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Drug Interaction Potential Between Dolutegravir and Simeprevir in HIV/HCV Seronegative Volunteers

Primary Purpose

HIV, Hepatitis C

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
dolutegravir
simeprevir
Sponsored by
University of Colorado, Denver
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for HIV focused on measuring dolutegravir, simeprevir, HIV, HCV

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Men and women ages 18-60 years
  • Absence of HIV-1 and HCV antibodies at screening,
  • Ability and willingness to give written informed consent before the first trial-related activity.

Exclusion Criteria:

  • Pregnancy
  • Breastfeeding
  • Active alcohol or drug abuse that, in the opinion of the investigators, would interfere with adherence to study requirements
  • Participation in any investigational drug study within 30 days prior to study entry
  • Currently active or chronic gastrointestinal, cardiovascular, neurologic, psychiatric, metabolic, renal, hepatic, respiratory, inflammatory, or infectious disease or malignancy requiring pharmacologic treatment, and/or if in the opinion of the investigator, would affect study participation, safety, or integrity of results
  • Use of concomitant medication, including investigational, prescription, and over-the-counter products and dietary supplements with the following exceptions: aspirin, acetaminophen, ibuprofen, hormonal oral contraceptives
  • Concomitant medications other than those listed above must have been discontinued at least 14 days before study entry
  • Currently active dermatitis or urticaria or diagnosis of eczema or psoriasis,
  • History of significant drug allergy (i.e., anaphylaxis and/or angioedema)
  • Subjects with the following laboratory abnormalities at screening as defined by the 2004 Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events ("DAIDS grading table") and in accordance with the normal ranges of the trial clinical laboratory: serum creatinine grade 1 or greater (≥ 1.1 x upper limit of laboratory normal range (ULN)); hemoglobin grade 1 or greater (≤ 10.9 g/dL); platelet count grade 1 or greater (≤ 124.999 x 109/L); absolute neutrophil count grade 1 or greater (≤ 1.3 x 109/L); aspartate aminotransferase (AST) or alanine aminotransferase (ALT) grade 1 or greater (≥ 1.25 x ULN); total bilirubin grade 1 or greater (≥ 1.1 x ULN), any other laboratory abnormality of grade 2 or above.

Sites / Locations

  • University of Colorado Anschutz Medical Campus

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Sequence 1a

Sequence 1b

Sequence 2a

Sequence 2b

Sequence 3a

Sequence 3b

Arm Description

Sequence 1,2,3: simeprevir only, then dolutegravir only, then both simeprevir and dolutegravir.

Sequence 1,3,2: simeprevir only, then both simeprevir and dolutegravir, then dolutegravir only.

Sequence 2,1,3: dolutegravir only, then simeprevir only, then both simeprevir and dolutegravir.

Sequence 2,3,1: dolutegravir only, then both simeprevir and dolutegravir, then simeprevir only.

Sequence 3,1,2: both simeprevir and dolutegravir, then simeprevir only, then dolutegravir only.

Sequence 3,2,1: Both simeprevir and dolutegravir, then dolutegravir only, then simeprevir only.

Outcomes

Primary Outcome Measures

Simeprevir AUC Pharmacokinetics
Determine simeprevir area-under-the concentration time curve (AUC) when administered alone and when being co-administered with Dolutegravier.
Dolutegravir AUC Pharmacokinetics
Determine Dolutegravir area-under-the concentration time curve (AUC) when administered alone and when co-administered with simeprevir.

Secondary Outcome Measures

Full Information

First Posted
March 18, 2015
Last Updated
February 23, 2021
Sponsor
University of Colorado, Denver
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1. Study Identification

Unique Protocol Identification Number
NCT02404805
Brief Title
Drug Interaction Potential Between Dolutegravir and Simeprevir in HIV/HCV Seronegative Volunteers
Official Title
Drug Interaction Potential Between Dolutegravir and Simeprevir in HIV/Hepatitis C Virus (HCV) Seronegative Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Completed
Study Start Date
February 2016 (undefined)
Primary Completion Date
October 2016 (Actual)
Study Completion Date
October 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Colorado, Denver

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The investigator believes simeprevir concentrations are unchanged when administered in combination with dolutegravir relative to administration alone. The investigator believes dolutegravir concentrations are unchanged when administered in combination with simeprevir. Additionally, the investigator believes simeprevir and dolutegravir are safe when administered alone and in combination.
Detailed Description
To investigate the potential for drug interactions between simeprevir and dolutegravir, participants will receive each drug alone and the drugs in combination for 7 days. The pharmacokinetics of simeprevir and dolutegravir when given in combination vs. alone will be compared.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV, Hepatitis C
Keywords
dolutegravir, simeprevir, HIV, HCV

