Trial Outcomes & Findings for A Drug Interaction Study Investigating the Effect of Rifabutin on the Pharmacokinetics of Maraviroc (NCT NCT01894776)

NCT ID: NCT01894776

Last Updated: 2020-03-10

Results Overview

Maraviroc pharmacokinetics: Maraviroc only AUC (h\*μg/L), Maraviroc + Rifabutin AUC (h\*μg/L), Rifabutin AUC (h\*μg/L), 25-O-desacetyl rifabutin AUC (h\*μg/L).

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

15 participants

Primary outcome timeframe

Maraviroc: 0, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10 and 12 hour. Rifabutin: 0, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hour..

Results posted on

2020-03-10

Participant Flow

The Clinical Investigation Unit (CIU) at the OHRI has a database of healthy volunteers interested in participating in clinical studies who were contacted and recruited by phone or email. The first patient was recruited on 06 Sept 2013 and the last follow-up visit was on 23 Dec 2013.

Participant milestones

Participant milestones
Measure
Maraviroc
Two period pharmacokinetic drug-drug interaction Period one -Maraviroc alone; Period two -Maraviroc and Rifabutin Substance: Maraviroc (Celsentri, MVC) tablets, 300 mg; dose: oral, 300 mg (1 tablet) twice daily Substance: Rifabutin (mycobutin, RFB) capsules, 150 mg; dose: oral, 300 mg (2 capsules) once daily Rifabutin: Substance: Rifabutin Daily dose: oral, 300 mg once daily (8:00 am) for 10 days Maraviroc: Substance maraviroc daily dose 300 mg twice daily (8:00 am and 8:00 pm) for 15 days
Overall Study
STARTED
15
Overall Study
COMPLETED
14
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Maraviroc
Two period pharmacokinetic drug-drug interaction Period one -Maraviroc alone; Period two -Maraviroc and Rifabutin Substance: Maraviroc (Celsentri, MVC) tablets, 300 mg; dose: oral, 300 mg (1 tablet) twice daily Substance: Rifabutin (mycobutin, RFB) capsules, 150 mg; dose: oral, 300 mg (2 capsules) once daily Rifabutin: Substance: Rifabutin Daily dose: oral, 300 mg once daily (8:00 am) for 10 days Maraviroc: Substance maraviroc daily dose 300 mg twice daily (8:00 am and 8:00 pm) for 15 days
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

15 patients underwent baseline measurements and allocated to intervention. However, only 14 were analyzed due to 1 participant withdrawing from the study due to Nausea.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Maraviroc
n=14 Participants
Two period pharmacokinetic drug-drug interaction Period one -Maraviroc alone; Period two -Maraviroc and Rifabutin Substance: Maraviroc (Celsentri, MVC) tablets, 300 mg; dose: oral, 300 mg (1 tablet) twice daily Substance: Rifabutin (mycobutin, RFB) capsules, 150 mg; dose: oral, 300 mg (2 capsules) once daily Rifabutin: Substance: Rifabutin Daily dose: oral, 300 mg once daily (8:00 am) for 10 days Maraviroc: Substance maraviroc daily dose 300 mg twice daily (8:00 am and 8:00 pm) for 15 days
Age, Categorical
<=18 years
0 Participants
n=14 Participants • 15 patients underwent baseline measurements and allocated to intervention. However, only 14 were analyzed due to 1 participant withdrawing from the study due to Nausea.
Age, Categorical
Between 18 and 65 years
14 Participants
n=14 Participants • 15 patients underwent baseline measurements and allocated to intervention. However, only 14 were analyzed due to 1 participant withdrawing from the study due to Nausea.
Age, Categorical
>=65 years
0 Participants
n=14 Participants • 15 patients underwent baseline measurements and allocated to intervention. However, only 14 were analyzed due to 1 participant withdrawing from the study due to Nausea.
Age, Continuous
33 years
STANDARD_DEVIATION 13 • n=14 Participants
Sex: Female, Male
Female
7 Participants
n=14 Participants • 15 patients underwent baseline measurements and allocated to intervention. However, only 14 were analyzed due to 1 participant withdrawing from the study due to Nausea.
Sex: Female, Male
Male
7 Participants
n=14 Participants • 15 patients underwent baseline measurements and allocated to intervention. However, only 14 were analyzed due to 1 participant withdrawing from the study due to Nausea.
Region of Enrollment
Canada
14 participants
n=14 Participants

