Effect of Antacids on the Pharmacokinetics of Raltegravir
Recruitment status was Recruiting
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Purpose
The purpose of this study is to test whether there is a drug interaction between raltegravir (a medicine used to treat the human immunodeficiency virus or HIV) and antacids.
| Condition | Intervention |
|---|---|
|
HIV Infections |
Drug: raltegravir Drug: antacid (Maalox Plus Extra Strength) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Pharmacokinetics Study Intervention Model: Crossover Assignment Masking: Open Label |
| Official Title: | Effect of Antacids on the Pharmacokinetics of Raltegravir in Healthy Volunteers |
- Raltegravir AUC with and without an antacid [ Time Frame: 0-48 hours ] [ Designated as safety issue: No ]
- Raltegravir Cmax with and without an antacid [ Time Frame: 0-48 hours ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 24 |
| Study Start Date: | July 2009 |
| Estimated Study Completion Date: | December 2009 |
| Estimated Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: raltegravir alone
Subjects will receive a single dose of 400 mg raltegravir orally
|
Drug: raltegravir
raltegravir 400mg orally once
Other Name: Isentress
|
|
Experimental: raltegravir plus antacid
Subjects will receive a single dose of 400mg raltegravir orally simultaneously with an antacid
|
Drug: raltegravir
raltegravir 400mg orally once
Other Name: Isentress
Drug: antacid (Maalox Plus Extra Strength)
aluminum, magnesium, simethicone-containing antacid 30mL orally once
Other Name: Isentress, Maalox Plus Extra Strength
|
Detailed Description:
This study will determine if an interaction occurs between the HIV medicine raltegravir and an antacid. A prior study found an interaction with another medicine like raltegravir called elvitegravir and an antacid. The elvitegravir levels were reduced by half. The same interaction may occur with raltegravir and an antacid based on the structure of this medicine and how it works. When the levels of HIV medications are reduced, people with HIV can "fail" their treatment. The virus can multiply when the drug levels are too low and the medications can stop working. We need to be sure that antacids will not cause this problem with raltegravir.
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Absence of HIV-1 infection as documented by any licensed ELISA test kit within 21 days prior to study entry.
- Age greater than or equal to 18 but less than or equal to 60 years.
- Ability and willingness to give written informed consent.
- Within 30% (+/-) of ideal body weight and total body weight of ≥ 50 kg.
- Hematology, Metabolic Profile, Renal, and Hepatic Function tests all within normal limits.
- Creatine kinase (CK) less than 3 times the upper limit of normal
Exclusion Criteria:
- Pregnancy or breast-feeding.
- Women and men of reproductive potential who are actively engaging in sexual activity or assisted reproductive technology with the intent of pregnancy.
- Allergy/sensitivity to raltegravir.
- Allergy/sensitivity to antacids.
- Active drug or alcohol abuse or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements. While on study, subjects will be instructed not to consume alcohol for 48 hours prior the screening visit, and for the 24 hours preceding the intensive PK study visits and for 24 hours following the completion of the study visits.
- Any medical condition that, in the opinion of the investigator, would interfere with the subject's ability to participate in this protocol.
- Participation in any investigational drug studies within 30 days prior to study entry.
- History of or active cardiovascular, renal, hematologic, hepatic, neurologic, gastrointestinal, psychiatric, endocrine, or immunologic disease(s). This is inclusive of chronic illnesses such as hypertension, coronary artery disease, arthritis, diabetes, any chronic gastrointestinal conditions that might interfere with drug absorption.
- Use of investigational, prescription, and over-the-counter medications within 14 days of study entry with the following exceptions: aspirin, acetaminophen, ibuprofen, and oral contraceptives
Contacts and Locations| Contact: Jennifer J Kiser, PharmD | 303-724-6131 | jennifer.kiser@ucdenver.edu |
| United States, Colorado | |
| University of Colorado Denver | Recruiting |
| Aurora, Colorado, United States, 80045 | |
| Contact: Jennifer J Kiser, PharmD 303-724-6131 jennifer.kiser@ucdenver.edu | |
| Principal Investigator: Jennifer J Kiser, PharmD | |
| Sub-Investigator: Amie Meditz, MD | |
| Principal Investigator: | Jennifer J Kiser, PharmD | University of Colorado, Denver |
More Information
No publications provided
| Responsible Party: | Jennifer Kiser, University of Colorado Denver |
| ClinicalTrials.gov Identifier: | NCT00944307 History of Changes |
| Other Study ID Numbers: | COMIRB 09-0475/CTRC 6004 |
| Study First Received: | July 20, 2009 |
| Last Updated: | July 21, 2009 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Colorado, Denver:
|
HIV antiretroviral drug interaction human immunodeficiency virus |
Additional relevant MeSH terms:
|
HIV Infections Acquired Immunodeficiency Syndrome Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Immunologic Deficiency Syndromes Immune System Diseases Slow Virus Diseases Antacids Aluminum hydroxide, magnesium hydroxide, simethicone drug combination Aluminum Hydroxide |
Magnesium Hydroxide Aluminum hydroxide, magnesium hydroxide, drug combination Anti-Ulcer Agents TEMPO Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Gastrointestinal Agents Therapeutic Uses Antioxidants Protective Agents Physiological Effects of Drugs Adjuvants, Immunologic Immunologic Factors |
ClinicalTrials.gov processed this record on May 16, 2013