Simvastatin Pharmacokinetics and Gut Microbiome
Conditions
Keywords
pharmacokinetics, simvastatin, vancomycin, gut microbiome
Brief summary
This phase 1 clinical trial is to evaluate the effects of the environmental change in intestine by antibiotics on the pharmacokinetic characteristics of simvastatin in healthy male volunteers. For change of intestine environment, especially the gut microbiota, investigators will administer PO vancomycin for 7 days, tid.
Interventions
Investigators will compare simavastatin pharmacokinetics before and after the vancomycin PO multiple administration.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age between 19 Y to 50 Y at the screening * Body weight over 55 kg and BMI should be between 18.0 to 25.0 kg/m2 * Informed consent will be taken before all the procedures from volunteers * SLCO1B1 genotype is \*1/\*1 when screening
Exclusion criteria
* No significant disease history or ongoing disease * Allergic to simvastatin and vancomycin, or similar affiliation drug for simvastatin or vancomycin * MDRD eGFR less than 60 mL/min/1.73m2 * Total cholesterol, LDL, TG is higher than 1.5 times more than upper normal limit at the screening * HDL less than 35 mg/dL at the screening * Positive HBV or HIV or HCV * Who is administering or going to administer CYP3A4 inihibitor drug * Other clinically significant situation under doctor's opinion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Compare the maximum plasma concentration (Cmax) | vancomycin PO will administered for 7 days | Compare the maximum plasma concentration (Cmax) of simvastatin before and after vancomycin PO treatment. |
| Compare the area under the time-plasma concentration curve (AUC) | vancomycin PO will administered for 7 days | Compare the area under the time-plasma concentration curve (AUC) of simvastatin before and after vancomycin PO treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Explore the gut microbiome species change | vancomycin PO will administered for 7 days | Explore how the gut microbiome species change after vancomycin multiple dosing for 7 days |
Countries
South Korea