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出境医 / 临床实验 / A Clinical Drug-Drug Interaction (DDI) Study With Omaveloxolone

A Clinical Drug-Drug Interaction (DDI) Study With Omaveloxolone

Study Description
Brief Summary:
This study will assess the potential for clinical drug-drug interactions between omaveloxolone and a number of substrates and inhibitors of metabolic enzymes and drug transporters.

Condition or disease Intervention/treatment Phase
Healthy Adult Subjects Drug: Omaveloxolone Drug: Midazolam oral solution Drug: Repaglinide 1 MG Drug: MetFORMIN 500 Mg Oral Tablet Drug: Rosuvastatin Drug: Digoxin tablet Drug: Gemfibrozil Tablets Drug: Itraconazole capsule Drug: Verapamil Pill Phase 1

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 61 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase 1, Open-Label, 4-Part, Drug-Drug Interaction Study With Omaveloxolone in Healthy Subjects
Actual Study Start Date : June 14, 2019
Actual Primary Completion Date : August 18, 2019
Actual Study Completion Date : August 28, 2019
Arms and Interventions
Arm Intervention/treatment
Experimental: Omaveloxolone and Multiple Drugs (Part 1)
Single oral doses of 2 mg midazolam, 1 mg repaglinide, 500 mg metformin, and a 10 mg rosuvastatin/0.25 mg digoxin cocktail on Days 1, 2, 3, and 5, respectively, and 18, 19, 20, and 22, respectively. Oral doses of 150 mg omaveloxolone on Days 12 to 27
Drug: Omaveloxolone
50 mg capsules
Other Name: RTA 408

Drug: Midazolam oral solution
2 mg/mL oral solution

Drug: Repaglinide 1 MG
1 mg tablet

Drug: MetFORMIN 500 Mg Oral Tablet
500 mg tablet

Drug: Rosuvastatin
10 mg tablet

Drug: Digoxin tablet
0.25 mg tablet

Experimental: Omaveloxolone & Gemfibrozil (Part 2)
Single oral doses of 150 mg omaveloxolone on Days 1 and 13. Oral doses of 600 mg gemfibrozil (twice daily) on Days 10 to 18
Drug: Omaveloxolone
50 mg capsules
Other Name: RTA 408

Drug: Gemfibrozil Tablets
600 mg tablet

Experimental: Omaveloxolone and Itraconazole (Part 3)
Single oral doses of 150 mg omaveloxolone on Days 1 and 13. Oral doses of 200 mg itraconazole on Days 10 to 18.
Drug: Omaveloxolone
50 mg capsules
Other Name: RTA 408

Drug: Itraconazole capsule
100 mg capsule

Experimental: Omaveloxolone and Verapamil (Part 4)
Single oral doses of 150 mg omaveloxolone on Days 1 and 13. Oral doses of 120 mg verapamil on Days 10 to 18.
Drug: Omaveloxolone
50 mg capsules
Other Name: RTA 408

Drug: Verapamil Pill
120 mg tablet

Outcome Measures
Primary Outcome Measures :
  1. Part 1 - Maximum concentration (Cmax) of probe drugs co-administered with omaveloxolone (midazolam, repaglinide, metformin, rosuvastatin, and digoxin) [ Time Frame: 28 days ]
    Pharmacokinetics will be assessed by blood sampling for midazolam, repaglinide, metformin, rosuvastatin, and digoxin to determine maximum observed concentration (Cmax).

  2. Part 1 - Area under the plasma concentration-time curve of (AUC) for probe drugs co-administered with omaveloxolone (midazolam, repaglinide, metformin, rosuvastatin, and digoxin) [ Time Frame: 28 days ]
    Pharmacokinetics will be assessed by blood sampling for midazolam, repaglinide, metformin, rosuvastatin, and digoxin to determine area under the curve (AUC).

  3. Part 2 - Maximum concentration (Cmax) of omaveloxolone [ Time Frame: 23 days ]
    Pharmacokinetics will be assessed by blood sampling for omaveloxolone to determine maximum observed concentration (Cmax).

  4. Part 2 - Area under the omaveloxolone concentration-time curve (AUC) [ Time Frame: 23 days ]
    Pharmacokinetics will be assessed by blood sampling for omaveloxolone to determine area under the curve (AUC).

  5. Part 3 - Maximum concentration (Cmax) of omaveloxolone [ Time Frame: 23 days ]
    Pharmacokinetics will be assessed by blood sampling for omaveloxolone to determine maximum observed concentration (Cmax).

  6. Part 3 - Area under the omaveloxolone concentration-time curve (AUC) [ Time Frame: 28 days ]
    Pharmacokinetics will be assessed by blood sampling for omaveloxolone to determine area under the curve (AUC).

  7. Part 4 - Maximum concentration (Cmax) of omaveloxolone [ Time Frame: 23 days ]
    Pharmacokinetics will be assessed by blood sampling for omaveloxolone to determine maximum observed concentration (Cmax).

  8. Part 4 - Area under the omaveloxolone concentration-time curve (AUC) [ Time Frame: 28 days ]
    Pharmacokinetics will be assessed by blood sampling for omaveloxolone to determine area under the curve (AUC).


