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To Evaluate the Effect of Multiple Doses of Itraconazole on the Pharmacokinetics of BV100

Primary Purpose

Bacterial Infections

Status
Not yet recruiting
Phase
Phase 1
Locations
Hungary
Study Type
Interventional
Intervention
BV100 (300 mg)
Itraconazole 200 mg
Sponsored by
BioVersys AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bacterial Infections

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Subjects who were able to understand and follow instructions during the study. Subjects who signed informed consent. Male subjects ≥18 and ≤55 years of age; female subjects ≥18 and ≤50 years of age of non-childbearing potential defined as follows: Female subjects 50 years of age, in menopause for 24 consecutive months and not receiving any hormone replacement therapy within 24 months prior to inclusion into the study Female subjects who underwent surgical sterilization Female subjects who underwent hysterectomy Female subjects with documented premature ovarian failure Weight within a BMI range of 19.0-30.0 kg/m2. Estimated glomerular filtration rate (eGFR) according to the CKD-EPI: ≥90 mL/min (normal renal function) Healthy subjects have to be in a good health in the opinion of the study physician, as determined by medical history, ECG, vital signs, physical examination, and clinical laboratory tests. Having had no febrile or infectious illness for at least 14 days prior to dosing. The subject was available to complete the study. The subject is willing to comply with the restrictions and requirements of the protocol and, in the opinion of the study physician, will be able to complete the study. Exclusion Criteria: Unwilling or unable to give informed consent. As a result of the medical screening process, the study physician considered the subject unfit for the study. Pregnant or lactating women or men with female partners who are lactating or are pregnant. Known or suspected history of hypersensitivity to rifabutin or excipients or to drugs of a similar chemical class including rifampicin, rifapentine, rifaximin; history of allergic reactions leading to hospitalisation or any other allergic conditions (including drug allergies, asthma, eczema, anaphylactic reactions but excluding untreated, asymptomatic, seasonal allergies) which the Investigator considers may affect the safety of the subject and/or out-come of the study. History of antibiotic associated diarrhoea within the last year. Subjects with ECG abnormalities (history, or evidence of second-degree heart block of Mobitz type II, third degree heart block, or any abnormality considered relevant by the Investigator), QTcF > 450 ms, PR > 210 ms, or QRS duration > 115 ms. Average supine systolic blood pressure > 140 mmHg or < 90 mmHg or average diastolic blood pressure > 90 mmHg or < 50 mmHg at Screening or Day 1 prior to dosing (any abnormal blood pressure results may be repeated once and if the repeat result is within the normal range, it is not considered to have met the exclusion criterion). Pulse rate > 90 or < 50 beats per minute at Screening or Day 1 prior to dosing. Alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP) and creatinine, above the ULN at Screening. Any abnormal value of these parameters may be repeated during screening period and if the repeat result is within the laboratory reference range, it is not considered to have met the exclusion criterion. Screening values other than AST, ALT, ALP, creatinine, for haematology, biochemistry, or urinalysis must not exceed the reference range. Minor deviations from normal are allowed if they are not clinically significant. History of symptomatic, chronic or recurrent infection (e.g. nausea, vomit-ing, diarrhoea, infection with fever) or any viral (including symptomatic herpes zoster), bacterial (including upper respiratory infection), fungal (non-cutaneous) or parasitic infection within 30 days prior to admission to the clinical unit. A positive pre-study serology test for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibodies or human immunodeficiency virus (HIV)-1 and/or 2 antibodies. Positive Coronavirus (SARS-CoV-2) rapid test and/or PCR (upon Check-in on Day -1). If a subject has negative rapid test but a positive PCR, the subject could be included if his/her medical history is consistent with pre-vious COVID-19 infection explaining his/her positive PCR within the last 90 days. A positive pre-study drug/alcohol screen. History of epilepsy, seizures, other neurological disorders, or neuropsychiatric conditions. Subjects who have received any prescribed systemic or topical medication within 4 weeks of the first dose administration. Subjects who had used any non-prescribed systemic or topical medication (including herbal remedies) or megadose vitamins (i.e. 20 to 600 times the recommended daily supplement dose) within 7 days prior to dosing, unless in the opinion of the study physician the medication did not interfere with the study procedures or compromise safety Subjects who have received any medications, including St John's Wort, known to chronically alter drug absorption or elimination processes within 30 days of the first dose administration. Regular use of any inducer of metabolism (e.g., barbiturates, rifampin) in the3 months prior to the first dose administration. Subjects who have participated in a clinical study involving administration of an investigational drug (new chemical entity) within the following time period prior to the first dose administration in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer). Subjects who consume more than 21 units of alcohol per week or who have a significant history of alcoholism or drug/chemical abuse (one unit of alcohol equals ½ pint [285 mL] of beer or lager, one glass [125 mL] of wine, or 30 mL of 40% of alcohol by volume distilled spirits). Excessive consumption of caffeine- or xanthine-containing food or beverages (> 5 cups of coffee a day or equivalent) or inability to stop consuming from 48 hours prior to study treatment administration. Subjects who smoked more than 10 cigarettes a day. Any use of drugs-of-abuse or alcohol abuse within 2 years prior to the first admission to the clinical unit. Inability to understand or communicate reliably with the Investigator or considered by the Investigator to be unable to or unlikely to co-operate with the requirements of the study. Any other conditions or factors which in the opinion of the Investigator may interfere with study conduct. Failure to satisfy the Investigator of fit-ness to participate for any other reason. Any significant blood loss, donated one unit (450 mL) of blood or more, or received a transfusion of any blood or blood products within 60 days, or donated plasma within 7 days prior to the first admission to the clinical unit. Inability to refrain from using soft contact lenses starting from administration of study treatment until follow-up visit. Subjects who are study site employees or immediate family members of the study site or Sponsor employee. Contraindications related to itraconazole: decompensated heart failure, chronic obstructive pulmonary disease, concomitant administration of itraconazole and CYP3A4 metabolized drugs known to prolong the QT interval, may result in potentially fatal ventricular tachyarrhythmias, including torsades de pointe or a life-threatening arrhythmia. Hypersensitivity or previous adverse events associated with azole antifungals.

