CYP2C19 Genotypes
Conditions
Keywords
CYP2C19*17, Pharmacokinetics, Pharmacodynamics
Brief summary
The aim of this study is to investigate if the genetic variant CYP2C19\*17 affects the pharmacokinetics of proguanil and clopidogrel.
Interventions
DRUGProguanil
2x350 mg Malarone followed by 3 days of blood- and urine sampling
DRUGClopidogrel
2x300 mg Plavix followed by 7 hours days of blood sampling
Sponsors
University of Southern Denmark
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Healthy volunteers * Written consent * Age 18-65 * CYP2C19\*1 and or CYP2C19\*17 genotype.
Exclusion criteria
* Daily medication * Alcohol abuse * Pregnancy * Breastfeeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proguanil pharmacokinetics. Primary endpoint is cycloguanil formation clearance. | Hours after administration: 0, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 10, 24, 31, 48, 55 | Based on blood- and urine-concentrations of proguanil and the metabolites cycloguanil and 4-chlorphenylbiguanid a comparison of the pharmacokinetic parameters (AUC, Cmax, Tmax, T1/2) between the three groups of genotypes (CYP2C19\*1/\*1, CYP2C19\*1/\*17 and CYP2C19\*17/\*17) will be made. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pharmacokinetics of the derivatised active clopidogrel metabolite. | Hours after administration: 0, 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 7 | Based on blood-concentrations of the derivatised active metabolite of clopidogrel a comparison of the pharmacokinetic parameters (AUC, Cmax, Tmax, T1/2) between the three groups of genotypes (CYP2C19\*1/\*1, CYP2C19\*1/\*17 and CYP2C19\*17/\*17) will be made. Secondly, a comparison of the platelet inhibitory of clopidogrel between the three groups of genotypes (CYP2C19\*1/\*1, CYP2C19\*1/\*17 and CYP2C19\*17/\*17) will be made using the VerifyNow® P2Y12 Test. |
Countries
Denmark
Outcome results
None listed