Study to Evaluate the Effect Single and Multiple Oral Doses of BIRT 2584 XX Tablets on the Pharmacokinetic Parameters of Amitriptyline and Nortriptyline in Healthy Male and Female Subjects

Condition(s) targeted: Healthy

Intervention: BIRT 2584 XX (Drug); Amitriptyline (Drug)

Phase: Phase 1

Status: Completed

Sponsored by: Boehringer Ingelheim

The objective of the study was evaluate that there is no clinically relevant interaction between amitriptyline (or its metabolite nortriptyline) and BIRT 2584 XX (or its metabolite BI 610100) when BIRT 2584 XX is administered as a tablet formulation to near steady state in an estimated high therapeutic dose. Pharmacokinetics (PK) of amitriptyline and nortriptyline were measured before dosing of BIRT 2584 XX, after the first dose of BIRT 2584 XX, and after repeated doses of BIRT 2584 XX near steady state

Official title: A Study to Evaluate the Effect of a Single Oral Dose and Multiple Oral Doses of 500 mg of BIRT 2584 XX Tablets on the Pharmacokinetic Parameters of Amitriptyline and Nortriptyline in Healthy Male and Female Subjects

Study design: Allocation: Non-Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Primary outcome:

AUC0-∞ of amitriptyline (area under the concentration-time curve of amitriptyline in plasma over the time interval from 0 extrapolated to infinity)

AUC0-∞ ratio of amitriptyline/nortriptyline

Secondary outcome:

AUC0-∞ of amitriptyline (area under the concentration-time curve of amitriptyline in plasma over the time interval from 0 extrapolated to infinity)

Cmax of amitriptyline (maximum concentration of amitriptyline in plasma)

AUC0-∞ of nortriptyline (area under the concentration-time curve of nortriptyline in plasma over the time interval from 0 extrapolated to infinity)

Cmax of nortriptyline (maximum concentration of nortriptyline in plasma)

AUC0-∞ ratio of amitriptyline/nortriptyline

AUC0-tz (area under the concentration-time curve of the analytes in plasma over the time interval from 0 to the time of the last quantifiable data point)

tmax (time from dosing to the maximum concentration of the analytes in plasma)

λz (terminal rate constant of the analytes in plasma)

t1/2 (terminal half-life of the analytes in plasma)

MRTpo (mean residence time of the analytes in the body after po administration)

CL/F (apparent clearance of the analytes in the plasma after extravascular administration)

Vz/F (apparent volume of distribution during the terminal phase following an extravascular dose)

Pre-dose levels of BIRT 2584 XX and BI 610100

Number of subjects with adverse events

Number of subjects with abnormal changes in laboratory parameters

Assessment of tolerability by investigator on a 4-point scale

Minimum age: 18 Years. Maximum age: 55 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Healthy female or male volunteers as determined by the results of screening based

upon a complete medical history, including physical examination, measurement of vital signs (Blood Pressure (BP), Pulse Rate (PR)), 12-lead ECG, and clinical laboratory tests

- Age ≥ 18 and ≤ 55 years

- BMI ≥ 18. 5 and ≤ 29. 9 kg/m2 (body mass index)

- Signed and dated written informed consent prior to admission to the study in

accordance with Good Clinical Practice (GCP) and the local legislation Exclusion Criteria:

- Any finding of the medical examination (including BP, PR, and ECG) deviating from

normal and of clinical relevance

- Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic,

immunologic, hematologic, oncologic or hormonal disorders

- Surgery of gastrointestinal tract (except appendectomy)

- Diseases of the Central Nervous System (CNS) (such as epilepsy) or psychiatric

disorders or neurological disorders

- Relevant history of orthostatic hypotension, fainting spells or blackouts

- Chronic or relevant acute infections

- History of allergy/hypersensitivity (including drug allergy) which is deemed relevant

to the trial as judged by the investigator

- Intake of drugs with a long half-life (> 24 h) within 1 month prior to administration

of the study drug or during the trial

- Use of any drugs which might influence the results of the trial within 10 days prior

to study drug administration or expected during the trial

- Participation in another trial with an investigational drug within 2 months prior to

administration or expected during the trial

- Smoker (>10 cigarettes or >3 cigars or >3 pipes/day); inability to abstain from

smoking within 5 days before first drug administration until completion of the trial

- Alcohol abuse (>60 g/day)

- Drug abuse

- Blood donation or loss >400 mL, within 1 month prior to study drug administration or

expected during the trial

- Clinically relevant laboratory abnormalities

For male subjects:

- Male subjects whose sexual partners are currently not using an adequate method of

contraception that would prospectively be maintained during the study, are to be excluded

- Male subjects who are not willing to use condoms are to be excluded

For female subjects:

- Pregnancy

- Positive pregnancy test

- No highly safe method of contraception in women of childbearing potential (in this

context, only sterilization or male partner sterilization is considered a highly safe method of contraception). Hormonal contraceptives are not considered adequate due to possible drug interaction with BIRT 2584 XX

- Lactation period

Starting date: August 2004
Last updated: October 2, 2014