Sites / Locations

  • CRU Hungary Kft., Early Phase Unit

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

BV100 Plus Itraconazole

Arm Description

A total 2 doses of BV100 and 14 doses of itraconazole will be administered to each participant per specified dosing schedule

Outcomes

Primary Outcome Measures

To evaluate the effect of repeated doses of itraconazole on the pharmacokinetics of intravenous rifabutin
maximum observed plasma concentration (Cmax) of rifabutin
To evaluate the effect of repeated doses of itraconazole on the pharmacokinetics of intravenous rifabutin
Area Under the Plasma Concentration-Time Curve (AUC) of rifabutin
To evaluate the effect of repeated doses of itraconazole on the pharmacokinetics of intravenous 25-O-deacetyl-rifabutin
maximum observed plasma concentration (Cmax) of 25-O-deacetyl-rifabutin
To evaluate the effect of repeated doses of itraconazole on the pharmacokinetics of intravenous 25-O-deacetyl-rifabutin
Area Under the Plasma Concentration-Time Curve (AUC) of 25-O-deacetyl-rifabutin

Secondary Outcome Measures

Safety and tolerability of single doses of BV100
Number of Participants with Treatment -Emergent Adverse Events

Full Information

First Posted
January 5, 2023
Last Updated
January 13, 2023
Sponsor
BioVersys AG
Collaborators
CRU Hungary Kft
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1. Study Identification

Unique Protocol Identification Number
NCT05684718
Brief Title
To Evaluate the Effect of Multiple Doses of Itraconazole on the Pharmacokinetics of BV100
Official Title
A Phase 1 Single Center Open-label, Non-randomized, Fixed Sequence Study in Healthy Volunteers to Assess the Pharmacokinetics (PK) of BV100 When Administered Alone and With Itraconazole
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
February 2023 (Anticipated)
Primary Completion Date
June 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BioVersys AG
Collaborators
CRU Hungary Kft

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
Phase I clinical study to evaluate the effect of multiple doses of itraconazole on the pharmacokinetics of BV100 in healthy volunteers.
Detailed Description
This is an open-label, fixed-sequence Phase I clinical study to evaluate the effect of multiple doses of itraconazole on the pharmacokinetics of rifabutin, 25 O deacetyl-rifabutin and DMI in healthy volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bacterial Infections

