Excipient Effect on Drug Absorption in Humans

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University of California San Francisco (UCSF)

Status and phase

Enrolling
Early Phase 1

Conditions

The Impact of Excipients on Drug Absorption

Treatments

Drug: Fexofenadine Hydrochloride with sodium lauryl sulfate
Drug: Fexofenadine Hydrochloride without sodium lauryl sulfate

Study type

Interventional

Funder types

Other
Other U.S. Federal agency

Identifiers

NCT04534153
20-31871

Details and patient eligibility

About

The purpose of this study is to determine if sodium lauryl sulfate (SLS), a non-drug ingredient commonly added in drug products, affect absorption of drugs that are given together with the ingredient. Investigators want to find out if drug absorption is different in people taking the drug alone compared to people taking the drug with low and high amounts of sodium lauryl sulfate at the same time.

Full description

This is a single-center, randomized, double-blind, 3-period crossover trial. Participants will be randomized to receive a Control capsule (fexofenadine single agent) under Treatment Arm 1 or a Test 1 capsule (fexofenadine and 3 mg SLS) under Treatment Arm 2 or Test 2 capsule (fexofenadine and 30 mg SLS) under Treatment Arm 3. Investigators will assess the effect of SLS on the absorption of fexofenadine by measuring SLS and fexofenadine concentrations in plasma and stool samples and determine the change in AUC (area under the curve), Cmax and other pharmacokinetic parameters, between Treatment Arms 2 or 3 and Treatment Arm 1.

Enrollment

12 estimated patients

Sex

All

Ages

18 to 64 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Healthy volunteers of all ethnic groups and races.
  • Male and females between the ages of 18-64 years old, inclusive.
  • Subjects who are willing to avoid ingestion of fruit juices and citrus bioflavonoids, such as grapefruit extract, hesperidin supplement and naringin supplement, for a period extending from one week prior to the initiation of the study until its completion.
  • Written informed consent obtained from the subject and ability for subject to comply with the requirements of the study.

Exclusion criteria

  • Subjects with extreme obesity (BMI > 35).
  • Subjects who are allergic to fexofenadine or SLS.
  • Subjects who have hemoglobin level lower than 12 g/dL.
  • Subjects who are pregnant, breastfeeding, or unwilling to practice birth control during participation in the study.
  • Subjects consuming types of food and supplements with the potential to interfere with the study objectives as judged by the Investigator.
  • Subjects taking any drugs, especially known OATP2B1 substrates (aliskiren, atenolol, celiprolol, fexofenadine, rosuvastatin and ticlopidine, etc.) except birth control hormonal medications.
  • Subjects with a condition, disease, or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data.
  • Subjects with any disease affecting or impairing the function of the liver, kidney or heart.
  • Subjects with gastrointestinal disease, gastrointestinal disorder, or gastrointestinal surgery.
  • Subjects with known infection with HIV, Hepatitis B or Hepatitis C (as determined by questionnaire, no laboratory diagnostics concerning these diseases will be performed within the present study). Volunteers who are cured of past Hepatitis C infection are eligible to participate with a doctor's approval letter).
  • Subjects who are smokers or have smoked in the past year and/or have smoked or ingested tetrahydrocannabinol/marijuana in the past week, or who are unwilling to comply throughout the study period.
  • Alcohol use on average > 2 servings/day or > 14 servings/wk (Serving size: 12oz beer/4oz wine/2oz hard liquor) in the past week or self-reported binge drinking.
  • Participating in another research study while participating in this research study.
  • Non-English speaking.
  • Subjects with abnormal laboratory results at Screening Visit as judged by the Investigator or study physician.

Trial design

Primary purpose

Basic Science

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

Double Blind

12 participants in 3 patient groups

Fexofenadine without SLS
Experimental group
Description:
Participants will be administered by mouth with a capsule containing 120 mg fexofenadine hydrochloride and 101 mg microcrystalline cellulose
Treatment:
Drug: Fexofenadine Hydrochloride without sodium lauryl sulfate
Fexofenadine and 3 mg SLS
Experimental group
Description:
Participants will be administered by mouth with a capsule containing 120 mg fexofenadine hydrochloride, 3 mg SLS and 101 mg microcrystalline cellulose
Treatment:
Drug: Fexofenadine Hydrochloride with sodium lauryl sulfate
Fexofenadine and 30 mg SLS
Experimental group
Description:
Participants will be administered by mouth with a capsule containing 120 mg fexofenadine hydrochloride, 30 mg SLS and 101 mg microcrystalline cellulose
Treatment:
Drug: Fexofenadine Hydrochloride with sodium lauryl sulfate

Trial contacts and locations

1

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Central trial contact

Katherine Yang, PharmD, MPH; Maureen Shin, PharmD, MS

Data sourced from clinicaltrials.gov

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