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Effects of Rifampicin and Probenecid On The Pharmacokinetic Profile Of Rongliflozin In Healthy Subjects

Primary Purpose

Type 2 Diabetes Mellitus

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Rongliflozin
Rifampin
Rongliflozin
Probenecid
Sponsored by
Sunshine Lake Pharma Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Type 2 Diabetes Mellitus

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Sign the informed consent form before the trial and fully understand the trial content, process and possible adverse reactions;
  • Be able to complete the test according to the requirements of the protocol;
  • Subjects (including partners) are willing to take effective contraceptive measures from screening to 6 months after the last dose of drug administration;
  • Male subjects weigh at least 50 kg and female subjects at least 45 kg. Body mass index (BMI) = weight (kg)/height 2 (m2), BMI within the range of 18 to 28 kg/m2 ;
  • Physical examination and vital signs are both normal or do not have clinical significance.

Exclusion Criteria:

  • Smoking more than 5 cigarettes per day;
  • Those who are allergic to or have allergies to the test drug;
  • have a history of drug or alcohol abuse;
  • Blood donation or massive blood loss (>450 mL) within three months prior to screening;
  • Difficulty swallowing or any history of digestive system diseases which could affect drug absorption and excretion within 6 months before screening;
  • taking any drugs that could alter liver enzyme activity, such as barbiturates, rifampin, etc., within 30 days before screening;
  • have taken any prescription, over-the-counter, vitamin product or herbal medicine within 14 days prior to screening;
  • Have taken special diets (including dragon fruit, mango, grapefruit, etc.) or exercised strenuously within 2 weeks before screening;
  • Take an inhibitor or inducer of glucuronide transferase (UGT), P-glycoprotein (P-gp) or breast cancer resistance protein (BCRP), such as itraconazole, ketoconazole, or dronedarone, within 30 days before screening;
  • Significant changes in dietary or exercise habits within 2 weeks prior to screening; Female subjects are breastfeeding or have a positive blood pregnancy result during the screening period;
  • During the screening period, the serum uric acid level was >420 µmol/l, or had a history of gout; during the screening period, the estimated glomerular filtration rate (eGFR) was <90 ml/min/1.73m2) or had a history of kidney stones or bladder stones (applicable to Cohort B);
  • have a clinically significant laboratory tests or medical history;
  • Positive for hepatitis B, hepatitis C, AIDS, syphilis; positive for urine drug test;
  • History of urinary tract infection or genital infection before 6 months
  • Those who participated in any drug clinical trial and used the experimental drug 3 months ago;
  • Subjects with other factors deemed inappropriate by the investigator.

Sites / Locations

  • The First Hospital of Jilin University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

rongliflozin and/or rifampicin

rongliflozin and/or probenecid

Arm Description

on Day 1, subjects will receive a single dose administration of rongliflozin, followed by a washout period of 4 days. Starting On Day 5, subjects will administer rifampicin once a day (QD) for 10 consecutive days ( Day 5 to Study Day 14) , comprising of a single dose administration of rongliflozin on Study Day 11.

on Day 1, subjects will receive a single dose administration of rongliflozin, followed by a washout period of 4 days. Probenecid will be administrated twice a day from Day 5 to Day 9, and another single dose administration of rongliflozin on Day 6.

Outcomes

Primary Outcome Measures

rongliflozin: area under the drug-time curve (AUC) ratios of geometric means of rongliflozin+rifampicin relative to rongliflozin alone.
To assess the effect of rifampicin on the AUC of rongliflozin
rongliflozin: The peak concentration (Cmax) ratios of geometric means of rongliflozin+rifampicin relative to rongliflozin alone.
To assess the effect of rifampicin on the Cmax of rongliflozin
rongliflozin: AUC ratios of geometric means of rongliflozin+probenecid relative to rongliflozin alone.
To assess the effect of probenecid on the AUC of rongliflozin
rongliflozin:Cmax ratios of geometric means of rongliflozin+probenecid relative to rongliflozin alone.
To assess the effect of probenecid on the Cmax of rongliflozin

Secondary Outcome Measures

The time to peak (Tmax) of Rongliflozin.
To assess the effect of rifampicin and probenecid on the Tmax of rongliflozin
pharmacology (PD) of rongliflozin: cumulative urine glucose excretion every 24 hours
evaluate the cumulative urine glucose excretion every 24 hours after rongliflozin administration.
the number of participants with adverse events (AE) in Cohort A
To evaluate the safety and tolerability of single dose of rongliflozin and combination of rifampin
the number of participants with adverse events (AE) in Cohort B
To evaluate the safety and tolerability of single dose of rongliflozin and combination of probenecid

Full Information

First Posted
August 1, 2022
Last Updated
February 28, 2023
Sponsor
Sunshine Lake Pharma Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05497674
Brief Title
Effects of Rifampicin and Probenecid On The Pharmacokinetic Profile Of Rongliflozin In Healthy Subjects
Official Title
A Study In Healthy Subjects To Assess The Effects Of Rifampicin Capsules and Probenecid Tablets On The Pharmacokinetic Profile Of Rongliflozin Capsules
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
February 21, 2022 (Actual)
Primary Completion Date
July 22, 2022 (Actual)
Study Completion Date
February 24, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sunshine Lake Pharma Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
This is a phase I, open-label, fixed-sequence study in healthy Chinese subjects, performed at a single study centre. Cohort A will assess the Pharmacokinetic (PK) profile of rongliflozin when administered alone and the combination with rifampicin; Cohort B will assess the PK profile of rongliflozin when administered alone and combination with probenecid.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
28 (Actual)