Eligibility Criteria
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Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

Subjects must satisfy all of the following criteria at the Screening Visit unless otherwise stated:

  • Males or females, of any race, between 18 and 55 years of age, inclusive.
  • Body mass index between 18.0 and 32.0 kg/m2, inclusive, and a total body weight >50 kg.
  • In good health.
  • Females will not be pregnant or lactating, and females of childbearing potential and males will agree to use contraception.
  • Able to comprehend and willing to sign an ICF and to abide by the study restrictions.

Exclusion Criteria:

Subjects will be excluded from the study if they satisfy any of the following criteria at the Screening visit, unless otherwise stated:

  • Significant history or clinical manifestation of any major system disorder, as determined by the investigator (or designee).
  • History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the investigator (or designee).
  • History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs (cholecystectomy will not be allowed; uncomplicated appendectomy and hernia repair will be allowed).
  • History of alcoholism or drug/chemical abuse within 2 years prior to Check in (Day 1).
  • Abnormal laboratory values considered clinically significant by the investigator
  • Clinically significant abnormal 12 lead ECGs
  • Personal history of unexplained syncopal events, or family history of long QT syndrome or sudden unexplained death in a young person.
  • Pulse rate <50 bpm or systolic blood pressure <110 mmHg.
  • Alcohol consumption of >21 units per week for males and >14 units for females.
  • Positive urine drug screen or positive alcohol breath test result or positive urine drug screen.
  • Positive hepatitis panel and/or positive human immunodeficiency virus test. Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the past 30 days prior to dosing or 5 half lives (if known), whichever is longer, prior to dosing.
  • Use or intend to use any medications/products known to alter drug absorption, metabolism, or elimination processes, including St. John's wort, within 30 days prior to dosing, unless deemed acceptable by the investigator (or designee).
  • Have previously completed or withdrawn from this study or any other study investigating omaveloxolone, and have previously received the investigational product.
  • Subjects who, in the opinion of the investigator (or designee), should not participate in this study.
Contacts and Locations

Locations
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United States, Texas
Covance Clinical Research Unit (CRU) Inc.
Dallas, Texas, United States, 75247
Sponsors and Collaborators
Reata Pharmaceuticals, Inc.
Covance
Investigators
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Principal Investigator: Jennifer Zon, MD Covance CRU Inc.
Tracking Information
First Submitted Date  ICMJE July 2, 2019
First Posted Date  ICMJE July 5, 2019
Last Update Posted Date January 18, 2020
Actual Study Start Date  ICMJE June 14, 2019
Actual Primary Completion Date August 18, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: July 2, 2019)
  • Part 1 - Maximum concentration (Cmax) of probe drugs co-administered with omaveloxolone (midazolam, repaglinide, metformin, rosuvastatin, and digoxin) [ Time Frame: 28 days ]
    Pharmacokinetics will be assessed by blood sampling for midazolam, repaglinide, metformin, rosuvastatin, and digoxin to determine maximum observed concentration (Cmax).
  • Part 1 - Area under the plasma concentration-time curve of (AUC) for probe drugs co-administered with omaveloxolone (midazolam, repaglinide, metformin, rosuvastatin, and digoxin) [ Time Frame: 28 days ]
    Pharmacokinetics will be assessed by blood sampling for midazolam, repaglinide, metformin, rosuvastatin, and digoxin to determine area under the curve (AUC).
  • Part 2 - Maximum concentration (Cmax) of omaveloxolone [ Time Frame: 23 days ]
    Pharmacokinetics will be assessed by blood sampling for omaveloxolone to determine maximum observed concentration (Cmax).
  • Part 2 - Area under the omaveloxolone concentration-time curve (AUC) [ Time Frame: 23 days ]
    Pharmacokinetics will be assessed by blood sampling for omaveloxolone to determine area under the curve (AUC).
  • Part 3 - Maximum concentration (Cmax) of omaveloxolone [ Time Frame: 23 days ]
    Pharmacokinetics will be assessed by blood sampling for omaveloxolone to determine maximum observed concentration (Cmax).
  • Part 3 - Area under the omaveloxolone concentration-time curve (AUC) [ Time Frame: 28 days ]
    Pharmacokinetics will be assessed by blood sampling for omaveloxolone to determine area under the curve (AUC).
  • Part 4 - Maximum concentration (Cmax) of omaveloxolone [ Time Frame: 23 days ]
    Pharmacokinetics will be assessed by blood sampling for omaveloxolone to determine maximum observed concentration (Cmax).
  • Part 4 - Area under the omaveloxolone concentration-time curve (AUC) [ Time Frame: 28 days ]
    Pharmacokinetics will be assessed by blood sampling for omaveloxolone to determine area under the curve (AUC).
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE Not Provided
Original Secondary Outcome Measures  ICMJE Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE A Clinical Drug-Drug Interaction (DDI) Study With Omaveloxolone
Official Title  ICMJE A Phase 1, Open-Label, 4-Part, Drug-Drug Interaction Study With Omaveloxolone in Healthy Subjects
Brief Summary This study will assess the potential for clinical drug-drug interactions between omaveloxolone and a number of substrates and inhibitors of metabolic enzymes and drug transporters.
Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 1
Study Design  ICMJE Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Condition  ICMJE Healthy Adult Subjects
Intervention  ICMJE
  • Drug: Omaveloxolone
    50 mg capsules
    Other Name: RTA 408
  • Drug: Midazolam oral solution
    2 mg/mL oral solution
  • Drug: Repaglinide 1 MG
    1 mg tablet
  • Drug: MetFORMIN 500 Mg Oral Tablet
    500 mg tablet
  • Drug: Rosuvastatin
    10 mg tablet
  • Drug: Digoxin tablet
    0.25 mg tablet
  • Drug: Gemfibrozil Tablets
    600 mg tablet
  • Drug: Itraconazole capsule
    100 mg capsule
  • Drug: Verapamil Pill
    120 mg tablet
Study Arms  ICMJE
  • Experimental: Omaveloxolone and Multiple Drugs (Part 1)
    Single oral doses of 2 mg midazolam, 1 mg repaglinide, 500 mg metformin, and a 10 mg rosuvastatin/0.25 mg digoxin cocktail on Days 1, 2, 3, and 5, respectively, and 18, 19, 20, and 22, respectively. Oral doses of 150 mg omaveloxolone on Days 12 to 27
    Interventions:
    • Drug: Omaveloxolone
    • Drug: Midazolam oral solution
    • Drug: Repaglinide 1 MG
    • Drug: MetFORMIN 500 Mg Oral Tablet
    • Drug: Rosuvastatin
    • Drug: Digoxin tablet
  • Experimental: Omaveloxolone & Gemfibrozil (Part 2)
    Single oral doses of 150 mg omaveloxolone on Days 1 and 13. Oral doses of 600 mg gemfibrozil (twice daily) on Days 10 to 18
    Interventions:
    • Drug: Omaveloxolone
    • Drug: Gemfibrozil Tablets
  • Experimental: Omaveloxolone and Itraconazole (Part 3)
    Single oral doses of 150 mg omaveloxolone on Days 1 and 13. Oral doses of 200 mg itraconazole on Days 10 to 18.
    Interventions:
    • Drug: Omaveloxolone
    • Drug: Itraconazole capsule
  • Experimental: Omaveloxolone and Verapamil (Part 4)
    Single oral doses of 150 mg omaveloxolone on Days 1 and 13. Oral doses of 120 mg verapamil on Days 10 to 18.
    Interventions:
    • Drug: Omaveloxolone
    • Drug: Verapamil Pill
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: July 2, 2019)
61
Original Estimated Enrollment  ICMJE Same as current
Actual Study Completion Date  ICMJE August 28, 2019
Actual Primary Completion Date August 18, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

