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A Study in Healthy Volunteers to Evaluate the Drug-Drug Interaction Potential of CCX168 With Concomitant Medications

Primary Purpose

Anti-neutrophil Cytoplasmic Antibody-associated Vasculitis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
CCX168
Midazolam
Celecoxib
Itraconazole
Rifampicin
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Anti-neutrophil Cytoplasmic Antibody-associated Vasculitis focused on measuring Renal diseases, Atypical hemolytic uremic syndrome, Immunoglobulin A nephropathy, Complement 5a receptor (C5aR), Complement

Eligibility Criteria

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

Inclusion Criteria: Male or female participants, aged 18-55 years inclusive, who are in generally good health as judged by the Investigator, whose body mass index is 19.0 to 32.0 kg/m^2 inclusive; Willing and able to give written Informed Consent and to comply with the requirements of the study protocol; Negative result of the human immunodeficiency virus screen, the hepatitis B screen, and the hepatitis C screen; Judged to be healthy by the Investigator, based on medical history, physical examination (including electrocardiogram, and clinical laboratory assessments. Participants with clinical laboratory values that are outside of normal limits and/or with other abnormal clinical findings that are judged by the Investigator not to be of clinical significance may be entered into the study; Female participants of childbearing potential, or male participants with partners of childbearing potential may participate if adequate contraception is used during, and for at least 90 days after, any administration of study medication. Exclusion Criteria: Pregnant or breastfeeding; Used a prescription and/or over-the-counter medication, with the exception of ibuprofen, hormonal contraceptives, and multi-vitamins, within 14 days prior to check-in; herbal supplements must be stopped 7 days prior to check-in; For at least 14 days prior to check-in and throughout the blood sample collection period, participants will not be allowed to eat any food or drink any beverage containing alcohol, grapefruit or grapefruit juice, apple or orange juice, vegetables from the mustard green family (e.g., kale, broccoli, watercress, collard greens, kohlrabi, Brussels sprouts, mustard greens) and charbroiled meats; strenuous exercise must be stopped 4 days prior to check-in; History within the three months prior to check-in of use of tobacco and/or nicotine containing products; History within one year prior to check-in of illicit drug use; History of alcohol abuse at any time in the past; Has a history or presence of any form of cancer within the 5 years prior to check-in, with the exception of excised basal cell or squamous cell carcinoma of the skin, or cervical carcinoma in situ or breast carcinoma in situ that has been excised or resected completely and is without evidence of local recurrence or metastasis; History or presence of unexplained syncope or family history of sudden death, or any medical condition or disease which, in the opinion of the Investigator, may place the participant at unacceptable risk for study participation; Donated or lost more than 350 mL of blood or blood products within 56 days prior to screening, or donated plasma within 7 days of dosing; Participant's hemoglobin less than 11.5 g/dL for women or less than 13.0 g/dL for men, at screening or check-in, confirmed by a repeat measurement; Participated in any clinical study of an investigational product within 30 days prior to dosing or within 5 half-lives after dosing; Participant has any evidence of hepatic disease; aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, or bilirubin greater than 1.5 times the upper limit of normal at screening or check-in; Participant's white blood cell count is below the lower limit of normal at screening or check-in, confirmed by a repeat measurement; Participant has any evidence of renal impairment; serum creatinine greater than 1.5 times the upper limit of normal at screening or check-in; Participant's urine tested positive at screening and/or check-in for any of the following: opioids, amphetamines and methamphetamines, cannabinoids, benzodiazepines, barbiturates, cocaine, cotinine, methylenedioxymethamphetamine (MDMA or "ecstasy"), methadone, phencyclidine, tri-cyclic antidepressants, or alcohol (Breathalyzer test allowed for alcohol). Participant is known as a CYP2C9 poor metabolizer.

Sites / Locations

  • Celerion

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Cohort A

Cohort B

Arm Description

A single dose of 2 mg midazolam (a Cytochrome P450 [CYP]3A4 probe drug) and a single dose of 200 mg celecoxib (a CYP2C9 probe drug) will be given orally concurrently on Day 1 and Day 13. On Day 3 through Day 18, CCX168 will be given orally at 30 mg twice daily (b.i.d.), and a single dose of 30 mg CCX168 will be given in the morning on Day 19. On Day 16 through Day 19, a once daily (q.d.) dose of 200 mg itraconazole (a CYP3A4 inhibitor) will be given orally.

A single dose of 30 mg CCX168 will be given on Day 1 and Day 14, while rifampicin (a CYP3A4 inducer) will be given at 600 mg once daily from Day 4 through Day 17.

