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Tafenoquine/Chloroquine DDI Study

Primary Purpose

Malaria

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Chloroquine, Tafenoquine
Placebo
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Malaria focused on measuring Drug-Drug Interaction

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, laboratory tests and ECGs. A subject with a clinical abnormality or laboratory parameters outside the reference range may be included only if the Investigator and GSK medical monitor agree that the abnormality will not introduce additional risk factors and will not interfere with the study procedures.
  • Male or female between 18 and 55 years of age inclusive, at the time of signing the informed consent.
  • A female subject is eligible to participate if she is of non-childbearing potential or of child-bearing potential if has a negative urine pregnancy test at screening and Day -1, and agrees to use agreed upon contraception methods until 56 days after stopping study drug.
  • Body weight >=60 kg (132 pounds) and BMI within the range 19-32 kg/m2 (inclusive).
  • Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form

Exclusion Criteria:

  • A positive urine drug/alcohol screen at screening or Day -1.
  • History or regular use of tobacco- or nicotine-containing products within 3 months prior to screening.
  • History of illicit drug abuse within 6 months prior to screening.
  • History of regular alcohol consumption within 6 months of the study
  • Subjects who are unwilling to comply with the lifestyle guidelines required.
  • The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the first dosing day in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
  • Use of prescription or non-prescription drugs, including vitamins, herbal and dietary supplements (including St John's Wort) within 7 days (or 14 days if the drug is a potential enzyme inducer) or 5 half-lives (whichever is longer) prior to the first dose of study medication.
  • History of sensitivity to any of the study medications or their components.
  • Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period.
  • Pregnant females as determined by positive urine hCG test at screening or prior to dosing.
  • Lactating females.
  • Subject is mentally or legally incapacitated.
  • A positive HIV antibody, Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening.
  • The subject's systolic blood pressure is outside the range of 90-150mmHg or diastolic blood pressure is outside the range of 45-90mmHg or heart rate is outside the range of 50-100bpm for female subjects and 45-100bpm for male subjects at screening and Day -1.
  • Cardiac conduction abnormalities as specified inprotocol
  • Any significant arrhythmia which, in the opinion of the principal investigator and GSK medical monitor, will interfere with the safety for the individual subject.
  • History of angina, ischemic heart disease, myocardial infarction, or clinically significant arrhythmia.
  • History of epilepsy, convulsions or psychological disorders.
  • History of porphyria.
  • AST, ALT or alkaline phosphatase >1.5 times the upper limit of normal and/or total bilirubin level outside the normal range at screening. A single repeat is allowed for eligibility determination.
  • Documented Glucose-6-phosphate dehydrogenase (G6PD) deficiency, determined by a quantitative assay of enzyme activity.
  • History of hemoglobinopathy; or current or past history of methemoglobinemia or methemoglobin percentage above the reference range at screening.
  • History of previous eye surgery involving the retina, Lasik surgery within 90 days, or retinal/corneal abnormalities.
  • Any clinically significant abnormalities on the screening Humphrey 10-2 visual field test.
  • Best corrected visual acuity worse than 0.3 logMAR (20/40 Snellen equivalent) (i.e., 20/40 or better vision will be allowed on study).

Sites / Locations

  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Part 1

Part 2

Arm Description

Tafenoquine + Chloroquine vs. Chloroquine alone

Chloroquine alone, Tafenoquine alone or Chloroquine+Tafenoquine

Outcomes

Primary Outcome Measures

TQ and Chloroquine (Day 2): AUC(0-tau), Cmax and Tmax
CQ and TQ (Day 3): AUC(0-tau), AUC(0-inf), Cmax, Tmax and t1/2
AEs, vital signs, 12-lead ECGs, telemetry, clinical laboratory and ophthalmic assessments

Secondary Outcome Measures

QTcF, QT, QRS, RR and HR as assessed by 12-lead ECG
Changes from baseline in QTcF

Full Information

First Posted
March 23, 2009
Last Updated
June 16, 2017
Sponsor
GlaxoSmithKline
Collaborators
Medicines for Malaria Venture
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1. Study Identification

Unique Protocol Identification Number
NCT00871156
Brief Title
Tafenoquine/Chloroquine DDI Study
Official Title
Safety, Tolerability, and Pharmacokinetic Study of Concomitant Chloroquine and Tafenoquine in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
June 2017
Overall Recruitment Status
Completed
Study Start Date
March 24, 2009 (Actual)
Primary Completion Date
August 26, 2009 (Actual)
Study Completion Date
August 26, 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline
Collaborators
Medicines for Malaria Venture

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
DDI study of Tafenoquine and Chloroquine
Detailed Description
Safety, Tolerability, and Pharmacokinetic Study of Concomitant Chloroquine and Tafenoquine in Healthy Volunteers

