Pharmacokinetic Interaction Study Between Eslicarbazepine Acetate and Carbamazepine
Primary Purpose
Epilepsy
Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
BIA 2-093
Carbamazepine
Sponsored by
About this trial
This is an interventional treatment trial for Epilepsy
Eligibility Criteria
Inclusion Criteria:
- Male and female subjects aged 18 to 45 years inclusive;
- Body mass index (BMI) between 18 and 30 kg/m2 inclusive;
- Healthy as determined by pre-study medical history, physical examination, vital signs, and 12-lead electrocardiogram (ECG); negative tests for Hepatitis B surface Antigen (HBsAg), anti-HCVAb and Human Immunodeficiency Virus (HIV)-1 and HIV-2 Ab at screening;
- Clinical laboratory test results clinically acceptable at screening and admission to each treatment period;
- Negative screen for alcohol and drugs of abuse at screening and admission to each treatment period;
- Non-smokers or ex-smokers;
- Able and willing to give written informed consent;
- If female, not of childbearing potential by reason of surgery or, if of childbearing potential, she used a double-barrier method of contraception: 1 male barrier method [male condom] plus 1 female barrier method (diaphragm, spermicide, or intrauterine device);
- If female, had a negative urine pregnancy test at screening and admission to each treatment period.
Exclusion Criteria:
- Clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, connective tissue diseases or disorders; have a clinically relevant surgical history;
- History of relevant atopy or any drug hypersensitivity (including known hypersensitivity to ESL or other carboxamide derivatives [e.g., carbamazepine, oxcarbazepine] or any of its excipients; known hypersensitivity to drugs structurally related to carbamazepine [e.g.: tricyclic antidepressants] or any of its excipients);
- Second or third-degree atrioventricular blockade not corrected with a pace-maker or any other clinically significant abnormality in the 12-lead ECG as determined by the investigator;
- History of alcoholism or drug abuse;
- Consumed more than 14 units1 of alcohol a week;
- Significant infection or known inflammatory process on screening or admission to each treatment period;
- Acute gastrointestinal symptoms (e.g., nausea, vomiting, diarrhoea, heartburn) at the time of screening or admission to each treatment period;
- Use of medicines within two weeks of admission to first period that may affect the safety or other study assessments, in the investigator's opinion;
- Had donated or received any blood or blood products within the 3 months prior to screening;
- Vegetarians, vegans or have other medical dietary restrictions;
- Could not communicate reliably with the investigator; was unlikely to co-operate with the requirements of the study;
- Unwilling or unable to give written informed consent;
- If female, was pregnant or breast-feeding;
- If female, was of childbearing potential and did not use an accepted effective contraceptive method or used hormonal contraceptives;
- Had received an investigational drug within 3 months of screening or was currently participating in another study.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Group A
Group B
Arm Description
Day 1 to Day 8 - BIA 2-093 800 mg Day 9 to Day 14 - BIA 2-093 800 mg + CBZ 200 mg Day 15 to Day 22 - BIA 2-093 800 mg + CBZ 400 mg Day 23 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily
Day 1 to Day 8 - CBZ 200 mg Day 9 to Day 14 - CBZ 400 mg Day 15 to Day 29 - CBZ 400 mg twice-daily Day 30 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily
Outcomes
Primary Outcome Measures
Cmax (BIA 2-093) - the Maximum Plasma Concentration
Reference - Day 7 following once-daily oral administration of ESL 800 mg Test - Day 35 following once-daily oral administration of ESL 800 mg
Cmax (CBZ) - the Maximum Plasma Concentration
Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg
Cmax (CBZE) - the Maximum Plasma Concentration
Reference - Day 28 following twice-daily oral administration of CBZ 400 mg twice-daily Test - Day 35 following twice-daily oral administration of CBZ 400 mg twice-daily
CBZE - carbamazepine-epoxide is the active metabolite of CBZ
AUC0-t (BIA 2-093) - Area Under the Curve to Last Measurable Concentration for BIA 2-093
Reference - Day 7 following once-daily oral administration of ESL 800 mg Test - Day 35 following once-daily oral administration of ESL 800 mg
AUC0-t (CBZ) - Area Under the Curve to Last Measurable Concentration for CBZ
Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg
AUC0-t (CBZE) - Area Under the Curve to Last Measurable Concentration for CBZE
Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg
CBZE - carbamazepine-epoxide is the active metabolite of CBZ
Secondary Outcome Measures
Full Information
NCT ID
NCT02284854
First Posted
November 4, 2014
Last Updated
January 6, 2015
Sponsor
Bial - Portela C S.A.
1. Study Identification
Unique Protocol Identification Number
NCT02284854
Brief Title
Pharmacokinetic Interaction Study Between Eslicarbazepine Acetate and Carbamazepine
Official Title
Pharmacokinetic Interaction Study Between Eslicarbazepine Acetate and Carbamazepine in Healthy Subject
Study Type
Interventional
2. Study Status
Record Verification Date
January 2015
Overall Recruitment Status
Completed
Study Start Date
July 2009 (undefined)
Primary Completion Date
November 2009 (Actual)
Study Completion Date
November 2009 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bial - Portela C S.A.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Open-label study in two parallel groups of 20 healthy subjects each. Group A assessed the effect of CBZ on ESL pharmacokinetics, and Group B assessed the effect of ESL on CBZ pharmacokinetics.
