Trial Outcomes & Findings for Drug-Drug Interaction Study of Colchicine and Azithromycin (NCT NCT00983294)

NCT ID: NCT00983294

Last Updated: 2009-10-28

Results Overview

The maximum or peak concentration that colchicine reaches in the plasma.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

serial pharmacokinetic plasma concentrations were drawn prior to colchicine dose administration (0 hour) on Days 1 and 19, then at 0.5, 1.0, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 hours after colchicine dose administration

Results posted on

2009-10-28

Participant Flow

Twenty-four (24) healthy, non-smoking, male and female volunteers, consisting of members of the community at large, were to be enrolled.

40 subjects screened, 6 were screen failures, 6 had schedule conflicts, 3 transferred to another study, 1 was not needed

Participant milestones

Participant milestones
Measure
Colchicine Alone / With Azithromycin (at Steady State)
\[All subjects received each of the study treatments.\] Each subject received one 0.6 mg colchicine tablet on Day 1 at 7:30 am after an overnight fast, followed by a washout period of 14 days. On Day 15, each subject received two 250 mg azithromycin tablets at 7:30 am after an overnight fast, followed by one 250 mg azithromycin tablet daily at 7:30 am without regard to meals on Days 16 to 18. Then, on Day 19, each subject received both one 0.6 mg colchicine tablet and one 250mg azithromycin tablet at 7:30 am after an overnight fast.
Colchicine Alone
STARTED
24
Colchicine Alone
COMPLETED
24
Colchicine Alone
NOT COMPLETED
0
14 Day Washout Period
STARTED
24
14 Day Washout Period
COMPLETED
22
14 Day Washout Period
NOT COMPLETED
2
Azithromycin Alone
STARTED
22
Azithromycin Alone
COMPLETED
22
Azithromycin Alone
NOT COMPLETED
0
Colchicine With Azithromycin
STARTED
22
Colchicine With Azithromycin
COMPLETED
21
Colchicine With Azithromycin
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Colchicine Alone / With Azithromycin (at Steady State)
\[All subjects received each of the study treatments.\] Each subject received one 0.6 mg colchicine tablet on Day 1 at 7:30 am after an overnight fast, followed by a washout period of 14 days. On Day 15, each subject received two 250 mg azithromycin tablets at 7:30 am after an overnight fast, followed by one 250 mg azithromycin tablet daily at 7:30 am without regard to meals on Days 16 to 18. Then, on Day 19, each subject received both one 0.6 mg colchicine tablet and one 250mg azithromycin tablet at 7:30 am after an overnight fast.
14 Day Washout Period
Withdrawal by Subject
2
Colchicine With Azithromycin
Adverse Event
1

Baseline Characteristics

Drug-Drug Interaction Study of Colchicine and Azithromycin

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Colchicine Alone / With Azithromycin (at Steady State)
n=24 Participants
\[All subjects received each of the study treatments.\] Each subject received one 0.6 mg colchicine tablet on Day 1 at 7:30am after an overnight fast, followed by a washout period of 14 days. On Day 15, each subject received two 250 mg azithromycin tablets at 7:30 am after an overnight fast, followed by one 250 mg azithromycin tablet daily at 7:30 am without regard to meals on Days 16 to 18. Then, on Day 19, each subject received both one 0.6 mg colchicine tablet and one 250 mg azithromycin tablet at 7:30 am after an overnight fast.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
24 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age Continuous
27.7 years
STANDARD_DEVIATION 8.1 • n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
Race (NIH/OMB)
White
19 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
24 participants
n=5 Participants

PRIMARY outcome

Timeframe: serial pharmacokinetic plasma concentrations were drawn prior to colchicine dose administration (0 hour) on Days 1 and 19, then at 0.5, 1.0, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 hours after colchicine dose administration

The maximum or peak concentration that colchicine reaches in the plasma.

Outcome measures

Outcome measures
Measure
Colchicine Alone
n=21 Participants
On Day 1, each subject received one 0.6 mg colchicine tablet at 7:30 am after an overnight fast, followed by a washout period of 14 days.
Colchicine With Azithromycin (at Steady-state)
n=21 Participants
On Day 15, each subject received two 250 mg azithromycin tablets at 7:30 am after an overnight fast, followed by one 250 mg azithromycin tablet daily at 7:30 am without regard to meals on Days 16 to 18. Then, on Day 19, each subject received both one 0.6 mg colchicine tablet and one 250 mg azithromycin tablet at 7:30 am after an overnight fast.
Maximum Plasma Concentration (Cmax)
2,737.00 pg/mL
Standard Deviation 1,136.28
3,051.76 pg/mL
Standard Deviation 1,206.72

PRIMARY outcome

Timeframe: serial pharmacokinetic plasma concentrations were drawn prior to colchicine dose administration (0 hour) on Days 1 and 19, then at 0.5, 1.0, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 hours after colchicine dose administration

The area under the colchicine plasma concentration versus time curve, from time 0 to the time of the last measurable colchicine concentration (t), as calculated by the linear trapezoidal rule.

