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Pharmacokinetic Study on Raltegravir and Lamotrigine

Information source: Radboud University
Information obtained from ClinicalTrials.gov on August 08, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: HIV Infection

Intervention: lamotrigine alone or combined with raltegravir vise versa (Drug)

Phase: Phase 1

Status: Recruiting

Sponsored by: Radboud University

Official(s) and/or principal investigator(s):
David m Burger, PharmD PhD, Principal Investigator, Affiliation: Radboud University

Overall contact:
David M. Burger, PharmD PhD, Phone: +255 748468553, Email: d.burger@akf.umcn.nl

Summary

The purpose of this study is to determine whether interactions between raltegravir and lamotrigne take place and to study the safety of the combination raltegravir/lamotrigine before used in HIV patients.

Clinical Details

Official title: The Influence of Raltegravir (MK-0518) on the Pharmacokinetics of Single-Dose Lamotrigine in Healthy Male Subjects (GRANOLA)

Study design: Treatment, Randomized, Open Label, Dose Comparison, Crossover Assignment, Pharmacokinetics Study

Primary outcome: Plasma concentrations of lamotrigine, lamotrigine-2N-glucuronide, and raltregravir

Secondary outcome: Determination of pharmacokinetic parameters (AUC, Cmax, Tmax, Cmin and T 1/2) by noncompartmental analysis

Detailed description: Lamotrigine is an anticonvulsive drug that is used both for the treatment of HIV-associated neuropathic pain and the treatment of epilepsy in HIV-infected individuals. Lamotrigine is metabolized via glucuronidation.

Raltegravir is a newly developed integrase inhibitor that is also metabolized via glucuronidation.

Since both agents are metabolized via glucuronidation, there is a possibility of competition for glucuronidation, leading to drug drug interactions between raltegravir and lamotrigine.

This primary objective of this study is to determine the effect of raltegravir on the pharmacokinetics of single dose lamotrigine (by intrasubject comparison). A secondary objective is to determine the effect of single dose lamotrigine on the pharmacokinetics of raltegravir when compared to historical controls. Another secondary objective is to evaluate the safety of combined use of single dose lamotrigine and raltegravir.

Eligibility

Minimum age: 18 Years. Maximum age: 55 Years. Gender(s): Male.

Criteria:

Inclusion Criteria:

- between 18 and 55 years of age

- subj does not smoke more than 10 cigarettes, 2 cigars of 2 pipes per day

- subj has a quetelet index of 18 to 30kg/m2

- subj is able and willing to sign informed consent

- subj is in a good age-appropriate health condition

- subj has a normal blood pressure and pulse rate

Exclusion Criteria:

- history of sensitivity/idiosyncrasy to medicinal products or excipients

- Positive HIV test

- Positive hepatitis B or C test

- Therapy with any drug (2 weeks preceding dosing) except for paracetamol

- Relevant history or presence of pulmonary disorders, cardiovascular ....

- History of or current abuse of drugs, alcohol or solvents

- Inability to understand the nature and extent of the trial and procedures

- Participation in a drug trial within 60 days prior to the first dose

- Donation of blood within 60 days prior to the first dose

- Febrile illness within 3 days before the first dose

Locations and Contacts

David M. Burger, PharmD PhD, Phone: +255 748468553, Email: d.burger@akf.umcn.nl

Radboud University Medical Center, Nijmegen, Gelderland, Netherlands; Recruiting
David Burger, Dr., Principal Investigator
Additional Information

Starting date: February 2008
Ending date: October 2008
Last updated: April 23, 2008

Page last updated: August 08, 2008

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