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Model Description
Fixed sequence
Masking
None (Open Label)
Allocation
N/A
Enrollment
16 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
BV100 Plus Itraconazole
Arm Type
Experimental
Arm Description
A total 2 doses of BV100 and 14 doses of itraconazole will be administered to each participant per specified dosing schedule
Intervention Type
Drug
Intervention Name(s)
BV100 (300 mg)
Other Intervention Name(s)
Rifabutin for Infusion
Intervention Description
Intravenous solution
Intervention Type
Drug
Intervention Name(s)
Itraconazole 200 mg
Other Intervention Name(s)
Sporanox Oral solution
Intervention Description
Oral solution
Primary Outcome Measure Information:
Title
To evaluate the effect of repeated doses of itraconazole on the pharmacokinetics of intravenous rifabutin
Description
maximum observed plasma concentration (Cmax) of rifabutin
Time Frame
Day 1 to Day 21
Title
To evaluate the effect of repeated doses of itraconazole on the pharmacokinetics of intravenous rifabutin
Description
Area Under the Plasma Concentration-Time Curve (AUC) of rifabutin
Time Frame
Day 1 to Day 21
Title
To evaluate the effect of repeated doses of itraconazole on the pharmacokinetics of intravenous 25-O-deacetyl-rifabutin
Description
maximum observed plasma concentration (Cmax) of 25-O-deacetyl-rifabutin
Time Frame
Day 1 to Day 21
Title
To evaluate the effect of repeated doses of itraconazole on the pharmacokinetics of intravenous 25-O-deacetyl-rifabutin
Description
Area Under the Plasma Concentration-Time Curve (AUC) of 25-O-deacetyl-rifabutin
Time Frame
Day 1 to Day 21
Secondary Outcome Measure Information:
Title
Safety and tolerability of single doses of BV100
Description
Number of Participants with Treatment -Emergent Adverse Events
Time Frame
28 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects who were able to understand and follow instructions during the study. Subjects who signed informed consent. Male subjects ≥18 and ≤55 years of age; female subjects ≥18 and ≤50 years of age of non-childbearing potential defined as follows: Female subjects 50 years of age, in menopause for 24 consecutive months and not receiving any hormone replacement therapy within 24 months prior to inclusion into the study Female subjects who underwent surgical sterilization Female subjects who underwent hysterectomy Female subjects with documented premature ovarian failure Weight within a BMI range of 19.0-30.0 kg/m2. Estimated glomerular filtration rate (eGFR) according to the CKD-EPI: ≥90 mL/min (normal renal function) Healthy subjects have to be in a good health in the opinion of the study physician, as determined by medical history, ECG, vital signs, physical examination, and clinical laboratory tests. Having had no febrile or infectious illness for at least 14 days prior to dosing. The subject was available to complete the study. The subject is willing to comply with the restrictions and requirements of the protocol and, in the opinion of the study physician, will be able to complete the study. Exclusion Criteria: Unwilling or unable to give informed consent. As a result of the medical screening process, the study physician considered the subject unfit for the study. Pregnant or lactating women or men with female partners who are lactating or are pregnant. Known or suspected history of hypersensitivity to rifabutin or excipients or to drugs of a similar chemical class including rifampicin, rifapentine, rifaximin; history of allergic reactions leading to hospitalisation or any other allergic conditions (including drug allergies, asthma, eczema, anaphylactic reactions but excluding untreated, asymptomatic, seasonal allergies) which the Investigator considers may affect the safety of the subject and/or out-come of the study. History of antibiotic associated diarrhoea within the last year. Subjects with ECG abnormalities (history, or evidence of second-degree heart block of Mobitz type II, third degree heart block, or any abnormality considered relevant by the Investigator), QTcF > 450 ms, PR > 210 ms, or QRS duration > 115 ms. Average supine systolic blood pressure > 140 mmHg or < 90 mmHg or average diastolic blood pressure > 90 mmHg or < 50 mmHg at Screening or Day 1 prior to dosing (any abnormal blood pressure results may be repeated once and if the repeat result is within the normal range, it is not considered to have met the exclusion criterion). Pulse rate > 90 or < 50 beats per minute at Screening or Day 1 prior to dosing. Alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP) and creatinine, above the ULN at Screening. Any abnormal value of these parameters may be repeated during screening period and if the repeat result is within the laboratory reference range, it is not considered to