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Evaluation and Validation of Metabolic Markers for the Assessment of CYP3A Activity and Prediction of DDI

Phase 1
Completed
Conditions
Healthy
Interventions
Registration Number
NCT02328443
Lead Sponsor
Seoul National University Hospital
Brief Summary

Evaluation and validation of metabolic markers for the assessment of CYP3A activity and prediction of drug-drug interaction in Korean healthy subjects.

Detailed Description

Eligibility for participation of this study will be determined from demographic information, medical history, physical examination, electrocardiogram (ECG) and clinical laboratory tests within 4 weeks before study drug administration. Subjects suitable for this study will be admitted to the Clinical Trials Center, Seoul National University Hospital on the day before dosing, and they were overnight-fasted from 10 p.m. of Day -1. Urine collection is scheduled drug 12 hour before and 24 hour after midazolam administration. Subjects will be dosed study drug via intravenous around at 9 a.m. of Day 1. Subjects performed scheduled procedures.

In period 2, Subjects will be admitted on Day 3-5. Subjects performed scheduled period 2 (Itraconazole co-administration phase, 2 times administration of itraconazole 200 mg), and period 3 (rifampicin 150 mg co-administration phase) procedure. Study participation was terminated on post-study visit (Day 23\~35).

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
24
Inclusion Criteria
  • Age: Between 20 to 40 years of age, inclusive
  • Weight: within 17-28 of Body Mass Index (BMI)
  • Subject who are reliable and willing to make themselves available during the study period, are willing to follow the study protocol, and give their written informed consent voluntarily
Exclusion Criteria
  • History of hypersensitive reaction to medication (midazolam, itraconazole, rifampicin)
  • History of significant clinical illness needs medical caution, including cardiovascular, immunologic, hematologic, neuropsychiatric, respiratory, gastrointestinal, hepatic, or renal disease or other chronic disease
  • History or evidence of drug abuse
  • Use any prescriptive medication, Korean traditional medication not considered acceptable by the clinical investigator during the last 14 days period before first dosing, or use any medication not considered acceptable by the clinical investigator during the last 7 days period before first dosing (if used medication is considered acceptable by investigator, patients can be included)
  • Participation in clinical trials of any drug within 60 days prior to the participation of the study
  • Judged to be inappropriate for the study by the investigator

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
midazolam and itraconazoleMidazolamItraconazole 200 mg PO twice; midazolam iv single administration
midazolam aloneMidazolammidazolam administration alone
midazolam and itraconazoleitraconazoleItraconazole 200 mg PO twice; midazolam iv single administration
midazolam and rifampicinMidazolamrifampicin 150 mg PO for 9 days administration, midazolam iv single administration
midazolam and rifampicinrifampicinrifampicin 150 mg PO for 9 days administration, midazolam iv single administration
Primary Outcome Measures
NameTimeMethod
Quantitation of endogenous metabolites-12h-24h

endogenous metabolite profiles such as steroids to predict CYP3A activity

Maximum plasma concentration and area under the cure from zero to last pointTime Frame: 0h, 10m, 20m, 30m, 45m, 1h, 2h, 3h, 4h, 6h, 8h, 12h

Cmax, AUClast of midazolam

Secondary Outcome Measures
NameTimeMethod
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