Outcome measures

Outcome measures
Measure
Colchicine Alone
n=21 Participants
On Day 1, each subject received one 0.6 mg colchicine tablet at 7:30 am after an overnight fast, followed by a washout period of 14 days.
Colchicine With Azithromycin (at Steady-state)
n=21 Participants
On Day 15, each subject received two 250 mg azithromycin tablets at 7:30 am after an overnight fast, followed by one 250 mg azithromycin tablet daily at 7:30 am without regard to meals on Days 16 to 18. Then, on Day 19, each subject received both one 0.6 mg colchicine tablet and one 250 mg azithromycin tablet at 7:30 am after an overnight fast.
Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)]
11,975.72 pg-hr/mL
Standard Deviation 5,485.83
17,161.00 pg-hr/mL
Standard Deviation 6,482.74

PRIMARY outcome

Timeframe: serial pharmacokinetic plasma concentrations were drawn prior to colchicine dose administration (0 hour) on Days 1 and 19, then at 0.5, 1.0, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 hours after colchicine dose administration

The area under the colchicine plasma concentration versus time curve from time 0 to infinity. AUC(0-∞) was calculated as the sum of AUC(0-t) plus the ratio of the last measurable colchicine plasma concentration to the elimination rate constant.

Outcome measures

Outcome measures
Measure
Colchicine Alone
n=21 Participants
On Day 1, each subject received one 0.6 mg colchicine tablet at 7:30 am after an overnight fast, followed by a washout period of 14 days.
Colchicine With Azithromycin (at Steady-state)
n=21 Participants
On Day 15, each subject received two 250 mg azithromycin tablets at 7:30 am after an overnight fast, followed by one 250 mg azithromycin tablet daily at 7:30 am without regard to meals on Days 16 to 18. Then, on Day 19, each subject received both one 0.6 mg colchicine tablet and one 250 mg azithromycin tablet at 7:30 am after an overnight fast.
Area Under the Concentration Versus Time Curve From Time 0 Extrapolated to Infinity [AUC(0-∞)]
14,125.25 pg-hr/mL
Standard Deviation 6,600.26
19,611.01 pg-hr/mL
Standard Deviation 7,678.56

Adverse Events

Colchicine Alone

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Azithromycin Alone

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Colchicine With Steady-state Azithromycin

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Colchicine Alone
n=24 participants at risk
Each subject received one 0.6 mg colchicine tablet on Day 1 at 7:30am after an overnight fast, followed by a washout period of 14 days.
Azithromycin Alone
n=22 participants at risk
On Day 15, each subject received two 250mg azithromycin tablets at 7:30 am after an overnight fast, followed by one 250mg azithromycin tablet daily at 07:30 without regard to meals on Days 16 to 18.
Colchicine With Steady-state Azithromycin
n=22 participants at risk
On Day 19, each subject received both one 0.6mg colchicine tablet and one 250mg azithromycin tablet at 07:30 after an overnight fast.
Cardiac disorders
cardiac flutter
0.00%
0/24
0.00%
0/22
4.5%
1/22 • Number of events 1
Cardiac disorders
palpitations
4.2%
1/24 • Number of events 1
0.00%
0/22
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
abdominal pain upper
0.00%
0/24
9.1%
2/22 • Number of events 2
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
diarrhoea
8.3%
2/24 • Number of events 2
0.00%
0/22
0.00%
0/22
Gastrointestinal disorders
nausea
0.00%
0/24
0.00%
0/22
9.1%
2/22 • Number of events 3
Gastrointestinal disorders
stomach discomfort
4.2%
1/24 • Number of events 1
0.00%
0/22
0.00%
0/22
Gastrointestinal disorders
vomiting
4.2%
1/24 • Number of events 1
4.5%
1/22 • Number of events 1
0.00%
0/22
Musculoskeletal and connective tissue disorders
back pain
4.2%
1/24 • Number of events 1
0.00%
0/22
0.00%
0/22
Gastrointestinal disorders
musculoskeletal stiffness
4.2%
1/24 • Number of events 1
0.00%
0/22
0.00%
0/22
Nervous system disorders
dizziness
4.2%
1/24 • Number of events 1
0.00%
0/22
0.00%
0/22
Nervous system disorders
headache
12.5%
3/24 • Number of events 4
9.1%
2/22 • Number of events 2
4.5%
1/22 • Number of events 1
Nervous system disorders
paraesthesia
0.00%
0/24
0.00%
0/22
4.5%
1/22 • Number of events 1
Nervous system disorders
somnolence
0.00%
0/24
4.5%
1/22 • Number of events 1
0.00%
0/22
Nervous system disorders
syncope
4.2%
1/24 • Number of events 1
0.00%
0/22
0.00%
0/22
Psychiatric disorders
insomnia
4.2%
1/24 • Number of events 1
0.00%
0/22
0.00%
0/22
Renal and urinary disorders
pollakiuria
4.2%
1/24 • Number of events 1
0.00%
0/22
0.00%
0/22

Additional Information

Medical Director

Mutual Pharmaceutical Company, Inc.

Phone: 215-697-1743

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60