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CompletedNCT01347658Updated Nov 14, 2019

Drug Interactions Between Echinacea Purpurea and Etravirine

An interventional study of Echinacea purpurea in HIV, sponsored by Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia. Completed at 1 site in Spain. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2019-11-14.

Sponsored by Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
18 Years to 99 Years
Sex
All
01

Study summary

The purpose of this clinical trial is to characterize drug interactions between one medicinal herb: Echinacea purpurea and the protease inhibitor etravirine.

Read the detailed description

Because of its CYP3A4 inducer activity in the liver but its inhibitor effect at the intestinal site, concomitant administration of Equinacea purpurea (a medicinal herb frequently used by HIV-infected patients) and etravirine (an HIV reverse transcriptase inhibitor) might result in clinically relevant pharmacokinetic drug interactions.

15 HIV-infected patients on stable antiretroviral therapy including etravirine at the dosage of 200 mg twice daily during at least 4 weeks will be enrolled. After their inclusion in the study, patients will receive Echinacea purpurea root (500 mg every 8 hours) in addition to their antiretroviral treatment, from day 1 until two weeks later (day 14). On days 0 and 14, blood samples will be drawn immediately before and 1, 2, 4, 6, 8, 10 and 12 hours after the administration of an etravirine dose, and etravirine concentrations in plasma will be determined by high performance liquid chromatography using a validated method.

02

Conditions studied

  • HIV

Keywords

  • etravirine
  • Echinacea purpurea
  • interaction
03

In context

Lead sponsor

Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia is the lead sponsor of 44 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients infected with HIV-1 (at least one documented positive Western-Blot).
  2. Age 18 years or more.
  3. Patients receiving antiretroviral therapy including etravirine at the approved dose of 200 mg twice daily for at least 4 weeks
  4. HIV viral load in plasma \<50 copies / mL
  5. Absence of acute infections and / or tumors in the three months prior to inclusion.
  6. Subject able to follow the treatment period, without suspicion of poor adherence in previous antiretroviral treatments.
  7. Voluntary written informed consent.

Exclusion criteria

Exclusion criteria:

  1. Any clinical or historical observation that could interfere with the pharmacokinetics of medications, such as gastrointestinal illness or surgery (except for herniotomy and appendectomy), changes in the composition of plasma proteins, some indication of hepatic or renal dysfunction.
  2. Antiretroviral regimen including drugs ritonavir or atazanavir (CYP3A4 inhibitors)
  3. Concomitant treatment with drugs inductors of CYP3A4 (rifampicin, fenitoin, carbamazepin, ...)
  4. Active alcohol consumption (> 50 g / day) or illicit drugs (except cannabis).
  5. Pregnancy or lactation
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Etravirine + echinacea

    etravirine + root of Echinacea purpurea

    Dietary Supplement: Echinacea purpurea

Interventions

  • Dietary supplementEchinacea purpurea

    Patients will take Echinacea purpurea (500 mg every 8 hours) during 14 days.

06

What researchers measure

Primary outcomes

  1. plasma concentration of etravirine.

    plasma concentration of etravirine.

    Time frame: Change from baseline to day 14

Secondary outcomes

  1. Clearance (CL/F)

    Time frame: Change from baseline to day 14

  2. Volume of distribution (V/F)

    Time frame: Change from baseline to day 14

  3. Elimination half-life (t1/2)

    Time frame: Change from baseline to day 14

  4. Area under the plasma concentration-time curve during the dosing interval (AUC0-24)

    Time frame: Change from baseline to day 14

  5. Number of patients with adverse events

    Time frame: From baseline to day 28

  6. HIV Viral load in plasma

    Time frame: Day 14

  7. Number of patients with laboratory alterations

    Time frame: From baseline to day 28

07

Study locations

1 site
  • Hospital Germans Trias i Pujol
    Badalona, Barcelona 08916, Spain
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 14, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01347658
Lead sponsor
Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia
Responsible party
Sponsor
First posted
May 4, 2011
Start date
Apr 2011
Primary completion
Aug 2011
Completion
Aug 2011
Last update
Nov 14, 2019

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2011. You cannot join it, but the record below documents what was studied.

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