Healthy Volunteer Clinical Trial
Official title:
A Phase IV, Open-Label Study to Characterize the First-Dose and Multiple-Dose Pharmacokinetics of Raltegravir in the Gastrointestinal Tract of Healthy Male Volunteers
The purpose of this study is to characterize the way the first commercially available integrase inhibitor, raltegravir, a new class of antiretrovirals that is used to treat HIV, is distributed into the rectal mucosal tissue. This information will generate important information regarding the drug's penetration into lymphoid tissues that are rapidly depleted in HIV infection. Subsequently strategies to prevent the sexual transmission of HIV and for treating HIV-infected individuals will be designed.
Participants: 14 HIV-uninfected, healthy, male volunteers, ≥18 and ≤49 years of age, will be
recruited and enrolled. Healthy is defined as no clinically relevant abnormalities
identified by a detailed medical history, full physical examination, including blood
pressure and pulse rate measurement, 12-lead ECG, and clinical laboratory tests.
Participants of all races and ethnicities will be considered for enrollment. This study will
be conducted at a single site in the United States: the University of North Carolina at
Chapel Hill.
Procedures (methods): An outpatient screening visit will be conducted on all potential
participants to obtain informed consent and evaluate for eligibility. Once enrolled, all
subjects will take 400 mg oral dose of raltegravir twice daily from Day 1 to Day 7. The
healthy men enrolled in this study will undergo single-dose and multiple-dose
pharmacokinetic sampling. Blood will be collected via peripheral IV at pre-dose, and at 1,
2, 3, 4, 6, 8 and 12 hours post-dose. Subjects will undergo two colonoscopies during
sampling visits (Day 1 and Day 7) for the purpose of obtaining gastrointestinal-associated
lymphoid tissue (GALT). Each subject will have his biopsy obtained at one of the following
time points post-dose: 1, 2, 3, 4, 6, 8, and 12 hours. Seven to ten days after their last
inpatient sampling visit, all subjects will complete a follow-up visit.
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Endpoint Classification: Pharmacokinetics Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Basic Science
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