Trial Outcomes & Findings for Investigation of Food Effect and Gastric ph Increase on the Bioavailability of Faldapravir (NCT NCT01694706)

NCT ID: NCT01694706

Last Updated: 2015-07-30

Results Overview

Area under the concentration-time curve of the faldaprevir in plasma over the time interval from 0 extrapolated to infinity In this endpoint, the "measured values" show inter-individual variabilities, whereas the statistical analyses show intra-individual variabilities.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

15 participants

Primary outcome timeframe

1.5 hours (h) before drug administration and 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h, 72h, 96h and 120h after drug administration

Results posted on

2015-07-30

Participant Flow

This was a randomised open label, 3-way cross over study with three sequences. Faldaprevir administrations in each treatment period were separated by washout period of at least 14 days.

Participant milestones

Participant milestones
Measure
Faldaprevir/Faldaprevir+ OMP/Faldaprevir Fed
Faldaprevir: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally following an overnight or at least 10 hours (h) fast prior the drug administration. Faldaprevir+ OMP: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was coadministered orally with 40 mg Omeprazole following an overnight or at least 10 hours (h) fast prior the drug administration following multiple dosing of 40 mg omeprazole once daily for 4 days prior the first dose of faldaprevir. Faldaprevir fed: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally 30 minutes (min) after a standard high-fat, high-caloric meal was served. The meal had to be completely consumed within 25 min or less.
Faldaprevir Fed/ Faldaprevir/ Faldaprevir+ OMP
Faldaprevir fed: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally 30 minutes (min) after a standard high-fat, high-caloric meal was served. The meal had to be completely consumed within 25 min or less. Faldaprevir: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally following an overnight or at least 10 hours (h) fast prior the drug administration (Reference treatment) faldaprevir+ OMP: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was coadministered orally with 40 mg Omeprazole following an overnight or at least 10 hours (h) fast prior the drug administration following multiple dosing of 40 mg omeprazole once daily for 4 days prior the first dose of faldaprevir.
Faldaprevir+ OMP/ Faldaprevir Fed/ Faldaprevir
Faldaprevir+ OMP: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was coadministered orally with 40 mg Omeprazole following an overnight or at least 10 hours (h) fast prior the drug administration following multiple dosing of 40 mg omeprazole once daily for 4 days prior the first dose of faldaprevir. Faldaprevir fed: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally 30 minutes (min) after a standard high-fat, high-caloric meal was served. The meal had to be completely consumed within 25 min or less. Faldaprevir: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally following an overnight or at least 10 hours (h) fast prior the drug administration
Overall Study
STARTED
5
5
5
Overall Study
Received Faldaprevir
5
5
5
Overall Study
Received Faldaprevir +OMP
5
5
5
Overall Study
Received Faldaprevir Fed
4
5
5
Overall Study
COMPLETED
4
4
5
Overall Study
NOT COMPLETED
1
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Faldaprevir/Faldaprevir+ OMP/Faldaprevir Fed
Faldaprevir: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally following an overnight or at least 10 hours (h) fast prior the drug administration. Faldaprevir+ OMP: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was coadministered orally with 40 mg Omeprazole following an overnight or at least 10 hours (h) fast prior the drug administration following multiple dosing of 40 mg omeprazole once daily for 4 days prior the first dose of faldaprevir. Faldaprevir fed: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally 30 minutes (min) after a standard high-fat, high-caloric meal was served. The meal had to be completely consumed within 25 min or less.
Faldaprevir Fed/ Faldaprevir/ Faldaprevir+ OMP
Faldaprevir fed: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally 30 minutes (min) after a standard high-fat, high-caloric meal was served. The meal had to be completely consumed within 25 min or less. Faldaprevir: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally following an overnight or at least 10 hours (h) fast prior the drug administration (Reference treatment) faldaprevir+ OMP: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was coadministered orally with 40 mg Omeprazole following an overnight or at least 10 hours (h) fast prior the drug administration following multiple dosing of 40 mg omeprazole once daily for 4 days prior the first dose of faldaprevir.
Faldaprevir+ OMP/ Faldaprevir Fed/ Faldaprevir
Faldaprevir+ OMP: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was coadministered orally with 40 mg Omeprazole following an overnight or at least 10 hours (h) fast prior the drug administration following multiple dosing of 40 mg omeprazole once daily for 4 days prior the first dose of faldaprevir. Faldaprevir fed: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally 30 minutes (min) after a standard high-fat, high-caloric meal was served. The meal had to be completely consumed within 25 min or less. Faldaprevir: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally following an overnight or at least 10 hours (h) fast prior the drug administration
Overall Study
Adverse Event
0
1
0
Overall Study
other reason not defined above
1
0
0

