Trial Outcomes & Findings for Itraconazole Oral Absorption (NCT NCT04035187)

NCT ID: NCT04035187

Last Updated: 2023-10-05

Results Overview

area under the curve from 0-72hr

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

17 participants

Primary outcome timeframe

0-72hr

Results posted on

2023-10-05

Participant Flow

Recruitment was done through flyers and A/V advertisement throughout the University of Maryland Baltimore campus. Additionally, ResearchMatch.org was used. Planned initial interactions were phone calls and emails from potential subjects. Additionally, individuals who previously indicated a willingness to be contacted for future studies were contacted. Recruitment period was from September 17th 2019 to June 24th 2021.

Enrollment number is the number of participants who signed a consent form and passed screening tests.

Participant milestones

Participant milestones
Measure
Sequence A (Fast, Medium, Oral Solution, Then Slow)
Participants first receive fast tablet, then medium tablet, then oral solution, and then slow tablet. Washout period is (at least) one week. fast itraconazole tablet: 100mg dose medium itraconazole tablet: 100mg dose slow itraconazole tablet: 100mg dose oral itraconazole solution: 100mg dose
Sequence B (Medium, Slow, Fast, Then Oral Solution)
Participants first receive medium tablet, then slow tablet, then fast tablet, and then oral solution. Washout period is (at least) one week. fast itraconazole tablet: 100mg dose medium itraconazole tablet: 100mg dose slow itraconazole tablet: 100mg dose oral itraconazole solution: 100mg dose
Sequence C (Slow, Oral Solution, Medium, Then Fast)
Participants first receive slow tablet, then oral solution, then medium tablet, then fast tablet. Washout period is (at least) one week. fast itraconazole tablet: 100mg dose medium itraconazole tablet: 100mg dose slow itraconazole tablet: 100mg dose oral itraconazole solution: 100mg dose
Sequence D (Oral Solution, Fast, Slow, Then Medium)
Participants first receive oral solution, fast tablet, then slow tablet, and then medium tablet. Washout period is (at least) one week. fast itraconazole tablet: 100mg dose medium itraconazole tablet: 100mg dose slow itraconazole tablet: 100mg dose oral itraconazole solution: 100mg dose
Overall Study
STARTED
4
4
4
5
Overall Study
COMPLETED
2
2
4
4
Overall Study
NOT COMPLETED
2
2
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Sequence A (Fast, Medium, Oral Solution, Then Slow)
Participants first receive fast tablet, then medium tablet, then oral solution, and then slow tablet. Washout period is (at least) one week. fast itraconazole tablet: 100mg dose medium itraconazole tablet: 100mg dose slow itraconazole tablet: 100mg dose oral itraconazole solution: 100mg dose
Sequence B (Medium, Slow, Fast, Then Oral Solution)
Participants first receive medium tablet, then slow tablet, then fast tablet, and then oral solution. Washout period is (at least) one week. fast itraconazole tablet: 100mg dose medium itraconazole tablet: 100mg dose slow itraconazole tablet: 100mg dose oral itraconazole solution: 100mg dose
Sequence C (Slow, Oral Solution, Medium, Then Fast)
Participants first receive slow tablet, then oral solution, then medium tablet, then fast tablet. Washout period is (at least) one week. fast itraconazole tablet: 100mg dose medium itraconazole tablet: 100mg dose slow itraconazole tablet: 100mg dose oral itraconazole solution: 100mg dose
Sequence D (Oral Solution, Fast, Slow, Then Medium)
Participants first receive oral solution, fast tablet, then slow tablet, and then medium tablet. Washout period is (at least) one week. fast itraconazole tablet: 100mg dose medium itraconazole tablet: 100mg dose slow itraconazole tablet: 100mg dose oral itraconazole solution: 100mg dose
Overall Study
Withdrawal by Subject
2
1
0
0
Overall Study
Participant lived out of state and due to COVID-19 pandemic could not travel to study site.
0
1
0
1