Detailed Description
Open-label study in two parallel groups of 20 healthy subjects each. Group A assessed the effect of CBZ on ESL pharmacokinetics, and Group B assessed the effect of ESL on CBZ pharmacokinetics. Each patient participated in the study for approximately 9 weeks. The clinical portion of the study was completed in approximately 3 months. Subjects received the treatments during 35 days.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Epilepsy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
43 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Group A
Arm Type
Experimental
Arm Description
Day 1 to Day 8 - BIA 2-093 800 mg Day 9 to Day 14 - BIA 2-093 800 mg + CBZ 200 mg Day 15 to Day 22 - BIA 2-093 800 mg + CBZ 400 mg Day 23 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily
Arm Title
Group B
Arm Type
Experimental
Arm Description
Day 1 to Day 8 - CBZ 200 mg Day 9 to Day 14 - CBZ 400 mg Day 15 to Day 29 - CBZ 400 mg twice-daily Day 30 to Day 35 - BIA 2-093 800 mg + CBZ 400 mg twice-daily
Intervention Type
Drug
Intervention Name(s)
BIA 2-093
Other Intervention Name(s)
Eslicarbazepine acetate, ESL
Intervention Type
Drug
Intervention Name(s)
Carbamazepine
Other Intervention Name(s)
CBZ
Primary Outcome Measure Information:
Title
Cmax (BIA 2-093) - the Maximum Plasma Concentration
Description
Reference - Day 7 following once-daily oral administration of ESL 800 mg Test - Day 35 following once-daily oral administration of ESL 800 mg
Time Frame
Day 7 to 35
Title
Cmax (CBZ) - the Maximum Plasma Concentration
Description
Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg
Time Frame
Day 28 to 35
Title
Cmax (CBZE) - the Maximum Plasma Concentration
Description
Reference - Day 28 following twice-daily oral administration of CBZ 400 mg twice-daily Test - Day 35 following twice-daily oral administration of CBZ 400 mg twice-daily
CBZE - carbamazepine-epoxide is the active metabolite of CBZ
Time Frame
Day 28 to 35
Title
AUC0-t (BIA 2-093) - Area Under the Curve to Last Measurable Concentration for BIA 2-093
Description
Reference - Day 7 following once-daily oral administration of ESL 800 mg Test - Day 35 following once-daily oral administration of ESL 800 mg
Time Frame
Day 7 to 35
Title
AUC0-t (CBZ) - Area Under the Curve to Last Measurable Concentration for CBZ
Description
Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg
Time Frame
Day 28 to 35
Title
AUC0-t (CBZE) - Area Under the Curve to Last Measurable Concentration for CBZE
Description
Reference - Day 28 following twice-daily oral administration of CBZ 400 mg Test - Day 35 following twice-daily oral administration of CBZ 400 mg
CBZE - carbamazepine-epoxide is the active metabolite of CBZ
Time Frame
Day 28 to 35
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:
Male and female subjects aged 18 to 45 years inclusive;
Body mass index (BMI) between 18 and 30 kg/m2 inclusive;
Healthy as determined by pre-study medical history, physical examination, vital signs, and 12-lead electrocardiogram (ECG); negative tests for Hepatitis B surface Antigen (HBsAg), anti-HCVAb and Human Immunodeficiency Virus (HIV)-1 and HIV-2 Ab at screening;
Clinical laboratory test results clinically acceptable at screening and admission to each treatment period;
Negative screen for alcohol and drugs of abuse at screening and admission to each treatment period;
Non-smokers or ex-smokers;
Able and willing to give written informed consent;
If female, not of childbearing potential by reason of surgery or, if of childbearing potential, she used a double-barrier method of contraception: 1 male barrier method [male condom] plus 1 female barrier method (diaphragm, spermicide, or intrauterine device);
If female, had a negative urine pregnancy test at screening and admission to each treatment period.
Exclusion Criteria:
Clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, connective tissue diseases or disorders; have a clinically relevant surgical history;
History of relevant atopy or any drug hypersensitivity (including known hypersensitivity to ESL or other carboxamide derivatives [e.g., carbamazepine, oxcarbazepine] or any of its excipients; known hypersensitivity to drugs structurally related to carbamazepine [e.g.: tricyclic antidepressants] or any of its excipients);
Second or third-degree atrioventricular blockade not corrected with a pace-maker or any other clinically significant abnormality in the 12-lead ECG as determined by the investigator;
History of alcoholism or drug abuse;
Consumed more than 14 units1 of alcohol a week;
Significant infection or known inflammatory process on screening or admission to each treatment period;
Acute gastrointestinal symptoms (e.g., nausea, vomiting, diarrhoea, heartburn) at the time of screening or admission to each treatment period;
Use of medicines within two weeks of admission to first period that may affect the safety or other study assessments, in the investigator's opinion;
Had donated or received any blood or blood products within the 3 months prior to screening;
Vegetarians, vegans or have other medical dietary restrictions;
Could not communicate reliably with the investigator; was unlikely to co-operate with the requirements of the study;
Unwilling or unable to give written informed consent;
If female, was pregnant or breast-feeding;
If female, was of childbearing potential and did not use an accepted effective contraceptive method or used hormonal contraceptives;
Had received an investigational drug within 3 months of screening or was currently participating in another study.
12. IPD Sharing Statement
Learn more about this trial
Pharmacokinetic Interaction Study Between Eslicarbazepine Acetate and Carbamazepine
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