A Phase 1 interventional study of Rifabutin and Rifabutin + Atazanavir + Ritonavir in Antivirals/HIV, sponsored by Bristol-Myers Squibb. Completed at 1 site in United States. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2013-01-31.
Sponsored by Bristol-Myers Squibb · Phase 1, Interventional, and Treatment
The purpose of this study is to evaluate the exposure of rifabutin (RIB) when administered with atazanavir and ritonavir (ATV/RTV)
Bristol-Myers Squibb is the lead sponsor of 1,538 studies on the registry; 116 are open to participants now.
Of its 429 completed or terminated interventional studies of FDA-regulated products, 223 (52%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Drug: Rifabutin
Drug: Rifabutin + Atazanavir + Ritonavir
Capsule, Oral, 150 mg, once daily, 11 Days
Capsules, Oral, 18 Days Rifabutin (150 mg, 2x/wk) Atazanavir (300 mg, once daily) Ritonavir (100 mg, once daily)
Also known as: Reyataz
Average Area Under the Plasma Concentration-time Curve for 24 Hours (AUC24avg) for Rifabutin (RIB)
AUC24avg is AUC(0-24 hour) following dosing on Day 10 for RIB 150mg once daily (QD); AUC24avg is the area under the plasma concentration-time curve in 1 dosing interval (AUC\[TAU\]) divided by the number of days over the sampling duration for ATV/RTV 300/100 mg QD+RIB 150 mg twice weekly, i.e. AUC(TAU)/7.
Time frame: Pre-dose (0 hours [h]) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Maximum Plasma Concentration (Cmax) of RIB
Cmax was derived from plasma concentration versus time for RIB and was recorded directly from experimental observations for each treatment period.
Time frame: Pre-dose (0h) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Minimum Plasma Concentration (Cmin) of RIB
Cmin was derived from plasma concentration versus time for RIB.
Time frame: Pre-dose (0h) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
AUC24avg for 25-O-Desacetyl-RIB
AUC24avg is AUC(0-24 hour) following dosing on Day 10 for RIB 150 mg QD; AUC24avg is the area under the plasma concentration-time curve in 1 dosing interval (AUC\[TAU\]) divided by the number of days over the sampling duration for ATV/RTV 300/100 mg QD+RIB 150 mg twice weekly, i.e. AUC(TAU)/7
Time frame: Pre-dose (0h) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Cmax of 25-O-Desacetylrifabutin (25-O-Desacetyl-RIB)
Cmax was derived from the plasma concentration versus time for 25-O-Desacetyl-RIB (a metabolite of RIB) and was recorded directly from experimental observations for each treatment period.
Time frame: Pre-dose (0h) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Cmin of 25-O-Desacetyl-RIB
Cmin was derived from plasma concentration versus time for 25-O-Desacetyl-RIB.
Time frame: Pre-dose (0h) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Total Area Under the Plasma Concentration-time Curve (AUCtot)
AUCtot represents the total free RIB plus 25-O-Desacetyl-RIB output. It is calculated as: AUCtot (micromolar\[µM\]\*h) = AUC24avg(RIB)(ng\*h/mL)/847.016 (g/mole) + AUC24avg(25-O-Desacetyl-RIB)(ng\*h/mL)/804.979(g/mole). The 300 mg RIB arm represents an extrapolation from the 150 mg RIB group.
Time frame: Pre-dose (0h) on Days 6, 8, 10, and 11, and post-dose (1h,2h,3h,4h,6h,8h,12h) on Day 10 for RIB 150 mg QD; and pre-dose (0h) on Days 4, 8,11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Cmax of ATV
Cmax was derived from the plasma concentration versus time for ATV and was recorded directly from experimental observations for each treatment period.
Time frame: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Cmin of ATV
Cmin was derived from the plasma concentration versus time for ATV.
Time frame: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
AUC(TAU) for ATV
AUC(TAU) was derived from the plasma concentration versus time for ATV, and was calculated by linear and log-linear trapezoidal summations using a mixed log-linear algorithm.
