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Pharmacokinetic (PK) Study of Single-dose Rosuvastatin and Tipranavir/Ritonavir in Healthy Subjects

Primary Purpose

HIV Infections

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Tipranavir/Ritonavir
Rosuvastatin
Sponsored by
Johns Hopkins University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infections focused on measuring HIV

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Subjects must have a body mass index (BMI) of 18 to 30 kg/m2, inclusive (BMI = weight (kg)/[height (m)]2) and weigh at least 50 kg. Males or females, ages > 18 to < 65 years. Women of childbearing potential (WOCBP) must not be nursing or pregnant. All women of childbearing potential (have not reached menopause nor undergone hysterectomy, bilateral oophorectomy, or tubal ligation) must have a negative serum human chorionic gonadotropin (HCG) test performed at screening (within 24 hours before the start of study day 1). Female subjects who are not of reproductive potential (have reached menopause or undergone hysterectomy, bilateral oophorectomy, or tubal ligation) or whose male partner has undergone successful vasectomy with resultant azoospermia or has azoospermia for any other reason, are eligible without requiring the use of contraception. Documentation of menopause, sterilization (hysterectomy, oophorectomy, tubal ligation, or vasectomy) and azoospermia by patient-reported history is acceptable. Both male and female study volunteers of reproductive potential must agree not to participate in a conception process (i.e., active attempt to become pregnant or to impregnate via sperm donation or in vitro fertilization), and, if participating in sexual activity that could lead to pregnancy, the female study volunteer/male partner must use a form of contraception as specified below while receiving protocol-specified medication(s) and for one month after stopping the medication(s). Male study volunteers will be required to use a barrier method for at least 3 months after completion of the study. Condoms (male or female) with or without a spermicidal agent Diaphragm or cervical cap with spermicide Exclusion Criteria: History or current evidence of any significant acute or chronic medical illness that, within the investigator's discretion, would interfere with the conduct or interpretation of the study. History of acute or chronic pancreatitis. History of diabetes mellitus, hypertriglyceridemia, or chronic renal insufficiency. Proven or suspected acute hepatitis at the time of study entry. Current or recent (within 3 months) gastrointestinal disease which would interfere with the conduct or interpretation of the study. Any major surgery within 4 weeks of enrollment. Any gastrointestinal surgery that could impact upon the absorption of study drug. Donation of blood or plasma to a blood bank or in a clinical study (except a screening visit) within 4 weeks of enrollment. Inability to tolerate oral medication. Inability to tolerate venipuncture and/or absence of secure venous access. Known or suspected HIV infection or chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection Known active drug or alcohol abuse which, in the opinion of the investigator, makes study participation to completion unlikely. Any other sound medical, psychiatric, and/or social reason, as determined by the investigator. Subjects with aspartate aminotransferase (AST), alanine aminotransferase (ALT), or bilirubin above the upper limit of normal. Hemoglobin < 9.5 g/dL, and platelet count < 100,000/mm3. Subjects with creatine phosphokinase (CPK) elevation greater than 3 times the upper limit of normal. Any other clinically significant screening lab abnormality (as determined by the investigator) History of any significant drug allergy, drug rash, or sensitivity to any class of drugs relevant to the study drugs. Prior exposure to tipranavir/ritonavir. Exposure to any investigational drug within 4 weeks of enrollment and throughout the study. Any previous hypersensitivity or intolerance to tipranavir or ritonavir or any other ingredient of Aptivus or Norvir. Hypersensitivity to sulfonamides Any previous hypersensitivity or intolerance to rosuvastatin or any other ingredient of Crestor (rosuvastatin). Known elevated liver enzymes in past clinical trials with any compound Use of any agent, within 2 weeks of dosing, that is known to induce or inhibit drug metabolizing enzymes Use of any over-the-counter drugs, including antacids, alternative herbal products, or prescription drugs that, in the opinion of the investigator, might interfere with the absorption, distribution, or metabolism of TPV, RTV, or rosuvastatin within 14 days of study entry.

Sites / Locations

  • Johns Hopkins University

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Tipranavir/ritonavir

Arm Description

On Day 1, subjects will receive a single 10 mg dose of rosuvastatin. Beginning on Day 3, subjects will receive a combination of TPV 500mg/RTV 200 mg twice daily for 11 days (Days 3-13). On Day 12, subjects will receive a single 10 mg dose of rosuvastatin co-administered with TPV/r.

