Drug-Drug Interaction of Lopinavir/Ritonavir on Pitavastatin

Sponsor
Kowa Research Institute, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT01057433
Collaborator
(none)
24
1
1
11
2.2

Study Details

Study Description

Brief Summary

This is a Phase 4, single center, open label, fixed-sequence, 2-way drug-drug interaction study.

Condition or Disease Intervention/Treatment Phase
Phase 4

Detailed Description

This is a Phase 4, single center, open label, fixed-sequence, 2-way drug-drug interaction study.

Each subject will qualify for entry into the study not more than 30 days prior to admission into the clinical unit. Subjects will check into the clinical unit on Day -1 for baseline assessments. There will be one treatment period, with each subject receiving a once daily dose of pitavastatin 4 mg on Days 1 through 5 and Days 20 through 24 and a twice daily dose of lopinavir/ritonavir 400 mg/100 mg (two 200 mg/50 mg tablets per dose) on Days 9 through 24. Pitavastatin will be administered under fasting conditions in the morning and lopinavir/ritonavir will be administered under fasting conditions in the morning and evening.

Study Design

Study Type:
Interventional
Actual Enrollment :
24 participants
Allocation:
Non-Randomized
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Other
Official Title:
Drug-Drug Interaction Study to Assess the Effects of Steady-State Lopinavir/Ritonavir on Pitavastatin in Healthy Adult Volunteers
Study Start Date :
Jan 1, 2010
Actual Primary Completion Date :
Dec 1, 2010
Actual Study Completion Date :
Dec 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: Pitavastatin

Healthy adult subjects

Drug: Pitavastatin (NK-104)
pitavastatin (NK-104) 4 mg once daily (QD)
Other Names:
  • Livalo
  • Drug: Lopinavir/ritonavir
    lopinavir/ritonavir 800 mg/200 mg
    Other Names:
  • Kaletra
  • Outcome Measures

    Primary Outcome Measures

    1. Area Under the Curve From Time 0 to Tau (AUC 0-τ) [0, 1, 2, 3, 4, 5, 6, 8, and 12 hours after dosing on days 19 and 24]

      Area under the curve from start to elimination.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 45 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Healthy adult male or female volunteer aged 18 to 45 years, inclusive.

    • Subject has a body mass index of 18 to 30 kg/m2, inclusive.

    • Subject has normal hematology, serum chemistry, and urinalysis test results

    • Subject is able and willing to abstain from alcohol, grapefruit, caffeine, or caffeine containing products for 4 days before Day 1 until after completion of this study.

    • Subject is a nonsmoker or has quit smoking at least 6 months before the first dose of study drug.

    Exclusion Criteria:
    • Subject has had any surgery of the gastrointestinal tract likely to affect drug absorption, distribution, metabolism, or excretion.

    • Subject has had a previous allergy or intolerance to treatment with pitavastatin or lopinavir/ritonavir.

    • Subject has a history of drug or alcohol abuse.

    • Subject has had a clinically significant illness within 4 weeks before the first dose of study drug.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Austin Texas United States

    Sponsors and Collaborators

    • Kowa Research Institute, Inc.

    Investigators

    • Study Director: Roger Morgan, MD, FACS, Kowa Research Institute, Inc.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Kowa Research Institute, Inc.
    ClinicalTrials.gov Identifier:
    NCT01057433
    Other Study ID Numbers:
    • NK-104-4.02US
    First Posted:
    Jan 27, 2010
    Last Update Posted:
    Jun 22, 2021
    Last Verified:
    Jun 1, 2021
    Keywords provided by Kowa Research Institute, Inc.
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title All Subjects
    Arm/Group Description
    Period Title: Overall Study
    STARTED 24
    COMPLETED 23
    NOT COMPLETED 1

    Baseline Characteristics

    Arm/Group Title All Subjects
    Arm/Group Description
    Overall Participants 24
    Age (Count of Participants)
    <=18 years
    0
    0%
    Between 18 and 65 years
    24
    100%
    >=65 years
    0
    0%
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    33.8
    (8.24)
    Sex: Female, Male (Count of Participants)
    Female
    12
    50%
    Male
    12
    50%
    Region of Enrollment (participants) [Number]
    United States
    24
    100%

    Outcome Measures

    1. Primary Outcome
    Title Area Under the Curve From Time 0 to Tau (AUC 0-τ)
    Description Area under the curve from start to elimination.
    Time Frame 0, 1, 2, 3, 4, 5, 6, 8, and 12 hours after dosing on days 19 and 24

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title All Subjects
    Arm/Group Description
    Measure Participants 23
    Mean (Standard Deviation) [ng•h/mL]
    113.92
    (53.80)

    Adverse Events

    Time Frame
    Adverse Event Reporting Description
    Arm/Group Title All Subjects
    Arm/Group Description
    All Cause Mortality
    All Subjects
    Affected / at Risk (%) # Events
    Total / (NaN)
    Serious Adverse Events
    All Subjects
    Affected / at Risk (%) # Events
    Total 0/24 (0%)
    Other (Not Including Serious) Adverse Events
    All Subjects
    Affected / at Risk (%) # Events
    Total 18/24 (75%)
    Gastrointestinal disorders
    Diarrhea 13/24 (54.2%)
    Abdominal pain 10/24 (41.7%)
    Nausea 8/24 (33.3%)
    Anal hemorrhage 4/24 (16.7%)
    Flatulence 4/24 (16.7%)
    Dyspepsia 3/24 (12.5%)
    Constipation 2/24 (8.3%)
    Nervous system disorders
    Headache 6/24 (25%)
    Dysgeusia 3/24 (12.5%)
    Dizziness 2/24 (8.3%)
    Respiratory, thoracic and mediastinal disorders
    Oropharyngeal pain 3/24 (12.5%)
    Rhinorrhea 2/24 (8.3%)
    Skin and subcutaneous tissue disorders
    Dermatitis contact 3/24 (12.5%)
    Rash macular 2/24 (8.3%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    May not publish.

    Results Point of Contact

    Name/Title Roger Morgan, MD, FACS
    Organization Kowa Research Institute, Inc.
    Phone 919-433-1600
    Email RMorgan@KowaUS.com
    Responsible Party:
    Kowa Research Institute, Inc.
    ClinicalTrials.gov Identifier:
    NCT01057433
    Other Study ID Numbers:
    • NK-104-4.02US
    First Posted:
    Jan 27, 2010
    Last Update Posted:
    Jun 22, 2021
    Last Verified:
    Jun 1, 2021