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A Study to Determine the Relative Oral Bioavailability of Single Dose Administration of TMC207, Under Fed and Fasted Conditions in Healthy Participants

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: Treatment A
Drug: Treatment B
Drug: Treatment E
Drug: Treatment C
Registration Number
NCT00946842
Lead Sponsor
Tibotec BVBA
Brief Summary

The purpose of this study is to determine the relative oral bioavailability (the extent to which a medication or other substance becomes available to the body as compared with another form of medication or other substance) of TMC207 after single-dose oral administration of the Phase II clinical study tablet formulation, and a newly developed tablet formulations, under fed (with food) and fasted (without food) conditions.

Detailed Description

This is a 2-panel (2 groups), open-label (all people know the identity of the intervention), randomized (the study medication is assigned by chance), 3- way crossover (method used to switch participants from one treatment arm to another in a clinical study) study. The study consists of 3 phases including, the screening phase (less than or equal to 21 days before administration of study medication), treatment phase (84 days), and the follow-up phase (up to 30 to 35 days after the last blood sample in the last treatment session is collected). Approximately 24 healthy participants will be allocated to one of two panels: Panel A (participants will receive study medication under fed condition); and Panel B (participants will receive study medication under fasted condition). Participants in Panel A will be randomly assigned to 1 of 6 treatment sequences (Treatment sequences ABC, ACB, BAC, BCA, CBA, and CAB) to receive the following 3 formulations of TMC207 with food: Treatments A: the Phase II tablet formulation; Treatment B: newly developed tablet formulation with fine particle size distribution; and Treatment C: newly developed tablet formulation with coarse particle size distribution. Participants in Panel B will be randomly assigned to 1 of 6 treatment sequences (Treatment sequences DEF, DFE, EDF, EFD, FDE, and FED) to receive the following 3 formulations of TMC207 without food: Treatments D: the Phase II tablet formulation; Treatment E: newly developed tablet formulation with fine particle size distribution; and Treatment F: newly developed tablet formulation with coarse particle size distribution. Subsequent treatments will be separated by a period of 4 weeks. The total duration of the study for each participant will be approximately 20 weeks. Safety evaluations will include assessment of adverse events, clinical laboratory tests, vital signs, electrocardiogram, physical examination, and alcohol urine medicine screen which will be monitored throughout the study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
28
Inclusion Criteria
  • Non-smoker or smokers with no more than 10 cigarettes or 2 cigars or 2 pipes per day for at least 3 months prior selection
  • Normal weight as defined by a body mass index (weight in kilograms divided by the square of height in meters) of 18 to 30 kg/m2, extremes included
  • Healthy on the basis of a medical evaluation that reveals the absence of any clinically relevant abnormality
Exclusion Criteria
  • Positive tests for Human Immunodeficiency Virus 1 (HIV type 1) or HIV 2; hepatitis A, hepatitis B, or hepatitis C infection; and urine drug tests at screening
  • Female with no childbearing potential
  • History or current use of alcohol, barbiturate, amphetamine, recreational or narcotic drug use
  • Relevant medical history or presence of systemic disease (gastrointestinal, cardiovascular, neurologic, psychiatric, metabolic, renal, hepatic, respiratory, inflammatory, infectious disease), or significant skin disease
  • History or presence of clinically significant electrocardiogram at screening
  • Abnormal laboratory values at screening

