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Drug Interaction & Methadone & Buprenorphine

Registration Number
NCT02045693
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to assess the effects of steady state DCV/ASV/BMS-791325 fixed dose combination (FDC) + 75mg BMS-791325 on the Pharmacokinetics (PK) of Methadone in subjects with the stable dose of Methadone and on the PK of Buprenorphine in subjects with the stable dose of Buprenorphine.

Detailed Description

IND number: 101,943

Primary purpose: Other: Phase 1 Clinical Pharmacology drug interaction study in healthy subjects

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
32
Inclusion Criteria
  • Subject must be on stable Methadone or Buprenorphine regimens for at least 28 days prior to screening
Exclusion Criteria
  • Subjects must be healthy except for history of Methadone or Buprenorphine treatment regimens
  • Prior exposure to DCV, ASV or BMS-791325 within 3 months of screening or any other investigational drug or placebo within 4 weeks of study drug administration

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Part 1: Methadone + DCV 3DAA FDC + BMS-791325BMS-791325Methadone 40-120 mg tablet or solution orally once on Day 1 Methadone 40-120 mg tablet or solution orally once daily + DCV 3DAA FDC (Daclatasvir 30 mg/Asunaprevir 200 mg/BMS-791325 75 mg 3 direct-acting antiviral (3DAA) fixed dose combination tablet) orally twice daily + BMS-791325 75 mg tablet orally twice daily on Days 2 through 12
Part 2: Buprenorphine/Naloxone + DCV 3DAA FDC + BMS-791325BMS-791325Buprenorphine/Naloxone 8/2 - 24/6 mg tablet or sublingual film orally once on Day 1 Buprenorphine/Naloxone 8/2 - 24/6 mg tablet or sublingual film orally once + DCV 3DAA FDC (Daclatasvir 30 mg/Asunaprevir 200 mg/BMS-791325 75 mg 3DAA fixed dose combination tablet) orally twice daily + BMS-791325 75 mg tablet orally twice daily on Days 2 through 12
Part 2: Buprenorphine/Naloxone + DCV 3DAA FDC + BMS-791325NaloxoneBuprenorphine/Naloxone 8/2 - 24/6 mg tablet or sublingual film orally once on Day 1 Buprenorphine/Naloxone 8/2 - 24/6 mg tablet or sublingual film orally once + DCV 3DAA FDC (Daclatasvir 30 mg/Asunaprevir 200 mg/BMS-791325 75 mg 3DAA fixed dose combination tablet) orally twice daily + BMS-791325 75 mg tablet orally twice daily on Days 2 through 12
Part 2: Buprenorphine/Naloxone + DCV 3DAA FDC + BMS-791325DCV 3DAA FDCBuprenorphine/Naloxone 8/2 - 24/6 mg tablet or sublingual film orally once on Day 1 Buprenorphine/Naloxone 8/2 - 24/6 mg tablet or sublingual film orally once + DCV 3DAA FDC (Daclatasvir 30 mg/Asunaprevir 200 mg/BMS-791325 75 mg 3DAA fixed dose combination tablet) orally twice daily + BMS-791325 75 mg tablet orally twice daily on Days 2 through 12
Part 1: Methadone + DCV 3DAA FDC + BMS-791325DCV 3DAA FDCMethadone 40-120 mg tablet or solution orally once on Day 1 Methadone 40-120 mg tablet or solution orally once daily + DCV 3DAA FDC (Daclatasvir 30 mg/Asunaprevir 200 mg/BMS-791325 75 mg 3 direct-acting antiviral (3DAA) fixed dose combination tablet) orally twice daily + BMS-791325 75 mg tablet orally twice daily on Days 2 through 12
Part 1: Methadone + DCV 3DAA FDC + BMS-791325MethadoneMethadone 40-120 mg tablet or solution orally once on Day 1 Methadone 40-120 mg tablet or solution orally once daily + DCV 3DAA FDC (Daclatasvir 30 mg/Asunaprevir 200 mg/BMS-791325 75 mg 3 direct-acting antiviral (3DAA) fixed dose combination tablet) orally twice daily + BMS-791325 75 mg tablet orally twice daily on Days 2 through 12
Part 2: Buprenorphine/Naloxone + DCV 3DAA FDC + BMS-791325BuprenorphineBuprenorphine/Naloxone 8/2 - 24/6 mg tablet or sublingual film orally once on Day 1 Buprenorphine/Naloxone 8/2 - 24/6 mg tablet or sublingual film orally once + DCV 3DAA FDC (Daclatasvir 30 mg/Asunaprevir 200 mg/BMS-791325 75 mg 3DAA fixed dose combination tablet) orally twice daily + BMS-791325 75 mg tablet orally twice daily on Days 2 through 12
Primary Outcome Measures
NameTimeMethod
AUC(TAU) of Buprenorphine and Norbuprenorphine for Part 224 timepoints up to Day 13
Maximum observed concentration (Cmax) of R-Methadone for Part 124 timepoints up to Day 13
Area under the concentration-time curve in one dosing interval (AUC(TAU)) of R-Methadone for Part 124 timepoints up to Day 13
Cmax of Buprenorphine and Norbuprenorphine for Part 224 timepoints up to Day 13
Secondary Outcome Measures
NameTimeMethod
Cmax of S-Methadone and Total Methadone for Part 124 timepoints up to 13 days
AUC(TAU) of S-Methadone and Total Methadone for Part 124 timepoints up to 13 days
Concentration at 24 hours (C24) of S-Methadone, Total Methadone and R-Methadone for Part 124 timepoints up to 13 days
Time of maximum observed concentration (Tmax) of S-Methadone, Total Methadone and R-Methadone for Part 124 timepoints up to 13 days
C24 of Buprenorphine and Norbuprenorphine for Part 224 timepoints up to 13 days
Tmax of Buprenorphine and Norbuprenorphine for Part 224 timepoints up to 13 days
Ratio of metabolite AUC(TAU) to parent AUC(TAU) (MR_AUC(TAU)) of Norbuprenorphine to Buprenorphine24 timepoints up to 13 days
Cmax of of Daclatasvir (DCV) , Asunaprevir (ASV) , BMS-791325, and BMS-79471210 timepoints on Day 12
AUC(TAU) of DCV, ASV, BMS-791325, and BMS-79471210 timepoints on Day 12
Concentration at 12 hours (C12) of DCV, ASV, BMS-791325, and BMS-79471210 timepoints on Day 12
Tmax of DCV, ASV, BMS-791325, and BMS-79471210 timepoints on Day 12
MR_AUC(TAU) for BMS-794712 to BMS-79132510 timepoints on Day 12
Incidence of Adverse Events (AEs), Serious Adverse Events (SAEs), death and AEs leading to discontinuationUp to day 13
Results of vital signs, Electrocardiograms (ECGs), Physical Examinations (PEs) and clinical labsUp to day 13
Scores of Clinical Opiate Withdrawal Scale (COWS), Subjective Opiate Withdrawal Scale (SOWS), Objective Opiate Withdrawal Scale (OOWS), and Opiate Overdose Assessment (OOA)Up to day 13

Trial Locations

Locations (3)

Cri Lifetree

🇺🇸

Philadelphia, Pennsylvania, United States

Anaheim Clinical Trials Llc

🇺🇸

Anaheim, California, United States

Lifetree Clinical Research

🇺🇸

Salt Lake City, Utah, United States

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