Subjects must satisfy all of the following criteria at the Screening Visit unless otherwise stated:

  • Males or females, of any race, between 18 and 55 years of age, inclusive.
  • Body mass index between 18.0 and 32.0 kg/m2, inclusive, and a total body weight >50 kg.
  • In good health.
  • Females will not be pregnant or lactating, and females of childbearing potential and males will agree to use contraception.
  • Able to comprehend and willing to sign an ICF and to abide by the study restrictions.

Exclusion Criteria:

Subjects will be excluded from the study if they satisfy any of the following criteria at the Screening visit, unless otherwise stated:

  • Significant history or clinical manifestation of any major system disorder, as determined by the investigator (or designee).
  • History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the investigator (or designee).
  • History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs (cholecystectomy will not be allowed; uncomplicated appendectomy and hernia repair will be allowed).
  • History of alcoholism or drug/chemical abuse within 2 years prior to Check in (Day 1).
  • Abnormal laboratory values considered clinically significant by the investigator
  • Clinically significant abnormal 12 lead ECGs
  • Personal history of unexplained syncopal events, or family history of long QT syndrome or sudden unexplained death in a young person.
  • Pulse rate <50 bpm or systolic blood pressure <110 mmHg.
  • Alcohol consumption of >21 units per week for males and >14 units for females.
  • Positive urine drug screen or positive alcohol breath test result or positive urine drug screen.
  • Positive hepatitis panel and/or positive human immunodeficiency virus test. Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the past 30 days prior to dosing or 5 half lives (if known), whichever is longer, prior to dosing.
  • Use or intend to use any medications/products known to alter drug absorption, metabolism, or elimination processes, including St. John's wort, within 30 days prior to dosing, unless deemed acceptable by the investigator (or designee).
  • Have previously completed or withdrawn from this study or any other study investigating omaveloxolone, and have previously received the investigational product.
  • Subjects who, in the opinion of the investigator (or designee), should not participate in this study.
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years to 55 Years   (Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT04008186
Other Study ID Numbers  ICMJE 408-C-1806
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party Reata Pharmaceuticals, Inc.
Study Sponsor  ICMJE Reata Pharmaceuticals, Inc.
Collaborators  ICMJE Covance
Investigators  ICMJE
Principal Investigator: Jennifer Zon, MD Covance CRU Inc.
PRS Account Reata Pharmaceuticals, Inc.
Verification Date January 2020

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP

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