Time frame: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Time to Reach Maximum Observed Plasma Concentration (Tmax) of ATV
Tmax was derived from the plasma concentration versus time for ATV and was recorded directly from experimental observations for each treatment period.
Time frame: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Terminal Elimination Half-life (T-half) of ATV
T-half was obtained directly from the concentration-time data. T-half following doses administered for treatment ATV/RTV 300/100 mg QD+RIB 150 mg twice weekly.
Time frame: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Cmax of RTV
Cmax was derived from the plasma concentration versus time for RTV and was recorded directly from experimental observations for each treatment period.
Time frame: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Cmin of RTV
Cmin was derived from the plasma concentration versus time for RTV.
Time frame: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
AUC(TAU) for RTV
AUC(TAU) was derived from the plasma concentration versus time for RTV, and was calculated by linear and log-linear trapezoidal summations using a mixed log-linear algorithm.
Time frame: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Tmax of RTV
Tmax was derived from the plasma concentration versus time for RTV and was recorded directly from experimental observations for each treatment period.
Time frame: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
T-half of RTV
T-half was obtained directly from the concentration-time data.
Time frame: Pre-dose (0h) on Days 4, 8, 11 to 18 and post-dose (1h,2h,3h,4h,6h,8h,12h) on Days 11 and 15 for ATV/RTV + RIB.
Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Experienced Adverse Events (AEs) and Experienced Events Leading to Discontinuation.
AEs were defined as new, untoward medical occurrences/worsening of pre-existing medical condition, whether drug-related or not. SAEs were defined as any AE that: resulted in death; was life threatening; resulted in a persistent or significant disability/incapacity; resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; was a cancer; or was an overdose. Discontinuation from the study was due either to an AE or was conducted at the investigator's discretion.
Time frame: From Day 1 to 30 days after the last dose of study drug.
Number of Participants With Marked Abnormalities (MAs) in Hematology: Hemoglobin, Hematocrit, Platelet Count and Leukocytes
MAs are laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following hematology MA definitions specify the criteria for the data presented. Hemoglobin/hematocrit: \<0.85 x pre-treatment (pre-Rx) value. Platelet count: \<0.85 x lower limit of normal (LLN) (or, if pre-Rx value \<LLN, then \<0.85 x pre-Rx value) or \>1.5 x upper limit of normal (ULN). Leukocytes: \<0.9 x LLN or \>1.2 x ULN (or, if pre-Rx value \<LLN, then \<0.85 x pre-Rx or \>ULN. If pre-Rx value \>ULN, then \>1.15 x pre-Rx or \<LLN).
Time frame: Pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14, 20 and 26 for RIB 150 mg QD; and pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14 and 18 for ATV/RTV 300/100 mg QD + RIB 150 mg twice weekly.
Number of Participants With MAs in Hematology: Neutrophils + Bands (Absolute), Lymphocytes (Absolute), Monocytes (Absolute), Basophils (Absolute) and Eosinophils (Absolute)
MAs are laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following hematology MA definitions specify the criteria for the data presented. Neutrophils+bands (absolute): \<=1.50 x 10\^3 cells/microliter (uL). Lymphocytes (absolute): \<0.75 x 10\^3 cells/uL or \>7.50 x 10\^3 cells/uL. Monocytes (absolute): \>2.00 x 10\^3 cells/uL. Basophils (absolute): \>0.40 x 10\^3 cells/uL. Eosinophils (absolute): \>0.75 x 10\^3 cells/uL.
Time frame: Pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14, 20 and 26 for RIB 150 mg QD; and pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14 and 18 for ATV/RTV 300/100 mg QD + RIB 150 mg twice weekly.
