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Drug-Drug Interaction Study: ASP2151 and Ciclosporin

A Single-centre, Open-label, Randomised, Cross-over, Drug-drug Interaction Study to Investigate the Effect of Repeated Oral Doses of Ciclosporin on the Single-dose Pharmacokinetics of nASP2151 in Healthy Mean

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02280421
Enrollment
26
Registered
2014-10-31
Start date
2014-10-31
Completion date
2015-01-31
Last updated
2019-05-03

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

Conditions

Healthy

Keywords

HSV, Herpes, volunteers, drug-drug interaction, transplant

Brief summary

ASP2151 is an experimental treatment for herpes. Patients undergoing organ and tissue transplantation may be prescribed ciclosporin to suppress their immune system to give the transplant an increased chance of not being rejected. A patient with a compromised immune system is more susceptible to infections such as herpes, which will require treatment.

Interventions

DRUGASP2151 400mg + 100mg ciclosporin
DRUGASP2151 1200mg + 100mg ciclosporin

Sponsors

Maruho Europe Limited
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

* A body mass index (Quetelet index) in the range 18.0-30.9 kg/m2. * Sufficient intelligence to understand the nature of the trial and any hazards of participating in it. Ability to communicate satisfactorily with the investigator and to participate in, and comply with the requirements of, the entire trial. * Willingness to give written consent to participate after reading the information and consent form, and after having the opportunity to discuss the trial with the investigator or his delegate. * Willingness to give written consent to have data entered into The Overvolunteering Prevention System (TOPS).

Exclusion criteria

* Clinically relevant abnormal history, physical findings, ECG, or laboratory values at the pre-trial screening assessment that could interfere with the objectives of the trial or the safety of the volunteer. * Any of the following liver function tests higher than 1.5 times the ULN at the screening visit: aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), bilirubin, gamma glutamyl transpeptidase (gamma-GT). * Platelet counts outside normal limits. * Presence of acute or chronic illness or history of chronic illness sufficient to invalidate the volunteer's participation in the trial or make it unnecessarily hazardous. * Clinically significant impaired endocrine, thyroid, hepatic, respiratory or renal function, diabetes mellitus, coronary heart disease, or history of any psychotic mental illness. * Receipt of a live vaccine in the 3 months before the first dose of study medication, or planned immunisation with a live vaccine during the study. * Evidence of any significant bacterial, viral, fungal or parasitic infection during the 4 weeks before dosing (minor fungal nail infections will not be regarded as significant); minor infection (eg common cold) not requiring anti-infective treatment during the 2 weeks before dosing. * History of bleeding diathesis. * Surgery (eg stomach bypass) or medical condition that might affect absorption of medicines. * Presence or history of severe adverse reaction to any drug, history of multiple drug allergies (multiple defined as \>3), or sensitivity to trial medication. * Use, during the 28 days before the first dose of trial medication, of any prescription medicine, or any other medicine or herbal remedy (such as St John's wort) known to interfere with the CYP3A4 metabolic pathway (unless judged as not clinical significant by the investigator and sponsor). See Appendix 1 for common CYP3A4 interactors/substrates. * Use, during the 7 days before the first dose of trial medication, of any over-the-counter medicine, with the exception of paracetamol (acetaminophen). * Participation in another clinical trial of a new chemical entity or a prescription medicine within the previous 3 months. * Loss of more than 400 mL blood during the 3 months before the trial, eg as a blood donor. * Presence or history of drug or alcohol abuse, or intake of more than 21 units of alcohol weekly or more than 5 cigarettes daily. * Evidence of drug abuse on urine testing. * Positive test for hepatitis B antigen (HBsAg); or positive test for hepatitis B core antibody (HBcAb). * Positive test for hepatitis C, HIV1, HIV2, or active and latent tuberculosis. * Blood pressure and heart rate in seated position at the screening examination outside the ranges 90-140 mm Hg systolic, 40-90 mm Hg diastolic; heart rate 40-100 beats/min. * Possibility that the volunteer will not cooperate with the requirements of the protocol. * Objection by General Practitioner (GP) to volunteer entering trial.

Design outcomes

Primary

MeasureTime frame
Peak Plasma Concentration (Cmax) of ASP2151prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.
Apparent Volume of Distribution (Vd/F) of ASP2151prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.
Apparent Total Body Clearance (CL/F) of ASP2151 From Plasmaprior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.
Half-Life (t1/2) of ASP2151prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.
Area Under the Curve (AUC) of ASP2151prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.
Time of Peak Concentration (Tmax) of ASP2151prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.

