The Impact of Excipients on Drug Absorption
Conditions
Brief summary
The purpose of this study is to determine if sodium lauryl sulfate (SLS), a non-drug ingredient commonly added in drug products, affect absorption of drugs that are given together with the ingredient. Investigators want to find out if drug absorption is different in people taking the drug alone compared to people taking the drug with low and high amounts of sodium lauryl sulfate at the same time.
Detailed description
This is a single-center, randomized, double-blind, 3-period crossover trial. Participants will be randomized to receive a Control capsule (fexofenadine single agent) under Treatment Arm 1 or a Test 1 capsule (fexofenadine and 3 mg SLS) under Treatment Arm 2 or Test 2 capsule (fexofenadine and 30 mg SLS) under Treatment Arm 3. Investigators will assess the effect of SLS on the absorption of fexofenadine by measuring SLS and fexofenadine concentrations in plasma and stool samples and determine the change in AUC (area under the curve), Cmax and other pharmacokinetic parameters, between Treatment Arms 2 or 3 and Treatment Arm 1.
Interventions
DRUGFexofenadine Hydrochloride without sodium lauryl sulfate
without sodium lauryl sulfate
DRUGFexofenadine Hydrochloride with sodium lauryl sulfate
with sodium lauryl sulfate
Sponsors
Food and Drug Administration (FDA)
University of California, San Francisco
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
This is a single-center, randomized, double-blind, 3-period crossover trial. Subjects will be randomized to receive fexofenadine only under Treatment Arm 1 or fexofenadine and 3 mg SLS under Treatment Arm 2 or fexofenadine and 30 mg SLS under Treatment Arm 3.
Eligibility
Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
Yes
Inclusion criteria
1. Healthy volunteers of all ethnic groups and races. 2. Male and females between the ages of 18-64 years old, inclusive. 3. Subjects who are willing to avoid ingestion of fruit juices and citrus bioflavonoids, such as grapefruit extract, hesperidin supplement and naringin supplement, for a period extending from one week prior to the initiation of the study until its completion. 4. Written informed consent obtained from the subject and ability for subject to comply with the requirements of the study.
Exclusion criteria
1. Subjects with extreme obesity (BMI \> 35). 2. Subjects who are allergic to fexofenadine or SLS. 3. Subjects who have hemoglobin level lower than 12 g/dL. 4. Subjects who are pregnant, breastfeeding, or unwilling to practice birth control during participation in the study. 5. Subjects with chronic constipation. 6. Subjects consuming types of food and supplements with the potential to interfere with the study objectives as judged by the Investigator. 7. Subjects taking any drugs, especially known OATP2B1 substrates (aliskiren, atenolol, celiprolol, fexofenadine, rosuvastatin and ticlopidine, etc.) except birth control hormonal medications. 8. Subjects with a condition, disease, or abnormality that in the opinion of the Investigator would compromise the safety of the subject or the quality of the data. 9. Subjects with any disease affecting or impairing the function of the liver, kidney, or heart. 10. Subjects with gastrointestinal disease, gastrointestinal disorder, or gastrointestinal surgery. 11. Subjects with known infection with HIV, Hepatitis B or Hepatitis C (as determined by questionnaire, no laboratory diagnostics concerning these diseases will be performed within the present study). Volunteers who are cured of past Hepatitis C infection are eligible to participate with a doctor's approval letter. 12. Subjects who are smokers or have smoked in the past year and/or have smoked or ingested THC/marijuana in the past week, or who are unwilling to comply throughout the study period. 13. Alcohol use on average \> 2 servings/day or \> 14 servings/wk (Serving size: 12oz beer/4oz wine/2oz hard liquor) in the past week or self-reported binge drinking. 14. Subjects who are currently receiving any investigational agent or who have received any investigational agents within a period of 5 half-lives of the agent prior to the initiation of the current study. 15. Subjects who have donated whole blood within 8 weeks prior to study initiation or plan to donate blood during the study period. 16. Non-English speaking. 17. Subjects with abnormal laboratory results at Screening Visit as judged by the Investigator or study physician.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Area under the plasma concentration versus time curve (AUC) of Fexofenadine | 0-48 hours | To determine whether SLS decreases the fexofenadine area under the curve (AUC) between Fexofenadine + 3 mg SLS or Fexofenadine + 30 mg SLS and Fexofenadine only. |
| Maximum Plasma Concentration (Cmax) of Fexofenadine | 0-48 hours | To determine whether SLS decreases the fexofenadine Cmax between Fexofenadine + 3 mg SLS or Fexofenadine + 30 mg SLS and Fexofenadine only. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sodium lauryl sulfate plasma concentration | 0-48 hours | To determine plasma SLS concentration in order to understand the absorption of SLS in humans |
| Fexofenadine stool amount | 0-48 hours | To determine stool amount of fexofenadine and compare between the fexofenadine only arm to the 3 mg SLS and the 30 mg SLS arm. |
| Sodium lauryl sulfate stool amount | 0-48 hours | To determine stool amount of sodium lauryl sulfate and compare between the fexofenadine only arm to the 3 mg SLS and the 30 mg SLS arm. |
Countries
United States
Outcome results
None listed