To Investigate PK and PD of CJ-12420, Clarithromycin, Amoxicillin After Multiple Dose Administration

Sponsor
HK inno.N Corporation (Industry)
Overall Status
Completed
CT.gov ID
NCT03011996
Collaborator
(none)
60
1
6
9.1
6.6

Study Details

Study Description

Brief Summary

Cohort 1

To evaluate the pharmacokinetic interactions of CJ-12420 after multiple oral doses of CJ-12420 given alone or in combination with amoxicillin/clarithromycin in healthy subjects.

Cohort 2

To evaluate the pharmacodynamic profiles of CJ-12420 after multiple oral doses of CJ-12420 in combination with amoxicillin/clarithromycin in healthy subjects as compared to an active control group, i.e., pantoprazole in combination with amoxicillin/clarithromycin.

Condition or Disease Intervention/Treatment Phase
  • Drug: CLR 500mg
  • Drug: CJ-12420 100mg
  • Drug: CJ-12420 50mg
  • Drug: AMX 1g
  • Drug: Pantoprazole 40mg
Phase 1

Detailed Description

To evaluate the pharmacokinetic the drug-drug interaction of CJ-12420 and amoxicillin/clarithromycin and investigate the pharmacodynamic of co-administration of CJ-12420 and amoxicillin and clarithromycin.

Study Design

Study Type:
Interventional
Actual Enrollment :
60 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
None (Open Label)
Primary Purpose:
Basic Science
Official Title:
An Open-label, Randomized Study to Evaluate Pharmacokinetic Interaction, Pharmacodynamics and Safety After Multiple Oral Dosing of CJ-12420 and Amoxicillin/Clarithromycin in Healthy Subjects
Actual Study Start Date :
May 1, 2016
Actual Primary Completion Date :
Feb 1, 2017
Actual Study Completion Date :
Feb 1, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: CJ-12420 100mg

CJ-12420 100mg BID for 5 days

Drug: CJ-12420 100mg
Cohort 1: bid for 5 days Cohort 2: bid for 7 days

Experimental: CJ-12420 50mg + CLR 500mg + AMX 1g

coadministration of CJ-12420 50mg and CLR 500mg/AMX 1g BID for 7 days

Drug: CLR 500mg
Cohort 1: bid for 5 days Cohort 2: bid for 7 days
Other Names:
  • Clarithromycin 500mg
  • Drug: CJ-12420 50mg
    Cohort 2: bid for 7 days

    Drug: AMX 1g
    Cohort 1: bid for 5 days Cohort 2: bid for 7 days
    Other Names:
  • Amoxicillin 1g
  • Active Comparator: Pantoprazole 40mg + CLR 500mg + AMX 1g

    coadministration of Pantoprazole 40mg and CLR 500mg/AMX 1g BID for 7 days

    Drug: CLR 500mg
    Cohort 1: bid for 5 days Cohort 2: bid for 7 days
    Other Names:
  • Clarithromycin 500mg
  • Drug: AMX 1g
    Cohort 1: bid for 5 days Cohort 2: bid for 7 days
    Other Names:
  • Amoxicillin 1g
  • Drug: Pantoprazole 40mg
    Cohort 2: bid for 7 days

    Experimental: CJ-12420 100mg + CLR 500mg + AMX 1g

    coadministration of CJ-12420 100mg, CLR 500mg/AMX 1g BID for 7 days

    Drug: CLR 500mg
    Cohort 1: bid for 5 days Cohort 2: bid for 7 days
    Other Names:
  • Clarithromycin 500mg
  • Drug: CJ-12420 100mg
    Cohort 1: bid for 5 days Cohort 2: bid for 7 days

    Drug: AMX 1g
    Cohort 1: bid for 5 days Cohort 2: bid for 7 days
    Other Names:
  • Amoxicillin 1g
  • Experimental: CLR 500mg/AMX 1g

    CLR 500mg/AMX 1g BID for 5 days

    Drug: CLR 500mg
    Cohort 1: bid for 5 days Cohort 2: bid for 7 days
    Other Names:
  • Clarithromycin 500mg
  • Drug: AMX 1g
    Cohort 1: bid for 5 days Cohort 2: bid for 7 days
    Other Names:
  • Amoxicillin 1g
  • Experimental: CJ-12420 100mg + CLR 500mg/AMX 1g

    coadministration of CJ-12420 100mg and CLR 500mg/AMX 1g BID for 7 days

    Drug: CLR 500mg
    Cohort 1: bid for 5 days Cohort 2: bid for 7 days
    Other Names:
  • Clarithromycin 500mg
  • Drug: CJ-12420 100mg
    Cohort 1: bid for 5 days Cohort 2: bid for 7 days

    Drug: AMX 1g
    Cohort 1: bid for 5 days Cohort 2: bid for 7 days
    Other Names:
  • Amoxicillin 1g
  • Outcome Measures

    Primary Outcome Measures

    1. Peak Plasma Concentration (Cmax) of CJ-12420, clarithromycin and amoxicillin [Up to 120 hours]

    Secondary Outcome Measures

    1. Area under the plasma concentration versus time curve (AUC) of CJ-12420, clarithromycin and amoxicillin [Up to 120 hours]