Number of Participants With MAs in Serum Chemistry: Alkaline Phosphatase (ALP),Aspartate Aminotransferase (AST),Alanine Aminotransferase (ALT),Bilirubin (Total),Bilirubin (Direct),Blood Urea Nitrogen (BUN),Creatinine,Sodium (Serum),Potassium (Serum)
MAs=laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following serum chemistry MA definitions specify MA criteria. ALP, AST, ALT:\>1.25xULN (if pre-Rx \>ULN, then \>1.25xpre-Rx). Bilirubin (total), bilirubin (direct), BUN:\>1.1xULN (if pre-Rx \>ULN, then \>1.25xpre-Rx). Creatinine:\>1.33xpre-Rx. Sodium (serum):\<0.95xLLN or \>1.05xULN (if pre-Rx \<LLN, then \<0.95xpre-Rx or \>ULN. If pre-Rx \>ULN, then \>1.05xpre-Rx or \<LLN). Potassium (serum):\<0.9xLLN or \>1.1xULN (if pre-Rx \<LLN, then \<0.9xpre-Rx or \>ULN. If pre-Rx \>ULN, then \>1.1xpre-Rx or \<LLN).
Time frame: Pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14, 20 and 26 for RIB 150 mg QD; and pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14 and 18 for ATV/RTV 300/100 mg QD + RIB 150 mg twice weekly.
Number of Participants With MAs in Serum Chemistry: Chloride (Serum), Calcium (Total), Protein (Total), Bicarbonate, Phosphorous (Inorganic)
MAs=laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following serum chemistry MA definitions specify MA criteria. Chloride (serum), calcium (total), protein (total):\<0.9xLLN or \>1.1xULN (if pre-Rx \<LLN, then \<0.9xpre-Rx or \>ULN. If pre-Rx \>ULN, then \>1.1xpre-Rx or \<LLN). Bicarbonate:\<0.8xLLN or \>1.2xULN (if pre-Rx value \<LLN, then \<0.8xpre-Rx value or \>ULN. If pre-Rx \>ULN, then \>1.2xpre-Rx value or \<ULN). Phosphorous (inorganic):\<0.85xLLN or \>1.25xULN (if pre-Rx \<ULN, then \<0.85xpre-Rx or \<ULN. If pre-Rx \>ULN, then \>1.25x re-Rx or \<LLN).
Time frame: Pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14, 20 and 26 for RIB 150 mg QD; and pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14 and 18 for ATV/RTV 300/100 mg QD + RIB 150 mg twice weekly.
Number of Participants With MAs in Serum Chemistry: Glucose (Fasting Serum), Albumin, Creatine Kinase, Uric Acid, Lactate Dehydrogenase (LDH)
MAs=laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following serum chemistry MA definitions specify MA criteria. Glucose (fasting serum): \<0.8 x LLN or \>1.5 ULN (if pre-Rx \<LLN, then \<0.8 x pre-Rx or \>ULN. If pre-Rx \>ULN, then \>2.0 x pre-Rx or \<LLN. Albumin: \<0.9 x LLN (if pre-Rx \<LLN, then \<0.9 x pre-Rx). Creatine kinase: \>1.5 x ULN (if pre-Rx \>ULN, then \>1.5 x pre-Rx). Uric acid: \>1.2 x ULN (if pre-Rx \>ULN, then \>1.25 x pre-Rx). LDH: \>1.25 x ULN (if pre-Rx \>ULN, then \>1.5 x pre-Rx).
Time frame: Pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14, 20 and 26 for RIB 150 mg QD; and pre-dose on Day -1 and post-dose on Days 3, 7, 11, 14 and 18 for ATV/RTV 300/100 mg QD + RIB 150 mg twice weekly.
Number of Participants With MAs in Urinalysis
MAs are laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following definitions specify the criteria for MAs. Protein, glucose and blood: \>=2+ (or, if pre-treatment value \>=1+, then \>= 2 x pre-treatment value).
Time frame: Pre-dose on Day -1, Day 7 and discharge.
