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Completed

NCT Number: NCT02080468

Evaluate the Effect of Ethinyl Estradiol/Norgestimate on the Pharmacokinetics of Lomitapide in Healthy Female Subjects

The primary objective of this study is to assess the effect of ethinyl estradiol (EE)/norgestimate, a weak cytochrome P450 (CYP) 3A4 inhibitor, on the pharmacokinetics (PK) of lomitapide and 2 primary metabolites, M1 and M3.

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Key information

Conditions

Age range

18 year–40 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 1

Primary location

Covance Clinical Research Unit, Inc

Dallas, Texas, 75247, United States

About this study

This study will be a single center, randomized, open-label, 2 arm study to evaluate the effects of EE/norgestimate, a weak CYP3A4 inhibitor, on the PK of lomitapide in healthy female subjects when EE/norgestimate is administered simultaneously with lomitapide and when administration is separated by 12 hours.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Healthy females, between 18 and 40 years of age inclusive
  • BMI between 18.5 and 30.0 kg/m2, inclusive; total body weight of >110 lbs (50 kg);
  • in good health, determined by no clinically significant or relevant abnormalities identified by a detailed medical history and physical exam
  • no known history of hypersensitivity or previous intolerance to lomitapide or EE/norgestimate
  • creatine phosphokinase, AST, and ALT levels must be below 1.5 times the upper limit of normal
  • clinical laboratory evaluations within the reference range for the test laboratory
  • negative test for selected drugs of abuse
  • negative hepatitis panel and negative HIV antibody screens
  • are of childbearing potential(ie, not postmenopausal or surgically sterile). All subjects must have a negative serum beta pregnancy test.
  • able to comprehend and willing to sign an Informed Consent Form

Exclusion criteria

  • significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, GI, neurological, or psychiatric disorder
  • history of unexplained breast abnormalities or abnormal uterine bleeding
  • history of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance
  • history of stomach or intestinal surgery or resection
  • history of Gilbert's Syndrome or suspicion of Gilbert's Syndrome
  • subjects who have an abnormality in the 12-lead ECG
  • use of any drugs of abuse for 6 months prior to Check-in;
  • subjects who consume more than 14 units of alcohol per week or who have a significant history of alcoholism or drug/chemical abuse within 1 year prior to Check-in
  • use of any tobacco- or nicotine-containing products within 6 months prior to Check-in;
  • participation in any other investigational study drug trial within 30 days prior to Check-in;
  • use of any prescription medications/products within 14 days prior to Check-in unless deemed acceptable by the Investigator and Sponsor
  • use of any over-the-counter, nonprescription preparations within 7 days prior to Check-in, unless deemed acceptable by the Investigator and Sponsor
  • use of alcohol-, grapefruit- (including star fruit), or caffeine-containing foods or beverages within 72 hours prior to Check-in and through Study Completion
  • use of oral (except scheduled administration of EE/norgestimate), implantable, injectable, or transdermal contraceptives
  • use of hormone replacement therapy
  • poor peripheral venous access;
  • donation of blood (500 mL) from 30 days prior to Screening through Study Completion
  • receipt of blood products within 2 months prior to Check-in;
  • any acute or chronic condition, scheduled hospitalization (inclusive of elective surgery during study) or scheduled travel prior to completion of all study procedures which, in the opinion of the Investigator, would limit the subject's ability to complete and/or participate in this clinical study;
  • subjects who, in the opinion of the Investigator, should not participate in this study.

Treatment and study plan

lomitapide

Drug

20 mg

Other names: Juxtapid

EE/norgestimate

Drug

1x0.035-mg EE/0.25-mg norgestimate tablet

Other names: Ortho Cylclen

Primary outcomes

  1. Cmax for Arm 1 (Lomitapide & EE/Noregestimate - Taken Together)

    Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing

    Maximum observed plasma concentration of lomitapide and its 2 primary metabolites, M1 & M3

  2. Tmax for Arm 1 (Lomitapide & EE/Noregestimate - Taken Together)

    Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing

    Time to reach maximum observed plasma concentration of lomitapide and its 2 primary metabolites, M1 & M3.

  3. AUC0-t for Arm 1 (Lomitapide & EE/Noregestimate - Taken Together)

    Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing

    Area under the concentration-time curve from zero to last quantifiable concentration of lomitapide and its 2 primary metabolites, M1 & M3.

  4. AUC0-∞ for Arm 1 (Lomitapide & EE/Noregestimate - Taken Together)

    Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing

    Area under the concentration-time curve from zero to infinity of lomitapide and its 2 primary metabolites, M1 & M3.

  5. t1/2 for Arm 1 (Lomitapide & EE/Noregestimate - Taken Together)

    Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing

    Apparent terminal elimination half-life of lomitapide and its 2 primary metabolites, M1 & M3.

Secondary outcomes

  1. Cmax for Arm 2 (Lomitapide & EE/Noregestimate - 12 Hours Apart)

    Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing

    Maximum observed plasma concentration of lomitapide and its metabolites, M1 & M3.

  2. Tmax for Arm 2 (Lomitapide & EE/Noregestimate - 12 Hours Apart)

    Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing

    Time to reach maximum observed plasma concentration of lomitapide and its metabolites, M1 & M3.

  3. AUC0-t for Arm 2 (Lomitapide & EE/Noregestimate - 12 Hours Apart)

    Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing

    Area under the concentration-time curve from zero to last quantifiable concentration of lomitapide and its metabolites, M1 & M3.

  4. AUC0-∞ for Arm 2 (Lomitapide & EE/Noregestimate - 12 Hours Apart)

    Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing

    Area under the concentration-time curve from zero to infinity of lomitapide and its metabolites, M1 & M3.

  5. t1/2 for Arm 2 (Lomitapide & EE/Noregestimate - 12 Hours Apart)

    Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing

    Apparent terminal elimination half-life of lomitapide and its metabolites, M1 & M3.

Sponsors and collaborators

Lead sponsor

Aegerion Pharmaceuticals, Inc.

Industry

Registry information

Official study title

A Phase 1, Open-Label, Randomized, 2-Arm Study to Evaluate the Effect of Ethinyl Estradiol/Norgestimate (Ortho Cyclen®), a Weak CYP3A4 Inhibitor, on the Pharmacokinetics of Lomitapide in Healthy Female Subjects

Important dates

Study start
2014
Primary completion
2014
Study completion
2014
First posted
Mar 6, 2014
Registry last updated
Mar 11, 2019

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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