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CompletedNCT03258372Updated Feb 23, 2018

Crossover Drug-Drug Interaction Study to Determine Effects of Cytochrome P450 3A on Exposure to Mifepristone and Its Metabolites

A Phase 1 interventional study of Mifepristone in Healthy, sponsored by Corcept Therapeutics. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-02-23.

Sponsored by Corcept Therapeutics · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
48
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a Phase 1, single center, fixed sequence, open label, drug-drug interaction study of the effect of multiple doses of rifampin 600 mg daily, a strong CYP3A inducer, on the exposure of mifepristone at 2 dose levels.

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Conditions studied

  • Healthy
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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Be healthy
  • Have a BMI of 18 to 32 kg/m2, inclusive, and body weight more than 50 kg (110 pounds)
  • Be judged to be in good health, based on the results of medical history, physical examination, vital signs, 12-lead ECG, and clinical laboratory findings
  • Have suitable veins for multiple venipuncture/cannulation
  • Female subjects of childbearing potential must use highly effective contraception with low user-dependency. The only acceptable method is an intrauterine device (IUD), provided that the subject has tolerated its use for at least 3 months before the first dose of study drug and undertakes not to have it removed for 1 month after the last dose of study drug. Use of hormonal contraception (by any route, including intrauterine hormone releasing systems) or hormone replacement therapy is NOT acceptable.

Exclusion criteria

Exclusion Criteria:

  • Have multiple drug allergies, or be allergic to any of the components of mifepristone or rifampin
  • Have a condition that could be aggravated by glucocorticoid blockade (eg, asthma, any chronic inflammatory condition)
  • Have a history of unexplained vaginal bleeding, endometrial hyperplasia with atypia or endometrial carcinoma
  • Breastfeeding
  • In the 1 year before first study drug administration, have a history of drug or alcohol abuse
  • In the 6 calendar months before first study drug administration, on average

    • Have smoked more than 5 cigarettes/day
    • Have consumed more than 21 units of alcohol/week for male subjects or 14 units for female subjects (1 unit/drink = 5 ounces of wine, or 12 ounces of beer, or 1.5 ounces of hard liquor)
  • In the 2 calendar months before first study drug administration, have donated/lost blood or plasma in excess of 400 mL
  • In the 30 days before first study drug administration, have participated in another clinical trial of a new chemical entity or a prescription medicine
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Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    Cohort 1

    Mifepristone 300 MG, 1 tablet

    Drug: Mifepristone

  • Experimental
    Cohort 2

    Mifepristone 1500 MG, 5 tablets

    Drug: Mifepristone

Interventions

  • DrugMifepristone

    Period 1: mifepristone 300 MG (1 tablet) for a total of 300 MG on Day 1 in Cohort 1; and mifepristone 300 MG (5 tablets) for a total of 1500 MG in Cohort 2; then Period 2: rifampin 300 MG (2 capsules) for a total of 600 MG daily for 14 days for both cohorts; then Period 3: mifepristone 300 MG (1 tablet) for a total of 300 MG on Day 1 in Cohort 1; and mifepristone 300 MG (5 tablets) for a total of 1500 MG in Cohort 2

    Also known as: rifampin

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What researchers measure

Primary outcomes

  1. Cmax of mifepristone of period 1 vs Cmax of mifepristone of period 3

    Maximum (peak) plasma drug concentration (Cmax)

    Time frame: 18 days

  2. AUC0-tz of mifepristone of period 1 vs AUC0-tz of mifepristone of period 3

    Area under the concentration-time curve from zero up to the last concentration above the lower limit of quantification of the assay (AUC0-tz)

    Time frame: 18 days

  3. AUCinf of mifepristone of period 1 vs AUCinf of mifepristone of period 3

    Area under the plasma concentration-time curve from time zero to infinity (AUCinf)

    Time frame: 18 days

Secondary outcomes

  1. Cmax of mifepristone metabolites of period 1 vs Cmax of mifepristone metabolites of period 3

    Time frame: 18 days

  2. AUC0-tz of mifepristone metabolites of period 1 vs AUC0-tz of mifepristone metabolites of period 3

    Time frame: 18 days

  3. AUCinf of mifepristone metabolites of period 1 vs AUCinf of minfepristone metabolites of period 3

    Time frame: 18 days

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Study locations

1 site
  • SeaView Reserch
    Miami, Florida 33126, United States
07

Registry details

Key details

Study ID
NCT03258372
Lead sponsor
Corcept Therapeutics
Responsible party
Sponsor
First posted
Aug 23, 2017
Start date
Aug 16, 2017
Primary completion
Nov 29, 2017
Completion
Nov 29, 2017
Last update
Feb 23, 2018

Study contacts

Ada Lee, MD
study director · Corcept Therapeutics

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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