Number of Participants With Identified Electrocardiogram (ECG) Abnormalities
ECG abnormalities were defined as findings that are clinically meaningful as judged by the investigator. A 12-lead ECG was recorded at least 5 minutes after the participant had been lying down and all ECG recordings were evaluated by the investigator. Abnormalities, if present at any study time point, were listed.
Time frame: Pre-dose on Day -1 and study discharge.
Number of Participants With Clinically Significant Vital Signs or Physical Examination Findings
Vital signs assessments and physical examination were conducted throughout the study. Vital signs assessments included body temperature, respiratory rate, blood pressure (systolic and diastolic), and heart rate. Physical examination included a neurological examination (if ocular signs or symptoms occurred, a reflex to slit lamp exam was performed by an ophthalmologist). The investigator used his/her clinical judgment to decide whether or not abnormalities in vital signs or physical examination were clinically meaningful.
Time frame: Vital signs:screening, prior to dosing on Day 1, Day 7, study discharge. Physical examination:screening, Day -1, Day 7, study discharge
| Milestone | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Started | 15 | 18 |
| Completed | 14 | 5 |
| Not completed | 1 | 13 |
| Withdrew: Adverse event | 1 | 9 |
| Withdrew: Investigator discretion | 0 | 4 |
AUC24avg is AUC(0-24 hour) following dosing on Day 10 for RIB 150mg once daily (QD); AUC24avg is the area under the plasma concentration-time curve in 1 dosing interval (AUC\[TAU\]) divided by the number of days over the sampling duration for ATV/RTV 300/100 mg QD+RIB 150 mg twice weekly, i.e. AUC(TAU)/7.
| nanograms*hour /milliliters (ng*h/mL) | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Average Area Under the Plasma Concentration-time Curve for 24 Hours (AUC24avg) for Rifabutin (RIB) | 1565 ± 528.49 | 2311 ± 507.99 |
Cmax was derived from plasma concentration versus time for RIB and was recorded directly from experimental observations for each treatment period.
| ng/mL | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Maximum Plasma Concentration (Cmax) of RIB | 159.0 ± 50.52 | 395.6 ± 54.32 |
Cmin was derived from plasma concentration versus time for RIB.
| ng/mL | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Minimum Plasma Concentration (Cmin) of RIB | 28.89 ± 14.08 | 40.49 ± 11.27 |
Cmax was derived from the plasma concentration versus time for ATV and was recorded directly from experimental observations for each treatment period.
| ng/mL | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|
| Cmax of ATV | 5633 ± 940.84 |
Cmin was derived from the plasma concentration versus time for ATV.
| ng/mL | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|
| Cmin of ATV | 920.69 ± 497.07 |
AUC(TAU) was derived from the plasma concentration versus time for ATV, and was calculated by linear and log-linear trapezoidal summations using a mixed log-linear algorithm.
| ng*h/mL | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|
| AUC(TAU) for ATV | 51795 ± 12680.65 |
Tmax was derived from the plasma concentration versus time for ATV and was recorded directly from experimental observations for each treatment period.
| Hour | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|
| Time to Reach Maximum Observed Plasma Concentration (Tmax) of ATV | 2.00 ± 0.88 |
T-half was obtained directly from the concentration-time data. T-half following doses administered for treatment ATV/RTV 300/100 mg QD+RIB 150 mg twice weekly.
| Hour | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|
| Terminal Elimination Half-life (T-half) of ATV | 11.89 ± 3.65 |
Cmax was derived from the plasma concentration versus time for RTV and was recorded directly from experimental observations for each treatment period.
| ng/mL | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|
| Cmax of RTV | 1466 ± 467.23 |
Cmin was derived from the plasma concentration versus time for RTV.
| ng/mL | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|
| Cmin of RTV | 40.54 ± 34.78 |
AUC(TAU) was derived from the plasma concentration versus time for RTV, and was calculated by linear and log-linear trapezoidal summations using a mixed log-linear algorithm.
| ng*h/mL | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|
| AUC(TAU) for RTV | 8699 ± 3002.89 |
Tmax was derived from the plasma concentration versus time for RTV and was recorded directly from experimental observations for each treatment period.