Outcomes

Primary Outcome Measures

Cohort A: Maximum Plasma Concentration (Cmax) of Midazolam
Cohort A: Cmax of Celecoxib
Cohort A: Time of Cmax (Tmax) of Midazolam
Cohort A: Tmax of Celecoxib
Cohort A: Area under the plasma concentration-time curve (AUC) from Time 0 to infinity of Midazolam
Cohort A: AUC from Time 0 to infinity of Celecoxib
Cohort A: Apparent Terminal Half Life of Midazolam
Cohort A: Apparent Terminal Half Life of Celecoxib
Cohort A: Cmax of CCX168
Cohort A: Tmax of CCX168
Cohort A: AUC Over the Dosing Interval of CCX168
Cohort B: Cmax of CCX168
Cohort B: Tmax of CCX168
Cohort B: AUC from Time 0 to infinity of CCX168
Cohort B: Apparent Terminal Half Life of CCX168

Secondary Outcome Measures

Number of Participants Experiencing Adverse Events (AEs)
Number of Participants Experiencing Clinically Significant Changes in Laboratory Parameters
Number of Participants Experiencing Clinically Significant Changes in Vital Sign Parameters

Full Information

First Posted
August 15, 2023
Last Updated
August 15, 2023
Sponsor
Amgen
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1. Study Identification

Unique Protocol Identification Number
NCT06004947
Brief Title
A Study in Healthy Volunteers to Evaluate the Drug-Drug Interaction Potential of CCX168 With Concomitant Medications
Official Title
An Open-Label, Phase 1 Study in Healthy Volunteers to Evaluate the Drug-Drug Interaction Potential of CCX168 With Concomitant Medications
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
January 14, 2016 (Actual)
Primary Completion Date
March 15, 2016 (Actual)
Study Completion Date
June 10, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Amgen

4. Oversight

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

5. Study Description

Brief Summary
The primary objective of this study will be to evaluate the drug-drug interaction potential of CCX168 with concomitant medications, as either a perpetrator or a victim, following oral administration of CCX168 to healthy participants.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anti-neutrophil Cytoplasmic Antibody-associated Vasculitis
Keywords
Renal diseases, Atypical hemolytic uremic syndrome, Immunoglobulin A nephropathy, Complement 5a receptor (C5aR), Complement

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Cohort A
Arm Type
Experimental
Arm Description
A single dose of 2 mg midazolam (a Cytochrome P450 [CYP]3A4 probe drug) and a single dose of 200 mg celecoxib (a CYP2C9 probe drug) will be given orally concurrently on Day 1 and Day 13. On Day 3 through Day 18, CCX168 will be given orally at 30 mg twice daily (b.i.d.), and a single dose of 30 mg CCX168 will be given in the morning on Day 19. On Day 16 through Day 19, a once daily (q.d.) dose of 200 mg itraconazole (a CYP3A4 inhibitor) will be given orally.
Arm Title
Cohort B
Arm Type
Experimental
Arm Description
A single dose of 30 mg CCX168 will be given on Day 1 and Day 14, while rifampicin (a CYP3A4 inducer) will be given at 600 mg once daily from Day 4 through Day 17.
Intervention Type
Drug
Intervention Name(s)
CCX168
Intervention Description
Administered orally.
Intervention Type
Drug
Intervention Name(s)
Midazolam
Intervention Description
Administered orally.
Intervention Type
Drug
Intervention Name(s)
Celecoxib
Intervention Description
Administered orally.
Intervention Type
Drug
Intervention Name(s)
Itraconazole
Intervention Description
Administered orally.
Intervention Type
Drug
Intervention Name(s)
Rifampicin
Intervention Description
Administered orally.
Primary Outcome Measure Information:
Title
Cohort A: Maximum Plasma Concentration (Cmax) of Midazolam
Time Frame
Up to Day 13
Title
Cohort A: Cmax of Celecoxib
Time Frame
Up to Day 13
Title
Cohort A: Time of Cmax (Tmax) of Midazolam
Time Frame
Up to Day 13
Title
Cohort A: Tmax of Celecoxib
Time Frame
Up to Day 13
Title
Cohort A: Area under the plasma concentration-time curve (AUC) from Time 0 to infinity of Midazolam
Time Frame
Up to Day 13
Title
Cohort A: AUC from Time 0 to infinity of Celecoxib
Time Frame
Up to Day 13
Title
Cohort A: Apparent Terminal Half Life of Midazolam
Time Frame
Up to Day 13
Title
Cohort A: Apparent Terminal Half Life of Celecoxib
Time Frame
Up to Day 13
Title
Cohort A: Cmax of CCX168
Time Frame
Day 15 up to Day 19
Title
Cohort A: Tmax of CCX168
Time Frame
Day 15 up to Day 19
Title
Cohort A: AUC Over the Dosing Interval of CCX168
Time Frame
Day 15 up to Day 19
Title
Cohort B: Cmax of CCX168
Time Frame
Up to Day 14
Title
Cohort B: Tmax of CCX168
Time Frame
Up to Day 14
Title
Cohort B: AUC from Time 0 to infinity of CCX168
Time Frame
Up to Day 14
Title
Cohort B: Apparent Terminal Half Life of CCX168
Time Frame
Up to Day 14
Secondary Outcome Measure Information:
Title
Number of Participants Experiencing Adverse Events (AEs)
Time Frame
Up to Day 29
Title
Number of Participants Experiencing Clinically Significant Changes in Laboratory Parameters
Time Frame
Up to Day 19
Title
Number of Participants Experiencing Clinically Significant Changes in Vital Sign Parameters
Time Frame
Up to Day 19

