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- Reason if recruiting stopped or withdrawn: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 HeidelbergIm Neuenheimer Feld 67269120 HeidelbergGermany
- 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 PharmakoepidemiologieProfessor Walter E. HaefeliIm Neuenheimer Fled 41069120 HeidelbergGermany
- 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, KliPSDr. Antje BlankIm Neuenheimer Feld 41069120 HeidelbergGermany
- 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 PharmakoepidemiologieProfessor Walter E. HaefeliIm Neuenheimer Fled 41069120 HeidelbergGermany
- 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 PharmakoepidemiologieIm Neuenheimer Fled 41069120 HeidelbergGermany
- 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 HeidelbergAlte Glockengießerei 11/169115 HeidelbergGermany
- 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
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