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Evaluate the Drug-drugs Interaction Between Lobeglitazone and Empagliflozin

Primary Purpose

Diabetes Mellitus, Type II

Status
Unknown status
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Empagliflozin 25mg
Lobeglitazone 0.5mg
Empagliflozin 25mg/Lobeglitazone 0.5mg
Sponsored by
Chong Kun Dang Pharmaceutical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes Mellitus, Type II

Eligibility Criteria

19 Years - 45 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. A healthy person whose age is in between 19 to 45 during the screening tests
  2. Whose weight is more than 55 kg, BMI is over 18.5 and under 29.9 during the screening test. (BMI (kg/m2) = weight (kg) / {height (m)}2)
  3. A male with no congenital or chronic disease in three years, no history of symptoms in internal treatment, or no knowledge in the area
  4. Due to the special characteristics of drugs, the participators must be qualified to do the clinical screening tests
  5. The participants must have an ability and willingness to participate throughout the entire trials

Exclusion Criteria:

  1. A person who has a history of clinically significant cardiovascular, respiratory, liver, kidney, endocrine system, immune system, urinary system diseases, blood-tumor diseases, mental illness.
  2. Who had a history of gastrointestinal related disease which can be affected the drug absorption (esophageal achalasia, esophagostenosis, esophageal disease, or Crohn's disease) or surgeries (except a simple appendectomy or herniotomy)
  3. Who has a history of hypersensitivity reactions to Empagliflozin or Lobeglitazone or similar series or other excipient ingredients (aspirin, fibrate, antibiotics, etc.)
  4. A person whose electrocardiogram value includes QTc > 450 msec, PR interval > 200 msec, QRS duration > 120 msec after screening, or who show clinically significant opinion.
  5. Who falls under the following results

    1. Liver Function Test (AST, ALT) are exceeded over 1.5x the upper limit of the normal range
    2. eGFR < 60mL/min/1.73m2
  6. Who shows the vital sign values of more than 150 mmHg or less than 90 mmHg in systolic pressure or more than 95 mmHg or less than 60 mmHg in diastolic blood pressure
  7. Who has history of drug abuses or shows a positive result in the urinary drug screen
  8. Who took any prescribed drugs, medicinal plants within the 2 weeks before the first day of dosing or takes any over-the-counter drugs or vitamin supplements within 1 week (but, if other conditions are met, they can still participate in the clinical test through the researcher's judgment)
  9. Who took other investigational drugs or bioequivalence drugs within 3 months before the first day of dosing
  10. Who participated in whole blood donation within 2 months before the first of dosing, or platelet donations within 1 months. Who received blood a month before the first day of dosing
  11. Who constantly drinks alcohol (over 21 units/week, 1 unit = 10 g of pure alcohol) or cannot stop drinking alcohol during the clinical test.
  12. Who smokes more than 10 cigarettes per day within 3 months , or who cannot quit smoking when hospitalized
  13. Who cannot limit intake of grapefruit or grapefruit containing foods in 48hrs from the first dosing of clinical testing drug to collect pharmacokinetic blood samples
  14. Who absorb caffeinated drinks (coffee, tea (black or green tea), soda, coffee flavored milk, energy drinks, etc.) or cannot stop absorbing them 24 hours before hospitalization until discharging
  15. Not using a reliable contraception, planning a pregnancy during the study
  16. Who has Galactose intolerance, LAPP lactose intolerance, glucose-galactose malabsorption or genetic disorders
  17. Person who is not determined unsuitable to participate in this test by the researchers

Sites / Locations

  • Dong A University Hospital

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

Empagliflozin / Lobeglitazone / Empa.+Lobe.

Empagliflozin / Empa.+Lobe. / Lobeglitazone

Lobeglitazone / Empagliflozin / Empa.+Lobe.

