Trial Outcomes & Findings for Do Furanocoumarins Mediate the Fexofenadine-grapefruit Juice Interaction? (NCT NCT01526213)

NCT ID: NCT01526213

Last Updated: 2017-05-30

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

18 participants

Primary outcome timeframe

0-72 hours

Results posted on

2017-05-30

Participant Flow

Screening began in September 2009. Potential eligible subjects presented for a screening visit at the UNC Clinical and Translational Research Center (CTRC) within 1 month prior to the first day of the study.

No significant events/approaches for overall study following participant enrollment but prior to group assignment. 18 subjects recruited and screened. No exclusions.

Participant milestones

Participant milestones
Measure
Sequence 1: Water, GFJ, Furanocoumarin-free GFJ
By randomized 3-way crossover design, the subject will receive single doses of fexofenadine 120 mg (2 60mg tablets) and 240 mL of water, grapefruit juice (GFJ), and furanocoumarin-free GFJ (depending on Williams design sequence), with at least 10 day washout in between each treatment period.
Sequence 2: Water, Furanocoumarin-free GFJ, GFJ
By randomized 3-way crossover design, the subject will receive single doses of fexofenadine 120 mg (2 60mg tablets) and 240 mL of water, grapefruit juice (GFJ), and furanocoumarin-free GFJ (depending on Williams design sequence), with at least 10 day washout in between each treatment period.
Sequence 3: GFJ, Furanocoumarin-free GFJ, Water
By randomized 3-way crossover design, the subject will receive single doses of fexofenadine 120 mg (2 60mg tablets) and 240 mL of water, grapefruit juice (GFJ), and furanocoumarin-free GFJ (depending on Williams design sequence), with at least 10 day washout in between each treatment period.
Sequence 4: GFJ, Water, Furanocoumarin-free GFJ
By randomized 3-way crossover design, the subject will receive single doses of fexofenadine 120 mg (2 60mg tablets) and 240 mL of water, grapefruit juice (GFJ), and furanocoumarin-free GFJ (depending on Williams design sequence), with at least 10 day washout in between each treatment period.
Sequence 5: Furanocoumarin-free GFJ, GFJ, Water
By randomized 3-way crossover design, the subject will receive single doses of fexofenadine 120 mg (2 60mg tablets) and 240 mL of water, grapefruit juice (GFJ), and furanocoumarin-free GFJ (depending on Williams design sequence), with at least 10 day washout in between each treatment period.
Sequence 6: Furanocoumarin-free GFJ, Water, GFJ
By randomized 3-way crossover design, the subject will receive single doses of fexofenadine 120 mg (2 60mg tablets) and 240 mL of water, grapefruit juice (GFJ), and furanocoumarin-free GFJ (depending on Williams design sequence), with at least 10 day washout in between each treatment period.
Period 1 (5 Days)
STARTED
3
3
3
3
3
3
Period 1 (5 Days)
COMPLETED
3
3
3
3
3
3
Period 1 (5 Days)
NOT COMPLETED
0
0
0
0
0
0
Washout 1 (10 Days)
STARTED
3
3
3
3
3
3
Washout 1 (10 Days)
COMPLETED
3
3
3
3
3
3
Washout 1 (10 Days)
NOT COMPLETED
0
0
0
0
0
0
Period 2 (5 Days)
STARTED
3
3
3
3
3
3
Period 2 (5 Days)
COMPLETED
3
3
3
3
3
3
Period 2 (5 Days)
NOT COMPLETED
0
0
0
0
0
0
Washout 2 (10 Days)
STARTED
3
3
3
3
3
3
Washout 2 (10 Days)
COMPLETED
3
3
3
3
3
3
Washout 2 (10 Days)
NOT COMPLETED
0
0
0
0
0
0
Period 3 (5 Days)
STARTED
3
3
3
3
3
3
Period 3 (5 Days)
COMPLETED
3
3
3
3
3
3
Period 3 (5 Days)
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Do Furanocoumarins Mediate the Fexofenadine-grapefruit Juice Interaction?

