HIV Clinical Trial
Official title:
A Phase I, Open-label, Randomized, Crossover Trial in 20 Healthy Subjects to Investigate the Pharmacokinetic Interactions Between the Combination of Efavirenz and Tenofovir Disoproxil Fumarate and Different Dosages of Telaprevir.
The purpose of this study is to determine the effect of EFV (Efavirenz) and TDF (Tenofovir disoproxil fumarate) on the pharmacokinetics of TVR (Telaprevir) and to determine the effect of TVR on the pharmacokinetics of EFV and TDF. Pharmacokinetics means how the drug is absorbed into the bloodstream, distributed in the body and eliminated from the body. Furthermore, the short-term safety and tolerability of giving TVR, EFV and TDF together will be evaluated.
The trial will enroll 20 Healthy volunteers. All participants will receive 4 different
treatments:
Treatment A: TVR every 8 hours alone for 6 days with an additional morning intake on Day 7.
Treatment B: EFV + TDF once daily alone for 7 days. Treatment C: TVR every 8 hours + EFV
once daily + TDF once daily for 7 days. Treatment D: TVR every 12 hours + EFV once daily +
TDF once daily for 7 days.
All participants will start with Treatment A followed by a 7 or 8-day washout period.
Subsequently, participants will start with Treatment B. At the end of Treatment B,
participants will be randomized (this is assigned to one of the two sequences by chance) to
continue without a washout period with Sequence 1 (Treatment C followed by D without a
washout) or Sequence 2 (Treatment D followed by C without a washout). Participants will thus
receive daily EFV and TDF for a total of 21 consecutive days, with addition of 2 different
dosages of TVR for the last 14 days.
TVR will be taken with food, 30 minutes after the start of a meal. EFV and TDF should be
taken on an empty stomach (2.5 hours after start of breakfast). Pharmacokinetic profiles of
TVR and VRT-127394 (R-diastereomer of TVR) will be measured up to 8 hours after intake of
the morning dose on Day 7 of Treatments A and C, and up to 12 hours after intake of the
morning dose on Day 7 of Treatment D. Pharmacokinetic profiles of EFV and tenofovir will be
measured up to 24 hours after intake on Day 7 of Treatments B, C, and D. Safety and
tolerability evaluations will be recorded at regular intervals throughout the trial period.
Treatment A: TVR every 8 hours alone for 6 days with an additional morning intake on Day 7.
Treatment B: EFV + TDF once daily alone for 7 days. Treatment C: TVR every 8 hours + EFV
once daily + TDF once daily for 7 days. Treatment D: TVR every 12 hours + EFV once daily +
TDF once daily for 7 days.
;
Allocation: Randomized, Endpoint Classification: Pharmacokinetics Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment
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