Physiologically-based Pharmacokinetic Modeling of Ivermectin in Healthy Human Volunteers (IVMPBPK)

University Hospital Basel

Status and phase

Completed

Phase 1

Conditions

Malaria

Treatments

Drug: Ivermectin

Study type

Interventional

Funder types

Other

Identifiers

NCT02963324

IVMPBPK

Details and patient eligibility

About

The present study assesses the pharmacokinetic profile of Ivermectin (IVM) in healthy human volunteers and aims to create a physiologically-based pharmacokinetic model. Planned indication is the prevention of malaria transmission.

Full description

Ivermectin (IVM) is a broad spectrum antiparasitic drug. Recent research indicates that IVM could potentially be used in malaria vector control.

The present study assesses the pharmacokinetic profile of IVM in healthy human volunteers and aims to create a physiologically-based pharmacokinetic model. This model will be used to characterize enterohepatic circulation, serve as a basis for drug-drug and drug-disease-state interaction studies, and simulations of IVM disposition in different populations, with special regard given to adolescents and children. With this, safety in individual administrations can be increased, and mass drug administration programs, e.g. oral IVM as malaria vector control, be simulated and planned to maximize the share of a population that can be included. Capillary blood concentration profiles will also be determined to assess the amount of IVM delivered to mosquitos in malaria vector control programs. Furthermore, this study will validate dried blood spot analytics of IVM which will allow easier procurement of pharmacokinetics (PK) data in the field.

Enrollment

12 patients

Sex

All

Ages

18 to 65 years old

Volunteers

Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria

Age 18-65 years old
Caucasian male or female volunteers
Body mass index (BMI) 18-30 kg/m2, weight ≥ 50 kg
Full mental and legal capacity
Signed informed consent prior to any study related procedure
Ability to communicate in German or English, sufficient to comprehend and adhere to study protocol
Normal physical examination, vital signs, laboratory workup, and electrocardiogram (ECG) (in the opinion of investigator)
No history or presence of surgical or medical conditions that might interfere with absorption, distribution, metabolism, and / or elimination of study drug, and / or which might increase its toxic effects (in the opinion of investigator)
No ongoing or recent (one month) participation in another clinical trial
No loss of blood ≥ 250 ml within the last three months
No known hypersensitivity to study drug or any of its constituents
No other conditions or circumstances that might interfere with compliance with study protocol (in the opinion of investigator)

Exclusion criteria

History or presence of hepatic or biliary disease
History of gastrointestinal surgery, specifically cholecystectomy
History or presence of alcohol or drug abuse
History or presence of neurological or psychiatric comorbidities, including psychological therapy
Other clinically significant concomitant disease states (e.g., renal disease, cardiovascular disease, etc.)
Intake of prescribed or over-the-counter medications, herbal preparations, and / or vitamin / dietary supplements
Clinically relevant history or presence of allergy or asthma (in the opinion of investigator)
Female volunteers: pregnancy as confirmed by laboratory assessment; breast-feeding
Known hypersensitivity or allergy to class of drugs or the study product
Women with intention to become pregnant during the course of the study,
Lack of safe contraception, defined as: female participants of childbearing potential, not using and not willing to continue using two medically reliable methods of contraception for the entire study duration, or who are not using any other method considered sufficiently reliable by the investigator in individual cases, for the duration of the study from screening visit to 30 days after end-of-study-examination.
Please note that female participants who are surgically sterilised / hysterectomised or post-menopausal for longer than 2 years are not considered as being of child bearing potential.
Known or suspected non-compliance, drug or alcohol abuse,
Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant.