Healthy Subjects
Conditions
Brief summary
This is a drug-drug interaction study to evaluate the effects of steady-state exposure of E5555 and its main metabolites on the pharmacokinetics (PK) of metformin, an organic cation transporter-2 (OCT2) substrate. In addition, the study will also investigate the effects of E5555 on several renal function parameters.
Interventions
Drug: Oral E5555 400 mg/matching placebo, oral metformin 500 mg, iohexal 20 mL intravenous (IV), and para-aminohippuric acid (PAH) 7 mg/kg IV.
Sponsors
Study design
Eligibility
Inclusion criteria
\- Healthy male or female subjects aged greater than or equal to 18 years to 55 years
Exclusion criteria
* History of any medical condition which will result in an increased risk of bleeding including but not limited to active or recurrent gastric ulcers, recent head trauma or surgery, severe hypertension, bacterial endocarditis, etc. * Creatinine clearance \< 90 mL/min as estimated using Cockcroft-Gault formula at screening or baseline * History of any renal disorders, proteinuria, hepato-biliary disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the effects of multiple doses of E5555 on single dose pharmacokinetics of metformin. | 15 days |
Secondary
| Measure | Time frame |
|---|---|
| To assess the effects of multiple doses of E5555 on the glomerular filtration rate estimated using iohexol. | Days 7 and 14 |
| To assess the effects of multiple doses of E5555 on the effective renal plasma flow estimated using para-aminohippuric acid (PAH). | Days 7 and 14 |
| To assess the multiple dose pharmacokinetics of E5555 and its main 6 metabolites. | Days 12-18 |
| To assess the safety and tolerability of multiple doses of E5555 and a single dose of metformin either given alone or concomitantly | Day 1 - Day 18 |
Countries
United States