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Completed

NCT Number: NCT03258372

Crossover Drug-Drug Interaction Study to Determine Effects of Cytochrome P450 3A on Exposure to Mifepristone and Its Metabolites

This is a Phase 1, single center, fixed sequence, open label, drug-drug interaction study of the effect of multiple doses of rifampin 600 mg daily, a strong CYP3A inducer, on the exposure of mifepristone at 2 dose levels.

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Key information

Conditions

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

SeaView Reserch

Miami, Florida, 33126, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Be healthy
  • Have a BMI of 18 to 32 kg/m2, inclusive, and body weight more than 50 kg (110 pounds)
  • Be judged to be in good health, based on the results of medical history, physical examination, vital signs, 12-lead ECG, and clinical laboratory findings
  • Have suitable veins for multiple venipuncture/cannulation
  • Female subjects of childbearing potential must use highly effective contraception with low user-dependency. The only acceptable method is an intrauterine device (IUD), provided that the subject has tolerated its use for at least 3 months before the first dose of study drug and undertakes not to have it removed for 1 month after the last dose of study drug. Use of hormonal contraception (by any route, including intrauterine hormone releasing systems) or hormone replacement therapy is NOT acceptable.

Exclusion criteria

  • Have multiple drug allergies, or be allergic to any of the components of mifepristone or rifampin
  • Have a condition that could be aggravated by glucocorticoid blockade (eg, asthma, any chronic inflammatory condition)
  • Have a history of unexplained vaginal bleeding, endometrial hyperplasia with atypia or endometrial carcinoma
  • Breastfeeding
  • In the 1 year before first study drug administration, have a history of drug or alcohol abuse
  • In the 6 calendar months before first study drug administration, on average
  • Have smoked more than 5 cigarettes/day
  • Have consumed more than 21 units of alcohol/week for male subjects or 14 units for female subjects (1 unit/drink = 5 ounces of wine, or 12 ounces of beer, or 1.5 ounces of hard liquor)
  • In the 2 calendar months before first study drug administration, have donated/lost blood or plasma in excess of 400 mL
  • In the 30 days before first study drug administration, have participated in another clinical trial of a new chemical entity or a prescription medicine

Treatment and study plan

Mifepristone

Drug

Period 1: mifepristone 300 MG (1 tablet) for a total of 300 MG on Day 1 in Cohort 1; and mifepristone 300 MG (5 tablets) for a total of 1500 MG in Cohort 2; then Period 2: rifampin 300 MG (2 capsules) for a total of 600 MG daily for 14 days for both cohorts; then Period 3: mifepristone 300 MG (1 tablet) for a total of 300 MG on Day 1 in Cohort 1; and mifepristone 300 MG (5 tablets) for a total of 1500 MG in Cohort 2

Other names: rifampin

Primary outcomes

  1. Cmax of mifepristone of period 1 vs Cmax of mifepristone of period 3

    Time frame: 18 days

    Maximum (peak) plasma drug concentration (Cmax)

  2. AUC0-tz of mifepristone of period 1 vs AUC0-tz of mifepristone of period 3

    Time frame: 18 days

    Area under the concentration-time curve from zero up to the last concentration above the lower limit of quantification of the assay (AUC0-tz)

  3. AUCinf of mifepristone of period 1 vs AUCinf of mifepristone of period 3

    Time frame: 18 days

    Area under the plasma concentration-time curve from time zero to infinity (AUCinf)

Secondary outcomes

  1. Cmax of mifepristone metabolites of period 1 vs Cmax of mifepristone metabolites of period 3

    Time frame: 18 days

  2. AUC0-tz of mifepristone metabolites of period 1 vs AUC0-tz of mifepristone metabolites of period 3

    Time frame: 18 days

  3. AUCinf of mifepristone metabolites of period 1 vs AUCinf of minfepristone metabolites of period 3

    Time frame: 18 days

Sponsors and collaborators

Lead sponsor

Corcept Therapeutics

Industry

Registry information

Official study title

A Phase 1, Open-Label, Fixed-Sequence, Crossover Drug-Drug Interaction Study in Healthy Subjects to Determine the Effects of a Strong Inducer of Cytochrome P450 3A on Exposure to Mifepristone and Its Metabolites

Important dates

Study start
2017
Primary completion
2017
Study completion
2017
First posted
Aug 23, 2017
Registry last updated
Feb 23, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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