Secondary

MeasureTime frameDescription
Number of Participants With Serious and Non-Serious Adverse EventsUp to 31 days after the Day 7 dose of ASP2151Refer to the result of adverse event.

Other

MeasureTime frame
Peak Plasma Concentration (Cmax) of ASP1955888-00prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.
Area Under the Curve (AUC) of CiclosporinBlood samples were taken at pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 after dosing of ciclosporin on Days 6 and 7.
Time of Peak Concentration (Tmax) of CiclosporinBlood samples were taken at pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 after dosing of ciclosporin on Days 6 and 7.
Peak Plasma Concentration (Cmax) of CiclosporinBlood samples were taken at pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 after dosing of ciclosporin on Days 6 and 7.
Half-Life (t1/2) of AS195588-00prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.
Area Under the Curve (AUC) of AS195588-00prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.
Time of Peak Concentration (Tmax) of AS195588-00prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.

Countries

United Kingdom

Participant flow

Recruitment details

Participants took part in the study at one investigative site in United Kingdom from 06-October 2014 to 10-February 2015 Each participant was randomised to 2 groups. One group was received ASP 400mg in first intervention and 1200mg in other group. There was a washout of at least 2 weeks between the interventions.

Pre-assignment details

Participants received a single dose of 400mg or 1200mg ASP2151 on Days 1 and 7, 100 mg ciclosporin twice daily on Days 3-9, and once in the morning of Day 10. Two participants were withdrawn during the washout period, in the second intervention, another participants were replaced.

Participants by arm

ArmCount
ASP2151 400mg
ASP2151 400mg followed by ASP2151 400mg + 100mg ciclosporin first, then ASP and 1200mg mg followed by ASP2151 1200mg + 100mg ciclosporin
13
ASP2151 1200mg
ASP2151 1200mg followed by ASP2151 1200mg + 100mg ciclosporin first, then ASP and 400mg mg followed by ASP2151 400mg + 100mg ciclosporin
13
Total26

Withdrawals & dropouts

PeriodReasonFG000FG001
Washout (2 Weeks)Adverse Event01
Washout (2 Weeks)Withdrawal by Subject10

Baseline characteristics

CharacteristicTotalASP2151 400mgASP2151 1200mg
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
26 Participants13 Participants13 Participants
Age, Continuous32.7 year
STANDARD_DEVIATION 7.2
33.6 year
STANDARD_DEVIATION 7.4
31.8 year
STANDARD_DEVIATION 7.1
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
26 Participants13 Participants13 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
26 Participants13 Participants13 Participants
Region of Enrollment
United Kingdom
26 Participants13 Participants13 Participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
26 Participants13 Participants13 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 240 / 240 / 240 / 240 / 240 / 24
other
Total, other adverse events
2 / 245 / 2410 / 243 / 243 / 2411 / 24
serious
Total, serious adverse events
0 / 240 / 240 / 240 / 240 / 240 / 24

Outcome results

Primary

Apparent Total Body Clearance (CL/F) of ASP2151 From Plasma

Time frame: prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.

ArmMeasureValue (MEAN)Dispersion
ASP2151 400mg AloneApparent Total Body Clearance (CL/F) of ASP2151 From Plasma17.745 L/hStandard Deviation 4.6288
ASP2151 400mg With CiclosporinApparent Total Body Clearance (CL/F) of ASP2151 From Plasma21.917 L/hStandard Deviation 5.9182
ASP2151 1200mg AloneApparent Total Body Clearance (CL/F) of ASP2151 From Plasma25.695 L/hStandard Deviation 6.3004
ASP2151 1200mg With CiclosporinApparent Total Body Clearance (CL/F) of ASP2151 From Plasma32.699 L/hStandard Deviation 9.3284
Primary

Apparent Volume of Distribution (Vd/F) of ASP2151

Time frame: prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.