| Hour | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|
| Tmax of RTV | 4.00 ± 0.87 |
T-half was obtained directly from the concentration-time data.
| Hour | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|
| T-half of RTV | 4.45 ± 0.65 |
AEs were defined as new, untoward medical occurrences/worsening of pre-existing medical condition, whether drug-related or not. SAEs were defined as any AE that: resulted in death; was life threatening; resulted in a persistent or significant disability/incapacity; resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; was a cancer; or was an overdose. Discontinuation from the study was due either to an AE or was conducted at the investigator's discretion.
| Participants | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Deaths | 0 | 0 |
| Other SAEs | 0 | 2 |
| AEs | 5 | 13 |
| AE leading to discontinuation | 1 | 9 |
| Discontinuation due to investigator discretion | 0 | 4 |
MAs are laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following hematology MA definitions specify the criteria for the data presented. Hemoglobin/hematocrit: \<0.85 x pre-treatment (pre-Rx) value. Platelet count: \<0.85 x lower limit of normal (LLN) (or, if pre-Rx value \<LLN, then \<0.85 x pre-Rx value) or \>1.5 x upper limit of normal (ULN). Leukocytes: \<0.9 x LLN or \>1.2 x ULN (or, if pre-Rx value \<LLN, then \<0.85 x pre-Rx or \>ULN. If pre-Rx value \>ULN, then \>1.15 x pre-Rx or \<LLN).
| Participants | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Hemoglobin | 0 | 1 |
| Hematocrit | 0 | 1 |
| Platelet count | 0 | 0 |
| Leukocytes | 1 | 7 |
MAs are laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following hematology MA definitions specify the criteria for the data presented. Neutrophils+bands (absolute): \<=1.50 x 10\^3 cells/microliter (uL). Lymphocytes (absolute): \<0.75 x 10\^3 cells/uL or \>7.50 x 10\^3 cells/uL. Monocytes (absolute): \>2.00 x 10\^3 cells/uL. Basophils (absolute): \>0.40 x 10\^3 cells/uL. Eosinophils (absolute): \>0.75 x 10\^3 cells/uL.
| Participants | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Neutrophils+bands (absolute) | 1 | 10 |
| Lymphocytes (absolute) | 1 | 5 |
| Monocytes (absolute) | 0 | 0 |
| Basophils (absolute) | 0 | 0 |
| Eosinophils (absolute) | 0 | 0 |
AUC24avg is AUC(0-24 hour) following dosing on Day 10 for RIB 150 mg QD; AUC24avg is the area under the plasma concentration-time curve in 1 dosing interval (AUC\[TAU\]) divided by the number of days over the sampling duration for ATV/RTV 300/100 mg QD+RIB 150 mg twice weekly, i.e. AUC(TAU)/7
| ng*h/mL | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| AUC24avg for 25-O-Desacetyl-RIB | 117.7 ± 53.48 | 1283 ± 260.71 |
Cmax was derived from the plasma concentration versus time for 25-O-Desacetyl-RIB (a metabolite of RIB) and was recorded directly from experimental observations for each treatment period.
| ng/mL | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Cmax of 25-O-Desacetylrifabutin (25-O-Desacetyl-RIB) | 13.44 ± 4.50 | 104.36 ± 21.31 |
Cmin was derived from plasma concentration versus time for 25-O-Desacetyl-RIB.
| ng/mL | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Cmin of 25-O-Desacetyl-RIB | 2.79 ± 1.40 | 31.97 ± 10.60 |
AUCtot represents the total free RIB plus 25-O-Desacetyl-RIB output. It is calculated as: AUCtot (micromolar\[µM\]\*h) = AUC24avg(RIB)(ng\*h/mL)/847.016 (g/mole) + AUC24avg(25-O-Desacetyl-RIB)(ng\*h/mL)/804.979(g/mole). The 300 mg RIB arm represents an extrapolation from the 150 mg RIB group.