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: Male or female participants, aged 18-55 years inclusive, who are in generally good health as judged by the Investigator, whose body mass index is 19.0 to 32.0 kg/m^2 inclusive; Willing and able to give written Informed Consent and to comply with the requirements of the study protocol; Negative result of the human immunodeficiency virus screen, the hepatitis B screen, and the hepatitis C screen; Judged to be healthy by the Investigator, based on medical history, physical examination (including electrocardiogram, and clinical laboratory assessments. Participants with clinical laboratory values that are outside of normal limits and/or with other abnormal clinical findings that are judged by the Investigator not to be of clinical significance may be entered into the study; Female participants of childbearing potential, or male participants with partners of childbearing potential may participate if adequate contraception is used during, and for at least 90 days after, any administration of study medication. Exclusion Criteria: Pregnant or breastfeeding; Used a prescription and/or over-the-counter medication, with the exception of ibuprofen, hormonal contraceptives, and multi-vitamins, within 14 days prior to check-in; herbal supplements must be stopped 7 days prior to check-in; For at least 14 days prior to check-in and throughout the blood sample collection period, participants will not be allowed to eat any food or drink any beverage containing alcohol, grapefruit or grapefruit juice, apple or orange juice, vegetables from the mustard green family (e.g., kale, broccoli, watercress, collard greens, kohlrabi, Brussels sprouts, mustard greens) and charbroiled meats; strenuous exercise must be stopped 4 days prior to check-in; History within the three months prior to check-in of use of tobacco and/or nicotine containing products; History within one year prior to check-in of illicit drug use; History of alcohol abuse at any time in the past; Has a history or presence of any form of cancer within the 5 years prior to check-in, with the exception of excised basal cell or squamous cell carcinoma of the skin, or cervical carcinoma in situ or breast carcinoma in situ that has been excised or resected completely and is without evidence of local recurrence or metastasis; History or presence of unexplained syncope or family history of sudden death, or any medical condition or disease which, in the opinion of the Investigator, may place the participant at unacceptable risk for study participation; Donated or lost more than 350 mL of blood or blood products within 56 days prior to screening, or donated plasma within 7 days of dosing; Participant's hemoglobin less than 11.5 g/dL for women or less than 13.0 g/dL for men, at screening or check-in, confirmed by a repeat measurement; Participated in any clinical study of an investigational product within 30 days prior to dosing or within 5 half-lives after dosing; Participant has any evidence of hepatic disease; aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, or bilirubin greater than 1.5 times the upper limit of normal at screening or check-in; Participant's white blood cell count is below the lower limit of normal at screening or check-in, confirmed by a repeat measurement; Participant has any evidence of renal impairment; serum creatinine greater than 1.5 times the upper limit of normal at screening or check-in; Participant's urine tested positive at screening and/or check-in for any of the following: opioids, amphetamines and methamphetamines, cannabinoids, benzodiazepines, barbiturates, cocaine, cotinine, methylenedioxymethamphetamine (MDMA or "ecstasy"), methadone, phencyclidine, tri-cyclic antidepressants, or alcohol (Breathalyzer test allowed for alcohol). Participant is known as a CYP2C9 poor metabolizer.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD
Organizational Affiliation
Amgen
Official's Role
Study Director
Facility Information:
Facility Name
Celerion
City
Tempe
State/Province
Arizona
ZIP/Postal Code
85283
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
IPD Sharing Time Frame
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
IPD Sharing Access Criteria
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
IPD Sharing URL
http://www.amgen.com/datasharing
Links:
URL
http://www.amgentrials.com
Description
AmgenTrials clinical trials website

Learn more about this trial

A Study in Healthy Volunteers to Evaluate the Drug-Drug Interaction Potential of CCX168 With Concomitant Medications

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