8. Arms, Groups, and Interventions

Arm Title
rongliflozin and/or rifampicin
Arm Type
Experimental
Arm Description
on Day 1, subjects will receive a single dose administration of rongliflozin, followed by a washout period of 4 days. Starting On Day 5, subjects will administer rifampicin once a day (QD) for 10 consecutive days ( Day 5 to Study Day 14) , comprising of a single dose administration of rongliflozin on Study Day 11.
Arm Title
rongliflozin and/or probenecid
Arm Type
Experimental
Arm Description
on Day 1, subjects will receive a single dose administration of rongliflozin, followed by a washout period of 4 days. Probenecid will be administrated twice a day from Day 5 to Day 9, and another single dose administration of rongliflozin on Day 6.
Intervention Type
Drug
Intervention Name(s)
Rongliflozin
Intervention Description
oral administration, single dose on Day 1 and Day 11
Intervention Type
Drug
Intervention Name(s)
Rifampin
Intervention Description
QD for 10 days
Intervention Type
Drug
Intervention Name(s)
Rongliflozin
Intervention Description
oral administration, single dose on Day 1 and Day 6
Intervention Type
Drug
Intervention Name(s)
Probenecid
Intervention Description
twice a day, for 5 days
Primary Outcome Measure Information:
Title
rongliflozin: area under the drug-time curve (AUC) ratios of geometric means of rongliflozin+rifampicin relative to rongliflozin alone.
Description
To assess the effect of rifampicin on the AUC of rongliflozin
Time Frame
from 0 hour(pre-dose,within 30mins)to 5 days after rongliflozin dosing
Title
rongliflozin: The peak concentration (Cmax) ratios of geometric means of rongliflozin+rifampicin relative to rongliflozin alone.
Description
To assess the effect of rifampicin on the Cmax of rongliflozin
Time Frame
from 0 hour(pre-dose,within 30mins)to 5 days after rongliflozin dosing
Title
rongliflozin: AUC ratios of geometric means of rongliflozin+probenecid relative to rongliflozin alone.
Description
To assess the effect of probenecid on the AUC of rongliflozin
Time Frame
from 0 hour(pre-dose,within 30mins)to 5 days after rongliflozin dosing
Title
rongliflozin:Cmax ratios of geometric means of rongliflozin+probenecid relative to rongliflozin alone.
Description
To assess the effect of probenecid on the Cmax of rongliflozin
Time Frame
from 0 hour(pre-dose,within 30mins)to 5 days after rongliflozin dosing
Secondary Outcome Measure Information:
Title
The time to peak (Tmax) of Rongliflozin.
Description
To assess the effect of rifampicin and probenecid on the Tmax of rongliflozin
Time Frame
from 0 hour(pre-dose,within 30mins)to 5 days after rongliflozin dosing
Title
pharmacology (PD) of rongliflozin: cumulative urine glucose excretion every 24 hours
Description
evaluate the cumulative urine glucose excretion every 24 hours after rongliflozin administration.
Time Frame
from 0 hour to 5 days after rongliflozin dosing
Title
the number of participants with adverse events (AE) in Cohort A
Description
To evaluate the safety and tolerability of single dose of rongliflozin and combination of rifampin
Time Frame
from screening to 3 days after last dose of rifampicin
Title
the number of participants with adverse events (AE) in Cohort B
Description
To evaluate the safety and tolerability of single dose of rongliflozin and combination of probenecid
Time Frame
from screening to 3 days after last dose of probenecid

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Sign the informed consent form before the trial and fully understand the trial content, process and possible adverse reactions; Be able to complete the test according to the requirements of the protocol; Subjects (including partners) are willing to take effective contraceptive measures from screening to 6 months after the last dose of drug administration; Male subjects weigh at least 50 kg and female subjects at least 45 kg. Body mass index (BMI) = weight (kg)/height 2 (m2), BMI within the range of 18 to 28 kg/m2 ; Physical examination and vital signs are both normal or do not have clinical significance. Exclusion Criteria: Smoking more than 5 cigarettes per day; Those who are allergic to or have allergies to the test drug; have a history of drug or alcohol abuse; Blood donation or massive blood loss (>450 mL) within three months prior to screening; Difficulty swallowing or any history of digestive system diseases which could affect drug absorption and excretion within 6 months before screening; taking any drugs that could alter liver enzyme activity, such as barbiturates, rifampin, etc., within 30 days before screening; have taken any prescription, over-the-counter, vitamin product or herbal medicine within 14 days prior to screening; Have taken special diets (including dragon fruit, mango, grapefruit, etc.) or exercised strenuously within 2 weeks before screening; Take an inhibitor or inducer of glucuronide transferase (UGT), P-glycoprotein (P-gp) or breast cancer resistance protein (BCRP), such as itraconazole, ketoconazole, or dronedarone, within 30 days before screening; Significant changes in dietary or exercise habits within 2 weeks prior to screening; Female subjects are breastfeeding or have a positive blood pregnancy result during the screening period; During the screening period, the serum uric acid level was >420 µmol/l, or had a history of gout; during the screening period, the estimated glomerular filtration rate (eGFR) was <90 ml/min/1.73m2) or had a history of kidney stones or bladder stones (applicable to Cohort B); have a clinically significant laboratory tests or medical history; Positive for hepatitis B, hepatitis C, AIDS, syphilis; positive for urine drug test; History of urinary tract infection or genital infection before 6 months Those who participated in any drug clinical trial and used the experimental drug 3 months ago; Subjects with other factors deemed inappropriate by the investigator.
Facility Information:
Facility Name
The First Hospital of Jilin University
City
Jilin
State/Province
Changchun
ZIP/Postal Code
130000
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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Effects of Rifampicin and Probenecid On The Pharmacokinetic Profile Of Rongliflozin In Healthy Subjects

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