ArmMeasureValue (MEAN)Dispersion
ASP2151 400mg AloneApparent Volume of Distribution (Vd/F) of ASP2151196.9 LStandard Deviation 45.72
ASP2151 400mg With CiclosporinApparent Volume of Distribution (Vd/F) of ASP2151269.6 LStandard Deviation 69.57
ASP2151 1200mg AloneApparent Volume of Distribution (Vd/F) of ASP2151276.5 LStandard Deviation 69.55
ASP2151 1200mg With CiclosporinApparent Volume of Distribution (Vd/F) of ASP2151395.3 LStandard Deviation 118.47
Primary

Area Under the Curve (AUC) of ASP2151

Time frame: prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
ASP2151 400mg AloneArea Under the Curve (AUC) of ASP215123307.4 h*ng/mLGeometric Coefficient of Variation 27.1
ASP2151 400mg With CiclosporinArea Under the Curve (AUC) of ASP215119013.5 h*ng/mLGeometric Coefficient of Variation 31.4
ASP2151 1200mg AloneArea Under the Curve (AUC) of ASP215148051.2 h*ng/mLGeometric Coefficient of Variation 25
ASP2151 1200mg With CiclosporinArea Under the Curve (AUC) of ASP215137940.8 h*ng/mLGeometric Coefficient of Variation 25.9
Primary

Half-Life (t1/2) of ASP2151

Time frame: prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
ASP2151 400mg AloneHalf-Life (t1/2) of ASP21517.755 hGeometric Coefficient of Variation 12.1
ASP2151 400mg With CiclosporinHalf-Life (t1/2) of ASP21518.593 hGeometric Coefficient of Variation 16.4
ASP2151 1200mg AloneHalf-Life (t1/2) of ASP21517.457 hGeometric Coefficient of Variation 13.2
ASP2151 1200mg With CiclosporinHalf-Life (t1/2) of ASP21518.326 hGeometric Coefficient of Variation 14.1
Primary

Peak Plasma Concentration (Cmax) of ASP2151

Time frame: prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
ASP2151 400mg AlonePeak Plasma Concentration (Cmax) of ASP21511818.0 ng/mLGeometric Coefficient of Variation 26.1
ASP2151 400mg With CiclosporinPeak Plasma Concentration (Cmax) of ASP21511202.3 ng/mLGeometric Coefficient of Variation 31.5
ASP2151 1200mg AlonePeak Plasma Concentration (Cmax) of ASP21513573.1 ng/mLGeometric Coefficient of Variation 26.1
ASP2151 1200mg With CiclosporinPeak Plasma Concentration (Cmax) of ASP21512452.1 ng/mLGeometric Coefficient of Variation 31.4
Primary

Time of Peak Concentration (Tmax) of ASP2151

Time frame: prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.

ArmMeasureValue (MEDIAN)
ASP2151 400mg AloneTime of Peak Concentration (Tmax) of ASP21513.00 h
ASP2151 400mg With CiclosporinTime of Peak Concentration (Tmax) of ASP21514.00 h
ASP2151 1200mg AloneTime of Peak Concentration (Tmax) of ASP21513.00 h
ASP2151 1200mg With CiclosporinTime of Peak Concentration (Tmax) of ASP21514.00 h
Secondary

Number of Participants With Serious and Non-Serious Adverse Events

Refer to the result of adverse event.

Time frame: Up to 31 days after the Day 7 dose of ASP2151

ArmMeasureGroupValue (NUMBER)
ASP2151 400mg AloneNumber of Participants With Serious and Non-Serious Adverse EventsNon-serious adverse event15 participants
ASP2151 400mg AloneNumber of Participants With Serious and Non-Serious Adverse Eventsserious adverse event0 participants
ASP2151 400mg With CiclosporinNumber of Participants With Serious and Non-Serious Adverse EventsNon-serious adverse event15 participants
ASP2151 400mg With CiclosporinNumber of Participants With Serious and Non-Serious Adverse Eventsserious adverse event0 participants
Other Pre-specified

Area Under the Curve (AUC) of AS195588-00

Time frame: prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
ASP2151 400mg AloneArea Under the Curve (AUC) of AS195588-002614.4 h*ng/mLGeometric Coefficient of Variation 27.4
ASP2151 400mg With CiclosporinArea Under the Curve (AUC) of AS195588-002441.3 h*ng/mLGeometric Coefficient of Variation 20.2
ASP2151 1200mg AloneArea Under the Curve (AUC) of AS195588-006147.4 h*ng/mLGeometric Coefficient of Variation 29.7
ASP2151 1200mg With CiclosporinArea Under the Curve (AUC) of AS195588-005584.5 h*ng/mLGeometric Coefficient of Variation 31
Other Pre-specified