PRIMARY outcome

Timeframe: Maraviroc: 0, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10 and 12 hour. Rifabutin: 0, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hour..

Maraviroc pharmacokinetics: Maraviroc only AUC (h\*μg/L), Maraviroc + Rifabutin AUC (h\*μg/L), Rifabutin AUC (h\*μg/L), 25-O-desacetyl rifabutin AUC (h\*μg/L).

Outcome measures

Outcome measures
Measure
Maraviroc
n=14 Participants
Two period pharmacokinetic drug-drug interaction Period one -Maraviroc alone; Period two -Maraviroc and Rifabutin Substance: Maraviroc (Celsentri, MVC) tablets, 300 mg; dose: oral, 300 mg (1 tablet) twice daily Substance: Rifabutin (mycobutin, RFB) capsules, 150 mg; dose: oral, 300 mg (2 capsules) once daily Rifabutin: Substance: Rifabutin Daily dose: oral, 300 mg once daily (8:00 am) for 10 days Maraviroc: Substance maraviroc daily dose 300 mg twice daily (8:00 am and 8:00 pm) for 15 days
Pharmacokinetics of Maraviroc and Rifabutin AUC 0-12/24
Maraviroc only AUC (h*μg/L)
1026.2 h*μg/L
Interval 923.58 to 1128.82
Pharmacokinetics of Maraviroc and Rifabutin AUC 0-12/24
Maraviroc + Rifabutin AUC (h*μg/L)
847.0 h*μg/L
Interval 762.3 to 931.7
Pharmacokinetics of Maraviroc and Rifabutin AUC 0-12/24
Rifabutin AUC (h*μg/L)
4221.9 h*μg/L
Interval 3799.71 to 4644.09
Pharmacokinetics of Maraviroc and Rifabutin AUC 0-12/24
25-O-desacetyl rifabutin AUC (h*μg/L)
331.9 h*μg/L
Interval 298.71 to 365.09

PRIMARY outcome

Timeframe: Maraviroc: 0, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10 and 12 hour. Rifabutin: 0, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hour..

Maraviroc + Rifabutin pharmacokinetics: Maraviroc only Cmax (μg/L), Maraviroc only C12 (μg/L), Maraviroc + Rifabutin Cmax (μg/L), Maraviroc + Rifabutin C12 (μg/L), Rifabutin Cmax (μg/L), Rifabutin C24 (μg/L), 25-O-desacetyl rifabutin Cmax (μg/L), 25-O-desacetyl rifabutin C24 (μg/L).

