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Itraconazole Oral Absorption

Primary Purpose

Fungal Infection

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
fast itraconazole tablet
medium itraconazole tablet
slow itraconazole tablet
oral itraconazole solution
Sponsored by
University of Maryland, Baltimore
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Fungal Infection

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subject is healthy, as determined by screening evaluation that is not greater than 30 days before the first drug study visit
  • Subject is male or female between 18 and 65 years of age inclusive.
  • Subject is an acceptable candidate for venipuncture.
  • Subject is willing to stop all non-routine OTC medications, as well as vitamins, dietary supplements, and herbals, for 24 hours prior to study drug administration and during pharmacokinetic study visits.
  • Subject is willing, for each of the four drug study periods, to stop consuming grapefruit, grapefruit products, star fruit, star fruit products, Seville oranges, and St. John's wort from 72-hour before study drug administration until the period's last blood sample
  • Subject is willing to not smoke (or use e-cigarettes) during study visits.

Exclusion Criteria:

  • Subject has a significant medical disease (including cardiovascular, pulmonary, hematologic, endocrine, immunologic, neurologic, gastrointestinal or psychiatric).
  • Subject shows evidence of congestive heart failure or history of congestive heart failure.
  • Subject exhibits electrocardiogram (12 lead) with clinically significant abnormalities (e.g. QTcF >450 msec).
  • Subject has a history of alcohol or drug abuse, which in the opinion of the investigator, could jeopardize the subject's health or would compromise the subject's ability to participate in this trial.
  • Subject is pregnant, breast feeding, or trying to become pregnant.
  • Female subject of childbearing potential is unwilling or unable to use a medically acceptable method of contraception throughout the entire study period and for one week after the study is completed. Medically acceptable methods of contraception that may be used by the subject and/or her partner are: oral birth control pill, condom with spermicide, diaphragm with spermicide, IUD, vaginal spermicidal suppository, surgical sterilization of patient or their partner(s), abstinence, or hormonal-based patches, ring, injections, and implants.
  • Subject routinely uses (i.e. daily or weekly) prescription medication except hormonal birth control medication, routinely uses (i.e. daily or weekly) OTC medication, or routinely uses (i.e. daily or weekly) St. John's Wort. OTC medications do not include vitamins, dietary supplements, or herbals.
  • Subject routinely uses (i.e. daily or weekly) acid blockers, antacids, anti-diarrhea, stimulants, appetite suppressants, or anti-nausea medication or other drugs that modulate GI functio
  • Subject is currently taking itraconazole or medication known to interact with itraconazole.
  • Subject is allergic to itraconazole.
  • Subject has liver impairment as assessed by alanine aminotransferase (ALT), aspartate aminotransferase (AST), or total bilirubin levels greater than the upper limit of normal (ULN).
  • Subject has renal impairment as assessed by creatinine clearance lower than 50mL/min/1.73m2, using the CKD-EPI formula.
  • Subject is not willing or able to be adherent to study protocol (e.g. study visits).
  • Subject has a condition in which in the opinion of the PI or medical physician would increase risk to the subject or interfere with the integrity of the study.
  • Subject has received an investigational product within 30 days prior to study drug administration, plans to receive an investigational product during their study participation period, or plans to donate blood to any other clinical trial during their study participation period.
  • Subject has provided plasma donation within 1 month of screening or any blood donation/loss more than 500 mL within 8 weeks prior to study drug administration.

Sites / Locations

  • University of Maryland

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Sequence A (fast, medium, oral solution, then slow)

Sequence B (medium, slow, fast, then oral solution)

Sequence C (slow, oral solution, medium, then fast)

Sequence D (oral solution, fast, slow, then medium)

Arm Description

Participants first receive fast tablet, then medium tablet, then oral solution, and then slow tablet. Washout period is (at least) one week.

Participants first receive medium tablet, then slow tablet, then fast tablet, and then oral solution. Washout period is (at least) one week.

3, 4, 2, 1 Participants first receive slow tablet, then oral solution, then medium tablet, then fast tablet. Washout period is (at least) one week.

Participants first receive oral solution, fast tablet, then slow tablet, and then medium tablet. Washout period is (at least) one week.

Outcomes

Primary Outcome Measures

AUC
area under the curve from 0-72hr

Secondary Outcome Measures

Cmax
maximum concentration during the time interval

Full Information

First Posted
July 24, 2019
Last Updated
September 11, 2023
Sponsor
University of Maryland, Baltimore
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1. Study Identification

Unique Protocol Identification Number
NCT04035187
Brief Title
Itraconazole Oral Absorption
Official Title
Prediction of Itraconazole Oral Absorption From In Vitro Dissolution
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
February 10, 2020 (Actual)
Primary Completion Date
May 21, 2022 (Actual)
Study Completion Date
May 21, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Maryland, Baltimore

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No

5. Study Description

Brief Summary
For tablets to be absorbed, the drug must dissolve after being swallowed. Drugs with low solubility sometimes require the inert ingredients in tablets to help the drug dissolve after being swallowed. This study uses itraconazole as an example drug with low solubility. Itraconazole tablets with different inert ingredients and manufacturing will be administered to healthy volunteers to see if the different inert ingredients and manufacturing impact drug absorption.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Fungal Infection

