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Investigation of Food Effect and Gastric ph Increase on the Bioavailability of Faldapravir

Investigation of the Effect of Food and of Increased Gastric pH on the Relative Bioavailability of a Single Oral Dose of 240 mg Faldaprevir in an Open-label, Randomised, Three-way Cross-over Trial in Healthy Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01694706
Enrollment
15
Registered
2012-09-27
Start date
2012-09-30
Completion date
2012-12-31
Last updated
2015-07-30

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

Conditions

Healthy

Brief summary

The primary objective of this trial is to investigate the effect of food and of gastric pH increase on the relative bioavailability of faldaprevir.

Interventions

medium dose of faldaprevir

DRUGomeprazole

medium dose of omeprazole

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes

Inclusion criteria

1\. Healthy male and female subjects

Exclusion criteria

1\. Any relevant deviation from healthy condition

Design outcomes

Primary

MeasureTime frameDescription
Faldaprevir: Area Under the Curve Over the Time Interval From 0 Extrapolated to Infinity (AUC 0-infinity)1.5 hours (h) before drug administration and 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h, 72h, 96h and 120h after drug administrationArea under the concentration-time curve of the faldaprevir in plasma over the time interval from 0 extrapolated to infinity In this endpoint, the measured values show inter-individual variabilities, whereas the statistical analyses show intra-individual variabilities.
Faldaprevir: Maximum Measured Concentration (Cmax)1.5 hours (h) before drug administration and 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h, 72h, 96h and 120h after drug administrationMaximum measured concentration of the faldaprevir in plasma In this endpoint, the measured values show inter-individual variabilities, whereas the statistical analyses show intra-individual variabilities.

Secondary

MeasureTime frameDescription
Faldaprevir: Area Under the Curve 0 to the Last Quantifiable Data Point (AUC0-tz)1.5 hours (h) before drug administration and 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h, 72h, 96h and 120h after drug administrationArea under the concentration-time curve of the faldaprevir in plasma over the time interval from 0 to the last quantifiable drug plasma concentration In this endpoint, the measured values show inter-individual variabilities, whereas the statistical analyses show intra-individual variabilities.

Countries

Germany

Participant flow

Pre-assignment details

This was a randomised open label, 3-way cross over study with three sequences. Faldaprevir administrations in each treatment period were separated by washout period of at least 14 days.

Participants by arm

ArmCount
Entire Study Population
All subjects received all tested treatments in a randomised, open label, 3-way cross over study. The treatments were: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally following an overnight or at least 10 hours (h) fast prior the drug administration (Reference treatment) Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally 30 minutes (min) after a standard high-fat, high-caloric meal was served. The meal had to be completely consumed within 25 min or less. Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was coadministered orally with 40 mg Omeprazole following an overnight or at least 10 hours (h) fast prior the drug administration following multiple dosing of 40 mg omeprazole once daily for 4 days prior the first dose of faldaprevir. Drug administrations were separated by a washout period of at least 14 days
15
Total15

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event010
Overall Studyother reason not defined above100

Baseline characteristics

CharacteristicEntire Study Population
Age, Continuous34.7 years
STANDARD_DEVIATION 8.2
Sex: Female, Male
Female
7 Participants
Sex: Female, Male
Male
8 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
4 / 154 / 144 / 140 / 15
serious
Total, serious adverse events
0 / 150 / 140 / 140 / 15

Outcome results

Primary

Faldaprevir: Area Under the Curve Over the Time Interval From 0 Extrapolated to Infinity (AUC 0-infinity)

Area under the concentration-time curve of the faldaprevir in plasma over the time interval from 0 extrapolated to infinity In this endpoint, the measured values show inter-individual variabilities, whereas the statistical analyses show intra-individual variabilities.

Time frame: 1.5 hours (h) before drug administration and 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h, 72h, 96h and 120h after drug administration

Population: Pharmacokinetic (PK) set: Included all treated subjects that provided at least 1 observation for at least 1 primary endpoint without important protocol violations with respect to the statistical evaluation of the pharmacokinetic endpoints.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Faldaprevir in FastingFaldaprevir: Area Under the Curve Over the Time Interval From 0 Extrapolated to Infinity (AUC 0-infinity)37900 [ng*h/mL]Geometric Coefficient of Variation 67.2
Faldaprevir After a High-fat MealFaldaprevir: Area Under the Curve Over the Time Interval From 0 Extrapolated to Infinity (AUC 0-infinity)48200 [ng*h/mL]Geometric Coefficient of Variation 41.7
Faldaprevir and OmeprazoleFaldaprevir: Area Under the Curve Over the Time Interval From 0 Extrapolated to Infinity (AUC 0-infinity)36000 [ng*h/mL]Geometric Coefficient of Variation 63.4
p-value: 0.34290% CI: [102.09, 141.88]ANOVA
p-value: 0.096290% CI: [76.21, 116.76]ANOVA
Primary

Faldaprevir: Maximum Measured Concentration (Cmax)

Maximum measured concentration of the faldaprevir in plasma In this endpoint, the measured values show inter-individual variabilities, whereas the statistical analyses show intra-individual variabilities.

Time frame: 1.5 hours (h) before drug administration and 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h, 72h, 96h and 120h after drug administration

Population: PK set

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Faldaprevir in FastingFaldaprevir: Maximum Measured Concentration (Cmax)2030 ng/mLGeometric Coefficient of Variation 140
Faldaprevir After a High-fat MealFaldaprevir: Maximum Measured Concentration (Cmax)2600 ng/mLGeometric Coefficient of Variation 57.5
Faldaprevir and OmeprazoleFaldaprevir: Maximum Measured Concentration (Cmax)1920 ng/mLGeometric Coefficient of Variation 122
p-value: 0.399390% CI: [83.19, 169.628]ANOVA
p-value: 0.220490% CI: [65.783, 133.03]ANOVA
Secondary

Faldaprevir: Area Under the Curve 0 to the Last Quantifiable Data Point (AUC0-tz)

Area under the concentration-time curve of the faldaprevir in plasma over the time interval from 0 to the last quantifiable drug plasma concentration In this endpoint, the measured values show inter-individual variabilities, whereas the statistical analyses show intra-individual variabilities.

Time frame: 1.5 hours (h) before drug administration and 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h, 72h, 96h and 120h after drug administration

Population: PK set

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Faldaprevir in FastingFaldaprevir: Area Under the Curve 0 to the Last Quantifiable Data Point (AUC0-tz)36300 ng*h/mLGeometric Coefficient of Variation 70.3
Faldaprevir After a High-fat MealFaldaprevir: Area Under the Curve 0 to the Last Quantifiable Data Point (AUC0-tz)46400 ng*h/mLGeometric Coefficient of Variation 42.6
Faldaprevir and OmeprazoleFaldaprevir: Area Under the Curve 0 to the Last Quantifiable Data Point (AUC0-tz)34400 ng*h/mLGeometric Coefficient of Variation 65.6
p-value: 0.376590% CI: [102.32, 143.74]ANOVA
p-value: 0.094690% CI: [76.25, 117.67]ANOVA

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026