Impact of pantoprazole on absorption and disposition of hydroxychloroquine, a drug used in Covid-19

Organizational Data

DRKS-ID:
DRKS00021573
Recruitment Status:
Recruiting complete, study complete
Date of registration in DRKS:
2020-04-27
Last update in DRKS:
2022-08-02
Registration type:
Prospective

Acronym/abbreviation of the study

K724_HCQ-PPI

URL of the study

No Entry

Brief summary in lay language

In this study, we will evaluate the effect of pantoprazole (a proton-pump inhibitor) on hydroxychloroquine absorption (uptake into the body after oral ingestion) in healthy volunteers. Proton-pump inhibitors reduce stomach acid production and are used in heartburn due to acid reflux and in other indications. Hydroxychloroquine is used for malaria and in other indications and is currently evaluated as a potential treatment of patients with coronavirus disease COVID-19.

Brief summary in scientific language

Concomitant administration of proton-pump inhibitors (PPI) such as pantoprazole can affect the absorption of other drugs. Whether PPI affect the absorption of hydroxychloroquine, which may have therapeutic potential in patients with COVID-19, is currently unknown. In this single-dose, parallel-group pharmacokinetic trial we will evaluate the effect of pantoprazole on hydroxychloroquine in healthy volunteers.

Health condition or problem studied

Free text:
healthy volunteers
Healthy volunteers:
No Entry

Interventions, Observational Groups

Arm 1:
PPI-Arm: Treatment with pantoprazole in addition to the trial medication hydoxychloroquine, midazolam and yohimbine
Arm 2:
Control-Arm: no pantoprazole in addition to the trial medication

Endpoints

Primary outcome:
Evaluation of the effect of the proton-pump Inhibitor (PPI) pantoprazole on the absorption of HCQ in healthy volunteers
Secondary outcome:
Comparison of HCQ concentrations in whole blood as compared to plasma and intracellular concentration in PBMCs and evaluation of HCQ as a perpetrator drug in DDI at the Level of cytochrome P450 CYP3A and CYP2D6

Study Design

Purpose:
Other
Allocation:
Randomized controlled study
Control:
  • Other
Phase:
I
Study type:
Interventional
Mechanism of allocation concealment:
No Entry
Blinding:
No
Assignment:
Parallel
Sequence generation:
No Entry
Who is blinded:
No Entry

Recruitment

Recruitment Status:
Recruiting complete, study complete
Reason if recruiting stopped or withdrawn:
No Entry

Recruitment Locations

Recruitment countries:
  • Germany
Number of study centers:
Monocenter study
Recruitment location(s):
  • University medical center Klinisch-Pharmakologisches Studienzentrum Heidelberg

Recruitment period and number of participants

Planned study start date:
2020-04-30
Actual study start date:
2020-04-30
Planned study completion date:
No Entry
Actual Study Completion Date:
2020-07-23
Target Sample Size:
24
Final Sample Size:
24

Inclusion Criteria

Sex:
All
Minimum Age:
18 Years
Maximum Age:
60 Years
Additional Inclusion Criteria:
1. Age 18-60 y inclusive at the time of consent, 2. Males and females of child-bearing potential who are willing to use a highly effective method of contraception during the treatment and for 3 months after last administration of the IMP or women not of child-bearing potential (WNCBP) or individuals who are convincingly sexually abstinent. 3. Understanding, ability, and willingness to fully comply with trial interventions and restrictions, 4. Willingness to participate in a genotyping study (K093), and 5. Ability to provide written, personally signed and dated informed consent to participate in the trial, in accordance with the International Conference on Harmonisation (ICH) Good Clinical Practice (GCP) Guideline E6, and applicable regulations, prior to any trial-related interventions.

Exclusion Criteria

1. Clinically significant or relevant abnormalities in the medical history, physical examination, and laboratory evaluation as assessed by the investigator, 2. Any medical disorder that may require treatment or make the participant unlikely to fully complete the trial, or any condition that presents undue risk from the IMPs or trial interventions, 3. Clinically relevant ongoing or clinically relevant history of physical or psychiatric illness as judged by the investigator, 4. Pregnancy or breast feeding, 5. Any acute or chronic illness or clinically relevant finding known or expected to modify absorption, distribution, metabolism, or excretion of HCQ, midazolam, yohimbine, or pantoprazole, 6. Any known history of severe allergic or anaphylactic reactions to drugs or food or any other clinically significant allergies (except mild forms of hay fever), 7. Any known allergies to the compound or further ingredients of HCQ, quinine, pantoprazole, midazolam, or yohimbine preparations, 8. Prolonged QTc time: women: QTcF > 460 ms, men: QTcF > 440 MS 9. Clinically relevant findings at SCR. Minor deviations of laboratory values from the normal range can be acceptable, if judged by the investigator to be of no clinical relevance for this Trial 10. A positive human immunodeficiency virus and hepatitis C antibody screen, 11. A positive result in the drug screening test 12. Any intake of HCQ, chloroquine or travel to malaria risk regions within the last 3 months, 13. Use of any medication (prescription medication, non-prescription medication including multivitamin or herbal preparations) with active ingredients except hormonal contraception and thyroid hormones, or any intake of substances known to induce or inhibit HCQ-metabolizing enzymes or drug transporters within a period of less than 5 times the respective elimination half-life (t1/2) with regard to the expected date of the first dose of IMP, 14. Consumption of citrus fruits or products of these fruits within 7 d prior to the expected date of first dose of IMP and expected nonadherence to refrain from such products until V5, 15. Expected nonadherence to refrain from alcohol 24 h prior to V1 until V5 of this trial, or excessive alcohol consumption. 16. Intake of quinine, or consumption of quinine-containing drinks (bitter lemon, tonic water, bitter orange) 17. Use of an IMP within 30 d prior to the expected date of receiving the first dose of IMP or active enrolment in another drug or vaccine clinical trial. 18. Contraindications to HCQ use

