A Comparison of Effects of Short-Term Steady State Low Dose Exposure of Extended Release (Advagraf®) and Immediate Release (Prograf®) Formulations of Tacrolimus on Renal Perfusion and Function in Healthy Male Volunteers
Overview
- Phase
- Phase 1
- Intervention
- Advagraf®
- Conditions
- Healthy
- Sponsor
- Astellas Pharma Canada, Inc.
- Enrollment
- 19
- Locations
- 1
- Primary Endpoint
- Effective Renal Plasma Flow (ERPF)
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
The purpose of the study is to evaluate the drug profiles (pharmacokinetics) and effects (pharmacodynamics) of Advagraf® and Prograf® on the kidneys.
Detailed Description
This is a 2 Period study. In Period 1, subjects will be assigned randomly to receive Advagraf® or Prograf® administered once or twice daily, respectively, for a period of 10 days. In Period 2, subjects will be converted from Advagraf® to Prograf® or from Prograf® to Advagraf® for 10 additional days of dosing. Dose adjustments will be made based on the monitoring of drug levels in blood.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Caucasian
- •No previous/current history of infection, cerebrovascular, neurological, cardiovascular, endocrine, pulmonary, immunologic or metabolic disease or significant systemic disease, glucose intolerance, gout or hematological disorder
- •Normal 12-lead Electrocardiogram (ECG)
- •Systolic blood pressure \<140 mm Hg and diastolic blood pressure \<90 mm Hg
- •Non-smoker within 3 months prior to screening
- •Willing to abstain from alcohol during the study
Exclusion Criteria
- •Positive screen for illicit drug or alcohol consumption
- •Subject has hepatitis B, hepatitis C, human immunodeficiency virus (HIV) or history of cancer (excluding completely excised squamous or basal cell carcinoma)
- •Positive tuberculin skin test or known history of tuberculosis infection
- •Known history of serious head injuries, seizures or eating disorders
- •Body Mass Index \<18.0 or \>30.0
- •History of renal dysfunction, clinically significant creatinine or clinically significant abnormal liver function tests, hemoglobin \<130 g/L
- •Plasma donation ≥ 500 mL within 7 days prior to first dose of study drug, donation or whole blood loss 50-499 mL within 30 days or ≥ 499 mL within 56 days prior to first dose of study drug.
- •Drug or alcohol abuse within 1 year prior to study entry
- •Steroid injections within 12 weeks prior to first dose of study drug
- •Live vaccine within 7 days prior to first dose of study drug
Arms & Interventions
Advagraf followed by Prograf
Intervention: Advagraf®
Advagraf followed by Prograf
Intervention: Prograf®
Prograf followed by Advagraf
Intervention: Advagraf®
Prograf followed by Advagraf
Intervention: Prograf®
Outcomes
Primary Outcomes
Effective Renal Plasma Flow (ERPF)
Time Frame: up to Day 20
Estimated by aminohippurate sodium (PAH) clearance
Secondary Outcomes
- Glomerular Filtration Rate (GFR)(Pre-dose (Day -4), Day 10, Day 20)