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 4
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
17 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sequence A (fast, medium, oral solution, then slow)
Arm Type
Experimental
Arm Description
Participants first receive fast tablet, then medium tablet, then oral solution, and then slow tablet. Washout period is (at least) one week.
Arm Title
Sequence B (medium, slow, fast, then oral solution)
Arm Type
Experimental
Arm Description
Participants first receive medium tablet, then slow tablet, then fast tablet, and then oral solution. Washout period is (at least) one week.
Arm Title
Sequence C (slow, oral solution, medium, then fast)
Arm Type
Experimental
Arm Description
3, 4, 2, 1 Participants first receive slow tablet, then oral solution, then medium tablet, then fast tablet. Washout period is (at least) one week.
Arm Title
Sequence D (oral solution, fast, slow, then medium)
Arm Type
Experimental
Arm Description
Participants first receive oral solution, fast tablet, then slow tablet, and then medium tablet. Washout period is (at least) one week.
Intervention Type
Drug
Intervention Name(s)
fast itraconazole tablet
Other Intervention Name(s)
fast dissolving itraconazole tablet
Intervention Description
100mg dose
Intervention Type
Drug
Intervention Name(s)
medium itraconazole tablet
Other Intervention Name(s)
medium dissolving itraconazole tablet
Intervention Description
100mg dose
Intervention Type
Drug
Intervention Name(s)
slow itraconazole tablet
Other Intervention Name(s)
slow dissolving itraconazole tablet
Intervention Description
100mg dose
Intervention Type
Drug
Intervention Name(s)
oral itraconazole solution
Other Intervention Name(s)
commercial oral itraconazole solution
Intervention Description
100mg dose
Primary Outcome Measure Information:
Title
AUC
Description
area under the curve from 0-72hr
Time Frame
0-72hr
Secondary Outcome Measure Information:
Title
Cmax
Description
maximum concentration during the time interval
Time Frame
0-72hr

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject is healthy, as determined by screening evaluation that is not greater than 30 days before the first drug study visit Subject is male or female between 18 and 65 years of age inclusive. Subject is an acceptable candidate for venipuncture. Subject is willing to stop all non-routine OTC medications, as well as vitamins, dietary supplements, and herbals, for 24 hours prior to study drug administration and during pharmacokinetic study visits. Subject is willing, for each of the four drug study periods, to stop consuming grapefruit, grapefruit products, star fruit, star fruit products, Seville oranges, and St. John's wort from 72-hour before study drug administration until the period's last blood sample Subject is willing to not smoke (or use e-cigarettes) during study visits. Exclusion Criteria: Subject has a significant medical disease (including cardiovascular, pulmonary, hematologic, endocrine, immunologic, neurologic, gastrointestinal or psychiatric). Subject shows evidence of congestive heart failure or history of congestive heart failure. Subject exhibits electrocardiogram (12 lead) with clinically significant abnormalities (e.g. QTcF >450 msec). Subject has a history of alcohol or drug abuse, which in the opinion of the investigator, could jeopardize the subject's health or would compromise the subject's ability to participate in this trial. Subject is pregnant, breast feeding, or trying to become pregnant. Female subject of childbearing potential is unwilling or unable to use a medically acceptable method of contraception throughout the entire study period and for one week after the study is completed. Medically acceptable methods of contraception that may be used by the subject and/or her partner are: oral birth control pill, condom with spermicide, diaphragm with spermicide, IUD, vaginal spermicidal suppository, surgical sterilization of patient or their partner(s), abstinence, or hormonal-based patches, ring, injections, and implants. Subject routinely uses (i.e. daily or weekly) prescription medication except hormonal birth control medication, routinely uses (i.e. daily or weekly) OTC medication, or routinely uses (i.e. daily or weekly) St. John's Wort. OTC medications do not include vitamins, dietary supplements, or herbals. Subject routinely uses (i.e. daily or weekly) acid blockers, antacids, anti-diarrhea, stimulants, appetite suppressants, or anti-nausea medication or other drugs that modulate GI functio Subject is currently taking itraconazole or medication known to interact with itraconazole. Subject is allergic to itraconazole. Subject has liver impairment as assessed by alanine aminotransferase (ALT), aspartate aminotransferase (AST), or total bilirubin levels greater than the upper limit of normal (ULN). Subject has renal impairment as assessed by creatinine clearance lower than 50mL/min/1.73m2, using the CKD-EPI formula. Subject is not willing or able to be adherent to study protocol (e.g. study visits). Subject has a condition in which in the opinion of the PI or medical physician would increase risk to the subject or interfere with the integrity of the study. Subject has received an investigational product within 30 days prior to study drug administration, plans to receive an investigational product during their study participation period, or plans to donate blood to any other clinical trial during their study participation period. Subject has provided plasma donation within 1 month of screening or any blood donation/loss more than 500 mL within 8 weeks prior to study drug administration.
Facility Information:
Facility Name
University of Maryland
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21201
Country
United States

12. IPD Sharing Statement

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Itraconazole Oral Absorption

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