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sequence 1: Water, GFJ, Furanocoumarin-free GFJ
n=3 Participants
This randomized, open-label, single-dose, 3-way crossover study in healthy volunteers will be conducted in the CTRC. Once subjects are identified as eligible to participate, based on their screening evaluation and according to inclusion/exclusion criteria, they will undergo 3 phases. By randomized crossover design, the subject will receive fexofenadine with water, grapefruit juice (GFJ), and furanocoumarin-free grapefruit juice (depending on Williams design sequence) with at least 10 day washout in between each treatment period.
Sequence 2: Water, Furanocoumarin-free GFJ, GFJ
n=3 Participants
This randomized, open-label, single-dose, 3-way crossover study in healthy volunteers will be conducted in the CTRC. Once subjects are identified as eligible to participate, based on their screening evaluation and according to inclusion/exclusion criteria, they will undergo 3 phases. By randomized crossover design, the subject will receive fexofenadine with water, grapefruit juice (GFJ), and furanocoumarin-free grapefruit juice (depending on Williams design sequence) with at least 10 day washout in between each treatment period.
Sequence 3: GFJ, Furanocoumarin-free GFJ, Water
n=3 Participants
This randomized, open-label, single-dose, 3-way crossover study in healthy volunteers will be conducted in the CTRC. Once subjects are identified as eligible to participate, based on their screening evaluation and according to inclusion/exclusion criteria, they will undergo 3 phases. By randomized crossover design, the subject will receive fexofenadine with water, grapefruit juice (GFJ), and furanocoumarin-free grapefruit juice (depending on Williams design sequence) with at least 10 day washout in between each treatment period.
Sequence 4: GFJ, Water, Furanocoumarin-free GFJ
n=3 Participants
This randomized, open-label, single-dose, 3-way crossover study in healthy volunteers will be conducted in the CTRC. Once subjects are identified as eligible to participate, based on their screening evaluation and according to inclusion/exclusion criteria, they will undergo 3 phases. By randomized crossover design, the subject will receive fexofenadine with water, grapefruit juice (GFJ), and furanocoumarin-free grapefruit juice (depending on Williams design sequence) with at least 10 day washout in between each treatment period.
Sequence 5: Furanocoumarin-free GFJ, GFJ, Water
n=3 Participants
This randomized, open-label, single-dose, 3-way crossover study in healthy volunteers will be conducted in the CTRC. Once subjects are identified as eligible to participate, based on their screening evaluation and according to inclusion/exclusion criteria, they will undergo 3 phases. By randomized crossover design, the subject will receive fexofenadine with water, grapefruit juice (GFJ), and furanocoumarin-free grapefruit juice (depending on Williams design sequence) with at least 10 day washout in between each treatment period.
Sequence 6: Furanocoumarin-free GFJ, Water, GFJ
n=3 Participants
This randomized, open-label, single-dose, 3-way crossover study in healthy volunteers will be conducted in the CTRC. Once subjects are identified as eligible to participate, based on their screening evaluation and according to inclusion/exclusion criteria, they will undergo 3 phases. By randomized crossover design, the subject will receive fexofenadine with water, grapefruit juice (GFJ), and furanocoumarin-free grapefruit juice (depending on Williams design sequence) with at least 10 day washout in between each treatment period.
Total
n=18 Participants
Total of all reporting groups
Age, Continuous
Mean
26 years
STANDARD_DEVIATION 1.0 • n=5 Participants
34 years
STANDARD_DEVIATION 17 • n=7 Participants
51 years
STANDARD_DEVIATION 11 • n=5 Participants
39 years
STANDARD_DEVIATION 11 • n=4 Participants
33 years
STANDARD_DEVIATION 9.1 • n=21 Participants
30 years
STANDARD_DEVIATION 7.5 • n=8 Participants
36 years
STANDARD_DEVIATION 12 • n=8 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
1 Participants
n=21 Participants
3 Participants
n=8 Participants
9 Participants
n=8 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
0 Participants
n=8 Participants
9 Participants
n=8 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
3 participants
n=7 Participants
3 participants
n=5 Participants
3 participants
n=4 Participants
3 participants
n=21 Participants
3 participants
n=8 Participants
18 participants
n=8 Participants

PRIMARY outcome

Timeframe: 0-72 hours

Outcome measures

Outcome measures
Measure
Water
n=18 Participants
For juice and water comparisons, fexofenadine + grapefruit juice or fexofenadine + furanocoumarin-free grapefruit juice will be the test agent (numerator) and fexofenadine + water will be the reference standard (denominator).
Grapefruit Juice
n=18 Participants
For juice and water comparisons, fexofenadine + grapefruit juice or fexofenadine + furanocoumarin-free grapefruit juice will be the test agent (numerator) and fexofenadine + water will be the reference standard (denominator).
Furanocoumarin-free Grapefruit Juice
n=18 Participants
For juice and water comparisons, fexofenadine + grapefruit juice or fexofenadine + furanocoumarin-free grapefruit juice will be the test agent (numerator) and fexofenadine + water will be the reference standard (denominator).
Primary Pharmacokinetic Measure: Area Under the Curve (AUC)
Water
4.2 micromolar*hr
Interval 1.7 to 8.4
4.2 micromolar*hr
Interval 1.7 to 8.4
4.2 micromolar*hr
Interval 1.7 to 8.4
Primary Pharmacokinetic Measure: Area Under the Curve (AUC)
Grapefruit juice
3.2 micromolar*hr
Interval 1.9 to 6.3
3.2 micromolar*hr
Interval 1.9 to 6.3
3.2 micromolar*hr
Interval 1.9 to 6.3
Primary Pharmacokinetic Measure: Area Under the Curve (AUC)
Modified grapefruit juice
3.1 micromolar*hr
Interval 1.9 to 5.9
3.1 micromolar*hr
Interval 1.9 to 5.9
3.1 micromolar*hr
Interval 1.9 to 5.9

Adverse Events

Sequence 1: Water, GFJ, Furanocoumarin-free GFJ

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

Sequence 2: Water, Furanocoumarin-free GFJ, GFJ

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

Sequence 3: GFJ, Furanocoumarin-free GFJ, Water

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

Sequence 4: GFJ, Water, Furanocoumarin-free GFJ

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

Sequence 5: Furanocoumarin-free GFJ, GFJ, Water

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

Sequence 6: Furanocoumarin-free GFJ, Water, GFJ

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Mary F. Paine, RPh, PhD

UNC-Chapel Hill

Phone: 919-966-9984

Results disclosure agreements

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