Addresses

Primary Sponsor

Address:
Universitätsklinikum Heidelberg
Im Neuenheimer Feld 672
69120 Heidelberg
Germany
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
http://www.klinikum.uni-heidelberg.de
Investigator Sponsored/Initiated Trial (IST/IIT):
Yes

Contact for Scientific Queries

Address:
Medizinische Klinik Abteilung Klinische Pharmakologie und Pharmakoepidemiologie
Professor Walter E. Haefeli
Im Neuenheimer Fled 410
69120 Heidelberg
Germany
Telephone:
06221 56 8740
Fax:
06221 56 8523
Contact per E-Mail:
Contact per E-Mail
URL:
https://www.klinikum.uni-heidelberg.de/zentrum-fuer-innere-medizin-medizin-klinik/abt-klinische-pharmakologie-und-pharmakoepidemiologie

Contact for Public Queries

Address:
Medizinsiche Klinik, KliPS
Dr. Antje Blank
Im Neuenheimer Feld 410
69120 Heidelberg
Germany
Telephone:
06221 56 38745
Fax:
06221 56 8523
Contact per E-Mail:
Contact per E-Mail
URL:
https://www.klinikum.uni-heidelberg.de/zentrum-fuer-innere-medizin-medizin-klinik/abt-klinische-pharmakologie-und-pharmakoepidemiologie

Principal Investigator

Address:
Medizinische Klinik Abteilung Klinische Pharmakologie und Pharmakoepidemiologie
Professor Walter E. Haefeli
Im Neuenheimer Fled 410
69120 Heidelberg
Germany
Telephone:
06221 56 8740
Fax:
06221 56 8523
Contact per E-Mail:
Contact per E-Mail
URL:
https://www.klinikum.uni-heidelberg.de/zentrum-fuer-innere-medizin-medizin-klinik/abt-klinische-pharmakologie-und-pharmakoepidemiologie

Sources of Monetary or Material Support

Institutional budget, no external funding (budget of sponsor/PI)

Address:
Medizinische KlinikAbteilung Klinische Pharmakologie und Pharmakoepidemiologie
Im Neuenheimer Fled 410
69120 Heidelberg
Germany
Telephone:
06221 56 8740
Fax:
06221 56 8523
Contact per E-Mail:
Contact per E-Mail
URL:
https://www.klinikum.uni-heidelberg.de/zentrum-fuer-innere-medizin-medizin-klinik/abt-klinische-pharmakologie-und-pharmakoepidemiologie

Ethics Committee

Address Ethics Committee

Address:
Ethikkommission der Medizinischen Fakultät Heidelberg
Alte Glockengießerei 11/1
69115 Heidelberg
Germany
Telephone:
+49-6221-338220
Fax:
+49-6221-3382222
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Vote of leading Ethics Committee

Vote of leading Ethics Committee
Date of ethics committee application:
2020-04-14
Ethics committee number:
AFmo-265/2020
Vote of the Ethics Committee:
Approved
Date of the vote:
2020-04-17

Further identification numbers

Other primary registry ID:
No Entry
EudraCT Number:
2020-001470-30
Other secondary IDs:
No Entry
UTN (Universal Trial Number):
No Entry
EUDAMED Number:
No Entry

IPD - Individual Participant Data

Do you plan to make participant-related data (IPD) available to other researchers in an anonymized form?:
Yes
IPD Sharing Plan:
Data can be provided by reasonable request at principle investigator

Study protocol and other study documents

Study protocols:
No Entry
Study abstract:
No Entry
Other study documents:
No Entry
Background literature:
No Entry
Related DRKS studies:
No Entry

Publication of study results

Planned publication:
No Entry
Publikationen/Studienergebnisse:
Effect of pantoprazole on the absorption of hydroxychloroquine - a randomised drug-drug interactio trial in helathy adults
Date of first publication of study results:
No Entry
DRKS entry published for the first time with results:
No Entry

Basic reporting

Basic Reporting / Results tables:
No Entry
Brief summary of results:
No Entry