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A Study to Evaluate the Pharmacokinetic Effect of SCH 503034 (Boceprevir) on Methadone or Buprenorphine/Naloxone Plasma Concentrations (P08123)

Information source: Merck Sharp & Dohme Corp.
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Hepatitis C Virus

Intervention: boceprevir (Drug); methadone (Drug); buprenorphine/naloxone (Drug)

Phase: Phase 1

Status: Completed

Sponsored by: Merck Sharp & Dohme Corp.

Summary

In this study, participants on methadone or buprenorphine/naloxone maintenance therapy will be given boceprevir. Blood samples will be taken at specified intervals to find out whether boceprevir affects the pharmacokinetics of methadone, buprenorphine, or naloxone.

Clinical Details

Official title: An Open-Label, One-Period Study in Patients Receiving Methadone or Buprenorphine/Naloxone Maintenance Therapy to Evaluate the Effect of SCH 503034 (Boceprevir) on Either Methadone or Buprenorphine/Naloxone Plasma Concentrations (Protocol No. P08123)

Study design: Allocation: Non-Randomized, Endpoint Classification: Pharmacokinetics Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Primary outcome:

Area Under the Concentration Versus Time Curve (AUC) at Steady State of Methadone Enantiomers When Administered With or Without Boceprevir

Maximum Concentration (Cmax) at Steady State of Methadone Enantiomers When Administered With or Without Boceprevir

AUC of Buprenorphine (Administered in Combination With Naloxone) at Steady State With or Without Boceprevir

Cmax of Buprenorphine (Administered in Combination With Naloxone) at Steady State With or Without Boceprevir

Secondary outcome:

AUC of Naloxone (Administered in Combination With Buprenorphine) at Steady State With or Without Boceprevir

Cmax of Naloxone (Administered in Combination With Buprenorphine) at Steady State With or Without Boceprevir

Eligibility

Minimum age: 18 Years. Maximum age: 65 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Body Mass Index (BMI) between 18 and 36, inclusive

- Reliable participation in a methadone maintenance or buprenorphine maintenance or

buprenorphine/naloxone maintenance program for at least two (2) months prior to Day 1.

- Is receiving once daily oral dose of methadone therapy at a stable

individualized dose for at least 4 weeks, receiving once daily buprenorphine dose at a stable individualized dose for at 4 weeks with, if on buprenorphine only therapy, naloxone added for at least 2 weeks prior to Day 1.

- 12-lead electrocardiogram (ECG) conduction intervals within gender-specific normal

range

- Vital signs within normal range

- Clinical laboratory tests within normal range

- Women who are postmenopausal, surgically sterilized, or premenopausal and use a

medically-accepted method of contraception. Exclusion Criteria:

- Pregnancy, breast feeding, or intention to become pregnant or father a child while on

study or within 3 months after end of trial

- History or presence of inflammatory bowel disease, ulcers, or gastrointestinal or

rectal bleeding

- History of major gastrointestinal tract surgery such as gastrectomy,

gastroenterostomy, or bowel resection

- History of pancreatic injury or pancreatitis

- History or presence of liver disease or liver injury

- History or presence of impaired renal function

- History of urinary obstruction or difficulty in voiding

- History of any infectious disease within 4 weeks prior to drug administration that in

the opinion of the investigator, affects the subject's ability to participate in the trial

- Positive for hepatitis B surface antigen, hepatitis C antibodies or human

immunodeficiency virus (HIV)

- Positive screen for drugs with a high potential for abuse such as cocaine,

amphetamines, methylenedioxymethamphetamine (MDMA), barbiturates, benzodiazepines, or opiates/opioids

- Excessive use of alcohol in the 2 weeks prior to Day -1, defined as greater than 3

glasses of alcoholic beverages (1 is approximately equivalent to: beer [284 mL/10 oz], wine [125 mL/4 oz], or distilled spirits [25 mL/1 oz]) per day.

- Blood donation in the past 60 days

- Previous administration of SCH 503034 (boceprevir)

- Current participation in another clinical study or participation in a clinical study

(e. g., laboratory or clinical evaluation) within 30 days of baseline

- Study staff personnel or family members of the study staff personnel

- Demonstrated allergic reactions (eg, food, drug, atopic reactions or asthmatic

episodes) that, in the opinion of the investigator and sponsor, interfere with their ability to participate in the trial

- History of malignancy within 5 years from Screening

- Consumption of excessive amounts (equivalent to > 6 cups of brewed coffee/day) of

coffee, tea, cola or other caffeinated beverages

- Receipt of any of the following more recently than the washout period prior to

Baseline: inhibitors or inducers of cytochrome (CYP) P450, CYP2B6, CYP3A4, and CYP2D6; or oral contraceptives containing drospirenone

Locations and Contacts

Additional Information

Starting date: September 2011
Last updated: February 25, 2015

Page last updated: August 23, 2015

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