermittent porphyria (AIP)
  • Elevated urine PBG level
  • Not be pregnant or breast feeding, and must be willing to use a highly effective method of contraception
Exclusion Criteria
  • Clinically significant abnormal laboratory results
  • Experienced an acute porphyria attack within past 12 months
  • History of multiple drug allergies, intolerances or sensitivities
  • History of recurrent pancreatitis
  • Received an experimental drug, within 3 months of dosing
  • Donated or lost an excessive amount of blood within 60 days of dosing

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Givosiran with 5-probe cocktailGivosiran-
Givosiran with 5-probe cocktail5-probe cocktail-
Primary Outcome Measures
NameTimeMethod
Profile of Pharmacokinetics (PK) of Cytochrome P450 (CYP) probe cocktailDays 1 and 36

Maximum plasma concentration (Cmax)

Secondary Outcome Measures
NameTimeMethod
Profile of Pharmacokinetics (PK) of Cytochrome P450 (CYP) probe cocktail metabolitesDays 1 and 36

Maximum plasma concentration (Cmax)

Safety as evaluated by the proportion of subjects experiencing adverse events (AEs)Day 1 - Day 92
Profile of Pharmacokinetics (PK) of Cytochrome P450 (CYP) probe cocktailDays 1 and 36

Volume of distribution (V/F)

The pharmacodynamic (PD) effect of givosiran on urine levels of delta-aminolevulinic acid (ALA)Days 1, 8, and 36
The pharmacodynamic (PD) effect of givosiran on urine levels of Porphobilinogen (PBG) in patients with AIPDays 1, 8, and 36

Trial Locations

Locations (1)

Clinical Trial Site

πŸ‡ΈπŸ‡ͺ

Stockholm, Sweden

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