The Effect of Antacids and Multivitamins on Raltegravir
This study is not yet open for participant recruitment.
Verified February 2013 by University of Liverpool
Sponsor:
Helen Reynolds
Information provided by (Responsible Party):
Helen Reynolds, University of Liverpool
ClinicalTrials.gov Identifier:
NCT01784302
First received: January 28, 2013
Last updated: February 1, 2013
Last verified: February 2013
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Purpose
This study seeks to address the question of whether antacids or multivitamins influence the pharmacokinetics of raltegravir when co-administered. The aim of this study is to optimise the dosing of raltegravir when co-administered with antacids or multivitamins.
| Condition | Intervention | Phase |
|---|---|---|
|
HIV |
Dietary Supplement: Multivitamins Dietary Supplement: AlkaSeltzer Gold Drug: Maalox Plus extra Drug: Raltegravir 400 mg |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A 3 Arm, 5 Phase Study to Determine the Effect of Divalent and Monovalent Metal Containing Antacids and Multivitamins on the Pharmacokinetics of Raltegravir in Healthy Volunteers |
Resource links provided by NLM:
Further study details as provided by University of Liverpool:
Primary Outcome Measures:
- Change in raltegravir Area under the curve (AUC)0-12h [ Time Frame: Day 1, 6, 11, 16 and 21 ] [ Designated as safety issue: No ]The primary endpoint will be a change in raltegravir AUC0-12 h, following dosing of antacid or multivitamin
Secondary Outcome Measures:
- Measurement of gastrointestinal pH [ Time Frame: Day 1, 6, 11, 16 and 21 ] [ Designated as safety issue: No ]Correlation between gastric pH and raltegravir pharmacokinetics
- Number of adverse events [ Time Frame: Day 1 up to end of study Day 27 ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 15 |
| Study Start Date: | May 2013 |
| Estimated Study Completion Date: | September 2014 |
| Estimated Primary Completion Date: | May 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Maalox Plus extra
Subjects will receive doses of raltegravir 400 mg and maalox plus extra
|
Drug: Maalox Plus extra Drug: Raltegravir 400 mg |
|
Active Comparator: Multivitamin
Subjects will receive doses of raltegravir 400 mg along with a multivitamin tablet
|
Dietary Supplement: Multivitamins Drug: Raltegravir 400 mg |
|
Active Comparator: AlkaSeltzer Gold
Subjects will receive doses of raltegravir 400 mg along with an alkaseltzer gold tablet.
|
Dietary Supplement: AlkaSeltzer Gold Drug: Raltegravir 400 mg |
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Criteria
Inclusion Criteria:
- The ability to understand and sign a written informed consent form, prior to participation in any screening procedures and must be willing to comply with all study requirements.
- ≥ 18 years
- Male or female subjects
- A female may be eligible to enter and participate in the study if she:
- Is of non-child-bearing potential defined as ether post-menopausal (12 months of spontaneous amenorrhea and ≥ 45 years of age)or physically incapable of becoming pregnant with documented tubal ligation, hysterectomy or bilateral oophorectomy or
- Is of child-bearing potential with a negative pregnancy test at screening and agrees to use one of the following methods of contraception to avoid pregnancy
- Complete abstinence from intercourse from 2 weeks prior to administration of IP, throughout the study and for at least 4 weeks after discontinuation of all study medication
- Double barrier method (male condom/spermicide, male condom/diaphragm, diaphragm/spermicide)
- Any intrauterine device (IUD) with published data showing that the expected failure rate is < 1 % per year
- Any other method with published data showing that the expected failure rate is < 1 % per year
- Hormonal contraception plus a barrier method. Hormonal contraception alone will not be considered adequate for inclusion into or participation in this study
- Male subjects with a female partner of childbearing potential must agree to use effective contraception as above unless vasectomized
- All subjects participating in the study will be counseled on safer sexual practices including the use of effective barrier methods (e.g. male condom)
Exclusion Criteria:
- Any significant acute or chronic medical condition
- Pregnant or lactating women
- Women of childbearing age unless using non hormonal contraception
- Evidence of organ dysfunction or any clinically significant deviation from normal during screening including laboratory determinations
- Abnormal LFTs (ALT > 2.5 x ULN, bilirubin > 1.5 x ULN)
- Positive blood screen for HIV-1 and 2 antibodies
- Positive blood screen for hepatitis B or C antibodies
- Current or recent (within 3 months) gastrointestinal disease
- Clinically relevant alcohol or drug use or history of alcohol or drug use that will hinder compliance with treatment, follow up procedures or evaluation of adverse effects
- Use of proton pump inhibitors
- Exposure to any investigational drug or placebo within 4 weeks of first dose of study drug
- Consumption of grapefruit and oranges or products containing grapefruit or oranges within 1 week of first study drug and for the duration of the study
- Use of any other drugs including over-the-counter medications and herbal preparations, within 2 weeks prior to first dose of study drug
- Previous allergy to any of the constituents of the pharmaceuticals in this trial
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01784302
Contacts
| Contact: Helen Reynolds | her@liv.ac.uk |
Locations
| United Kingdom | |
| Royal Liverpool University Hospital | Not yet recruiting |
| Liverpool, United Kingdom, L7 8XP | |
Sponsors and Collaborators
Helen Reynolds
Investigators
| Principal Investigator: | Saye Khoo, Prof | University of Liverpool |
More Information
No publications provided
| Responsible Party: | Helen Reynolds, Research nurse, University of Liverpool |
| ClinicalTrials.gov Identifier: | NCT01784302 History of Changes |
| Other Study ID Numbers: | 4347 |
| Study First Received: | January 28, 2013 |
| Last Updated: | February 1, 2013 |
| Health Authority: | United Kingdom: Research Ethics Committee |
Additional relevant MeSH terms:
|
Antacids Aluminum hydroxide, magnesium hydroxide, simethicone drug combination Aluminum hydroxide, magnesium hydroxide, drug combination TEMPO Molecular Mechanisms of Pharmacological Action |
Pharmacologic Actions Antioxidants Protective Agents Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 22, 2013