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Panel B: Treatment Sequence EDFTreatment DParticipants will receive the 3 treatments (Treatment D,E and F) in sequence EDF with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence EFDTreatment DParticipants will receive the 3 treatments (Treatment D,E and F) in sequence EFD with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence FDETreatment FParticipants will receive the 3 treatments (Treatment D,E and F) in sequence FDE with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence ABCTreatment AParticipants will receive the 3 treatments (Treatment A,B and C) in sequence ABC with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence ABCTreatment BParticipants will receive the 3 treatments (Treatment A,B and C) in sequence ABC with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence ABCTreatment CParticipants will receive the 3 treatments (Treatment A,B and C) in sequence ABC with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence ACBTreatment AParticipants will receive the 3 treatments (Treatment A,B and C) in sequence ACB with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence ACBTreatment BParticipants will receive the 3 treatments (Treatment A,B and C) in sequence ACB with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence ACBTreatment CParticipants will receive the 3 treatments (Treatment A,B and C) in sequence ACB with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence BACTreatment AParticipants will receive the 3 treatments (Treatment A,B and C) in sequence BAC with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence BACTreatment BParticipants will receive the 3 treatments (Treatment A,B and C) in sequence BAC with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence BACTreatment CParticipants will receive the 3 treatments (Treatment A,B and C) in sequence BAC with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence BCATreatment AParticipants will receive the 3 treatments (Treatment A,B and C) in sequence BCA with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence BCATreatment BParticipants will receive the 3 treatments (Treatment A,B and C) in sequence BCA with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence BCATreatment CParticipants will receive the 3 treatments (Treatment A,B and C) in sequence BCA with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence CBATreatment AParticipants will receive the 3 treatments (Treatment A,B and C) in sequence CBA with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence CBATreatment BParticipants will receive the 3 treatments (Treatment A,B and C) in sequence CBA with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence CBATreatment CParticipants will receive the 3 treatments (Treatment A,B and C) in sequence CBA with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence CABTreatment AParticipants will receive the 3 treatments (Treatment A,B and C) in sequence CAB with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence CABTreatment BParticipants will receive the 3 treatments (Treatment A,B and C) in sequence CAB with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence DEFTreatment DParticipants will receive the 3 treatments (Treatment D,E and F) in sequence DEF with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence DEFTreatment EParticipants will receive the 3 treatments (Treatment D,E and F) in sequence DEF with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence DEFTreatment FParticipants will receive the 3 treatments (Treatment D,E and F) in sequence DEF with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence DFETreatment DParticipants will receive the 3 treatments (Treatment D,E and F) in sequence DFE with food and subsequent treatments will be separated by 4 weeks..
Panel B: Treatment Sequence DFETreatment EParticipants will receive the 3 treatments (Treatment D,E and F) in sequence DFE with food and subsequent treatments will be separated by 4 weeks..
Panel B: Treatment Sequence DFETreatment FParticipants will receive the 3 treatments (Treatment D,E and F) in sequence DFE with food and subsequent treatments will be separated by 4 weeks..
Panel B: Treatment Sequence EDFTreatment EParticipants will receive the 3 treatments (Treatment D,E and F) in sequence EDF with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence EDFTreatment FParticipants will receive the 3 treatments (Treatment D,E and F) in sequence EDF with food and subsequent treatments will be separated by 4 weeks.
Panel A: Treatment Sequence CABTreatment CParticipants will receive the 3 treatments (Treatment A,B and C) in sequence CAB with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence EFDTreatment EParticipants will receive the 3 treatments (Treatment D,E and F) in sequence EFD with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence FDETreatment DParticipants will receive the 3 treatments (Treatment D,E and F) in sequence FDE with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence FDETreatment EParticipants will receive the 3 treatments (Treatment D,E and F) in sequence FDE with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence FEDTreatment DParticipants will receive the 3 treatments (Treatment D,E and F) in sequence FED with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence FEDTreatment EParticipants will receive the 3 treatments (Treatment D,E and F) in sequence FED with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence FEDTreatment FParticipants will receive the 3 treatments (Treatment D,E and F) in sequence FED with food and subsequent treatments will be separated by 4 weeks.
Panel B: Treatment Sequence EFDTreatment FParticipants will receive the 3 treatments (Treatment D,E and F) in sequence EFD with food and subsequent treatments will be separated by 4 weeks.
Primary Outcome Measures
NameTimeMethod
Time to Reach the Maximum Plasma Concentration of TMC2070 hour predose to 672 hours postdose, after each of the 3 single-dose administration
Maximum Plasma Concentration of TMC2070 hour predose to 672 hours postdose, after each of the 3 single-dose administration
Area Under Curve From Time of Administration up to 72 Hours Post Dosing of TMC2070 hour predose to 672 hours postdose, after each of the 3 single-dose administration
Secondary Outcome Measures
NameTimeMethod
Time to Reach the Maximum Plasma Concentration of M2 Metabolite of TMC2070 hour predose to 672 hours postdose, after each of the 3 single-dose administration
Maximum Plasma Concentration of M2 Metabolite of TMC2070 hour predose to 672 hours postdose, after each of the 3 single-dose administration
Area Under Curve From Time of Administration up to 72 Hours Post Dosing of M2 Metabolite of TMC2070 hour predose to 672 hours postdose, after each of the 3 single-dose administration
Area Under Curve From Time of Administration up to the Last Time Point With a Measurable Concentration Post Dosing of M2 Metabolite of TMC2070 hour predose to 672 hours postdose, after each of the 3 single-dose administration
Area Under Curve Extrapolated to Infinity of M2 Metabolite of TMC2070 hour predose to 672 hours postdose, after each of the 3 single-dose administration
Elimination Rate Constant of a Sequential Elimination Phase of the Plasma Concentration-Time Curve of M2 Metabolite of TMC2070 hour predose to 672 hours postdose, after each of the 3 single-dose administration
Elimination Half-Life of M2 Metabolite of TMC2070 hour predose to 672 hours postdose, after each of the 3 single-dose administration
Number of Participants With Adverse EventsUp to 20 weeks
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