search
Back to results

Study to Evaluate the Influence of Tegoprazan on the Pharmacokinetics of Proguanil in Healthy Volunteers

Primary Purpose

Gastroesophageal Reflux Disease

Status
Completed
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Atovaquone / Proguanil 250/100 mg
Tegoprazan 50 mg
Esomeprazole 40 mg
Vonoprazan 20 mg
Sponsored by
Seoul National University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Gastroesophageal Reflux Disease

Eligibility Criteria

19 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Healthy adult aged ≥ 19 years and ≤ 50 years at the time of screening
  • Body weight of ≥ 55.0 kg and ≤ 90.0 kg, with body mass index (BMI) of ≥ 19.0 kg/m2 and ≤ 30.0 kg/m2 at the time of screening
  • Extensive metabolizer (*1/*1) by CYP2C19 genotyping
  • A subject without any congenital or chronic disease, and has no medical examination result as pathological symptoms or signs
  • A subject who listened to sufficient explanation and fully understood this study, and voluntarily decided to participate and agreed in writing to comply with the precautions
  • A subject determined eligible for this study by investigator based physical examination, clinical laboratory tests, interview, etc.

Exclusion Criteria:

  • A subject with clinically significant hepatobiliary (severe hepatic impairment, etc.), renal (severe renal impairment, etc.), neurologic, immunologic, respiratory, gastrointestinal, endocrine, blood•oncology, cardiovascular (heart failure, Torsades de pointes, etc.), urinary, or, psychical diseases (except for simple dental past history such as tartar, impacted tooth, or wisdom tooth) or a history
  • A subject who has hypersensitivity to the investigational products, drugs containing the same class, or other drugs (penicillin and antibiotics, etc.), or a history of clinically significant hypersensitivity
  • A subject with a history of gastrointestinal disorders (gastrointestinal ulcer, gastritis, gastrospasm, gastroesophageal reflux disease, Crohn's disease, etc.) or surgery (except for simple appendectomy and herniotomy) that may affect the safety and pharmacokinetics of the investigational products
  • A subject with the following results in the screening test:
  • Blood AST (GOT), ALT (GPT): > Normal range upper × 1.5
  • Creatinine clearance calculated by MDRD equation: < 80mL/min
  • QTc interval: > 450 ms
  • Fasting serum glucose: > 126 mg/dL
  • Positive serological test (syphilis test, hepatitis B test, hepatitis C test, human immunodeficiency virus (HIV) test)
  • A subject with systolic blood pressure < 90 mmHg or > 150 mmHg, or diastolic blood pressure < 50 mmHg or > 100 mmHg when vital signs are measured in sitting position after resting for at least 3 minutes
  • A subject with a history of or positive urine screening for drug abuse
  • A subject who administered any prescription drugs or herbal medicine within 2 weeks prior to the expected date of the first dose, or any over-the-counter drug (OTC drug, health functional food or vitamin within 1 week prior to the expected date of the first dose (However, can participate in the study if otherwise decided eligible by the investigator), or is expected to administer it
  • A subject who administered drugs that induce or inhibit the drug metabolizing enzymes, such as barbitals, within 1 week prior to the expected date of the first dose
  • A subject who participated in other clinical trial or bioequivalence study within 6 months prior to the expected date of the first dose
  • A subject who donated whole blood within 2 months or the component blood within 1 month prior to the expected date of the first dose, or received blood transfusion within 1 month prior to the expected date of the first dose
  • A subject with persistent alcohol intake (> 21 units/week, 1 unit = 10 g of pure alcohol), or inability to abstain from drinking from 3 days before the expected date of the first dose until the last discharge
  • A subject who is a currently smoker (But, can be eligible if he or she quitted smoking 3 months ago), or is not able to cease smoking from 3 months before the expected date of the first dose until the last discharge
  • A subject with inability to refrain from grapefruit-containing food from 3 days before the expected date of the first dose until the last discharge
  • A subject with excessive caffeine intake (> 5 units/day), or inability to refrain from caffeine or caffeine-containing food from 3 days before the expected date of the first dose until the last discharge
  • A subject with inability to use a medically acceptable double contraception or contraception throughout the study and for at least 4 weeks after the last dose, and with inability to agree to donate sperm until the period

Sites / Locations

  • Seoul National University Hospital, Clinical Trial Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Experimental

Experimental

Experimental

Arm Label

Atovaquone/Proguanil 250/100 mg

Tegoprazan 50 mg + Atovaquone/Proguanil 250/100 mg

Esomeprazole 40 mg + Atovaquone/Proguanil 250/100 mg

Vonoprazan 20 mg + Atovaquone/Proguanil 250/100 mg

Arm Description

A single oral administration of atovaquone/proguanil 250/100 mg

Oral administration of tegoprazan 50 mg once daily for 6 days and then co-administration of tegoprazan 50 mg and atovaquone/proguanil 250/100 mg at 7 day

