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CompletedNCT03505853Updated Mar 12, 2019

A Study to Investigate the Interaction Between Givosiran and a 5-probe Drug Cocktail in Patients With Acute Intermittent Porphyria (AIP)

A Phase 1 interventional study of Givosiran and 5-probe cocktail in Acute Intermittent Porphyria (AIP), Acute Hepatic Porphyria (AHP) and Porphyria, Acute Intermittent, sponsored by Alnylam Pharmaceuticals. Completed at 1 site in Sweden. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-03-12.

Sponsored by Alnylam Pharmaceuticals · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
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Study summary

The purpose of this study is to evaluate the effect of givosiran on the pharmacokinetics of the 5-probe cocktail of midazolam, caffeine, losartan, omeprazole, and dextromethorphan, and their metabolites, in asymptomatic patients with Acute Intermittent Porphyria.

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Conditions studied

  • Acute Intermittent Porphyria (AIP)
  • Acute Hepatic Porphyria (AHP)
  • Porphyria, Acute Intermittent
  • Acute Porphyria

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Keywords

  • RNAi therapeutic
  • Porphyria
  • Acute Hepatic Porphyria (AHP)
  • Acute Intermittent Porphyria (AIP)
03

In context

Porphyrias

41 studies on the registry are indexed under Porphyrias; 3 are open to participants now.

This study's enrollment of 10 is below the median of 24 across 22 interventional studies indexed under Porphyrias.

Browse Porphyrias studies →

Lead sponsor

Alnylam Pharmaceuticals is the lead sponsor of 84 studies on the registry; 19 are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 15 (83%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18 to 65 years old
  • Weight between 45kg and 110kg, inclusive, if male
  • Weight between 45kg and 100 kg, inclusive, if female
  • Diagnosis of acute intermittent porphyria (AIP)
  • Elevated urine PBG level
  • Not be pregnant or breast feeding, and must be willing to use a highly effective method of contraception

Exclusion criteria

Exclusion Criteria:

  • Clinically significant abnormal laboratory results
  • Experienced an acute porphyria attack within past 12 months
  • History of multiple drug allergies, intolerances or sensitivities
  • History of recurrent pancreatitis
  • Received an experimental drug, within 3 months of dosing
  • Donated or lost an excessive amount of blood within 60 days of dosing
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Givosiran with 5-probe cocktail

    Drug: Givosiran · Drug: 5-probe cocktail

Interventions

  • single dose of givosiran by subcutaneous (sc) injection

  • Drug5-probe cocktail

    includes midazolam, caffeine, losartan, omeprazole, and dextromethorphan

06

What researchers measure

Primary outcomes

  1. Profile of Pharmacokinetics (PK) of Cytochrome P450 (CYP) probe cocktail

    Area under the concentration-time curve (AUC)

    Time frame: Days 1 and 36

  2. Profile of Pharmacokinetics (PK) of Cytochrome P450 (CYP) probe cocktail

    Maximum plasma concentration (Cmax)

    Time frame: Days 1 and 36

Secondary outcomes

  1. Profile of Pharmacokinetics (PK) of Cytochrome P450 (CYP) probe cocktail metabolites

    Area under the concentration-time curve (AUC)

    Time frame: Days 1 and 36

  2. Profile of Pharmacokinetics (PK) of Cytochrome P450 (CYP) probe cocktail metabolites

    Maximum plasma concentration (Cmax)

    Time frame: Days 1 and 36

  3. Profile of Pharmacokinetics (PK) of Cytochrome P450 (CYP) probe cocktail

    Terminal half-life (t1/2)

    Time frame: Days 1 and 36

  4. Profile of Pharmacokinetics (PK) of Cytochrome P450 (CYP) probe cocktail

    Volume of distribution (V/F)

    Time frame: Days 1 and 36

  5. The pharmacodynamic (PD) effect of givosiran on urine levels of delta-aminolevulinic acid (ALA)

    Time frame: Days 1, 8, and 36

  6. The pharmacodynamic (PD) effect of givosiran on urine levels of Porphobilinogen (PBG) in patients with AIP

    Time frame: Days 1, 8, and 36

  7. Safety as evaluated by the proportion of subjects experiencing adverse events (AEs)

    Time frame: Day 1 - Day 92

07

Study locations

1 site
  • Clinical Trial Site
    Stockholm, Sweden
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 12, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03505853
Responsible party
Sponsor
First posted
Apr 23, 2018
Start date
Apr 26, 2018
Primary completion
Nov 16, 2018
Completion
Jan 10, 2019
Last update
Mar 12, 2019

Study contacts

Nader Najafian, MD
study director · Alnylam Pharmaceuticals

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Givosiran

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