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Effects of Gastric pH on the Pharmacokinetics of Dasatinib

University of California San Francisco (UCSF) logo

University of California San Francisco (UCSF)

Status and phase

Completed
Phase 1

Conditions

Healthy

Treatments

Drug: Dasatinib plus Rabeprazole
Drug: Dasatinib
Drug: Dasatinib plus Rabeprazole AND Betaine Hydrochloride

Study type

Interventional

Funder types

Other
Industry

Identifiers

NCT01398046
Dasatinib-63-03

Details and patient eligibility

About

The goal of this study is to evaluate the ability of a natural supplement (betaine hydrochloride) to affect the absorption of dasatinib in healthy volunteers. The investigators predict that betaine hydrochloride will increase the absorption of dasatinib, in volunteers pre-treated with proton-pump inhibitors (PPIs).

Enrollment

10 patients

Sex

All

Ages

18 to 59 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Male or female 18-59 years of age
  • Healthy adult with no active medical problems or significant chronic diseases as determined by the study doctor based on history, physical exam and laboratory evaluations
  • BMI between 18.5-30 kg/m2
  • Taking no medications 2 weeks before and during the study enrollment, including drugs of abuse, prescription or over-the-counter (OTC) medications (except acetaminophen)
  • Subjects able to maintain adequate birth control during the study independent of hormonal contraceptive use
  • Be able to provide written informed consent and comply with requirements of the study
  • Avoid eating grapefruit and drinking grapefruit juice from 7 days before the first study day until the completion of the entire study
  • Abstinence from alcoholic beverages, caffeinated beverages and orange juice from 3pm the night before a study day until completion of that study day
  • Fast from food and beverages at least 8 hours prior to medication dosing
  • Be able to read, speak, and understand English

Exclusion criteria

  • Subjects with a history of gastrointestinal disease including gastroesophageal reflux disease, gastritis, peptic ulcer disease, or dyspepsia
  • Subjects with a fasting gastric pH of > 4 (i.e. hypochlorhydria)
  • Subjects with a history of dysphagia, achalasia, or difficulty swallowing capsules, tablets, or pills
  • Subjects on prescription or chronic over-the-counter (OTC) medications (including hormonal contraceptives)
  • Subjects with known allergies to rabeprazole or any other proton pump inhibitors (PPI's) or betaine hydrochloride
  • Subjects who smoke tobacco
  • Subjects with ongoing alcohol or illegal drug use
  • Subjects who are pregnant, lactating, or attempting to conceive
  • Subjects unable to maintain adequate birth control during the study

Trial design

Primary purpose

Basic Science

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

None (Open label)

10 participants in 3 patient groups

Dasatinib
Active Comparator group
Treatment:
Drug: Dasatinib
Dasatinib plus Rabeprazole
Experimental group
Treatment:
Drug: Dasatinib plus Rabeprazole
Dasatinib plus Rabeprazole AND Betaine Hydrochloride
Experimental group
Treatment:
Drug: Dasatinib plus Rabeprazole AND Betaine Hydrochloride

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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