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TASK 011-RPT-Crush:Relative bioavailability of three generic rifapentine and isoniazid compounds when manipulated in adults with latent tuberculosis: a bridge to paediatric dosing needs (RPT CRUSH”)

Phase 1
Conditions
Tuberculosis
Registration Number
PACTR202306775627089
Lead Sponsor
Stellenbosch University
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
All
Target Recruitment
24
Inclusion Criteria

1.Written informed consent
2.Able/willing to comply with the protocol requirements
3.Aged between 18 and 65 years
4.Documented recent TB exposure
5.Evidence of TB infection (positive IGRA or TST <3 months prior to enrolment)
6.Body weight =40kg and = 90 kg
7.If of child-bearing potential, agree to use effective birth-control measures throughout the study.

Exclusion Criteria

1.Diseases or conditions in which use of RPT/INH contraindicated;
2.Known hypersensitivity or intolerance to RPT or INH;
3.Recent TB exposure to drug-resistant TB
4.Confirmed or suspected active TB
5.HIV infection;
6.Active chronic hepatitis B (HBsAg positive)
7.Females who are pregnant, breastfeeding, or planning to conceive a child within the study period
8.Laboratory abnormalities at screening; including anemia, leukopenia, thrombopenia, renal failure or hepatitis.
9.Use of any prohibited medication
10.Current participation in any other intervention trial of a therapeutic agent
11.Screening drug test positive for amphetamines/methamphetamines, opioids, methaqualone, benzodiazepines
12.Self-reported alcohol use exceeding 28 units per week for men, or 21 units for women
13.Clinically significant diseases/abnormalities that might compromise safety of the participant/interpretability of data.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. To estimate the relative bioavailability of Rifapentine (RPT) and Isoniazid (INH) following dosing with 1) RPT/INH FDC (MacLeods), 2) RPT/INH FDC (Lupin) or 3) RPT single compound (Lupin) given with INH single compound (Winthrop/MacLeods), administered suspended in water compared to dosing as whole tablets
Secondary Outcome Measures
NameTimeMethod
1. To investigate potential differences in absorption rate and variability of RPT and INH following dosing as whole tablets versus suspended in water<br>;2. To describe other derived pharmacokinetic (PK) parameters including Cmax, Tmax and area under the concentration-time curve (AUC)0-168hr for RPT and 25-Desacetyl-Rifapentine metabolite;3. To describe other derived pharmacokinetic parameters including Cmax, Tmax and AUC0-24hr INH;4. To describe the short-term safety of suspended RPT/INH;5. To describe the palatability and acceptability of suspended RPT/INH;6. To estimate the relative bioavailability of RPT and INH following dosing with RPT/INH FDC (MacLeods) or RPT/INH FDC (Lupin) compared to RPT single compound (Lupin) given with INH single compound (Winthrop/MacLeods), respectively, administered as whole tablets
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