Trial Outcomes & Findings for Doravirine, Rifapentine and Isoniazid Interaction (NCT NCT03886701)

NCT ID: NCT03886701

Last Updated: 2020-03-27

Results Overview

Doravirine maximum observed concentration during the dosing interval

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

11 participants

Primary outcome timeframe

Day 4 and 21 (Period 1 and 2): 0, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96 hours post-dose

Results posted on

2020-03-27

Participant Flow

Participant milestones

Participant milestones
Measure
Study Particpants
Eleven healthy volunteers enrolled into the study. For period 1 (study days 1-4), participants will be given doravirine 100mg oral tablets dosed twice-daily on study days 1-4. For period 2 (study days 7-21), oral 100mg doravirine will be dosed twice-daily. Weight-based rifapentine and isoniazid (as recommended by the CDC) will be given orally once-weekly on study days 7, 14, and 21.
Period 1: Study Days 1-4
STARTED
11
Period 1: Study Days 1-4
COMPLETED
11
Period 1: Study Days 1-4
NOT COMPLETED
0
Period 2: Study Days 7-21
STARTED
11
Period 2: Study Days 7-21
COMPLETED
11
Period 2: Study Days 7-21
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Doravirine, Rifapentine and Isoniazid Interaction

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Study Particpants
n=11 Participants
Eleven healthy volunteers enrolled into the study.
Age, Continuous
50 years
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
Race/Ethnicity, Customized
White
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
8 Participants
n=5 Participants
Weight
92.9 Kilogram
STANDARD_DEVIATION 11.3 • n=5 Participants

PRIMARY outcome

Timeframe: Day 4 and 21 (Period 1 and 2): 0, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96 hours post-dose

Doravirine maximum observed concentration during the dosing interval

Outcome measures

Outcome measures
Measure
Period 1
n=11 Participants
DOR twice-daily alone (Study days 1-4) Doravirine (DOR): Non-nucleoside reverse transcriptase inhibitor indicated for the treatment of HIV-1 infection in adults in combination with other antiretroviral agents. Rifapentine (RPT): Rifamycin anti-tuberculosis agent indicated for the treatment of latent and active tuberculosis infection. Isoniazid (INH): Anti-tuberculosis agent indicated for the treatment of latent and active tuberculosis infection.
Period 2
n=11 Participants
DOR twice-daily with RPT/INH once-weekly (Study days 7-21)
Doravirine Maximum Concentration (Cmax)
1.7 ug/mL
Interval 1.5 to 2.0
1.3 ug/mL
Interval 1.1 to 1.5

PRIMARY outcome

Timeframe: Day 4 and 21 (Period 1 and 2): 0, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96 hours post-dose

Doravirine area under the plasma-concentration time curve derived from plasma sampling during one dosing interval

Outcome measures

Outcome measures
Measure
Period 1
n=11 Participants
DOR twice-daily alone (Study days 1-4) Doravirine (DOR): Non-nucleoside reverse transcriptase inhibitor indicated for the treatment of HIV-1 infection in adults in combination with other antiretroviral agents. Rifapentine (RPT): Rifamycin anti-tuberculosis agent indicated for the treatment of latent and active tuberculosis infection. Isoniazid (INH): Anti-tuberculosis agent indicated for the treatment of latent and active tuberculosis infection.
Period 2
n=11 Participants
DOR twice-daily with RPT/INH once-weekly (Study days 7-21)
Doravirine Area Under the Plasma Concentration Versus Time Curve From 0 to 12 Hours (AUC0-12)
17.3 hr x ug/mL
Interval 14.9 to 20.0
12.3 hr x ug/mL
Interval 10.4 to 14.3

PRIMARY outcome

Timeframe: Day 4 and 21 (Period 1 and 2): 0, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96 hours post-dose

