An Open-label, Single-center, Study in Healthy Subjects to Investigate the Effect of Oral Clarithromycin on the Pharmacokinetics of Givinostat (PART 2)
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Cmax of Givinostat, Following Single Doses of the Parent Drug
研究概览
简要总结
Primary objective:
To assess the potential effect of oral Clarithromycin on the single-dose pharmacokinetics of Givinostat.
Secondary objective:
To assess the safety and tolerability of concomitant administration of Givinostat plus Clarithromycin.
详细描述
This study was planned as a phase I, open-label, 3-part, fixed-sequence, non-randomized study in healthy male and female subjects. The study (Part 2) aimed at assessing the potential effect of Clarythromycin on the single dose pharmacokynetics of Givinostat.
The total duration of Part 2 was divided as follows:
- Screening: up to 21 days.
- Treatment Period: Days 1 to 11.
- Safety follow-up visit: 12±2 days.
Subjects were confined at site from Day -1 to Day 11. On Days 1 and 8, a single dose of 50 mg Givinostat, as oral suspension, was administered 1 hour after the planned morning time of Clarithromycin administration.
From Day 4 to Day 10, clarithromycin 500 mg film-coated tablets were administered twice a day, in the morning and in the evening.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
盲法说明
The study was conducted as open label. Blinding procedures were not applicable.
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •A subject was considered eligible for the study if he/she fulfilled all the inclusion criteria:
- •Subject's written informed consent obtained prior to any study-related procedure.
- •Male or female subject, ≥18 and ≤55 years of age, at the time of signing the informed consent.
- •Body mass index (BMI) of 18.5 to 32.0 kg/m2 inclusive, and body weight ≥55 kg and ≤100 kg for females and body weight ≥60 kg and ≤110 kg for males.
- •Non-smoker or ex-smoker (i.e. someone who abstained from using tobacco or nicotine-containing products for at least 3 months prior to Screening).
- •No clinically relevant diseases.
- •No major surgery within 4 weeks prior to dosing.
- •No clinically relevant abnormalities on physical examination.
- •No clinically relevant abnormalities on 12-lead ECG.
- •No clinically relevant abnormalities on clinical laboratory tests.
- •Negative test results for anti-Human Immunodeficiency virus 1 and 2 antibodies (anti-HIV-1Ab and anti-HIV-2Ab), Hepatitis B surface antigen (HBsAg) and anti-Hepatitis C virus antibodies (anti-HCVAb).
- •Female subjects are eligible if they are of non-childbearing potential or agree to use a non-hormonal highly effective contraceptive method from 28 days prior to Screening until at least 90 days after the last study drug administration. Nonchildbearing potential female is defined as:
- •Menopausal, i.e. no menses for ≥ 12 months without an alternative medical cause other than menopause, and a high FSH level.
- •Pre-menopausal female with documented hysterectomy, bilateral salpingectomy and/or bilateral oophorectomy.
- •A non-hormonal effective contraceptive method is defined as:
- •Intrauterine device.
- •Bilateral tubal occlusion.
- •Total abstinence of heterosexual intercourse, in accordance with the lifestyle of the subject.
- •Vasectomized partner, who has received medical assessment of the surgical success, or clinically diagnosed infertile partner.
- •Male subjects who are sexually active with a female partner of childbearing potential (pregnant or non-pregnant) must use contraception (condom) from investigational product administration up to at least 90 days following the last study drug administration.
- •Male subjects must ensure that his non-pregnant female partner of childbearing potential agrees to consistently and correctly use for the same period a highly effective method of contraception (see Section 8.5.3).
- •Male subjects must be willing not to donate sperm until 90 days following the last study drug administration.
- •Willingness and capability to comply with the requirements of the study and ability to understand the study procedures and the risks involved.
- •Exclusion Criteria
- •A subject was excluded from the study if he/she fulfilled any of the exclusion criteria:
- •At Screening
- •Previous use of Givinostat.
- •History of anaphylaxis reaction or clinically significant drug hypersensitivity reaction (e.g., angioedema, Stevens-Johnson syndrome, acute generalized exanthematous pustulosis, drug-induced hypersensitivity syndrome, druginduced neutropenia).
- •Known history of hypersensitivity and/or allergic reactions to Givinostat, histone deacetylases (HDAC) inhibitors or to any excipient in the formulation.
- •History of sorbitol intolerance, sorbitol malabsorption or fructose intolerance.
- •Any medical condition (e.g. gastrointestinal, renal or hepatic, including peptic ulcer, inflammatory bowel disease or pancreatitis) or surgical condition (e.g. cholecystectomy, gastrectomy) that may affect drug pharmacokinetics (absorption, distribution, metabolism or excretion) or subject safety.
- •Systolic blood pressure lower than 90 or over 140 mmHg, diastolic blood pressure lower than 60 or over 90 mmHg, or pulse rate lower than 50 or over 100 bpm.
- •QTcF ˃450 msec.
- •Subjects with history of cardiac arrhythmias (documented), family history of sudden cardiac death or history of additional risk factors for torsades-depointes (e.g. heart failure, hypokalemia, long QT syndrome).
- •Having an estimated glomerular filtration (eGFR) < 90 mL/min, based on creatinine clearance calculation by the Cockcroft-Gault formula and normalized to an average surface area of 1.73 m
- •Any of the following abnormal laboratory test values:
- •Platelet count below the lower limit of the normal range (LLN).
- •Total white blood cells count below the LLN.