Outcomes

Primary Outcome Measures

To compare single dose rosuvastatin Area Under the Curve during 24 hours (AUC0-24h) and Cmax with single dose rosuvastatin AUC0-24h and Cmax when co-administered with TPV/r 500 mg/200 mg twice daily at steady state

Secondary Outcome Measures

To evaluate the short term safety and tolerance of TPV/r (500 mg/200 mg B.I.D) combined with single dose rosuvastatin (10 mg)

Full Information

First Posted
June 22, 2006
Last Updated
February 2, 2016
Sponsor
Johns Hopkins University
Collaborators
Boehringer Ingelheim
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1. Study Identification

Unique Protocol Identification Number
NCT00344123
Brief Title
Pharmacokinetic (PK) Study of Single-dose Rosuvastatin and Tipranavir/Ritonavir in Healthy Subjects
Official Title
Pharmacokinetic Evaluation of Single-dose Rosuvastatin 10 mg When Co-administered With Steady-state Tipranavir 500 mg/Ritonavir 200 mg TPV/r) B.I.D. in Healthy Adult Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
February 2016
Overall Recruitment Status
Completed
Study Start Date
February 2007 (undefined)
Primary Completion Date
May 2008 (Actual)
Study Completion Date
May 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Johns Hopkins University
Collaborators
Boehringer Ingelheim