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
25 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sequence 1a
Arm Type
Experimental
Arm Description
Sequence 1,2,3: simeprevir only, then dolutegravir only, then both simeprevir and dolutegravir.
Arm Title
Sequence 1b
Arm Type
Experimental
Arm Description
Sequence 1,3,2: simeprevir only, then both simeprevir and dolutegravir, then dolutegravir only.
Arm Title
Sequence 2a
Arm Type
Experimental
Arm Description
Sequence 2,1,3: dolutegravir only, then simeprevir only, then both simeprevir and dolutegravir.
Arm Title
Sequence 2b
Arm Type
Experimental
Arm Description
Sequence 2,3,1: dolutegravir only, then both simeprevir and dolutegravir, then simeprevir only.
Arm Title
Sequence 3a
Arm Type
Experimental
Arm Description
Sequence 3,1,2: both simeprevir and dolutegravir, then simeprevir only, then dolutegravir only.
Arm Title
Sequence 3b
Arm Type
Experimental
Arm Description
Sequence 3,2,1: Both simeprevir and dolutegravir, then dolutegravir only, then simeprevir only.
Intervention Type
Drug
Intervention Name(s)
dolutegravir
Intervention Description
dolutegravir tablets 50mg, once daily x 7 days.
Intervention Type
Drug
Intervention Name(s)
simeprevir
Intervention Description
simeprevir tablets 150mg, once daily x 7 days.
Primary Outcome Measure Information:
Title
Simeprevir AUC Pharmacokinetics
Description
Determine simeprevir area-under-the concentration time curve (AUC) when administered alone and when being co-administered with Dolutegravier.
Time Frame
Pre-dose and, 1, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hours post-dose on day 7
Title
Dolutegravir AUC Pharmacokinetics
Description
Determine Dolutegravir area-under-the concentration time curve (AUC) when administered alone and when co-administered with simeprevir.
Time Frame
Pre-dose and, 1, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hours post-dose on day 7

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Men and women ages 18-60 years Absence of HIV-1 and HCV antibodies at screening, Ability and willingness to give written informed consent before the first trial-related activity. Exclusion Criteria: Pregnancy Breastfeeding Active alcohol or drug abuse that, in the opinion of the investigators, would interfere with adherence to study requirements Participation in any investigational drug study within 30 days prior to study entry Currently active or chronic gastrointestinal, cardiovascular, neurologic, psychiatric, metabolic, renal, hepatic, respiratory, inflammatory, or infectious disease or malignancy requiring pharmacologic treatment, and/or if in the opinion of the investigator, would affect study participation, safety, or integrity of results Use of concomitant medication, including investigational, prescription, and over-the-counter products and dietary supplements with the following exceptions: aspirin, acetaminophen, ibuprofen, hormonal oral contraceptives Concomitant medications other than those listed above must have been discontinued at least 14 days before study entry Currently active dermatitis or urticaria or diagnosis of eczema or psoriasis, History of significant drug allergy (i.e., anaphylaxis and/or angioedema) Subjects with the following laboratory abnormalities at screening as defined by the 2004 Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events ("DAIDS grading table") and in accordance with the normal ranges of the trial clinical laboratory: serum creatinine grade 1 or greater (≥ 1.1 x upper limit of laboratory normal range (ULN)); hemoglobin grade 1 or greater (≤ 10.9 g/dL); platelet count grade 1 or greater (≤ 124.999 x 109/L); absolute neutrophil count grade 1 or greater (≤ 1.3 x 109/L); aspartate aminotransferase (AST) or alanine aminotransferase (ALT) grade 1 or greater (≥ 1.25 x ULN); total bilirubin grade 1 or greater (≥ 1.1 x ULN), any other laboratory abnormality of grade 2 or above.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jennifer J Kiser, PharmD
Organizational Affiliation
University of Colorado, Denver
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Colorado Anschutz Medical Campus
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
29029135
Citation
MacBrayne CE, Castillo-Mancilla J, Burton JR Jr, MaWhinney S, Wagner CB, Micke K, Fey J, Huntley RT, Larson B, Bushman LR, Kiser JJ. Small increase in dolutegravir trough, but equivalent total dolutegravir exposure with simeprevir in HIV/HCV seronegative volunteers. J Antimicrob Chemother. 2018 Jan 1;73(1):156-159. doi: 10.1093/jac/dkx344.
Results Reference
derived

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Drug Interaction Potential Between Dolutegravir and Simeprevir in HIV/HCV Seronegative Volunteers

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