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OpenTrials
Completed

NCT Number: NCT03012763

Oral Pharmacokinetics of Sulfasalazine, Paracetamol, Fexofenadine and Valsartan Using Different Administration Mediums

The purpose of this study is to determine pharmacokinetics of the probe-drugs sulfasalazine, given in 240 ml non-caloric water and paracetamol, fexofenadine and valsartan after oral administration, given in 240 ml non-caloric water, in 240 ml caloric drink or in 240 ml grapefruit juice prior to ingestion and to visualize the localization and to measure the filling volume of stomach, small intestine as well as ascending, transverse and descending colon by T2-weighted magnetic resonance imaging after oral administration of 240 ml water (non-caloric water), after administration of 240 ml caloric drink and after administration of 240 ml grapefruit juice.

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Key information

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • ethnic origin: Caucasian
  • body mass index: ≥ 18.5 kg/m² and ≤ 30 kg/m²
  • good health as evidenced by the results of the clinical examination, ECG, and the laboratory check-up, which are judged by the clinical investigator not to differ in a clinical relevant way from the normal state
  • written informed consent

Exclusion criteria

  • weight less than 45 kg
  • claustrophobia
  • tinnitus
  • cardiac pacemakers, metallic, plastic or silicone implants, dental retainer or metal-containing tattoos and piercings, Permanent Make-Ups, intrauterine devices
  • known allergic reactions/ hypersensitivity to the active ingredients used or to constituents of the study medication (e.g. lactose, lecithin, sulfonamides, salicylates)
  • bronchial asthma (all stages) and other known allergic diseases
  • existing cardiac, haematopoietic or hematological diseases and/or pathological findings, which might interfere with the drug's safety, tolerability and/or pharmacokinetics or the requirements for the magnetic resonance tomography
  • known hyperkalemia, hyponatremia or hypovolemia or medications that may cause these conditions.
  • Hepatic, renal or metabolic diseases and/or pathological findings, which might interfere with pharmacokinetics and pharmacodynamics of the study medication (e.g. liver failure, kidney failure, acute intermittent porphyria).
  • gastrointestinal diseases and/or pathological findings, which might interfere with gastrointestinal motility and emptying processes and interfering with pharmacokinetics and pharmacodynamics of the study medication (e.g. ileus)
  • Erythema exsudativum multiforme.
  • Glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency).
  • Acute, chronic or recurrent infections.
  • drug or alcohol dependence
  • positive drug or alcohol screening
  • smokers of 10 or more cigarettes per day
  • positive results in HIV, hepatitis B virus and hepatitis C virus screenings
  • subjects who are on a diet which could affect gastrointestinal motility or the pharmacokinetics of the drug (vegetarian, vegan)
  • eating disorders e.g. anorexia, bulimia
  • heavy tea or coffee drinkers (more than 1l per day)
  • lactation and/or pregnancy test positive or not performed
  • subjects suspected or known not to follow instructions
  • subjects who are unable to understand the written and verbal instructions, in particular regarding the risks and inconveniences they will be exposed to as a result of their participation in the study
  • subjects liable to orthostatic dysregulation, fainting or blackouts
  • participation in a clinical trial during the last 3 months prior to the planned start of the study less than 3 months after last blood donation
  • therapy with transdermal patches
  • any systemically available medication within 2 weeks prior to the intended first administration unless because of the terminal elimination half-life complete elimination from the body can be assumed for the drug and/or its primary metabolites (except oral contraceptives)
  • intake of grapefruit or poppy seeds containing products within 14 days prior to the start of the study
  • Females who don't fulfil the criteria for contraception as listed in section 7.5.1 of this protocol

Treatment and study plan

Paracetamol

Drug

Oral administration of 250 mg paracetamol

Sulfasalazine

Drug

Oral administration of 50 mg sulfasalazine

fexofenadine

Drug

Oral administration of 120 mg fexofenadine

valsartan

Drug

Oral administration of 40 mg valsartan

non-caloric water

Device

Oral administration of 240 ml non-caloric water

caloric drink

Device

Oral administration of 240 ml caloric drink

grapefruit juice

Device

Oral administration of 240 ml grapefruit juice

Primary outcomes

  1. area under the concentration time curve (AUC)

    Time frame: up to 51 h after drug administration

    Computed with the measured concentration of Paracetamol, Fexofenadine and Valsartan in blood samples.

  2. area under the curve of small bowel water volume

    Time frame: up to 6.75 h after drug administration

    Dynamic enhanced magnetic resonance examination gradient-echo T2-weighted HASTE images (TR 1300 ms, TR 321 ms, flip-angle 160°) will be acquired on a 1.5 Tesla MRI. A tube filled with 20 ml water will be fitted on the abdomen of the volunteers in order to have an internal reference for imaging. The obtained MRI files will be investigated with common radiological software (OsiriX, Voxar 3D, Fiji, 3D slicer). From the DICOM files there will obtained: Gastrointestinal volumes and their kinetics for stomach, small bowel, colon segments and gallbladder.

  3. gastric emptying rate

    Time frame: up to 6.75 h after drug administration

    Dynamic enhanced magnetic resonance examination gradient-echo T2-weighted HASTE images (TR 1300 ms, TR 321 ms, flip-angle 160°) will be acquired on a 1.5 Tesla MRI. A tube filled with 20 ml water will be fitted on the abdomen of the volunteers in order to have an internal reference for imaging. The obtained MRI files will be investigated with common radiological software (OsiriX, Voxar 3D, Fiji, 3D slicer). From the DICOM files there will obtained: Gastrointestinal volumes and their kinetics for stomach, small bowel, colon segments and gallbladder. Gastric emptying rate will be estimated as the half life of water volumen in the stomach.

  4. lag-Time of sulfapyridine (orocecal transit times)

    Time frame: up to 51 h after drug administration

    Estimated as the first significant concentration (>50 or 100 ng/ml) of sulfapyridine in blood samples after administration of Sulfasalazine.

Sponsors and collaborators

Lead sponsor

University Medicine Greifswald

Other

Registry information

Official study title

Pharmacokinetics of Sulfasalazine, Paracetamol, Fexofenadine and Valsartan After Oral Administration Using 240 ml Non-caloric Water, a Carbohydrate Enriched Drink and Grapefruit Juice in Correlation to the Intestinal Availability of Water as Quantified by MRI-based Volumetry in 9 Healthy Male and Female Subjects

Important dates

Study start
2016
Primary completion
2017
First posted
Jan 6, 2017
Registry last updated
Jan 6, 2017

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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