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Tipranavir (TPV) plus ritonavir (RTV) is indicated for use as part of an antiretroviral treatment regimen for resistant HIV-1 infection in adult patients. Since significant cholesterol and triglyceride elevations are commonly reported during TPV/RTV treatment, effective treatment strategies are critical to prevent long-term cardiovascular events. Rosuvastatin, a potent 3-hydroxy-3-methylglutaryl-coenzyme (HMG-CoA) reductase inhibitor, is unlikely to interact with TPV/RTV since it is not extensively metabolized, however, a formal drug interaction study is needed before this combination can be recommended. This study will examine the pharmacokinetic interactions between tipranavir/ritonavir (TPV/RTV [TPV/r] 500 mg/200 mg twice daily [B.I.D]) and single dose rosuvastatin when the two are co-administered to healthy adult volunteers. The investigators hypothesize that if tipranavir 500 mg is co-administered with low-dose ritonavir 200 mg and rosuvastatin (10 mg) no significant clinical interaction will occur.
Detailed Description
This is a prospective, open-label pharmacokinetic study in healthy HIV seronegative adults. This study will examine the pharmacokinetic interactions between steady-state TPV/r 500 mg/200 mg B.I.D. and single dose rosuvastatin 10 mg when the drugs are co-administered. Rosuvastatin 24 hour pharmacokinetic sampling will be performed on days 1-2 and 12-13. Rosuvastatin 48 hr samples will be collected on days 3 and day 14. Tipranavir and ritonavir 12 hour pharmacokinetic sampling will be on day 11 and 12. Safety assessments (physical examination, vital sign measurements, and clinical laboratory tests) will be performed at screening, during the study and prior to discharge. Subjects will be continuously monitored for adverse events throughout the duration of the study. On Day 1, subjects will receive a single 10 mg dose of rosuvastatin. Beginning on Day 3, subjects will receive a combination of TPV 500 mg/RTV 200 mg twice daily for 11 days (Days 3-13). On Day 12, subjects will receive a single 10 mg dose of rosuvastatin co-administered with TPV/r.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
29 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Tipranavir/ritonavir
Arm Type
Other
Arm Description
On Day 1, subjects will receive a single 10 mg dose of rosuvastatin. Beginning on Day 3, subjects will receive a combination of TPV 500mg/RTV 200 mg twice daily for 11 days (Days 3-13). On Day 12, subjects will receive a single 10 mg dose of rosuvastatin co-administered with TPV/r.
Intervention Type
Drug
Intervention Name(s)
Tipranavir/Ritonavir
Other Intervention Name(s)
Aptivus
Intervention Description
On Day 1, subjects will receive a single 10 mg dose of rosuvastatin. Beginning on Day 3, subjects will receive a combination of TPV 500mg/RTV 200 mg twice daily for 11 days (Days 3-13). On Day 12, subjects will receive a single 10 mg dose of rosuvastatin co-administered with TPV/r.
Intervention Type
Drug
Intervention Name(s)
Rosuvastatin
Other Intervention Name(s)
Crestor
Intervention Description
On Day 1, subjects will receive a single 10 mg dose of rosuvastatin. Beginning on Day 3, subjects will receive a combination of TPV 500mg/RTV 200 mg twice daily for 11 days (Days 3-13). On Day 12, subjects will receive a single 10 mg dose of rosuvastatin co-administered with TPV/r..
Primary Outcome Measure Information:
Title
To compare single dose rosuvastatin Area Under the Curve during 24 hours (AUC0-24h) and Cmax with single dose rosuvastatin AUC0-24h and Cmax when co-administered with TPV/r 500 mg/200 mg twice daily at steady state
Time Frame
24 hours
Secondary Outcome Measure Information:
Title
To evaluate the short term safety and tolerance of TPV/r (500 mg/200 mg B.I.D) combined with single dose rosuvastatin (10 mg)
Time Frame
48 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects must have a body mass index (BMI) of 18 to 30 kg/m2, inclusive (BMI = weight (kg)/[height (m)]2) and weigh at least 50 kg. Males or females, ages > 18 to < 65 years. Women of childbearing potential (WOCBP) must not be nursing or pregnant. All women of childbearing potential (have not reached menopause nor undergone hysterectomy, bilateral oophorectomy, or tubal ligation) must have a negative serum human chorionic gonadotropin (HCG) test performed at screening (within 24 hours before the start of study day 1). Female subjects who are not of reproductive potential (have reached menopause or undergone hysterectomy, bilateral oophorectomy, or tubal ligation) or whose male partner has undergone successful vasectomy with resultant azoospermia or has azoospermia for any other reason, are eligible without requiring the use of contraception. Documentation of menopause, sterilization (hysterectomy, oophorectomy, tubal ligation, or vasectomy) and azoospermia by patient-reported history is acceptable. Both male and female study volunteers of reproductive potential must agree not to participate in a conception process (i.e., active attempt to become pregnant or to impregnate via sperm donation or in vitro fertilization), and, if participating in sexual activity that could lead to pregnancy, the female study volunteer/male partner must use a form of contraception as specified below while receiving protocol-specified medication(s) and for one month after stopping the medication(s). Male study volunteers will be required to use a barrier method for at least 3 months after completion of the study. Condoms (male or female) with or without a spermicidal agent Diaphragm or cervical cap with spermicide Exclusion Criteria: History or current evidence of any significant acute or chronic medical illness that, within the investigator's discretion, would interfere with the conduct or interpretation of the study. History of acute or chronic pancreatitis. History of diabetes mellitus, hypertriglyceridemia, or chronic renal insufficiency. Proven or suspected acute hepatitis at the time of study entry. Current or recent (within 3 months) gastrointestinal disease which would interfere with the conduct or interpretation of the study. Any major surgery within 4 weeks of enrollment. Any gastrointestinal surgery that could impact upon the absorption of study drug. Donation of blood or plasma to a blood bank or in a clinical study (except a screening visit) within 4 weeks of enrollment. Inability to tolerate oral medication. Inability to tolerate venipuncture and/or absence of secure venous access. Known or suspected HIV infection or chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection Known active drug or alcohol abuse which, in the opinion of the investigator, makes study participation to completion unlikely. Any other sound medical, psychiatric, and/or social reason, as determined by the investigator. Subjects with aspartate aminotransferase (AST), alanine aminotransferase (ALT), or bilirubin above the upper limit of normal. Hemoglobin < 9.5 g/dL, and platelet count < 100,000/mm3. Subjects with creatine phosphokinase (CPK) elevation greater than 3 times the upper limit of normal. Any other clinically significant screening lab abnormality (as determined by the investigator) History of any significant drug allergy, drug rash, or sensitivity to any class of drugs relevant to the study drugs. Prior exposure to tipranavir/ritonavir. Exposure to any investigational drug within 4 weeks of enrollment and throughout the study. Any previous hypersensitivity or intolerance to tipranavir or ritonavir or any other ingredient of Aptivus or Norvir. Hypersensitivity to sulfonamides Any previous hypersensitivity or intolerance to rosuvastatin or any other ingredient of Crestor (rosuvastatin). Known elevated liver enzymes in past clinical trials with any compound Use of any agent, within 2 weeks of dosing, that is known to induce or inhibit drug metabolizing enzymes Use of any over-the-counter drugs, including antacids, alternative herbal products, or prescription drugs that, in the opinion of the investigator, might interfere with the absorption, distribution, or metabolism of TPV, RTV, or rosuvastatin within 14 days of study entry.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Paul Pham, PharmD
Organizational Affiliation
Johns Hopkins University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Johns Hopkins University
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
This is a prospective, open-label pharmacokinetic study

Learn more about this trial

Pharmacokinetic (PK) Study of Single-dose Rosuvastatin and Tipranavir/Ritonavir in Healthy Subjects

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