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Metabolic drug interaction profile of Silexan in vivo

Single centre, double-blind, randomised, placebo-controlled, two-fold cross-over, drug cocktail phenotyping study on the in vivo interaction potential of Silexan (WS® 1265) with respect to the activities of cytochrome P-450 enzymes (CYP1A2, CYP2C9, CYP2C19, CYP2D6, and CYP3A4) in healthy volunteers

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN74386009
Enrollment
16
Registered
2009-12-08
Start date
2009-10-14
Completion date
Unknown
Last updated
2015-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Activities of cytochrome P-450 enzymes Not Applicable

Interventions

Silexan (WS® 1265) 160 mg soft gelatine capsule or placebo for 11 days each. There is a screening visit within 14 days before the first intake of study drug
11 days of treatment (cross-over period 1)
a wash out period of 3 weeks
11 days treatment (cross-over period 2)
and a follow up visit within 4 - 10 days after last intake of study drug.

Sponsors

Dr. Willmar Schwabe GmbH & Co. KG (Germany)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Willing and capable to confirm written consent 2. Caucasian male or female 3. Aged between 18 - 55 years 4. A body mass index (BMI) 19 - 29 kg/m^2 5. Healthy 6. Non-pregnant and non-lactating, and have a negative urine pregnancy test result if subject is female 7. Use reliable contraception, i.e. two methods simultaneously if subject is female and of childbearing potential

Exclusion criteria

Exclusion criteria: 1. Subjects with any relevant clinical abnormality 2. Subjects with a tendency to loose stools and/or subjects with the history of a relevant surgical abdominal intervention 3. Subjects with any cardiac arrhythmia, subjects with acute infections within the last two weeks 4. Subjects with a history of any allergic disease with clinical signs 5. Subjects with suspicion of hypersensitivity to the investigational medication 6. Subjects with a history of severe skin reactions 7. Subjects receiving any medication within 2 weeks prior to study start or during the study 8. Subjects who have taken a drug with a long half-life (greater than 24 hours) within four weeks before the first trial day 9. Subjects who received chronic drug treatment (greater than 3 days) within eight weeks before the first trial day 10. Subjects who donated blood within the last 4 weeks before the start of the present study 11. Actual smokers defined as subjects who smoked any cigarette during the last three months 12. Subjects who are known or suspected to be (social) drug dependent 13. Subjects with a history of alcohol or recreational drug addiction 14. Subjects with positive drug screening tests 15. Subjects who are not willing or able to abstain from alcohol, methylxanthine-containing beverages and foods, and grapefruit flesh/juice from 1 week prior to the study until the safety follow-up examination 16. Anticipated problems of successfully placing an indwelling venous catheter at both forearms

Design outcomes

Primary

MeasureTime frame
1. CYP1A2 as quantified using AUC0-t of caffeine in plasma 2. CYP2C9 as quantified using AUC0-t of tolbutamide in plasma 3. CYP2C19 as quantified using AUC0-t of omeprazole in plasma 4. CYP2D6 as quantified using AUC0-t of dextromethorphan in plasma 5. CYP3A4 as quantified using AUC0-t of midazolam in plasma All measured on day 11 to day 12: 17 blood collections from 0 - 24 hours.

Secondary

MeasureTime frame
1. Pharmacokinetic parameters of the phenotyping substances 2. Safety parameters All measured on day 11 to day 12: 17 blood collections from 0 - 24 hours.

Countries

Germany

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026