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Phase 1 Completed N=15 Randomized Treatment

Effect of Rifabutin on the Pharmacokinetics of Oral Cabotegravir in Healthy Subjects

Infection, Human Immunodeficiency Virus · HIV
Source: ClinicalTrials.gov NCT03149848 ↗
Enrolled (actual)
15
Serious AEs
3.5%
Results posted
Feb 2019
Primary outcomePrimary: Assessment of Plasma CAB Pharmacokinetic (PK) Parameter: Area Under the Concentration-time Curve Over One Dosing Interval (AUC [0 to Tau]) — 103.978; 81.715 Microgram * hour per milliliter

Summary

This is a Phase I, single-center, open-label, fixed-sequence, 2-period crossover study in healthy adults to evaluate the effect of oral rifabutin (RBT) 300 milligram (mg) on the pharmacokinetics of oral cabotegravir (CAB) 30 milligram ( mg). This study will evaluate the drug-drug interaction (DDI) potential between CAB and RBT to inform dosing strategies for tuberculosis in subjects receiving CAB for human immunodeficiency virus (HIV) treatment or prevention. In Treatment Period 1 (Treatment A) participants will receive CAB 30 mg once daily for 14 days, followed by Treatment Period 2 (Treatment B) where participants will receive RBT 300 mg once daily with CAB 30 mg once daily for 14 days. The total study duration will be approximately for 10 weeks. Approximately 15 healthy subjects will be enrolled to ensure that 12 subjects complete dosing and critical assessments.

Outcome Measures

OutcomeResultp-value
PRIMARY
Assessment of Plasma CAB Pharmacokinetic (PK) Parameter: Area Under the Concentration-time Curve Over One Dosing Interval (AUC [0 to Tau])
103.978; 81.715
PRIMARY
Assessment of Plasma CAB PK Parameter: Maximum Observed Concentration (Cmax)
6.356; 5.246
SECONDARY
Assessment of Plasma CAB PK Parameter: Concentration at the End of the Dosing Interval (Ctau)
3.359; 2.479
SECONDARY
Assessment of Plasma CAB PK Parameter: Time of Occurrence of Cmax (Tmax)
3.000; 2.500
SECONDARY
Assessment of Plasma CAB PK Parameter: Terminal Phase Half-life (t1/2)
SECONDARY
Assessment of Plasma CAB PK Parameter: The Apparent Oral Clearance (CL/F)
0.289; 0.367
SECONDARY
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
1; 7; 0; 1
SECONDARY
Concurrent Medication Assessment in Treatment Period 1 and 2
0; 3; 0; 1
SECONDARY
Assessment of Hematology Parameters: Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Platelets and Leukocytes
0.025; 0.031; 0.028; 0.018; 0.030; 0.010
SECONDARY
Assessment of Hematology Parameters: Hematocrit and Reticulocytes/Erythrocytes (R/E)
0.411; 0.427; 0.415; 0.425; 0.413; 0.419
SECONDARY
Assessment of Hematology Parameter: Hemoglobin
144.7; 143.5; 146.4; 144.2; 137.0; 147.0
SECONDARY
Assessment of Hematology Parameter: Eryrocyte Mean Corpuscular Hemoglobin
29.77; 29.54; 30.13; 29.74; 29.30; 27.80
SECONDARY
Assessment of Hematology Parameter: Erythrocye Mean Corpuscular Volume
84.60; 87.94; 85.39; 87.73; 88.20; 79.20
SECONDARY
Assessment of Hematology Parameters: Erythrocytes and Reticulocytes
4.870; 4.869; 4.868; 4.855; 4.680; 5.290
SECONDARY
Assessment of Hematology Parameters: Erythrocytes Distribution Width (EDW)
12.91; 13.13; 12.89; 12.90; 13.40; 13.60
SECONDARY
Assessment of Clinical Chemistry Parameters: Albumin and Protein
45.2; 44.2; 43.4; 43.7; 38.0; 44.0
SECONDARY
Assessment of Clinical Chemistry Parameters: Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Kinase (CK) and Gamma Glutamyl Transferase (GGT)
62.7; 60.1; 60.7; 59.9; 51.0; 61.0
SECONDARY
Assessment of Clinical Chemistry Parameters: Direct Bilirubin (DB), Bilirubin and Creatinine
3.5; 3.5; 2.4; 2.2; 4.0; 1.0
SECONDARY
Assessment of Clinical Chemistry Parameters: Calcium, Chloride, Carbon Dioxide, Glucose, Potassium, Sodium and Urea
2.31; 2.34; 2.29; 2.28; 2.27; 2.38
SECONDARY
Number of Participants With Abnormal Urinalysis Result
0; 0
SECONDARY
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
1; 0
SECONDARY
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
-2.5; 1.5; 0.5; 17.0; 3.7; 0.8
SECONDARY
Change From Baseline in Pulse Rate
-4.5; -6.2; 3.4; 39.0; -1.3