Lobeglitazone / Empa.+Lobe. / Empagliflozin

Empa.+Lobe. / Empagliflozin / Lobeglitazone

Empa.+Lobe. / Lobeglitazone / Empagliflozin

Arm Description

Period 1: Empagliflozin 25 mg QD for 5 days Period 2: Lobeglitazone 0.5 mg QD for 5 days Period 3: Empagliflozin 25 mg + Lobeglitazone 0.5 mg QD for 5 days

Period 1: Empagliflozin 25 mg QD for 5 days Period 2: Empagliflozin 25 mg + Lobeglitazone 0.5 mg QD for 5 days Period 3: Lobeglitazone 0.5 mg QD for 5 days

Period 1: Lobeglitazone 0.5 mg QD for 5 days Period 2: Empagliflozin 25 mg QD for 5 days Period 3: Empagliflozin 25 mg + Lobeglitazone 0.5 mg QD for 5 days

Period 1: Lobeglitazone 0.5 mg QD for 5 days Period 2: Empagliflozin 25 mg + Lobeglitazone 0.5 mg QD for 5 days Period 3: Empagliflozin 25 mg QD for 5 days

Period 1: Empagliflozin 25 mg + Lobeglitazone 0.5 mg QD for 5 days Period 2: Empagliflozin 25 mg QD for 5 days Period 3: Lobeglitazone 0.5 mg QD for 5 days

Period 1: Empagliflozin 25 mg + Lobeglitazone 0.5 mg QD for 5 days Period 2: Lobeglitazone 0.5 mg QD for 5 days Period 3: Empagliflozin 25 mg QD for 5 days

Outcomes

Primary Outcome Measures

AUC0-t,ss of Empagliflozin
Cmax,ss of Empagliflozin
AUC0-t,ss of Lobeglitazone
Cmax,ss of Lobeglitazone

Secondary Outcome Measures

Tmax,ss of Empagliflozin
t1/2,ss of Empagliflozin
AUCinf of Empagliflozin
Tmax,ss of Lobeglitazone
t1/2,ss of Lobeglitazone
AUCinf of Lobeglitazone

Full Information

First Posted
August 1, 2016
Last Updated
August 7, 2016
Sponsor
Chong Kun Dang Pharmaceutical
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1. Study Identification

Unique Protocol Identification Number
NCT02854748
Brief Title
Evaluate the Drug-drugs Interaction Between Lobeglitazone and Empagliflozin
Official Title
A Randomized, Open-label, Multiple Dosing, Crossover Study to Evaluate the Drug-drugs Interaction Between Lobeglitazone and Empagliflozin in Healthy Male Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
August 2016
Overall Recruitment Status
Unknown status
Study Start Date
August 2016 (undefined)
Primary Completion Date
September 2016 (Anticipated)
Study Completion Date
September 2016 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chong Kun Dang Pharmaceutical

4. Oversight

5. Study Description

Brief Summary
This study is a randomized, open-label, multiple dosing, crossover study to evaluate the drug-drugs interaction between Lobeglitazone and Empagliflozin in healthy male volunteers
Detailed Description
To healthy male subjects of 30, following treatments are administered dosing in each 3 period(Lobeglitazone or Empagliflozin or Lobe.+Empa.) and wash-out period is a minimum of 7 days. Test Drug 1: Lobeglitazone 0.5mg 1T Test Drug 2: Empagliflozin 25mg 1T Pharmacokinetic blood samples are collected up to 24hrs. Safety, pharmacokinetic and the drug-drugs interaction are assessed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes Mellitus, Type II