    2. Time of maximum observed concentraion(tmax) of CJ-12420, clarithromycin and amoxicillin [Up to 120 hours]

    3. Half life(t1/2) of CJ-12420, clarithromycin and amoxicillin [Up to 120 hours]

    4. Oral clearance at steady state(CLss/F) of CJ-12420, clarithromycin and amoxicillin [Up to 120 hours]

    5. Apparent volume of distribution at steady state(Vdss/F) of CJ-12420, clarithromycin and amoxicillin [Up to 120 hours]

    6. median pH [Up to 24 hours]

      Data from the pH probe monitoring

    7. Time at pH > 3 (%) [Day -1, Day 1, Day 7 up to 24 hours]

      the percent of time the pH as data from the pH probe monitoring

    8. Time at pH > 4 (%) [Day -1, Day 1, Day 7 up to 24 hours]

      the percent of time the pH as data from the pH probe monitoring

    9. Time at pH > 6 (%) [Day -1, Day 1, Day 7 up to 24 hours]

      the percent of time the pH as data from the pH probe monitoring

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    19 Years to 45 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    1. Healthy male volunteers aged ≥19 and ≤45 years at screening;

    2. No congenital or chronic disease, and no morbid symptoms or findings on screening tests;

    3. Body mass index (BMI) ≥18.5 and ≤28 kg/m2;

    4. Considered eligible based on medical examinations (including interview, vital signs, 12-lead ECG, physical exam and laboratory tests) which are set and performed in accordance with the nature of investigational product by the investigator;

    5. Voluntary consent to participate in the study after being fully informed of purpose and procedures of the study, and profiles of investigational product prior to the participation;

    6. For Cohort 2, positive on 13C urea breath test.

    Exclusion Criteria:
    1. Medical history

    2. History or current evidence for diseases considered clinically relevant by the investigator including hepatic, renal, gastrointestinal, respiratory, musculoskeletal, endocrine, neurologic, hemato-oncological, urinary, or cardiovascular (including cardiac arrhythmia) diseases;

    3. History of gastrointestinal diseases (such as gastritis, gastrodynia, gastroesophageal reflux disease, Crohn's disease and ulcer) or abdominal surgery (except for simple appendectomy or herniotomy) which are considered to have potential effect on drug absorption by the investigator;

    4. For Cohort 2, previous treatment failure for H. pylori eradication.

    5. Laboratory tests and ECG

    6. AST or ALT ≥ 1.25 x upper limit of normal (ULN);

    7. Total bilirubin ≥ 1.5 x ULN;

    8. eGFR calculated by CKD-EPI formula < 80 mL/min;

    9. Any clinically relevant ECG abnormalities.

    10. Allergy and drug abuse

    11. History of hypersensitivity to drugs containing investigational products (penicillins, cephems, macrolides, pantoprazole and benzimidazole) and other drugs (including aspirin and antibiotics);

    12. History of drug abuse or positive on drug screening test.

    13. Drug/dietary restrictions

    14. Medications (including herbal supplements) or abnormal diet (e.g., grapefruit juice > 1 L/day, excessive garlic, broccoli, kale, etc.) which may have effect on absorption, distribution, metabolism and excretion of investigational products within 28 days prior to the first study dose;

    15. Use of prescription drugs, over-the-counter drugs (OTCs) or vitamins within 10 days prior to the first study dose;

    16. Participating in other study and receive investigational product within 3 months prior to the first study dose.

    17. Blood donation and transfusion

    18. Whole blood donation within 60 days prior to the first study dose;

    19. Donation of blood components or transfusion within 30 days prior to the first study dose.

    20. Pregnancy and contraception

    21. Pregnant or breast-feeding;

    22. Subject or his partner's inability to use of medically qualifying dual-contraceptive methods or medically acceptable contraception (including intrauterine device with established pregnancy failure rate, barrier methods with spermicide, vasectomy, tubectomy, tubal ligation and hysterectomy) from screening to 30 days of the last dose of investigational product.

    23. Others

    24. Heavy use of alcohol (average alcohol intake ≥30 g/day) or positive on alcohol test;

    25. Heavy smoker (>10 cigarettes/day);

    26. Caffeine intake > 400 mg/day;

    27. Any clinically relevant findings considered inappropriate for study participation at the discretion of the investigator.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Inje University Busan Baik Hospital Busan Korea, Republic of

    Sponsors and Collaborators

    • HK inno.N Corporation

    Investigators

    • Principal Investigator: Jae-Gook Shin, Inje university college of medicine Busan Paik Hospital

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    HK inno.N Corporation
    ClinicalTrials.gov Identifier:
    NCT03011996
    Other Study ID Numbers:
    • CJ_APA_107
    First Posted:
    Jan 6, 2017
    Last Update Posted:
    May 12, 2017
    Last Verified:
    May 1, 2017
    Individual Participant Data (IPD) Sharing Statement:
    Undecided
    Plan to Share IPD:
    Undecided
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of May 12, 2017