A Study of the Drug Interactions Between Danicopan and Cyclosporine, Tacrolimus, Antacids, and Omeprazole in Healthy Adults

NCT ID: NCT05109390

Last Updated: 2021-11-05

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

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-27

Study Completion Date

2018-10-17

Brief Summary

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This was a 3-part study with each part being an open-label, fixed-sequence, 2-period study in healthy adult participants.

Detailed Description

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Conditions

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Healthy

Keywords

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Danicopan ALXN2040 ACH-0144471 Drug Interaction Cyclosporine Tacrolimus Antacids Omeprazole

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

This was a 3-part study, each part is a fixed-sequence with 2 periods.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Part 1: Danicopan plus Cyclosporine

Participants (N=14) received danicopan and cyclosporine in a fixed sequence over 2 periods:

Treatment A (Period 1): 300 milligrams (mg) cyclosporine administered on Day 1.

Treatment B (Period 2): 200 mg danicopan administered 3 times daily (TID) on Days 1-7 with 300 mg cyclosporine coadministered on Day 5.

There was a washout period of 3 days between the dose of cyclosporine in Period 1 and the first dose of danicopan in Period 2.

Group Type EXPERIMENTAL

Danicopan

Intervention Type DRUG

Oral tablet.

Cyclosporine

Intervention Type DRUG

Oral capsule.

Part 2: Danicopan plus Tacrolimus

Participants (N=28) received danicopan and tacrolimus in a fixed sequence over 2 periods:

Treatment C (Period 1): 2 mg tacrolimus administered on Day 1.

Treatment D (Period 2): 200 mg danicopan administered TID on Days 1-10 with 2 mg tacrolimus coadministered on Day 5.

There was a washout period of 7 days between the dose of tacrolimus in Period 1 and the first dose of danicopan in Period 2.

Group Type EXPERIMENTAL

Danicopan

Intervention Type DRUG

Oral tablet.

Tacrolimus

Intervention Type DRUG

Oral capsule.

Part 3: Danicopan plus Antacids and Omeprazole

Participants (N=30) received danicopan, calcium carbonate, aluminum/magnesium hydroxide/simethicone, and omeprazole in fixed sequences over 2 periods:

Treatment E1 (Period 1): 200 mg danicopan administered TID on Days 1-4. Treatment E2 (Period 1): 200 mg danicopan coadministered with 1 gram calcium carbonate on Day 5.

Treatment F1 (Period 1): 200 mg danicopan administered TID on Days 1-4. Treatment F2 (Period 1): 200 mg danicopan coadministered with 200 mg aluminum hydroxide/200 magnesium hydroxide/25 mg simethicone on Day 5.

Note: Participants were randomized in a 1:1 ratio to receive either Treatment E2 or F2 coadministered with danicopan on Day 5.

Treatment G1 (Period 2): 40 mg omeprazole administered once daily (QD) on Days 1-4.

Treatment G2 (Period 2): 40 mg omeprazole administered QD with 200 mg danicopan administered orally TID on Days 5-8.

There was a washout period of 2 days between the last dose of danicopan in Period 1 and the first dose of omeprazole in Period 2.

Group Type EXPERIMENTAL

Danicopan

Intervention Type DRUG

Oral tablet.

Calcium Carbonate

Intervention Type DRUG

Chewable tablet.

Aluminum/Magnesium Hydroxide/Simethicone

Intervention Type DRUG

Chewable tablet.

Omeprazole

Intervention Type DRUG

Oral, delayed-release capsule.

Interventions

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Danicopan

Oral tablet.

Intervention Type DRUG

Cyclosporine

Oral capsule.

Intervention Type DRUG

Tacrolimus

Oral capsule.

Intervention Type DRUG

Calcium Carbonate

Chewable tablet.

Intervention Type DRUG

Aluminum/Magnesium Hydroxide/Simethicone

Chewable tablet.

Intervention Type DRUG

Omeprazole

Oral, delayed-release capsule.

Intervention Type DRUG

Other Intervention Names

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ALXN2040 ACH-0144471 (formerly) ACH-4471 ACH4471 4471 Neoral Prograf Antacid Antacid Gelusil Prilosec

Eligibility Criteria

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Inclusion Criteria

* Body mass index in the range of 18.0 to 32.0 kilograms (kg)/meter squared, inclusive, with a minimum body weight of 50.0 kg at Screening.
* Female participants must have been of non-childbearing potential and not needing to employ a method of contraception.
* Non-sterile male participants must have agreed to abstinence or used a highly effective method of contraception.
* No clinically significant history or presence of electrocardiogram findings at Screening and Day -1 of Period 1.

Exclusion Criteria

* Evidence of any clinically significant deviation from normal in clinical laboratory evaluations.
* History of any medical or psychiatric condition or disease that might have limited the participant's ability to complete or participate in this clinical study, confound the results of the study, or pose an additional risk to the participant by their participation in the study.
* History or presence of drug or alcohol abuse within 2 years prior to first dosing; current tobacco/nicotine users and smokers; positive drugs-of-abuse and/or alcohol screen at Screening or Day -1 of Period 1.
* Any previous procedure that could have altered absorption or excretion of orally administered drugs.
* A history of significant multiple and/or severe allergies or had had an anaphylactic reaction or significant intolerability to prescription or non-prescription drugs.
* Body temperature ≥ 38°Celsius at Screening, on Day -1, or Day 1 prior to first dosing; history of febrile illness, or other evidence of infection, within 14 days prior to first dosing.
* Participation in any other investigational study drug trial in which receipt of an investigational study drug occurred within 5 half-lives (if known) or 30 days before first dosing, whichever was longer.
* Donation of whole blood from 3 months prior to first dosing, or of plasma from 30 days before first dosing; receipt of blood products within 6 months prior to first dosing.
* Part 3 Only: Genotyped as poor metabolizer of cytochrome P450 2C19.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Achillion, a wholly owned subsidiary of Alexion

INDUSTRY

Sponsor Role collaborator

Alexion Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Clinical Trial Site

Tempe, Arizona, United States

Site Status

Countries

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United States

Other Identifiers

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ACH471-014

Identifier Type: -

Identifier Source: org_study_id