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Completed

NCT Number: NCT01913379

Drug-drug Interaction Study With MDV3100 (ASP9785) and Gemfibrozil and Itraconazole

A study to assess possible drug-drug interactions between MDV3100 and gemfibrozil and MDV3100 and Itraconazole.

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Key information

Age range

18 year–55 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1

Primary location

SGS

Paris, 75015, France

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Body weight of at least 65.0 kg and no greater than 85.0 kg.
  • Body Mass Index (BMI) of at least 18.5 and no greater than 30.0 kg/m2.

Exclusion criteria

  • Known or suspected hypersensitivity to MDV3100, itraconazole, gemfibrozil, any components of the formulations used, or any history of liver toxicity with other drugs.
  • Confirmed CYP2C8 PM status based on genotyping analysis.
  • Any of the liver function tests above the upper limit of normal. A retest to confirm the result may be performed once.
  • History of seizure, including any febrile seizure, loss of consciousness, or transient ischemia attack within 12 months prior to enrollment (Day 1 visit), or any condition that may pre-dispose to seizure (e.g., prior stroke, brain arteriovenous malformation, head trauma with loss of consciousness requiring hospitalization).
  • Any clinically significant history of asthma, eczema, any other allergic condition or previous severe hypersensitivity to any drug (excluding non-active hay fever).
  • Abnormal pulse and/or blood pressure (BP) measurements at the pre-study visit as follows: Pulse <40 or >90 bpm; mean systolic BP >140 mmHg ; mean diastolic BP >90 mmHg (BP measurements taken in triplicate after subject has been resting in supine position for 5 min; pulse will be measured automatically).
  • A QTc interval of >430 ms after repeated measurements (consistently after duplicate measurements), a history of unexplained syncope, cardiac arrest, unexplained cardiac arrhythmias or torsades de pointes, structural heart disease, or a family history of Long QT Syndrome (LQTS).
  • Regular use of any inducer of metabolism (e.g. barbiturates, rifampin) in the 3 months prior to admission to the Clinical Unit.
  • Positive serology test for HBsAg, anti HAV (IgM), anti-HCV or anti-HIV 1+2.

Treatment and study plan

MDV3100

Drug

Oral

Other names: ASP9785, Xtandi, enzalutamide

Gemfibrozil

Drug

Oral

Itraconazole

Drug

Oral

Primary outcomes

  1. Assessment of pharmacokinetic profile of MDV3100 by Cmax (Maximum concentration)

    Time frame: Day 1 through Day 53 (29 times)

  2. Assessment of pharmacokinetic profile of MDV3100 by AUCinf (AUC extrapolated to infinity)

    Time frame: Day 1 through Day 53 (29 times)

  3. Assessment of pharmacokinetic profile of MDV3100 by AUC0-432h (AUC from the time of dosing to 432 hours post-dose)

    Time frame: Day 1 through Day 53 (29 times)

Secondary outcomes

  1. Assessment of pharmacokinetic profile of MDV3100

    Time frame: Day 1 through Day 53 (29 times)

    tmax (Time to attain Cmax), t1/2 (Apparent terminal elimination half life), Vz/F (Apparent volume of distribution during the terminal phase after extra vascular dosing) and CL/F(Apparent total body clearance after extra vascular dosing)

  2. Assessment of pharmacokinetic profile of the metabolites MDPC0001 and MDPC0002

    Time frame: Day 1 through Day 53 (29 times)

    Cmax, AUC0-432h, tmax, t1/2, and AUC0-inf

  3. Assessment of metabolite-to-parent ratios for MDV3100

    Time frame: Day 1 through Day 53 (29 times)

    This may additionally be reported to assess effects on particular enzyme pathways

  4. Assessment of Gemfibrozil and gemfibrozil 1-O-β-glucuronide (Arm 2)

    Time frame: Day 1 through Day 53 (50 times)

    Cmax, C0h, Cmin, tmax, AUCtau

  5. Assessment of itraconazole and hydroxyitraconazole (Arm 3)

    Time frame: Day 1 through Day 53 (50 times)

    Cmax, C0h, Cmin, tmax, AUCtau

  6. Safety as assessed by recording adverse events, laboratory assessments, vital signs and electrocardiograms (ECGs)

    Time frame: Day 1 through Day 53

    In arm 3, liver function tests (AST, ALT, GGT, total bilirubin) will be done regularly during itraconazole dosing

Sponsors and collaborators

Lead sponsor

Astellas Pharma Europe B.V.

Industry

Collaborators

  • Medivation, Inc.

Registry information

Official study title

A Phase I Randomized, Open-label, 3-arm Parallel-design Study to Determine the Effect of Multiple-dose Gemfibrozil or Itraconazole on the Pharmacokinetics, Safety and Tolerability of Single-dose MDV3100 (ASP9785) in Healthy Male Subjects

Important dates

Study start
2011
Primary completion
2011
Study completion
2011
First posted
Aug 1, 2013
Registry last updated
Aug 1, 2013

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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