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Phase 1 N=30 Randomized Treatment

Transporter Cocktail Mutual Interaction

Healthy

Enrolled (actual)
30
Serious AEs
0.7%
Results posted
Aug 2018
Primary outcome: Primary: Area Under the Curve of Digoxin From 0 to Last Quantifiable Data Point (AUC 0-tz) — 11.549; 11.981 nanomole hour per liter (nmol·h/L)

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
Digoxin (Drug); Furosemide (Drug); Metformin (Drug); Rosuvastatin (Drug); Metformin hydrochloride (Drug)
Age
Adult · 18+ yrs
Sex
Male
Sponsor
Boehringer Ingelheim
Primary completion
Nov 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Area Under the Curve of Digoxin From 0 to Last Quantifiable Data Point (AUC 0-tz)
11.549; 11.981
PRIMARY
Maximum Concentration of Digoxin (Cmax)
1.262; 1.355
PRIMARY
Area Under the Curve of Furosemide From 0 to Last Quantifiable Data Point (AUC 0-tz)
163.614; 159.434
PRIMARY
Maximum Concentration of Furosemide (Cmax)
86.275; 82.990
PRIMARY
Area Under the Curve of Metformin From 0 to Last Quantifiable Data Point (AUC 0-tz)
1283.797; 1316.790
PRIMARY
Maximum Concentration of Metformin (Cmax)
225.156; 229.171
PRIMARY
Area Under the Curve of Rosuvastatin From 0 to Last Quantifiable Data Point (AUC 0-tz)
81.925; 78.016
PRIMARY
Maximum Concentration of Rosuvastatin (Cmax)
8.135; 7.801
SECONDARY
Area Under the Curve of Digoxin From 0 Extrapolated to Infinity (AUC 0-∞)
17.668; 18.303
SECONDARY
Area Under the Curve of Furosemide From 0 Extrapolated to Infinity (AUC 0-∞)
156.382; 160.551
SECONDARY
Area Under the Curve of Metformin From 0 Extrapolated to Infinity (AUC 0-∞)
1290.928; 1324.078
SECONDARY
Area Under the Curve of Rosuvastatin From 0 Extrapolated to Infinity (AUC 0-∞)
97.385; 90.479

Summary

Main objective is to investigate mutual pharmacokinetic drug-drug interactions of digoxin, furosemide, metformin, and rosuvastatin when given all together as a cocktail

Eligibility Criteria

Inclusion criteria

  • Healthy male subjects according to the investigator's assessment, based on a complete medical history including a physical examination, vital signs (Blood Pressure (BP), Pulse Rate (PR)), 12-lead electrocardiogram (ECG), and clinical laboratory tests
  • Age of 18 to 55 years (incl.)
  • Body Mass Index (BMI) of 18.5 to 29.9 kg/m2 (incl.)
  • Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice and local legislation

Exclusion criteria

  • Any finding in the medical examination (including BP, PR or ECG) is deviating from normal and judged as clinically relevant by the investigator
  • Repeated measurement of systolic blood pressure outside the range of 90 to 140 mmHg, diastolic blood pressure outside the range of 50 to 90 mmHg, or pulse rate outside the range of 50 to 90 bpm
  • Any laboratory value outside the reference range that the investigator considers to be of clinical relevance
  • Any evidence of a concomitant disease judged as clinically relevant by the investigator
  • Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
  • Cholecystectomy and/or surgery of the gastrointestinal tract that could interfere with the pharmacokinetics of the trial medication (except appendectomy and simple hernia repair)
  • Diseases of the central nervous system (including but not limited to any kind of seizures or stroke), and other relevant neurological or psychiatric disorders
  • History of relevant orthostatic hypotension, fainting spells, or blackouts
  • Chronic or relevant acute infections
  • History of relevant allergy or hypersensitivity (including allergy to the trial medication or its excipients, sulphonamides, or cardiac glycosides)
  • Use of drugs within 30 days prior to administration of trial medication that might reasonably influence the results of the trial (incl. QT/QTc interval prolongation (corrected Q-T interval)
  • Participation in another trial where an investigational drug has been administered within 60 days prior to planned administration of trial medication, or current participation in another trial involving administration of investigational drug
  • Smoker (more than 10 cigarettes or 3 cigars or 3 pipes per day)
  • Inability to refrain from smoking on specified trial days
  • Alcohol abuse (consumption of more than 30 g per day)
  • Drug abuse or positive drug screening
  • Blood donation of more than 100 mL within 30 days prior to administration of trial medication or intended donation during the trial
  • Intention to perform excessive physical activities within one week prior to administration of trial medication or during the trial
  • Inability to comply with dietary regimen of trial site
  • Subject is assessed as unsuitable for inclusion by the investigator, for instance, because considered not able to understand and comply with study requirements, or has a condition that would not allow safe participation in the study

In addition, the following trial-specific exclusion criteria apply:

  • Hypokalemia, hypomagnesemia, or hypercalcemia
  • PQ ( (time between the onset of the P wave (atrial activity) and the QRS complex (ventricular activity)) interval greater than 220 ms in the ECG at screening
  • Myopathy
  • Hereditary galactose or fructose intolerance, lactase deficiency, or glucose-galactose malabsorption
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02854527). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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