Outcome measures

Outcome measures
Measure
Maraviroc
n=14 Participants
Two period pharmacokinetic drug-drug interaction Period one -Maraviroc alone; Period two -Maraviroc and Rifabutin Substance: Maraviroc (Celsentri, MVC) tablets, 300 mg; dose: oral, 300 mg (1 tablet) twice daily Substance: Rifabutin (mycobutin, RFB) capsules, 150 mg; dose: oral, 300 mg (2 capsules) once daily Rifabutin: Substance: Rifabutin Daily dose: oral, 300 mg once daily (8:00 am) for 10 days Maraviroc: Substance maraviroc daily dose 300 mg twice daily (8:00 am and 8:00 pm) for 15 days
Maraviroc and Rifabutin C12/C24/Cmax PK Concentrations in Plasma.
Maraviroc only Cmax (μg/L)
304.6 μg/L
Interval 274.14 to 335.06
Maraviroc and Rifabutin C12/C24/Cmax PK Concentrations in Plasma.
Maraviroc only C12 (μg/L)
23.3 μg/L
Interval 20.97 to 25.63
Maraviroc and Rifabutin C12/C24/Cmax PK Concentrations in Plasma.
Maraviroc + Rifabutin Cmax (μg/L)
239.8 μg/L
Interval 215.82 to 263.78
Maraviroc and Rifabutin C12/C24/Cmax PK Concentrations in Plasma.
Maraviroc + Rifabutin C12 (μg/L)
16.3 μg/L
Interval 14.67 to 17.93
Maraviroc and Rifabutin C12/C24/Cmax PK Concentrations in Plasma.
Rifabutin Cmax (μg/L)
542.2 μg/L
Interval 487.98 to 596.42
Maraviroc and Rifabutin C12/C24/Cmax PK Concentrations in Plasma.
Rifabutin C24 (μg/L)
71.2 μg/L
Interval 64.08 to 78.32
Maraviroc and Rifabutin C12/C24/Cmax PK Concentrations in Plasma.
25-O-desacetyl rifabutin Cmax (μg/L)
42.3 μg/L
Interval 38.07 to 46.53
Maraviroc and Rifabutin C12/C24/Cmax PK Concentrations in Plasma.
25-O-desacetyl rifabutin C24 (μg/L)
5.5 μg/L
Interval 4.95 to 6.05

SECONDARY outcome

Timeframe: 30 days

description and frequency of adverse events for all participants during the study.

Outcome measures

Outcome measures
Measure
Maraviroc
n=14 Participants
Two period pharmacokinetic drug-drug interaction Period one -Maraviroc alone; Period two -Maraviroc and Rifabutin Substance: Maraviroc (Celsentri, MVC) tablets, 300 mg; dose: oral, 300 mg (1 tablet) twice daily Substance: Rifabutin (mycobutin, RFB) capsules, 150 mg; dose: oral, 300 mg (2 capsules) once daily Rifabutin: Substance: Rifabutin Daily dose: oral, 300 mg once daily (8:00 am) for 10 days Maraviroc: Substance maraviroc daily dose 300 mg twice daily (8:00 am and 8:00 pm) for 15 days
Safety/Tolerability of the Treatments
Maraviroc · Number of Participants with Adverse Events
6 Participants
Safety/Tolerability of the Treatments
Maraviroc · Number of Participants without Adverse Events
8 Participants
Safety/Tolerability of the Treatments
Maraviroc + Rifabutin · Number of Participants with Adverse Events
7 Participants
Safety/Tolerability of the Treatments
Maraviroc + Rifabutin · Number of Participants without Adverse Events
7 Participants

Adverse Events

Maraviroc

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Maraviroc
n=14 participants at risk
Two period pharmacokinetic drug-drug interaction Period one -Maraviroc alone; Period two -Maraviroc and Rifabutin Substance: Maraviroc (Celsentri, MVC) tablets, 300 mg; dose: oral, 300 mg (1 tablet) twice daily Substance: Rifabutin (mycobutin, RFB) capsules, 150 mg; dose: oral, 300 mg (2 capsules) once daily Rifabutin: Substance: Rifabutin Daily dose: oral, 300 mg once daily (8:00 am) for 10 days Maraviroc: Substance maraviroc daily dose 300 mg twice daily (8:00 am and 8:00 pm) for 15 days
Musculoskeletal and connective tissue disorders
Joint pain
14.3%
2/14 • 30 days.
General disorders
Fever
14.3%
2/14 • 30 days.
Nervous system disorders
Headache
42.9%
6/14 • 30 days.
Musculoskeletal and connective tissue disorders
Muscle pain
7.1%
1/14 • 30 days.

Additional Information

Dr. Bill Cameron

Ottawa Hospital Research Institute

Phone: 613-737-8899

Results disclosure agreements

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