Eligibility Criteria

Inclusion Criteria

  • Males and females between 18 and 65 years of age inclusive, at the time of signing the informed consent.
  • Healthy as determined by the investigator or medically qualified designee based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring.
  • A subject with a clinical abnormality or laboratory parameter(s) which is/are not specifically listed in the inclusion or exclusion criteria, outside the reference range for the population being studied may be included only if the investigator in consultation with the Medical Monitor agree and document that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures. Additionally, laboratory assessments that are specifically listed in the inclusion or exclusion criteria and are outside of the reference range can be repeated once during the screening period.
  • Body weight >=50 kilogram (kg) and body mass index (BMI) within the range 18.5 - 31.0 kg/ meter square (kg/m^2) (inclusive).
  • A female subject is eligible to participate if she is not pregnant (as confirmed by a negative serum human chorionic gonadotrophin (hCG) test), not lactating, and if she is of:
  • Non-reproductive potential defined as pre-menopausal with documented tubal ligation, hysteroscopic tubal occlusion procedure with follow-up confirmation of bilateral tubal occlusion, Hysterectomy, Bilateral Oophorectomy, Postmenopausal defined as 12 months of spontaneous amenorrhea [in questionable cases a blood sample with simultaneous follicle stimulating hormone (FSH) and estradiol levels consistent with menopause FSH: >40 milli international unit/mililiter (MIU/mL) and estradiol 1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin 100 beats per minute (bpm) and female subjects with heart rate 100 bpm, QRS duration (males and females) >120 millisecond (msec), QTc corrected by Fridericia's formula (QTcF) >450 msec for males and females.
  • Evidence of previous myocardial infarction (pathologic Q waves, S-T segment changes (except early repolarization).
  • History/evidence of symptomatic arrhythmia, angina/ischemia, coronary artery bypass grafting (CABG) surgery or percutaneous transluminal coronary angioplasty (PCTA) or any clinically significant cardiac disease.
  • Conduction abnormality (including but not specific to left or right complete bundle branch block, AV block [2nd degree (type II) or higher], Wolf Parkinson White [WPW] syndrome) which in the opinion of the principal Investigator and Viiv Medical Monitor, will interfere with the safety for the individual subject.
  • Sinus pauses >3 seconds.
  • Any significant arrhythmia which, in the opinion of the principal Investigator and ViiV Medical Monitor, will interfere with the safety for the individual subject.
  • Non-sustained (>=3 consecutive ventricular ectopic beats) or sustained ventricular tachycardia.
  • History of inflammatory bowel disease.
  • History of cholecystectomy or other gastrointestinal surgery (except appendectomy more than three months prior to study).
  • History of peptic ulceration or pancreatitis within the preceding 6 months of screening.
  • Participants determined by the Investigator to have a high risk of seizures, including participants with an unstable or poorly controlled seizure disorder. A participant with a prior history of seizure may be considered for enrolment if the Investigator believes the risk of seizure recurrence is low. All cases of prior seizure history should be discussed with the Medical Monitor prior to enrolment.
  • Current or past history of uveitis.
  • Any other medical condition which, in the judgment of the investigator and medical monitor, could jeopardize the safety of the subject or the integrity of the data derived from that subject. This includes but is not limited to any pre-existing condition that interferes with normal gastrointestinal anatomy or motility that could interfere with t
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03149848). 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. Informational only — not medical advice.

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