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Empagliflozin / Lobeglitazone / Empa.+Lobe.
Arm Type
Experimental
Arm Description
Period 1: Empagliflozin 25 mg QD for 5 days Period 2: Lobeglitazone 0.5 mg QD for 5 days Period 3: Empagliflozin 25 mg + Lobeglitazone 0.5 mg QD for 5 days
Arm Title
Empagliflozin / Empa.+Lobe. / Lobeglitazone
Arm Type
Experimental
Arm Description
Period 1: Empagliflozin 25 mg QD for 5 days Period 2: Empagliflozin 25 mg + Lobeglitazone 0.5 mg QD for 5 days Period 3: Lobeglitazone 0.5 mg QD for 5 days
Arm Title
Lobeglitazone / Empagliflozin / Empa.+Lobe.
Arm Type
Experimental
Arm Description
Period 1: Lobeglitazone 0.5 mg QD for 5 days Period 2: Empagliflozin 25 mg QD for 5 days Period 3: Empagliflozin 25 mg + Lobeglitazone 0.5 mg QD for 5 days
Arm Title
Lobeglitazone / Empa.+Lobe. / Empagliflozin
Arm Type
Experimental
Arm Description
Period 1: Lobeglitazone 0.5 mg QD for 5 days Period 2: Empagliflozin 25 mg + Lobeglitazone 0.5 mg QD for 5 days Period 3: Empagliflozin 25 mg QD for 5 days
Arm Title
Empa.+Lobe. / Empagliflozin / Lobeglitazone
Arm Type
Experimental
Arm Description
Period 1: Empagliflozin 25 mg + Lobeglitazone 0.5 mg QD for 5 days Period 2: Empagliflozin 25 mg QD for 5 days Period 3: Lobeglitazone 0.5 mg QD for 5 days
Arm Title
Empa.+Lobe. / Lobeglitazone / Empagliflozin
Arm Type
Experimental
Arm Description
Period 1: Empagliflozin 25 mg + Lobeglitazone 0.5 mg QD for 5 days Period 2: Lobeglitazone 0.5 mg QD for 5 days Period 3: Empagliflozin 25 mg QD for 5 days
Intervention Type
Drug
Intervention Name(s)
Empagliflozin 25mg
Intervention Description
Empagliflozin 25 mg QD for 5 days
Intervention Type
Drug
Intervention Name(s)
Lobeglitazone 0.5mg
Intervention Description
Lobeglitazone 0.5mg QD for 5 days
Intervention Type
Drug
Intervention Name(s)
Empagliflozin 25mg/Lobeglitazone 0.5mg
Intervention Description
Empagliflozin 25 mg + Lobeglitazone 0.5mg QD for 5 days
Primary Outcome Measure Information:
Title
AUC0-t,ss of Empagliflozin
Time Frame
Day 1, 2, 3, 4 (Day 12 - 15, Day 23 - 26): 0 hour, Day 5 (Day 16, Day 27): 0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24 hours
Title
Cmax,ss of Empagliflozin
Time Frame
Day 1, 2, 3, 4 (Day 12 - 15, Day 23 - 26): 0 hour, Day 5 (Day 16, Day 27): 0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24 hours
Title
AUC0-t,ss of Lobeglitazone
Time Frame
Day 1, 2, 3, 4 (Day 12 - 15, Day 23 - 26): 0 hour, Day 5 (Day 16, Day 27): 0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24 hours
Title
Cmax,ss of Lobeglitazone
Time Frame
Day 1, 2, 3, 4 (Day 12 - 15, Day 23 - 26): 0 hour, Day 5 (Day 16, Day 27): 0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24 hours
Secondary Outcome Measure Information:
Title
Tmax,ss of Empagliflozin
Time Frame
Day 1, 2, 3, 4 (Day 12 - 15, Day 23 - 26): 0 hour, Day 5 (Day 16, Day 27): 0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24 hours
Title
t1/2,ss of Empagliflozin
Time Frame
Day 1, 2, 3, 4 (Day 12 - 15, Day 23 - 26): 0 hour, Day 5 (Day 16, Day 27): 0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24 hours
Title
AUCinf of Empagliflozin
Time Frame
Day 1, 2, 3, 4 (Day 12 - 15, Day 23 - 26): 0 hour, Day 5 (Day 16, Day 27): 0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24 hours
Title
Tmax,ss of Lobeglitazone
Time Frame
Day 1, 2, 3, 4 (Day 12 - 15, Day 23 - 26): 0 hour, Day 5 (Day 16, Day 27): 0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24 hours
Title
t1/2,ss of Lobeglitazone
Time Frame
Day 1, 2, 3, 4 (Day 12 - 15, Day 23 - 26): 0 hour, Day 5 (Day 16, Day 27): 0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24 hours
Title
AUCinf of Lobeglitazone
Time Frame
Day 1, 2, 3, 4 (Day 12 - 15, Day 23 - 26): 0 hour, Day 5 (Day 16, Day 27): 0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 24 hours