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malaria
Keywords
Drug-Drug Interaction

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
68 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part 1
Arm Type
Active Comparator
Arm Description
Tafenoquine + Chloroquine vs. Chloroquine alone
Arm Title
Part 2
Arm Type
Placebo Comparator
Arm Description
Chloroquine alone, Tafenoquine alone or Chloroquine+Tafenoquine
Intervention Type
Drug
Intervention Name(s)
Chloroquine, Tafenoquine
Other Intervention Name(s)
Tafenoquine, Chloroquine
Intervention Description
Chloroquine and Tafenoquine
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placeob
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
TQ and Chloroquine (Day 2): AUC(0-tau), Cmax and Tmax
Time Frame
56 days
Title
CQ and TQ (Day 3): AUC(0-tau), AUC(0-inf), Cmax, Tmax and t1/2
Time Frame
56 days
Title
AEs, vital signs, 12-lead ECGs, telemetry, clinical laboratory and ophthalmic assessments
Time Frame
56 days
Secondary Outcome Measure Information:
Title
QTcF, QT, QRS, RR and HR as assessed by 12-lead ECG
Time Frame
56 Days
Title
Changes from baseline in QTcF
Time Frame
56 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, laboratory tests and ECGs. A subject with a clinical abnormality or laboratory parameters outside the reference range may be included only if the Investigator and GSK medical monitor agree that the abnormality will not introduce additional risk factors and will not interfere with the study procedures. Male or female between 18 and 55 years of age inclusive, at the time of signing the informed consent. A female subject is eligible to participate if she is of non-childbearing potential or of child-bearing potential if has a negative urine pregnancy test at screening and Day -1, and agrees to use agreed upon contraception methods until 56 days after stopping study drug. Body weight >=60 kg (132 pounds) and BMI within the range 19-32 kg/m2 (inclusive). Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form Exclusion Criteria: A positive urine drug/alcohol screen at screening or Day -1. History or regular use of tobacco- or nicotine-containing products within 3 months prior to screening. History of illicit drug abuse within 6 months prior to screening. History of regular alcohol consumption within 6 months of the study Subjects who are unwilling to comply with the lifestyle guidelines required. The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the first dosing day in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer). Use of prescription or non-prescription drugs, including vitamins, herbal and dietary supplements (including St John's Wort) within 7 days (or 14 days if the drug is a potential enzyme inducer) or 5 half-lives (whichever is longer) prior to the first dose of study medication. History of sensitivity to any of the study medications or their components. Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period. Pregnant females as determined by positive urine hCG test at screening or prior to dosing. Lactating females. Subject is mentally or legally incapacitated. A positive HIV antibody, Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening. The subject's systolic blood pressure is outside the range of 90-150mmHg or diastolic blood pressure is outside the range of 45-90mmHg or heart rate is outside the range of 50-100bpm for female subjects and 45-100bpm for male subjects at screening and Day -1. Cardiac conduction abnormalities as specified inprotocol Any significant arrhythmia which, in the opinion of the principal investigator and GSK medical monitor, will interfere with the safety for the individual subject. History of angina, ischemic heart disease, myocardial infarction, or clinically significant arrhythmia. History of epilepsy, convulsions or psychological disorders. History of porphyria. AST, ALT or alkaline phosphatase >1.5 times the upper limit of normal and/or total bilirubin level outside the normal range at screening. A single repeat is allowed for eligibility determination. Documented Glucose-6-phosphate dehydrogenase (G6PD) deficiency, determined by a quantitative assay of enzyme activity. History of hemoglobinopathy; or current or past history of methemoglobinemia or methemoglobin percentage above the reference range at screening. History of previous eye surgery involving the retina, Lasik surgery within 90 days, or retinal/corneal abnormalities. Any clinically significant abnormalities on the screening Humphrey 10-2 visual field test. Best corrected visual acuity worse than 0.3 logMAR (20/40 Snellen equivalent) (i.e., 20/40 or better vision will be allowed on study).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Buffalo
State/Province
New York
ZIP/Postal Code
14202
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
23701202
Citation
Miller AK, Harrell E, Ye L, Baptiste-Brown S, Kleim JP, Ohrt C, Duparc S, Mohrle JJ, Webster A, Stinnett S, Hughes A, Griffith S, Beelen AP. Pharmacokinetic interactions and safety evaluations of coadministered tafenoquine and chloroquine in healthy subjects. Br J Clin Pharmacol. 2013 Dec;76(6):858-67. doi: 10.1111/bcp.12160.
Results Reference
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Tafenoquine/Chloroquine DDI Study

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