| µM*h | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | RIB 300 mg QD |
|---|---|---|---|
| Total Area Under the Plasma Concentration-time Curve (AUCtot) | 2.00 ± 0.68 | 4.38 ± 0.57 | — |
MAs=laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following serum chemistry MA definitions specify MA criteria. ALP, AST, ALT:\>1.25xULN (if pre-Rx \>ULN, then \>1.25xpre-Rx). Bilirubin (total), bilirubin (direct), BUN:\>1.1xULN (if pre-Rx \>ULN, then \>1.25xpre-Rx). Creatinine:\>1.33xpre-Rx. Sodium (serum):\<0.95xLLN or \>1.05xULN (if pre-Rx \<LLN, then \<0.95xpre-Rx or \>ULN. If pre-Rx \>ULN, then \>1.05xpre-Rx or \<LLN). Potassium (serum):\<0.9xLLN or \>1.1xULN (if pre-Rx \<LLN, then \<0.9xpre-Rx or \>ULN. If pre-Rx \>ULN, then \>1.1xpre-Rx or \<LLN).
| Participants | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| ALP | 0 | 0 |
| AST | 0 | 0 |
| ALT | 0 | 0 |
| Bilirubin (total) | 0 | 17 |
| Bilirubin (direct) | 0 | 16 |
| BUN | 0 | 0 |
| Creatinine | 0 | 1 |
| Sodium (serum) | 0 | 0 |
| Potassium (serum) | 0 | 0 |
MAs=laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following serum chemistry MA definitions specify MA criteria. Chloride (serum), calcium (total), protein (total):\<0.9xLLN or \>1.1xULN (if pre-Rx \<LLN, then \<0.9xpre-Rx or \>ULN. If pre-Rx \>ULN, then \>1.1xpre-Rx or \<LLN). Bicarbonate:\<0.8xLLN or \>1.2xULN (if pre-Rx value \<LLN, then \<0.8xpre-Rx value or \>ULN. If pre-Rx \>ULN, then \>1.2xpre-Rx value or \<ULN). Phosphorous (inorganic):\<0.85xLLN or \>1.25xULN (if pre-Rx \<ULN, then \<0.85xpre-Rx or \<ULN. If pre-Rx \>ULN, then \>1.25x re-Rx or \<LLN).
| Participants | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Chloride (serum) | 0 | 0 |
| Calcium (total) | 0 | 0 |
| Protein (total) | 0 | 0 |
| Bicarbonate | 0 | 0 |
| Phosphorous (inorganic) | 0 | 0 |
MAs=laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following serum chemistry MA definitions specify MA criteria. Glucose (fasting serum): \<0.8 x LLN or \>1.5 ULN (if pre-Rx \<LLN, then \<0.8 x pre-Rx or \>ULN. If pre-Rx \>ULN, then \>2.0 x pre-Rx or \<LLN. Albumin: \<0.9 x LLN (if pre-Rx \<LLN, then \<0.9 x pre-Rx). Creatine kinase: \>1.5 x ULN (if pre-Rx \>ULN, then \>1.5 x pre-Rx). Uric acid: \>1.2 x ULN (if pre-Rx \>ULN, then \>1.25 x pre-Rx). LDH: \>1.25 x ULN (if pre-Rx \>ULN, then \>1.5 x pre-Rx).
| Participants | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Glucose (Fasting Serum) | 0 | 0 |
| Albumin | 0 | 0 |
| Creatine Kinase | 0 | 0 |
| Uric Acid | 0 | 0 |
| LDH | 0 | 0 |
MAs are laboratory measurements marked as abnormal, per pre-defined study criteria, at any study time point. The following definitions specify the criteria for MAs. Protein, glucose and blood: \>=2+ (or, if pre-treatment value \>=1+, then \>= 2 x pre-treatment value).