have met the exclusion criterion. Screening values other than AST, ALT, ALP, creatinine, for haematology, biochemistry, or urinalysis must not exceed the reference range. Minor deviations from normal are allowed if they are not clinically significant. History of symptomatic, chronic or recurrent infection (e.g. nausea, vomit-ing, diarrhoea, infection with fever) or any viral (including symptomatic herpes zoster), bacterial (including upper respiratory infection), fungal (non-cutaneous) or parasitic infection within 30 days prior to admission to the clinical unit. A positive pre-study serology test for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibodies or human immunodeficiency virus (HIV)-1 and/or 2 antibodies. Positive Coronavirus (SARS-CoV-2) rapid test and/or PCR (upon Check-in on Day -1). If a subject has negative rapid test but a positive PCR, the subject could be included if his/her medical history is consistent with pre-vious COVID-19 infection explaining his/her positive PCR within the last 90 days. A positive pre-study drug/alcohol screen. History of epilepsy, seizures, other neurological disorders, or neuropsychiatric conditions. Subjects who have received any prescribed systemic or topical medication within 4 weeks of the first dose administration. Subjects who had used any non-prescribed systemic or topical medication (including herbal remedies) or megadose vitamins (i.e. 20 to 600 times the recommended daily supplement dose) within 7 days prior to dosing, unless in the opinion of the study physician the medication did not interfere with the study procedures or compromise safety Subjects who have received any medications, including St John's Wort, known to chronically alter drug absorption or elimination processes within 30 days of the first dose administration. Regular use of any inducer of metabolism (e.g., barbiturates, rifampin) in the3 months prior to the first dose administration. Subjects who have participated in a clinical study involving administration of an investigational drug (new chemical entity) within the following time period prior to the first dose administration in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer). Subjects who consume more than 21 units of alcohol per week or who have a significant history of alcoholism or drug/chemical abuse (one unit of alcohol equals ½ pint [285 mL] of beer or lager, one glass [125 mL] of wine, or 30 mL of 40% of alcohol by volume distilled spirits). Excessive consumption of caffeine- or xanthine-containing food or beverages (> 5 cups of coffee a day or equivalent) or inability to stop consuming from 48 hours prior to study treatment administration. Subjects who smoked more than 10 cigarettes a day. Any use of drugs-of-abuse or alcohol abuse within 2 years prior to the first admission to the clinical unit. Inability to understand or communicate reliably with the Investigator or considered by the Investigator to be unable to or unlikely to co-operate with the requirements of the study. Any other conditions or factors which in the opinion of the Investigator may interfere with study conduct. Failure to satisfy the Investigator of fit-ness to participate for any other reason. Any significant blood loss, donated one unit (450 mL) of blood or more, or received a transfusion of any blood or blood products within 60 days, or donated plasma within 7 days prior to the first admission to the clinical unit. Inability to refrain from using soft contact lenses starting from administration of study treatment until follow-up visit. Subjects who are study site employees or immediate family members of the study site or Sponsor employee. Contraindications related to itraconazole: decompensated heart failure, chronic obstructive pulmonary disease, concomitant administration of itraconazole and CYP3A4 metabolized drugs known to prolong the QT interval, may result in potentially fatal ventricular tachyarrhythmias, including torsades de pointe or a life-threatening arrhythmia. Hypersensitivity or previous adverse events associated with azole antifungals.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Glenn E Dale, PhD
Phone
0796998389
Email
glenn.dale@bioversys.com
First Name & Middle Initial & Last Name or Official Title & Degree
Christian Kemmer, PhD
Phone
0796998389
Email
christian.kemmer@bioversys.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lisa Husband, MD
Organizational Affiliation
BioVersys SAS
Official's Role
Study Director
Facility Information:
Facility Name
CRU Hungary Kft., Early Phase Unit
City
Kistarcsa
ZIP/Postal Code
H-2143
Country
Hungary

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

To Evaluate the Effect of Multiple Doses of Itraconazole on the Pharmacokinetics of BV100

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