Oral administration of esomeprazole 40 mg once daily for 6 days and then co-administration of esomeprazole 40 mg and atovaquone/proguanil 250/100 mg at 7 day

Oral administration of vonoprazan 20 mg once daily for 6 days and then co-administration of vonoprazan 20 mg and atovaquone/proguanil 250/100 mg at 7 day

Outcomes

Primary Outcome Measures

AUClast of proguanil, cycloguanil
Systemic exposure of proguanil and cycloguanil

Secondary Outcome Measures

Cmax of proguanil
Secondary pharmacokinetic parameters of proguanil
AUCinf of proguanil
Secondary pharmacokinetic parameters of proguanil
Tmax of proguanil
Secondary pharmacokinetic parameters of proguanil
t1/2 of proguanil
Secondary pharmacokinetic parameters of proguanil
CL/F of proguanil
Secondary pharmacokinetic parameters of proguanil
Vz/F of proguanil
Secondary pharmacokinetic parameters of proguanil
fe of proguanil
Secondary pharmacokinetic parameters of proguanil
CLR of proguanil
Secondary pharmacokinetic parameters of proguanil

Full Information

First Posted
September 15, 2020
Last Updated
September 23, 2021
Sponsor
Seoul National University Hospital
search

1. Study Identification

Unique Protocol Identification Number
NCT04568772
Brief Title
Study to Evaluate the Influence of Tegoprazan on the Pharmacokinetics of Proguanil in Healthy Volunteers
Official Title
A Randomized, Open-label, Three-period Crossover Clinical Trial to Evaluate the Influence of Tegoprazan on the Pharmacokinetics of Proguanil in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Completed
Study Start Date
November 25, 2020 (Actual)
Primary Completion Date
July 8, 2021 (Actual)
Study Completion Date
August 3, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Seoul National University Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The aim of this study is to evaluate the influence of tegoprazan on the pharmacokinetics of proguanil in healthy volunteers.
Detailed Description
Evaluation criteria Pharmacokinetic assessment with plasma concentrations of proguanil and cycloguanil Safety assessments with adverse event monitoring including subjective/objective symptoms, physical examination, vital signs, electrocardiogram, and laboratory tests

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastroesophageal Reflux Disease

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
19 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Atovaquone/Proguanil 250/100 mg
Arm Type
Active Comparator
Arm Description
A single oral administration of atovaquone/proguanil 250/100 mg
Arm Title
Tegoprazan 50 mg + Atovaquone/Proguanil 250/100 mg
Arm Type
Experimental
Arm Description
Oral administration of tegoprazan 50 mg once daily for 6 days and then co-administration of tegoprazan 50 mg and atovaquone/proguanil 250/100 mg at 7 day
Arm Title
Esomeprazole 40 mg + Atovaquone/Proguanil 250/100 mg
Arm Type
Experimental
Arm Description
Oral administration of esomeprazole 40 mg once daily for 6 days and then co-administration of esomeprazole 40 mg and atovaquone/proguanil 250/100 mg at 7 day
Arm Title
Vonoprazan 20 mg + Atovaquone/Proguanil 250/100 mg
Arm Type
Experimental
Arm Description
Oral administration of vonoprazan 20 mg once daily for 6 days and then co-administration of vonoprazan 20 mg and atovaquone/proguanil 250/100 mg at 7 day
Intervention Type
Drug
Intervention Name(s)
Atovaquone / Proguanil 250/100 mg
Other Intervention Name(s)
Malarone
Intervention Description
Atovaquone / Proguanil 250/100 mg tablet
Intervention Type
Drug
Intervention Name(s)
Tegoprazan 50 mg
Other Intervention Name(s)
K-cab
Intervention Description
Tegoprazan 50 mg tablet
Intervention Type
Drug
Intervention Name(s)
Esomeprazole 40 mg
Other Intervention Name(s)
Nexium
Intervention Description
Esomeprazole 40 mg tablet
Intervention Type
Drug
Intervention Name(s)
Vonoprazan 20 mg
Other Intervention Name(s)
Takecab
Intervention Description
Vonoprazan 20 mg tablet
Primary Outcome Measure Information:
Title
AUClast of proguanil, cycloguanil
Description
Systemic exposure of proguanil and cycloguanil
Time Frame
Pre-dose(0 hour) and up to 48 hours in each period
Secondary Outcome Measure Information:
Title
Cmax of proguanil
Description
Secondary pharmacokinetic parameters of proguanil
Time Frame
Pre-dose(0 hour) and up to 48 hours in each period
Title
AUCinf of proguanil
Description
Secondary pharmacokinetic parameters of proguanil
Time Frame
Pre-dose(0 hour) and up to 48 hours in each period
Title
Tmax of proguanil
Description
Secondary pharmacokinetic parameters of proguanil
Time Frame
Pre-dose(0 hour) and up to 48 hours in each period
Title
t1/2 of proguanil
Description
Secondary pharmacokinetic parameters of proguanil
Time Frame
Pre-dose(0 hour) and up to 48 hours in each period
Title
CL/F of proguanil
Description
Secondary pharmacokinetic parameters of proguanil
Time Frame
Pre-dose(0 hour) and up to 48 hours in each period
Title
Vz/F of proguanil
Description
Secondary pharmacokinetic parameters of proguanil
Time Frame
Pre-dose(0 hour) and up to 48 hours in each period
Title
fe of proguanil
Description
Secondary pharmacokinetic parameters of proguanil
Time Frame
Pre-dose(0 hour) and up to 48 hours in each period
Title
CLR of proguanil
Description
Secondary pharmacokinetic parameters of proguanil
Time Frame
Pre-dose(0 hour) and up to 48 hours in each period