- •Hemoglobin below the LLN.
- •Triglycerides above the upper limit of normal range (ULN).
- •Potassium or magnesium below the LLN.
- •Positive urine alcohol, drugs-of-abuse or cotinine screen tests.
- •Positive serum pregnancy test.
- •If woman, she is breast-feeding.
- •History of alcohol abuse within 1 year prior to screening or regular use of alcohol within 6 months prior to the screening visit (i.e. more than 14 units of alcohol per week for males or more than 7 units for females).
- •History of drug abuse within 1 year prior to screening or use of soft drugs (such as marijuana) within 3 months prior to the screening visit or hard drugs [such as cocaine, phencyclidine (PCP), crack, opioid derivatives including heroin, and amphetamine derivatives] within 1 year prior to screening.
- •Participation in any clinical trial within the previous 2 months.
- •Participation in more than 2 clinical trials within the previous 12 months.
- •Blood donation or significant blood loss (≥ 450 mL) due to any reason or had plasmapheresis within the previous 2 months.
- •Veins unsuitable for intravenous puncture on either arm.
- 另有 9 项未显示
排除标准
- 未提供
研究组 & 干预措施
Givinostat + Clarithromycin
Givinostat and Clarithromycin Days 1 and 8, Givinostat 50 mg as oral suspension was administered as a single dose, 1 hour after Clarithromycin administration. From Day 4 to Day 10, Clarithromycin 500 mg film-coated tablet was administered twice a day.
干预措施: Givinostat (Drug)
Givinostat + Clarithromycin
Givinostat and Clarithromycin Days 1 and 8, Givinostat 50 mg as oral suspension was administered as a single dose, 1 hour after Clarithromycin administration. From Day 4 to Day 10, Clarithromycin 500 mg film-coated tablet was administered twice a day.
干预措施: Clarithromycin (Drug)
结局指标
主要结局
Cmax of Givinostat, Following Single Doses of the Parent Drug
时间窗: In the turn of 72 hours after administration of Givinostat
Maximum observed plasma concentration (Cmax) of givinostat. A total of 40 blood samples were collected as follows: - Twenty (20) blood samples at pre-dose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 15, 24, 36, 48, 60 and 72 hours after the administration of givinostat, on Days 1 and 8, for the determination of Givinostat.
AUC0-t of Givinostat, Following Single Doses of the Parent Drug
时间窗: In the turn of 72 hours after administration of Givinostat
AUC0-t = area under the curve from time zero to last sampling time with quantifiable concentrations. A total of 40 blood samples were collected as follows: - Twenty (20) blood samples at pre-dose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 15, 24, 36, 48, 60 and 72 hours after the administration of Givinostat, on Days 1 and 8, for the determination of Givinostat.
%AUCextrap of Givinostat, Following Single Doses of the Parent Drug
时间窗: In the turn of 72 hours after administration of Givinostat
%AUC0extrap = Percentage of AUC0-∞ due to extrapolation from the time of the last measurable concentration (tlast) to infinity, i.e., residual area, calculated as 100 ·(AUC0-∞ - AUC0-t) / AUC0-∞. A total of 40 blood samples were collected as follows: - Twenty (20) blood samples at pre-dose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 15, 24, 36, 48, 60 and 72 hours after the administration of givinostat, on Days 1 and 8, for the determination of givinostat
AUC0-inf of Givinostat, Following Single Doses of the Parent Drug
时间窗: In the turn of 72 hours after administration of Givinostat
AUC0-inf=Total AUC extrapolated to infinity, calculated as AUC0-t + Clast/λz, where Clast is the last measurable concentration and λz is the apparent terminal elimination rate constant. A total of 40 blood samples were collected as follows: - Twenty (20) blood samples at pre-dose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 15, 24, 36, 48, 60 and 72 hours after the administration of givinostat, on Days 1 and 8, for the determination of givinostat.
λz of Givinostat, Following Single Doses of the Parent Drug
时间窗: In the turn of 72 hours after administration of Givinostat
λz is the apparent first order elimination rate constant associated with the terminal (log-linear) portion of the concentration versus time curve. The parameter is estimated by linear least square regression analysis using the last three (or more) non- zero concentrations. A total of 40 blood samples were collected as follows: - Twenty (20) blood samples at pre-dose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 15, 24, 36, 48, 60 and 72 hours after the administration of givinostat, on Days 1 and 8, for the determination of givinostat
Tmax of Givinostat, Following Single Doses of the Parent Drug
时间窗: In the turn of 72 hours after administration of Givinostat
Tmax =The time of occurrence of maximum observed concentration of Givinostat. A total of 40 blood samples were collected as follows: - Twenty (20) blood samples at pre-dose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 15, 24, 36, 48, 60 and 72 hours after the administration of givinostat, on Days 1 and 8, for the determination of Givinostat.
t1/2 of Givinostat, Following Single Doses of the Parent Drug
时间窗: In the turn of 72 hours after administration of Givinostat
t1/2 is the apparent terminal elimination half-life, calculated as ln(2)/λz. A total of 40 blood samples were collected as follows: - Twenty (20) blood samples at pre-dose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 15, 24, 36, 48, 60 and 72 hours after the administration of givinostat, on Days 1 and 8, for the determination of Givinostat.
次要结局
- Severity of Treatment Emergent Adverse Events (TEAE)(Throughout the study and 10-14 days after the EoS (follow-up visit), i.e. up to day 30-34)