Baseline Characteristics

Itraconazole Oral Absorption

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sequence A (Fast, Medium, Oral Solution, Then Slow)
n=4 Participants
Participants first receive fast tablet, then medium tablet, then oral solution, and then slow tablet. Washout period is (at least) one week. fast itraconazole tablet: 100mg dose medium itraconazole tablet: 100mg dose slow itraconazole tablet: 100mg dose oral itraconazole solution: 100mg dose
Sequence B (Medium, Slow, Fast, Then Oral Solution)
n=4 Participants
Participants first receive medium tablet, then slow tablet, then fast tablet, and then oral solution. Washout period is (at least) one week. fast itraconazole tablet: 100mg dose medium itraconazole tablet: 100mg dose slow itraconazole tablet: 100mg dose oral itraconazole solution: 100mg dose
Sequence C (Slow, Oral Solution, Medium, Then Fast)
n=4 Participants
Participants first receive slow tablet, then oral solution, then medium tablet, then fast tablet. Washout period is (at least) one week. fast itraconazole tablet: 100mg dose medium itraconazole tablet: 100mg dose slow itraconazole tablet: 100mg dose oral itraconazole solution: 100mg dose
Sequence D (Oral Solution, Fast, Slow, Then Medium)
n=5 Participants
Participants first receive oral solution, fast tablet, then slow tablet, and then medium tablet. Washout period is (at least) one week. fast itraconazole tablet: 100mg dose medium itraconazole tablet: 100mg dose slow itraconazole tablet: 100mg dose oral itraconazole solution: 100mg dose
Total
n=17 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
5 Participants
n=4 Participants
17 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Continuous
26 years
STANDARD_DEVIATION 4.7 • n=5 Participants
41.3 years
STANDARD_DEVIATION 12 • n=7 Participants
28.3 years
STANDARD_DEVIATION 1.7 • n=5 Participants
41 years
STANDARD_DEVIATION 15.3 • n=4 Participants
34.5 years
STANDARD_DEVIATION 11.9 • n=21 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
2 Participants
n=4 Participants
10 Participants
n=21 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
7 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
4 Participants
n=4 Participants
16 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
3 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
4 Participants
n=21 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
4 Participants
n=4 Participants
10 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Region of Enrollment
United States
4 participants
n=5 Participants
4 participants
n=7 Participants
4 participants
n=5 Participants
5 participants
n=4 Participants
17 participants
n=21 Participants

PRIMARY outcome

Timeframe: 0-72hr

Population: Seventeen participants were randomized in this cross-over study to receive all 4 itraconazole products at least one week apart. Twelve participants completed all 4 interventions. Analysis was only done of data from participants who completed all four interventions (n=12).

area under the curve from 0-72hr

Outcome measures

Outcome measures
Measure
Fast Tablet
n=12 Participants
Fast-release itraconazole 100 mg tablet
Medium Tablet
n=12 Participants
Medium-release itraconazole 100 mg tablet
Slow Tablet
n=12 Participants
Slow-release itraconazole 100 mg tablet
Oral Solution
n=12 Participants
Oral solution itraconazole 100 mg
AUC
1624.8 ng*hr/mL
Standard Error 146.1
1365.5 ng*hr/mL
Standard Error 184
1282.2 ng*hr/mL
Standard Error 220.3
1848.7 ng*hr/mL
Standard Error 139.7

SECONDARY outcome

Timeframe: 0-72hr

Population: Seventeen participants were randomized in this cross-over study to receive all 4 itraconazole products at least one week apart. Twelve participants completed all 4 interventions. Analysis was only done of data from participants who completed all four interventions.

maximum concentration during the time interval

Outcome measures

Outcome measures
Measure
Fast Tablet
n=12 Participants
Fast-release itraconazole 100 mg tablet
Medium Tablet
n=12 Participants
Medium-release itraconazole 100 mg tablet
Slow Tablet
n=12 Participants
Slow-release itraconazole 100 mg tablet
Oral Solution
n=12 Participants
Oral solution itraconazole 100 mg
Cmax
174.3 ng/mL
Standard Error 30.9
108.5 ng/mL
Standard Error 14.9
121.3 ng/mL
Standard Error 26.4
266.7 ng/mL
Standard Error 40.5

Adverse Events

Fast Tablet

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Medium Tablet

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Slow Tablet

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Oral Solution

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Fast Tablet
n=14 participants at risk
All participants who received Fast-release itraconazole 100 mg tablet, regardless if they finish the cross-over study
Medium Tablet
n=14 participants at risk
All participants who received Medium-release itraconazole 100 mg tablet, regardless if they finish the cross-over study
Slow Tablet
n=13 participants at risk
All participants who received Slow-release itraconazole 100 mg tablet, regardless if they finish the cross-over study
Oral Solution
n=12 participants at risk
All participants who received Oral solution itraconazole 100 mg tablet, regardless if they finish the cross-over study
Nervous system disorders
Headache
14.3%
2/14 • Number of events 2 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
0.00%
0/14 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
7.7%
1/13 • Number of events 1 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
8.3%
1/12 • Number of events 1 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
General disorders
Fatigue
7.1%
1/14 • Number of events 1 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
0.00%
0/14 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
0.00%
0/13 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
0.00%
0/12 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
Gastrointestinal disorders
Abdominal pain
7.1%
1/14 • Number of events 1 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
7.1%
1/14 • Number of events 1 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
0.00%
0/13 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
0.00%
0/12 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
Gastrointestinal disorders
Nausea/vomiting
0.00%
0/14 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
0.00%
0/14 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
0.00%
0/13 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).
8.3%
1/12 • Number of events 1 • Adverse event data were collected from the time enrollment (signed consent) to the last study visit (72-hr blood draw time point).

Additional Information

Dr. James Polli

University of Maryland Baltimore

Phone: 410-706-8292

Results disclosure agreements

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