Status:

COMPLETED

Impact of Rifabutin on the Pharmacokinetics of Elexacaftor/Tezacaftor/Ivacaftor

Lead Sponsor:

University of Southern California

Conditions:

Drug Drug Interaction

Eligibility:

All Genders

18-65 years

Phase:

PHASE4

Brief Summary

This is a prospective, single-center, fixed-sequence, nonrandomized, open-label study in healthy adults to investigate the impact of rifabutin on the pharmacokinetics of trikafta.

Detailed Description

Trikafta (Elexacaftor \[ELX\], Tezacaftor \[TEZ\], Ivacaftor\[IVA\]) is contraindicated with concomitant use of strong inducers as co-administration of rifampin decreased the area-under-the concentrat...

Eligibility Criteria

Inclusion

  • Able and willing to sign informed consent prior to any study-related activities.
  • Male or female participants between 18 and 65 years of age inclusive.
  • Healthy subjects as determined by no clinically significant deviation from normal in medical history, physical examination findings, and clinical laboratory test results
  • Body mass index (BMI) of 17.5 to 30.5 kg/m2, inclusive; and a total body weight \>50kg (110 lbs).
  • Willing to stop using any herbal or natural health products for 2 weeks prior to and during the study including: Grapefruit, grapefruit juice, St. John's Wort.
  • Participant must use a reliable method of birth control while they are participating in the study; for instance an intrauterine device (IUD), condom with spermicidal gel or foam, diaphragm with spermicidal gel or foam, vasectomy, tubal ligation, hysterectomy or abstinence or female must be post-menopausal for at least one year.

Exclusion

  • Female subjects of childbearing potential with positive urine pregnancy test at screening.
  • Female subjects who are breastfeeding.
  • Use of CYP3A modulators (e.g., rifampicin, phenobarbital, carbamazepine, phenytoin, azole drugs, telithromycin, clarithromycin, erythromycin)
  • Any significant acute or chronic medical illness that might confound the results of the study or pose an additional risk in administrating study drugs to the subject, as determined by the investigator.
  • Any condition that could affect drug absorption (eg, gastrectomy, pancreatitis).
  • Any major surgery within 4 weeks of study drug administration.
  • Blood donation of approximately 1 pint (500 mL) within 56 days before study drug administration.
  • Known hypersensitivity to rifamycins
  • Patients with hepatic impairment (Child-Pugh Class B or C) and/or with history of hepatobiliary disease or liver function test elevations.
  • Renal insufficiency (eGFR \< 60 mL/min)
  • History of uveitis and/or current eye or vision problems with the exception of corrective lenses.
  • Contact lens use during study drug administration.

Key Trial Info

Start Date :

May 9 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 30 2024

Estimated Enrollment :

6 Patients enrolled

Trial Details

Trial ID

NCT04840862

Start Date

May 9 2022

End Date

May 30 2024

Last Update

August 9 2024

Active Locations (1)

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1

University of Southern California

Los Angeles, California, United States, 90033