Area Under the Curve (AUC) of Ciclosporin

Time frame: Blood samples were taken at pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 after dosing of ciclosporin on Days 6 and 7.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
ASP2151 400mg AloneArea Under the Curve (AUC) of Ciclosporin1944.3 h*ng/mLGeometric Coefficient of Variation 19.7
ASP2151 400mg With CiclosporinArea Under the Curve (AUC) of Ciclosporin2011.0 h*ng/mLGeometric Coefficient of Variation 22.1
ASP2151 1200mg AloneArea Under the Curve (AUC) of Ciclosporin1894.2 h*ng/mLGeometric Coefficient of Variation 22.9
ASP2151 1200mg With CiclosporinArea Under the Curve (AUC) of Ciclosporin1888.2 h*ng/mLGeometric Coefficient of Variation 19.6
Other Pre-specified

Half-Life (t1/2) of AS195588-00

Time frame: prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
ASP2151 400mg AloneHalf-Life (t1/2) of AS195588-008.59 hGeometric Coefficient of Variation 15.3
ASP2151 400mg With CiclosporinHalf-Life (t1/2) of AS195588-009.62 hGeometric Coefficient of Variation 18.4
ASP2151 1200mg AloneHalf-Life (t1/2) of AS195588-008.25 hGeometric Coefficient of Variation 14.3
ASP2151 1200mg With CiclosporinHalf-Life (t1/2) of AS195588-009.02 hGeometric Coefficient of Variation 16.4
Other Pre-specified

Peak Plasma Concentration (Cmax) of ASP1955888-00

Time frame: prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
ASP2151 400mg AlonePeak Plasma Concentration (Cmax) of ASP1955888-00173.0 ng/mLGeometric Coefficient of Variation 35.2
ASP2151 400mg With CiclosporinPeak Plasma Concentration (Cmax) of ASP1955888-00132.6 ng/mLGeometric Coefficient of Variation 28.1
ASP2151 1200mg AlonePeak Plasma Concentration (Cmax) of ASP1955888-00387.3 ng/mLGeometric Coefficient of Variation 38.1
ASP2151 1200mg With CiclosporinPeak Plasma Concentration (Cmax) of ASP1955888-00307.2 ng/mLGeometric Coefficient of Variation 42.7
Other Pre-specified

Peak Plasma Concentration (Cmax) of Ciclosporin

Time frame: Blood samples were taken at pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 after dosing of ciclosporin on Days 6 and 7.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
ASP2151 400mg AlonePeak Plasma Concentration (Cmax) of Ciclosporin491.0 ng/mLGeometric Coefficient of Variation 18.6
ASP2151 400mg With CiclosporinPeak Plasma Concentration (Cmax) of Ciclosporin482.3 ng/mLGeometric Coefficient of Variation 18.3
ASP2151 1200mg AlonePeak Plasma Concentration (Cmax) of Ciclosporin467.0 ng/mLGeometric Coefficient of Variation 23.7
ASP2151 1200mg With CiclosporinPeak Plasma Concentration (Cmax) of Ciclosporin440.0 ng/mLGeometric Coefficient of Variation 18.6
Other Pre-specified

Time of Peak Concentration (Tmax) of AS195588-00

Time frame: prior to initial dose on Day 1 and 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36 and 48 h after ASP2151 dosing on Day 1 and Day 7, and also 72 h after ASP2151 dosing on Day 7.

ArmMeasureValue (MEDIAN)
ASP2151 400mg AloneTime of Peak Concentration (Tmax) of AS195588-003.03 h
ASP2151 400mg With CiclosporinTime of Peak Concentration (Tmax) of AS195588-004.00 h
ASP2151 1200mg AloneTime of Peak Concentration (Tmax) of AS195588-003.53 h
ASP2151 1200mg With CiclosporinTime of Peak Concentration (Tmax) of AS195588-004.00 h
Other Pre-specified

Time of Peak Concentration (Tmax) of Ciclosporin

Time frame: Blood samples were taken at pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 10 and 12 after dosing of ciclosporin on Days 6 and 7.

ArmMeasureValue (MEDIAN)
ASP2151 400mg AloneTime of Peak Concentration (Tmax) of Ciclosporin2.00 h
ASP2151 400mg With CiclosporinTime of Peak Concentration (Tmax) of Ciclosporin2.00 h
ASP2151 1200mg AloneTime of Peak Concentration (Tmax) of Ciclosporin2.00 h
ASP2151 1200mg With CiclosporinTime of Peak Concentration (Tmax) of Ciclosporin2.00 h

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