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OATP1B-mediated drug-drug interaction study with cyclosporin A

OPEN-LABEL, RANDOMIZED, CROSSOVER STUDY TO ASSESS THE DOSE-DEPENDENT EFFECT OF CYCLOSPORIN A ON THE PHARMACOKINETICS OF ENDOGENOUS BIOMARKERS AND PROBE DRUGS FOR ASSESSMENT OF DRUG-DRUG INTERACTIONS MEDIATED BY OATP1B

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCTs031200012
Enrollment
10
Registered
2020-04-13
Start date
2020-06-03
Completion date
Unknown
Last updated
2026-06-29

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

Conditions

None Healthy Adults

Interventions

Period I: On the day before study drug administration, placebo (excipient: lactose) administration is used to obtain endogenous substrate baseline data. On the day of dosing, pitavastatin, rosuvastati

Sponsors

Furihata Kenichi
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: a) Healthy Japanese men at >=20 but =18.5 but <25.0 at screening. d) Subjects who can understand and comply with the protocol and from whom the written consent based on his or her own free will can be obtained.

Exclusion criteria

Exclusion criteria: a) Persons with a history of hypersensitivity to the probe drugs, and cyclosporin A b) Persons with lactose intolerance c) Persons with hypotension (systolic blood pressure: =160 mmHg) d) Persons who donated or lost 200 mL (1 unit) of blood within 4 weeks before administration of study drugs or 400 mL (2 units) of blood within 3 months before administration of study drugs. e) Persons with a medical history/complication of severe nerve disease, cerebrovascular disease, liver disease, kidney disease, endocrine disease, cardiovascular disease, gastrointestinal disease (including digestive system disease which is considered to affect the absorption of study drugs), respiratory disease, metabolic disease, and anemia. f) Persons diagnosed as Rotor syndrome or Gilbert syndrome g) Persons who have been confirmed of a clinically severe abnormality based on medical examination or physical examination by the investigator or subinvestigator. h) Persons with a clinically severe disease within 30 days before administration of study drugs. i) Persons who took drugs, health food including St. Johns wort, food 14 days prior to dosing and beverages including grapefruit, orange and apple (including food containing them), and nutritional supplements 7 days prior to dosing and cannot comply with prohibition of taking them during the study. j) Persons who are smoking or taking nicotine within 30 days before administration of study drugs and who cannot comply with smoking cessation during the study period. k) Persons who took alcohol/caffeine-containing food on the day before hospitalization in each study period and cannot comply with prohibition of taking them until the day of discharge in each study period. l) Persons who tested positive in an alcohol breathe test/urine drug test at screening. m) Persons who cannot discontinue the use of drugs other than study drugs from 2 weeks before administration of study drugs until the study completion. n) Persons who are positive to hepatitis B surface (HBs) antigens, hepatitis C (HCV) antibodies, or human immunodeficiency virus (HIV) antigens/antibodies. o) Other persons who were judged inappropriate by the investigator or subinvestigator.

Design outcomes

Primary

MeasureTime frame
Of endogenous substrate when combined with probe cocktail and cyclosporin A Kinetic parameters Measurement target: plasma / serum coproporphyrin I, total and direct bilirubin, bile acids (sulfate conjugates and glucuronide conjugates), 7a-hydroxy-4-cholesten-3-one, OATP1B and other transporters Endogenous substrates that may be other candidates for metabolic enzymes. For some endogenous substrates, urinary excretion may be measured. Pitavastatin, rosuvastatin, valsartan, cyclosporin A Evaluation of pharmacokinetics Measurement target: unchanged drug concentration in plasma Analysis using PBPK model Least sum of squares and AIC of calculated results and measured values using PBPK model

Secondary

MeasureTime frame
Pitavastatin, rosuvastatin, valsartan, cyclosporin A, genotypes of genes related to pharmacokinetics of endogenous substrates (OATP1B1, BCRP and drug transporters and drug metabolizing enzymes related to pharmacokinetics (ADME))

Contacts

Public ContactKazuaki Ogoe

Keikokai Medical Corp P-One Clinic

k-ogoe@p1-clinic.or.jp+81-42-625-5216

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026