A drug-drug interaction study between the novel anti-HCV agent daclatasvir and the antiretroviral agents atazanavir/ritonavir or atazanavir/cobicistat in healthy volunteers.
- Conditions
- HCVHepatitis CHIV10047438
- Registration Number
- NL-OMON42827
- Lead Sponsor
- Apotheek
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 16
1. Subject is at least 18 and not older than 55 years at screening.
2. Subject does not smoke more than 10 cigarettes, 2 cigars, or 2 pipes per day for at least 3 months prior to Day 1.
3. Subject has a Quetelet Index (Body Mass Index) of 18 to 30 kg/m2, extremes included.
4. Subject is able and willing to sign the Informed Consent Form prior to screening evaluations.
5. Subject is in good age-appropriate health condition as established by medical history, physical examination, and electrocardiography, results of biochemistry, hematology and urinalysis testing within 4 weeks prior to day 1. Results of biochemistry, hematology and urinalysis testing should be within the laboratory's reference ranges (see Appendix A). If laboratory results are not within the reference ranges, the subject is included on condition that the Investigator judges that the deviations are not clinically relevant. This should be clearly recorded.
6. Subject has a normal blood pressure and pulse rate, according to the Investigator's judgment.
1. Creatinine clearance below 60mL/min.
2. Documented history of sensitivity/idiosyncrasy to medicinal products or excipients.
3. Positive HIV test.
4. Positive hepatitis B or C test.
5. Pregnant female (as confirmed by an hCG test performed less than 4 weeks before day 1) or breastfeeding female. Female subjects of childbearing potential without adequate contraception, e.g. hysterectomy, bilateral tubal ligation, (non-hormonal) intrauterine device, total abstinence, double barrier methods, or two years post-menopausal. They must agree to take precautions in order to prevent a pregnancy throughout the entire conduct of the study.
6. Therapy with any drug (for two weeks preceding Day 1), except for acetaminophen (maximal 2 gram/day).
7. Relevant history or presence of pulmonary disorders (especially COPD), cardiovascular disorders, neurological disorders (especially seizures and migraine), psychiatric disorders, gastro-intestinal disorders, renal and hepatic disorders (clinically relevant increased ALAT/ASAT or hyperbilirubinemia) hormonal disorders (especially diabetes mellitus), coagulation disorders.
8. Relevant history or current condition that might interfere with drug absorption, distribution, metabolism or excretion.
9. History of or current abuse of drugs, alcohol or solvents.
10. Inability to understand the nature and extent of the study and the procedures required.
11. Participation in a drug study within 60 days prior to Day 1.
12. Donation of blood within 60 days prior to Day 1.
13. Febrile illness within 3 days before Day 1.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>To compare the effect of multiple dose atazanavir/cobicistat (300/150mg QD) on<br /><br>the multiple dose pharmacokinetics (AUC, Cmax, Ctrought) of daclatasvir (30mg)<br /><br>with the effect of atazanavir/ritonavir on the multiple dose of 30mg<br /><br>daclatasvir, by intra-subject com-parison, in healthy subjects. The endpoints<br /><br>are geometric mean ratio*s (GMR) of daclatasvir AUC, Cmax, Ctrought with<br /><br>atazanavir/cobicistat compared to atazanavir/ritonavir co-treatment.<br /><br>GMR of atazanavir AUC, Cmax, Ctrought with daclatasvir + cobicistat compared to<br /><br>daclatasvir + ritonavir co-treatment </p><br>
- Secondary Outcome Measures
Name Time Method <p>Adverse events will be described and compared (including clinically relevant<br /><br>laboratory abnormalities) of the control treatments (atazanavir/ritonavir) and<br /><br>of the intervention treatment (atazanavir/cobicistat).</p><br>