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Healthy adult aged ≥ 19 years and ≤ 50 years at the time of screening Body weight of ≥ 55.0 kg and ≤ 90.0 kg, with body mass index (BMI) of ≥ 19.0 kg/m2 and ≤ 30.0 kg/m2 at the time of screening Extensive metabolizer (*1/*1) by CYP2C19 genotyping A subject without any congenital or chronic disease, and has no medical examination result as pathological symptoms or signs A subject who listened to sufficient explanation and fully understood this study, and voluntarily decided to participate and agreed in writing to comply with the precautions A subject determined eligible for this study by investigator based physical examination, clinical laboratory tests, interview, etc. Exclusion Criteria: A subject with clinically significant hepatobiliary (severe hepatic impairment, etc.), renal (severe renal impairment, etc.), neurologic, immunologic, respiratory, gastrointestinal, endocrine, blood•oncology, cardiovascular (heart failure, Torsades de pointes, etc.), urinary, or, psychical diseases (except for simple dental past history such as tartar, impacted tooth, or wisdom tooth) or a history A subject who has hypersensitivity to the investigational products, drugs containing the same class, or other drugs (penicillin and antibiotics, etc.), or a history of clinically significant hypersensitivity A subject with a history of gastrointestinal disorders (gastrointestinal ulcer, gastritis, gastrospasm, gastroesophageal reflux disease, Crohn's disease, etc.) or surgery (except for simple appendectomy and herniotomy) that may affect the safety and pharmacokinetics of the investigational products A subject with the following results in the screening test: Blood AST (GOT), ALT (GPT): > Normal range upper × 1.5 Creatinine clearance calculated by MDRD equation: < 80mL/min QTc interval: > 450 ms Fasting serum glucose: > 126 mg/dL Positive serological test (syphilis test, hepatitis B test, hepatitis C test, human immunodeficiency virus (HIV) test) A subject with systolic blood pressure < 90 mmHg or > 150 mmHg, or diastolic blood pressure < 50 mmHg or > 100 mmHg when vital signs are measured in sitting position after resting for at least 3 minutes A subject with a history of or positive urine screening for drug abuse A subject who administered any prescription drugs or herbal medicine within 2 weeks prior to the expected date of the first dose, or any over-the-counter drug (OTC drug, health functional food or vitamin within 1 week prior to the expected date of the first dose (However, can participate in the study if otherwise decided eligible by the investigator), or is expected to administer it A subject who administered drugs that induce or inhibit the drug metabolizing enzymes, such as barbitals, within 1 week prior to the expected date of the first dose A subject who participated in other clinical trial or bioequivalence study within 6 months prior to the expected date of the first dose A subject who donated whole blood within 2 months or the component blood within 1 month prior to the expected date of the first dose, or received blood transfusion within 1 month prior to the expected date of the first dose A subject with persistent alcohol intake (> 21 units/week, 1 unit = 10 g of pure alcohol), or inability to abstain from drinking from 3 days before the expected date of the first dose until the last discharge A subject who is a currently smoker (But, can be eligible if he or she quitted smoking 3 months ago), or is not able to cease smoking from 3 months before the expected date of the first dose until the last discharge A subject with inability to refrain from grapefruit-containing food from 3 days before the expected date of the first dose until the last discharge A subject with excessive caffeine intake (> 5 units/day), or inability to refrain from caffeine or caffeine-containing food from 3 days before the expected date of the first dose until the last discharge A subject with inability to use a medically acceptable double contraception or contraception throughout the study and for at least 4 weeks after the last dose, and with inability to agree to donate sperm until the period
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
SeungHwan Lee, MD, PhD
Organizational Affiliation
Seoul National University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Seoul National University Hospital, Clinical Trial Center
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Study to Evaluate the Influence of Tegoprazan on the Pharmacokinetics of Proguanil in Healthy Volunteers

We'll reach out to this number within 24 hrs