Open Label Study for the Functional Characterization of Drug Metabolism and Transport

NCT01788254 | Completed Phase 1

• 2 other identifiers: IKP2432011-002291-16
• Study Type: interventional
• Target: 144
• Locations: 1 country
• Sites: 2

Brief Summary

Aim of this study is to comprehensively assess in healthy volunteers the metabolic processes and factors that define drug response. Sources of variability are to be investigated and factors that can alter the hepatic metabolism and the pharmacokinetics of drugs shall be quantified. Determination of variability is important when the pharmacokinetics of new drugs is being investigated and when the concept of individualized medicine is to be further developed. It is important to identify and differentiate between pharmaceutical, physiological (e.g. liver blood flow, renal function), environmental (e.g. foods and lifestyle), and genetic sources of inter-individual variability. For instance, inaccurate or false conclusions may be drawn from a single pharmacokinetic study, if the investigated medicine is metabolized by an enzyme with large inter-individual variability. Knowing the causes of variability and of the quantitative contribution of various processes might help to improve the oral formulations of drugs, might help selecting the right preclinical tests and selection criteria during clinical development, provide the basis to understand the influence of disease and to optimize established drug treatments in order to make future drug treatment safer and more efficient. This study is designed as an add-on to the study "TWINS: Open Label Repeated Dose Study for the Evaluation of Heritability of and Genetic Influences on Drug Pharmacokinetics" (Eudra-CT: 2008-006223-31). Twins are not a random sample of the population, and they differ in their developmental environment. In this sense they are not representative for the population Thus, the results of TWINS cannot be automatically generalized but instead require validation in a representative population sample. While both studies assess pharmacologic factors important for drug response, TWINS contributes in particular data on the heritability of these processes.

Conditions

Genotype-related Drug Metabolism

Keywords

pharmacokinetic/genetic; Cyp450 polymorphisms; Noninvasive functional characterization of liver heart and kidneys using MRI

Outcome Measures

Primary Outcomes (5)

• Blood levels and clearance (dose/AUC) of midazolam

  8 hours

• Blood levels and clearance (dose/AUC) of torsemide

  8h

• Blood levels and clearance (dose/AUC) of codeine

  8h

• Blood levels and clearance (dose/AUC) of talinolol

  8h

• Blood levels and clearance (dose/AUC) of pravastatin

  8h

Secondary Outcomes (1)

• determine metabolite profile

  8 hours

Study Arms (1)

Drug cocktail

EXPERIMENTAL

A single oral low dose of codeine 5 mg and midazolam 1 mg administered as drop, pravastatin 5 mg, talinolol 2.5 mg, and torsemide 0.25 mg provided in capsules will be given together at the same time point (cocktail).

Drug: Codeine; Drug: Midazolam; Drug: pravastatin; Drug: Talinolol; Drug: torsemide

Interventions

Codeine DRUG

A single oral low dose of codeine 5 mg and midazolam 1 mg administered as drop, pravastatin 5 mg, talinolol 2.5 mg, and torsemide 0.25 mg provided in capsules will be given together at the same time point (cocktail).

Drug cocktail

Midazolam DRUG

A single oral low dose of codeine 5 mg and midazolam 1 mg administered as drop, pravastatin 5 mg, talinolol 2.5 mg, and torsemide 0.25 mg provided in capsules will be given together at the same time point (cocktail).

Drug cocktail

pravastatin DRUG

A single oral low dose of codeine 5 mg and midazolam 1 mg administered as drop, pravastatin 5 mg, talinolol 2.5 mg, and torsemide 0.25 mg provided in capsules will be given together at the same time point (cocktail).

Drug cocktail

Talinolol DRUG

A single oral low dose of codeine 5 mg and midazolam 1 mg administered as drop, pravastatin 5 mg, talinolol 2.5 mg, and torsemide 0.25 mg provided in capsules will be given together at the same time point (cocktail).

Drug cocktail

torsemide DRUG

A single oral low dose of codeine 5 mg and midazolam 1 mg administered as drop, pravastatin 5 mg, talinolol 2.5 mg, and torsemide 0.25 mg provided in capsules will be given together at the same time point (cocktail).

Drug cocktail

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Written informed consent obtained prior to study entry including informed consent for genetic research
• Both genders (male and female)
• Healthy adults aged ≥18 to \<65 years
• Bodyweight not less than 48 kg and not more than 120 kg. BMI not less than 18 kg/m² and not greater than 33 kg/m².
• Smokers and nonsmokers. Smoking siblings will only be included if both siblings are smoking to a similar extend (+/- 10 cigarettes per day)
• healthy volunteers
• Dizygotic twins will only be included if both siblings are of the same gender, either male or female and triplets, quadruplets or other multiplets if at least two siblings of the same gender are considered.

You may not qualify if:

• Participation in a clinical trial involving the administration of medicines during the last 30 days or use of any other investigational or non-registered drug or vaccine during the study period or within 30 days preceding the first dose of study drugs
• Blood, plasma or thrombocyte donation during the last 30 days prior to application of the test drugs.
• Pregnancy or lactation period
• Any relevant clinical and pathological findings at physical examination, ECG, taking blood pressure or in clinical chemistry tests (deviation of more than 10% of the normal range).
• Positive signal from urinary drug test
• Raynaud's syndrome
• Taking any medication within 7 days before or during the trial with the following exceptions: Single doses of mild analgesics (e.g. aspirin, paracetamol, ibuprofen) an oral contraceptives.
• History of severe hypersensitivity reactions and anaphylaxis.
• History of intolerance or allergic reactions to or contraindication for any of the investigational products.
• Clinically significant diseases as judged by the investigator.
• Contraindication against MRI.

Sponsors & Collaborators

• Matthias Schwab: lead

Study Sites (2)

Dr. Margarete Fischer-Bosch-Institute of Clinical Pharmacology

Stuttgart, 70376, Germany

Location

Abteilung Klinische Pharmakologie

Tübingen, 72076, Germany

Location

MeSH Terms

Interventions

Codeine; Midazolam; Pravastatin; talinolol; Torsemide

Intervention Hierarchy (Ancestors)

Morphine Derivatives; Morphinans; Opiate Alkaloids; Alkaloids; Heterocyclic Compounds; Heterocyclic Compounds, Bridged-Ring; Heterocyclic Compounds, 4 or More Rings; Heterocyclic Compounds, Fused-Ring; Phenanthrenes; Polycyclic Aromatic Hydrocarbons; Polycyclic Compounds; Benzodiazepines; Benzazepines; Heterocyclic Compounds, 2-Ring; Naphthalenes; Hydrocarbons, Aromatic; Hydrocarbons, Cyclic; Hydrocarbons; Organic Chemicals; Sulfonamides; Amides; Sulfones; Sulfur Compounds; Pyridines; Heterocyclic Compounds, 1-Ring

Study Officials

• Matthias Schwab, Prof., M.D.

  Dr. Margarete Fischer Bosch Institute of Clinical Pharmacology and University of Tuebingen

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NA
• Masking: NONE
• Purpose: BASIC SCIENCE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Prof. M.D.

Study Record Dates

• First Submitted: January 31, 2013
• First Posted: February 11, 2013
• Study Start: January 1, 2012
• Primary Completion: May 1, 2015
• Study Completion: May 1, 2015
• Last Updated: May 27, 2015

Record last verified: 2015-05

Locations

DE (2)