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: A healthy person whose age is in between 19 to 45 during the screening tests Whose weight is more than 55 kg, BMI is over 18.5 and under 29.9 during the screening test. (BMI (kg/m2) = weight (kg) / {height (m)}2) A male with no congenital or chronic disease in three years, no history of symptoms in internal treatment, or no knowledge in the area Due to the special characteristics of drugs, the participators must be qualified to do the clinical screening tests The participants must have an ability and willingness to participate throughout the entire trials Exclusion Criteria: A person who has a history of clinically significant cardiovascular, respiratory, liver, kidney, endocrine system, immune system, urinary system diseases, blood-tumor diseases, mental illness. Who had a history of gastrointestinal related disease which can be affected the drug absorption (esophageal achalasia, esophagostenosis, esophageal disease, or Crohn's disease) or surgeries (except a simple appendectomy or herniotomy) Who has a history of hypersensitivity reactions to Empagliflozin or Lobeglitazone or similar series or other excipient ingredients (aspirin, fibrate, antibiotics, etc.) A person whose electrocardiogram value includes QTc > 450 msec, PR interval > 200 msec, QRS duration > 120 msec after screening, or who show clinically significant opinion. Who falls under the following results Liver Function Test (AST, ALT) are exceeded over 1.5x the upper limit of the normal range eGFR < 60mL/min/1.73m2 Who shows the vital sign values of more than 150 mmHg or less than 90 mmHg in systolic pressure or more than 95 mmHg or less than 60 mmHg in diastolic blood pressure Who has history of drug abuses or shows a positive result in the urinary drug screen Who took any prescribed drugs, medicinal plants within the 2 weeks before the first day of dosing or takes any over-the-counter drugs or vitamin supplements within 1 week (but, if other conditions are met, they can still participate in the clinical test through the researcher's judgment) Who took other investigational drugs or bioequivalence drugs within 3 months before the first day of dosing Who participated in whole blood donation within 2 months before the first of dosing, or platelet donations within 1 months. Who received blood a month before the first day of dosing Who constantly drinks alcohol (over 21 units/week, 1 unit = 10 g of pure alcohol) or cannot stop drinking alcohol during the clinical test. Who smokes more than 10 cigarettes per day within 3 months , or who cannot quit smoking when hospitalized Who cannot limit intake of grapefruit or grapefruit containing foods in 48hrs from the first dosing of clinical testing drug to collect pharmacokinetic blood samples Who absorb caffeinated drinks (coffee, tea (black or green tea), soda, coffee flavored milk, energy drinks, etc.) or cannot stop absorbing them 24 hours before hospitalization until discharging Not using a reliable contraception, planning a pregnancy during the study Who has Galactose intolerance, LAPP lactose intolerance, glucose-galactose malabsorption or genetic disorders Person who is not determined unsuitable to participate in this test by the researchers
Facility Information:
Facility Name
Dong A University Hospital
City
Seo-gu
State/Province
Busan
ZIP/Postal Code
49201
Country
Korea, Republic of

12. IPD Sharing Statement

Citations:
PubMed Identifier
33953542
Citation
Kim YK, Hwang JG, Park MK. No Relevant Pharmacokinetic Drug-Drug Interaction Between the Sodium-Glucose Co-Transporter-2 Inhibitor Empagliflozin and Lobeglitazone, a Peroxisome Proliferator-Activated Receptor-gamma Agonist, in Healthy Subjects. Drug Des Devel Ther. 2021 Apr 28;15:1725-1734. doi: 10.2147/DDDT.S302215. eCollection 2021.
Results Reference
derived

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Evaluate the Drug-drugs Interaction Between Lobeglitazone and Empagliflozin

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