Doravirine apparent oral clearance derived from plasma sampling

Outcome measures

Outcome measures
Measure
Period 1
n=11 Participants
DOR twice-daily alone (Study days 1-4) Doravirine (DOR): Non-nucleoside reverse transcriptase inhibitor indicated for the treatment of HIV-1 infection in adults in combination with other antiretroviral agents. Rifapentine (RPT): Rifamycin anti-tuberculosis agent indicated for the treatment of latent and active tuberculosis infection. Isoniazid (INH): Anti-tuberculosis agent indicated for the treatment of latent and active tuberculosis infection.
Period 2
n=11 Participants
DOR twice-daily with RPT/INH once-weekly (Study days 7-21)
Doravirine Oral Clearance (CL/F)
5.9 L/hr
Geometric Coefficient of Variation 24
8.4 L/hr
Geometric Coefficient of Variation 26.1

SECONDARY outcome

Timeframe: Days 1-24 post-dose (period 1 and 2) and 31-34 post-dose (post-study)

Safety and tolerability

Outcome measures

Outcome measures
Measure
Period 1
n=11 Participants
DOR twice-daily alone (Study days 1-4) Doravirine (DOR): Non-nucleoside reverse transcriptase inhibitor indicated for the treatment of HIV-1 infection in adults in combination with other antiretroviral agents. Rifapentine (RPT): Rifamycin anti-tuberculosis agent indicated for the treatment of latent and active tuberculosis infection. Isoniazid (INH): Anti-tuberculosis agent indicated for the treatment of latent and active tuberculosis infection.
Period 2
n=11 Participants
DOR twice-daily with RPT/INH once-weekly (Study days 7-21)
Adverse Event
Nausea/vomiting
1 participants
0 participants
Adverse Event
Dysuria
0 participants
1 participants
Adverse Event
Fever
0 participants
1 participants
Adverse Event
Headache
0 participants
1 participants
Adverse Event
Chills
0 participants
1 participants
Adverse Event
Catheter site pain and redness
3 participants
2 participants

Adverse Events

Period 1

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

Period 2

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Period 1
n=11 participants at risk
DOR twice-daily alone (Study days 1-4) Doravirine (DOR): Non-nucleoside reverse transcriptase inhibitor indicated for the treatment of HIV-1 infection in adults in combination with other antiretroviral agents. Rifapentine (RPT): Rifamycin anti-tuberculosis agent indicated for the treatment of latent and active tuberculosis infection. Isoniazid (INH): Anti-tuberculosis agent indicated for the treatment of latent and active tuberculosis infection.
Period 2
n=11 participants at risk
DOR twice-daily with RPT/INH once-weekly (Study days 7-21)
Gastrointestinal disorders
Nausea/vomiting
9.1%
1/11 • Daily for the duration of the study and 7-10 days post-study.
0.00%
0/11 • Daily for the duration of the study and 7-10 days post-study.
Renal and urinary disorders
Dysuria
0.00%
0/11 • Daily for the duration of the study and 7-10 days post-study.
9.1%
1/11 • Daily for the duration of the study and 7-10 days post-study.
General disorders
Fever
0.00%
0/11 • Daily for the duration of the study and 7-10 days post-study.
9.1%
1/11 • Daily for the duration of the study and 7-10 days post-study.
Nervous system disorders
Headache
0.00%
0/11 • Daily for the duration of the study and 7-10 days post-study.
9.1%
1/11 • Daily for the duration of the study and 7-10 days post-study.
General disorders
Chills
0.00%
0/11 • Daily for the duration of the study and 7-10 days post-study.
9.1%
1/11 • Daily for the duration of the study and 7-10 days post-study.
General disorders
Catheter site pain and redness
27.3%
3/11 • Daily for the duration of the study and 7-10 days post-study.
18.2%
2/11 • Daily for the duration of the study and 7-10 days post-study.

Additional Information

Dr. Walter K. Kraft

Thomas Jefferson University

Phone: 215 955-9077

Results disclosure agreements

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