An Open-label Study to Assess the Potential for Pre-systemic Inhibition of Cytochrome P450 3A4 (CYP3A) by Idebenone in Healthy Male Subjects Using Midazolam as a Substrate
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Drug-Drug Interaction
- Sponsor
- Santhera Pharmaceuticals
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Area Under the Curve (AUC) from the time of dosing to the time of the last observed concentration (AUC0-t)
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This phase I open label study is conducted to assess the potential pharmacokinetic interaction of Raxone® with midazolam in healthy male volunteers
Investigators
Eligibility Criteria
Inclusion Criteria
- •Healthy male aged 18 to 55 years.
- •A Body Mass Index (BMI) of 18-
- •BMI = Body weight (kg) / Height (m)
- •Male subject willing to use an acceptable effective contraceptive measure for the entire duration of study participation.
- •No clinically significant abnormal serum biochemistry, haematology and urine examination values.
- •A negative urinary test for drugs of abuse and alcohol breath screen. A positive alcohol test may be repeated at the discretion of the Investigator.
- •Negative HIV and Hepatitis B and C results.
- •No clinically significant abnormalities in 12 lead electrocardiogram (ECG).
- •No clinically significant abnormalities in blood pressure, pulse or oral temperature.
- •No allergy or sensitivity to midazolam, idebenone or any of their excipients.
Exclusion Criteria
- •A clinically significant history of gastrointestinal disorder likely to influence drug absorption.
- •Use of any medication (prescription or OTC, including health supplements and herbal remedies, except paracetamol, within 2 weeks or 5 half-lives (whichever is longer) prior to the first dose of trial medication.
- •Use of any medication known to induce or inhibit any of the enzymes within the CYP3A system within 28 days of Day 1, or grapefruit within 7 days of Day 1
- •Evidence of renal, hepatic dysfunction, cardiovascular or metabolic dysfunction.
- •History of obstructive sleep apnoea syndrome.
- •History of any significant drug allergy including benzodiazepine.
- •A clinically significant history of drug or alcohol abuse.
- •Inability to communicate well with the Investigator (i.e., language problem, poor mental development or impaired cerebral function).
- •Participation in a clinical trial of a New Chemical Entity within the previous 3 months or of a Marketed Product within the previous 30 days (or 5 times the half-life, whichever is longer).
- •Donation of 450 mL or more blood within the previous 3 months.
Outcomes
Primary Outcomes
Area Under the Curve (AUC) from the time of dosing to the time of the last observed concentration (AUC0-t)
Time Frame: 13 days
Area Under the Curve (AUC) extrapolated to infinity from dosing time, based on the last observed concentration (AUC0-∞)
Time Frame: 13 days
Maximum plasma concentration (Cmax)
Time Frame: 13 days
Time to Maximum plasma concentration (Cmax) during a dosing interval (tmax)
Time Frame: 13 days
Terminal elimination half-life (t1/2)
Time Frame: 13 days
Clearance, calculated as dose/AUC0-∞ (CL/F)
Time Frame: 13 days
Volume of distribution during terminal phase after non-intravenous administration (Vz/F)
Time Frame: 13 days
Secondary Outcomes
- Area Under the Curve (AUC) from the time of dosing to the time of the last observed concentration (AUC0-t)(13 days)
- Area Under the Curve (AUC) extrapolated to infinity from dosing time, based on the last observed concentration (AUC0-∞)(13 days)
- Maximum plasma concentration (Cmax)(13 days)
- Time to Maximum plasma concentration (Cmax) during a dosing interval (tmax)(13 days)
- Terminal elimination half-life (t1/2)(13 days)
- Clearance (CL)(13 days)
- Clearance, calculated as dose/AUC0-∞ (CL/F)(13 days)
- Volume of distribution (Vz)(13 days)
- Volume of distribution during terminal phase after non-intravenous administration (Vz/F)(13 days)