- To evaluate the effect of steady-state TMC278 25 mg q.d. on the steady-state pharmacokinetics of R- and S-methadone.- To evaluate the potential effect of TMC278 on the pharmacodynamic effects of methadone therapy; - To evaluate the steady stateā¦
ID
Source
Brief title
Condition
- Viral infectious disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Pharmacokinetics of TMC278 and methadon
Pharmacodynamics of methadon
Number of adverse events
Secondary outcome
Pharmacodynamics of methadon
Number of adverse events
Background summary
TMC278 is being investigated for the treatment of HIV-1 infected subjects.
Intravenous drug use is one of the modes of HIV-transmission, and a substantial
number of HIV-infected subjects are on methadone therapy. Many methadone
interactions are substantial and clinically relevant, such as the marked
decrease in methadone levels that is seen with coadministration of
lopinavir/ritonavir. Therefore, it is important to study the potential
interactions between ARVs and methadone.
Study objective
- To evaluate the effect of steady-state TMC278 25 mg q.d. on the steady-state
pharmacokinetics of R- and S-methadone.
- To evaluate the potential effect of TMC278 on the pharmacodynamic effects of
methadone therapy;
- To evaluate the steady state pharmacokinetics of TMC278 25 mg q.d. in
subjects on stable methadone maintenance therapy;
- To evaluate the short-term safety and tolerability of coadministration of
TMC278 and methadone in subjects on stable methadone maintenance therapy.
Study design
The trial will consist of a screening, 1 run-in period of 14 days, 1 admission
of 16 day and 2 follow ups.
Intervention
TMC278 25 mg once a day from day 1 untill day 11.
Study burden and risks
The risks for the volunteers participating in this trial are related to the
possible side effects of the TMC278 and the possible interaction of dosing
TMC278 and methadone at the same time. Next, the inconvenience for the
volunteer depends on the duration of the admission period, venapunctures,
inserting the cannula, questionaires, pupilometry. All volunteers will be
closely monitored by experienced physicians and other staff.
Dr. Paul Janssenweg 150
5026 RH Tilburg
Nederland
Dr. Paul Janssenweg 150
5026 RH Tilburg
Nederland
Listed location countries
Age
Inclusion criteria
1. Male or female, aged between 18 and 55 years, extremes included;
2. Body Mass Index of 18.0 to 35.0 kg/m2, extremes included;
3. Informed Consent Form signed voluntarily before first trial-related activity;
4. Receiving once daily oral methadone maintenance therapy at a stable individualized dose;
5. The subject agrees:
- not to change the current methadone dose from screening until Day 11 included;
- to have a daily observed and documented methadone intake from Day *14 until Day 12, and a daily observed and documented TMC278 intake from Day 1 until Day 11;
6. Able to comply with protocol requirements;
7. The subject has obtained approval from his/her addiction physician for the subject*s participation in this trial. Furthermore, the addiction physician agrees to provide medical care for the subject after discharge from trial center;
8. General medical condition, in the investigator*s opinion, does not interfere with the assessments and the completion of the trial;
9. Otherwise healthy on the basis of screening
Exclusion criteria
1. A positive HIV 1 or HIV 2 test at trial screening.
2. Female, except if postmenopausal since more than 2 years, or posthysterectomy, or post surgical sterilization (without reversal operation).
3. Evidence of current use of barbiturate, amphetamine, recreational drugs or opioids, with the exception of methadone.
4. Current use of alcohol, which in the investigator*s opinion would compromise subject*s safety and/or compliance with the trial procedures.
5. Hepatitis A infection at screening.
6. Decompensated liver function
7. Currently active or underlying gastrointestinal, cardiovascular, neurologic, psychiatric (other than drug dependency), metabolic, renal, hepatic, respiratory, inflammatory, or infectious disease.
8. Significant heart abnormalities.
9. Current or history of adrenal disorder.
10. Currently significant diarrhea, gastric stasis, or constipation (other than the pharmacodynamic effects of methadone) that in the investigator*s opinion could influence drug absorption or bioavailability.
11. Any history of significant skin disease such as, but not limited to, drug rash or eruptions, drug allergies, food allergy, dermatitis, eczema, psoriasis, or urticaria.
12. Previously demonstrated clinically significant allergy or hypersensitivity to any of the excipients of the investigational medication administered in this trial (i.e. TMC278).
13. Previous experience of clinically significant hypersensitivity to methadone hydrochloride.
14. Use of disallowed concomitant therapy during the 14 days prior to the first dose of TMC278. Concomitant therapy that is not disallowed should not be changed between Day -14 and Day 11, except for ibuprofen and paracetamol.
15. Having previously participated in more than 1 trial (single or multiple dose) with TMC125, TMC120 and/or TMC278 (formerly known as R278474) or having developed a rash, erythema or urticaria while participating in a trial with the aforementioned compounds.
16. Lack of good/reasonable venous access.
17. Participation in an investigational drug trial within 60 days prior to Day -14.
18. Donation of blood or plasma or significant blood loss within 60 days prior to Day -14.
19. Any laboratory abnormalities at screening which could be of influence on the study.
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
EudraCT | EUCTR2008-003584-39-NL |
CCMO | NL23898.040.08 |