Baseline Characteristics

Investigation of Food Effect and Gastric ph Increase on the Bioavailability of Faldapravir

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Entire Study Population
n=15 Participants
All subjects received all tested treatments in a randomised, open label, 3-way cross over study. The treatments were: Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally following an overnight or at least 10 hours (h) fast prior the drug administration (Reference treatment) Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally 30 minutes (min) after a standard high-fat, high-caloric meal was served. The meal had to be completely consumed within 25 min or less. Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was coadministered orally with 40 mg Omeprazole following an overnight or at least 10 hours (h) fast prior the drug administration following multiple dosing of 40 mg omeprazole once daily for 4 days prior the first dose of faldaprevir. Drug administrations were separated by a washout period of at least 14 days
Age, Continuous
34.7 years
STANDARD_DEVIATION 8.2 • n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1.5 hours (h) before drug administration and 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h, 72h, 96h and 120h after drug administration

Population: Pharmacokinetic (PK) set: Included all treated subjects that provided at least 1 observation for at least 1 primary endpoint without important protocol violations with respect to the statistical evaluation of the pharmacokinetic endpoints.

Area under the concentration-time curve of the faldaprevir in plasma over the time interval from 0 extrapolated to infinity In this endpoint, the "measured values" show inter-individual variabilities, whereas the statistical analyses show intra-individual variabilities.

Outcome measures

Outcome measures
Measure
Faldaprevir in Fasting
n=14 Participants
Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally following an overnight or at least 10 hours (h) fast prior the drug administration (Reference treatment)
Faldaprevir After a High-fat Meal
n=14 Participants
Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally 30 minutes (min) after a standard high-fat, high-caloric meal was served. The meal had to be completely consumed within 25 min or less
Faldaprevir and Omeprazole
n=14 Participants
Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was coadministered orally with 40 mg Omeprazole following an overnight or at least 10 hours (h) fast prior the drug administration following multiple dosing of 40 mg omeprazole once daily for 4 days prior the first dose of faldaprevir
Faldaprevir: Area Under the Curve Over the Time Interval From 0 Extrapolated to Infinity (AUC 0-infinity)
37900 [ng*h/mL]
Geometric Coefficient of Variation 67.2
48200 [ng*h/mL]
Geometric Coefficient of Variation 41.7
36000 [ng*h/mL]
Geometric Coefficient of Variation 63.4

PRIMARY outcome

Timeframe: 1.5 hours (h) before drug administration and 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h, 72h, 96h and 120h after drug administration

Population: PK set

Maximum measured concentration of the faldaprevir in plasma In this endpoint, the "measured values" show inter-individual variabilities, whereas the statistical analyses show intra-individual variabilities.

Outcome measures

Outcome measures
Measure
Faldaprevir in Fasting
n=14 Participants
Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally following an overnight or at least 10 hours (h) fast prior the drug administration (Reference treatment)
Faldaprevir After a High-fat Meal
n=14 Participants
Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally 30 minutes (min) after a standard high-fat, high-caloric meal was served. The meal had to be completely consumed within 25 min or less
Faldaprevir and Omeprazole
n=14 Participants
Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was coadministered orally with 40 mg Omeprazole following an overnight or at least 10 hours (h) fast prior the drug administration following multiple dosing of 40 mg omeprazole once daily for 4 days prior the first dose of faldaprevir
Faldaprevir: Maximum Measured Concentration (Cmax)
2030 ng/mL
Geometric Coefficient of Variation 140
2600 ng/mL
Geometric Coefficient of Variation 57.5
1920 ng/mL
Geometric Coefficient of Variation 122

SECONDARY outcome

Timeframe: 1.5 hours (h) before drug administration and 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h, 72h, 96h and 120h after drug administration

Population: PK set

Area under the concentration-time curve of the faldaprevir in plasma over the time interval from 0 to the last quantifiable drug plasma concentration In this endpoint, the "measured values" show inter-individual variabilities, whereas the statistical analyses show intra-individual variabilities.

