Pharmacokinetic Study to Evaluate the Effect of a Single Dose of Guselkumab (CNTO 1959) on CYP 450 Enzyme Activities After Subcutaneous Administration in Participants With Psoriasis

NCT ID: NCT02397382

Last Updated: 2017-09-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-18

Study Completion Date

2016-08-31

Brief Summary

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The purpose of this study is to evaluate the potential effects of a single dose of 200 milligram (mg) guselkumab on the plasma concentrations of a cocktail of representative probe substrates of Cytochrome P450 isozymes (CYP3A4, CYP2C9, CYP2C19, CYP2D6, and CYP1A2) in participants with moderate to severe psoriasis.

Detailed Description

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This is an open-label, multi-center study. The total duration of study will be approximately 17 weeks per participant, including Screening phase (up to 4 weeks prior to first probe cocktail administration). Participants will have 4 in-patient periods on Day 1, 8, 15 and 36 (3 periods consisting of 3 days and 2 nights each and 1 consisting of 2 days and 1 night) followed by follow up period (up to Day 92). All Participants will receive a single 200 mg subcutaneous (SC) injection (2\*100 mg) of guselkumab on Day 8 and probe cocktail on Days 1, 15 and 36. Blood samples will be collected for the evaluation of pharmacokinetics and immunogenicity at pre-dose and post-dose of study treatment. Participants' safety will be monitored throughout the study.

Conditions

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Psoriasis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Guselkumab and Cytochrome P450 Probe Cocktail

Participants will be administered single dose of Guselkumab 200 milligram (mg) by subcutaneous injection (2\*100 mg) on Day 8 and Cytochrome P450 probe cocktail consist of midazolam, warfarin/vitamin K, omeprazole, dextromethorphan and caffeine orally once on Day 1,15 and 36.

Group Type EXPERIMENTAL

Guselkumab

Intervention Type DRUG

Guselkumab will be administered as a single dose of 200 milligram (mg) by subcutaneous injection (2\*100 mg) on Day 8.

Midazolam

Intervention Type DRUG

Midazolam will be administered orally as probe cocktail containing 0.03 mg per kilogram (kg) once on Day 1, 15 and 36.

Warfarin

Intervention Type DRUG

Warfarin will be administered orally as probe cocktail containing 10 mg once on Day 1, 15 and 36.

Omeprazole

Intervention Type DRUG

Omeprazole will be administered orally as probe cocktail containing 20 mg once on Day 1, 15 and 36.

Dextromethorphan

Intervention Type DRUG

Dextromethorphan will be administered orally as probe cocktail containing 30 mg once on Day 1, 15 and 36.

Caffeine

Intervention Type DRUG

Caffeine will be administered orally as probe cocktail containing 100 mg once on Day 1, 15 and 36.

Interventions

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Guselkumab

Guselkumab will be administered as a single dose of 200 milligram (mg) by subcutaneous injection (2\*100 mg) on Day 8.

Intervention Type DRUG

Midazolam

Midazolam will be administered orally as probe cocktail containing 0.03 mg per kilogram (kg) once on Day 1, 15 and 36.

Intervention Type DRUG

Warfarin

Warfarin will be administered orally as probe cocktail containing 10 mg once on Day 1, 15 and 36.

Intervention Type DRUG

Omeprazole

Omeprazole will be administered orally as probe cocktail containing 20 mg once on Day 1, 15 and 36.

Intervention Type DRUG

Dextromethorphan

Dextromethorphan will be administered orally as probe cocktail containing 30 mg once on Day 1, 15 and 36.

Intervention Type DRUG

Caffeine

Caffeine will be administered orally as probe cocktail containing 100 mg once on Day 1, 15 and 36.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Have a diagnosis of plaque-type psoriasis with or without psoriatic arthritis (PsA) for at least 6 months before Day 1
* Have a Psoriasis Area and Severity Index (PASI) greater than or equal to (\>=) 12 at Screening
* Have an Investigator's Global Assessment (IGA) \>= 3 at Screening
* Have an involved body surface area (BSA) \>= 10 percent (%) at Screening
* Be a candidate for phototherapy or systemic treatment for psoriasis

Exclusion Criteria

* Has a history of or current signs or symptoms of severe, progressive, or uncontrolled renal, hepatic, cardiac (including unstable cardiovascular disease, defined as a recent clinical deterioration (example, unstable angina, rapid atrial fibrillation) in the last 3 months or a cardiac hospitalization within the last 3 months), vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, bleeding disorder, rheumatologic, psychiatric, or metabolic disturbances
* Have a pulse oximetry value less than (\<) 94 % at Screening
* Genetically determined poor metabolizers of CYP2C9, CYP2C19, and CYP2D6 substrates
* Is currently undergoing or has previously undergone allergy immunotherapy for a history of anaphylactic reactions
* Has a transplanted organ (with exception of a corneal transplant greater than (\>) 3 months before Day 1)
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Anniston, Alabama, United States

Site Status

North Hollywood, California, United States

Site Status

Orlando, Florida, United States

Site Status

Atlanta, Georgia, United States

Site Status

High Point, North Carolina, United States

Site Status

Duncansville, Pennsylvania, United States

Site Status

Pittsburgh, Pennsylvania, United States

Site Status

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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Zhu Y, Xu Y, Zhuang Y, Piantone A, Shu C, Chen D, Zhou H, Xu Z, Sharma A. Evaluating Potential Disease-Mediated Protein-Drug Interactions in Patients With Moderate-to-Severe Plaque Psoriasis Receiving Subcutaneous Guselkumab. Clin Transl Sci. 2020 Nov;13(6):1217-1226. doi: 10.1111/cts.12807. Epub 2020 May 28.

Reference Type DERIVED
PMID: 32407591 (View on PubMed)

Related Links

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http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_JNJ_7051&studyid=9675&filename=CR106796_CSR.pdf

A Phase I, Open-label, Drug Interaction Study to Evaluate the Effect of Guselkumab (CNTO 1959) on Cytochrome P450 Enzyme Activities Following a Single Subcutaneous Administration in Subjects with Moderate to Severe Plaque-type Psoriasis

Other Identifiers

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CNTO1959PSO1003

Identifier Type: OTHER

Identifier Source: secondary_id

CR106796

Identifier Type: -

Identifier Source: org_study_id