| Participants | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Protein | 0 | 1 |
| Glucose | 0 | 0 |
| Blood | 0 | 1 |
ECG abnormalities were defined as findings that are clinically meaningful as judged by the investigator. A 12-lead ECG was recorded at least 5 minutes after the participant had been lying down and all ECG recordings were evaluated by the investigator. Abnormalities, if present at any study time point, were listed.
| Participants | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Number of Participants With Identified Electrocardiogram (ECG) Abnormalities | 0 | 3 |
Vital signs assessments and physical examination were conducted throughout the study. Vital signs assessments included body temperature, respiratory rate, blood pressure (systolic and diastolic), and heart rate. Physical examination included a neurological examination (if ocular signs or symptoms occurred, a reflex to slit lamp exam was performed by an ophthalmologist). The investigator used his/her clinical judgment to decide whether or not abnormalities in vital signs or physical examination were clinically meaningful.
| Participants | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly |
|---|---|---|
| Number of Participants With Clinically Significant Vital Signs or Physical Examination Findings | 0 | 0 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| ATV/RTV 300/100mg+RIB 150mg | — | 2/18 (11.1%) | 13/18 (72.2%) |
| RIB 150mg | — | 0/15 (0%) | 5/15 (33.3%) |
| Event | ATV/RTV 300/100mg+RIB 150mg | RIB 150mg |
|---|---|---|
| NEUTROPHIL COUNT DECREASEDInvestigations | 2/18 | 0/15 |
| Event | ATV/RTV 300/100mg+RIB 150mg | RIB 150mg |
|---|---|---|
| PYREXIAGeneral disorders | 6/18 | 1/15 |
| NEUTROPHIL COUNT DECREASEDInvestigations | 5/18 | 1/15 |
| DIARRHOEAGastrointestinal disorders | 4/18 | 0/15 |
| PAINGeneral disorders | 3/18 | 1/15 |
| JAUNDICEHepatobiliary disorders | 3/18 | 0/15 |
| DIZZINESSNervous system disorders | 3/18 | 0/15 |
| HEADACHENervous system disorders | 3/18 | 2/15 |
| PAIN IN JAWMusculoskeletal and connective tissue disorders | 0/18 | 2/15 |
| RASHSkin and subcutaneous tissue disorders | 1/18 | 2/15 |
| ABDOMINAL PAINGastrointestinal disorders | 2/18 | 0/15 |
| Age Continuous(years) | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | Total |
|---|---|---|---|
| Mean | 36 ± 5 | 37 ± 9 | 36 ± 7 |
| Age, Customized(participants) | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | Total |
|---|---|---|---|
| <65 years | 15 | 18 | 33 |
| >=65 years | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | Total |
|---|---|---|---|
| Female | 2 | 4 | 6 |
| Male | 13 | 14 | 27 |
| Ethnicity (NIH/OMB)(Participants) | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | Total |
|---|---|---|---|
| Hispanic or Latino | 5 | 4 | 9 |
| Not Hispanic or Latino | 10 | 14 | 24 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race/Ethnicity, Customized(participants) | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | Total |
|---|---|---|---|
| Caucasian | 9 | 5 | 14 |
| Black or African American | 3 | 12 | 15 |
| Asian | 2 | 0 | 2 |
| Other Race | 1 | 1 | 2 |
| Body Mass Index (BMI)(kg/m^2) | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | Total |
|---|---|---|---|
| Mean | 26.1 ± 3.2 | 26.6 ± 3.5 | 26.4 ± 3.3 |
| Height Continuous(cm) | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | Total |
|---|---|---|---|
| Mean | 173.7 ± 7.3 | 174.4 ± 10.0 | 174.1 ± 8.8 |
| Weight Continuous(kg) | RIB 150 mg Once Daily (QD) | ATV/RTV 300/100 mg QD+RIB 150 mg Twice Weekly | Total |
|---|---|---|---|
| Mean | 79.1 ± 12.0 | 81.3 ± 14.9 | 80.3 ± 13.5 |
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Bristol-Myers Squibb