Outcome measures

Outcome measures
Measure
Faldaprevir in Fasting
n=14 Participants
Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally following an overnight or at least 10 hours (h) fast prior the drug administration (Reference treatment)
Faldaprevir After a High-fat Meal
n=14 Participants
Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally 30 minutes (min) after a standard high-fat, high-caloric meal was served. The meal had to be completely consumed within 25 min or less
Faldaprevir and Omeprazole
n=14 Participants
Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was coadministered orally with 40 mg Omeprazole following an overnight or at least 10 hours (h) fast prior the drug administration following multiple dosing of 40 mg omeprazole once daily for 4 days prior the first dose of faldaprevir
Faldaprevir: Area Under the Curve 0 to the Last Quantifiable Data Point (AUC0-tz)
36300 ng*h/mL
Geometric Coefficient of Variation 70.3
46400 ng*h/mL
Geometric Coefficient of Variation 42.6
34400 ng*h/mL
Geometric Coefficient of Variation 65.6

Adverse Events

Faldaprevir in Fasting

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

Faldaprevir After a High-fat Meal

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

Faldaprevir and Omeprazole

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

Omeprazole

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Faldaprevir in Fasting
n=15 participants at risk
Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally following an overnight or at least 10 hours (h) fast prior the drug administration (Reference treatment)
Faldaprevir After a High-fat Meal
n=14 participants at risk
Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was administered orally 30 minutes (min) after a standard high-fat, high-caloric meal was served. The meal had to be completely consumed within 25 min or less
Faldaprevir and Omeprazole
n=14 participants at risk
Single dose of 240 mg faldaprevir in a form of two soft gelatin capsules was coadministered orally with 40 mg Omeprazole following an overnight or at least 10 hours (h) fast
Omeprazole
n=15 participants at risk
40 mg omeprazole once daily for 4 days prior the first dose of faldaprevir
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/15 • From first drug administration until the end of trial visit, up until 20 days
7.1%
1/14 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/14 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/15 • From first drug administration until the end of trial visit, up until 20 days
Gastrointestinal disorders
Diarrhoea
13.3%
2/15 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/14 • From first drug administration until the end of trial visit, up until 20 days
14.3%
2/14 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/15 • From first drug administration until the end of trial visit, up until 20 days
Gastrointestinal disorders
Nausea
0.00%
0/15 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/14 • From first drug administration until the end of trial visit, up until 20 days
7.1%
1/14 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/15 • From first drug administration until the end of trial visit, up until 20 days
Gastrointestinal disorders
Vomiting
6.7%
1/15 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/14 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/14 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/15 • From first drug administration until the end of trial visit, up until 20 days
Infections and infestations
Rhinitis
0.00%
0/15 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/14 • From first drug administration until the end of trial visit, up until 20 days
7.1%
1/14 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/15 • From first drug administration until the end of trial visit, up until 20 days
Musculoskeletal and connective tissue disorders
Arthritis
6.7%
1/15 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/14 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/14 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/15 • From first drug administration until the end of trial visit, up until 20 days
Nervous system disorders
Headache
6.7%
1/15 • From first drug administration until the end of trial visit, up until 20 days
14.3%
2/14 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/14 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/15 • From first drug administration until the end of trial visit, up until 20 days
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/15 • From first drug administration until the end of trial visit, up until 20 days
7.1%
1/14 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/14 • From first drug administration until the end of trial visit, up until 20 days
0.00%
0/15 • From first drug administration until the end of trial visit, up until 20 days

Additional Information

Boehringer Ingelheim Call Center

Boehringer Ingelheim

Phone: 1-800-243-0127

Results disclosure agreements

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