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Study to characterise the effects of two dose combinations of tipranavir/ritonavir (TPV 500 mg/RTV 100 mg and TPV 750 mg/RTV 200 mg) administered BID, on the pharmacokinetics of tenofovir disoproxil fumarate as well as the effects of tenofovir disoproxil fumarate on the pharmacokinetics of tipranavir/ritonavir.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| tipranavir/ritonavir low dose | Experimental |
| |
| tipranavir/ritonavir high dose | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tipranavir low dose | Drug |
| ||
| Tipranavir high dose |
| Measure | Description | Time Frame |
|---|---|---|
| Area under plasma concentration time curve from 0-24 hours (AUC0-24) for tenofovir | up to 24 hours | |
| Area under plasma concentration time curve from 0-12hours (AUC0-12) for tipranavir/ritonavir | up to 12 hours | |
| Maximum plasma concentration (Cmax) | up to 24 hours | |
| Drug concentration in plasma at 12 hours after administration (C12h) for tenofovir | up to 12 hours | |
| Drug concentration in plasma at 12 hours after administration (C12h) for tipranavir/ritonavir | up to 12 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum plasma concentration at steady state (Cmax,ss) | up to 24 hours | |
| Trough plasma concentration at steady state (Cmin) | up to 24 hours | |
| Mean residency time (MRT) |
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Inclusion Criteria:
Exclusion Criteria:
Female subjects who are of reproductive potential who:
Participation in another trial with an investigational medicine for 30 days prior to Day 0 (Visit 2)
Ingestion of any known enzyme altering drug (such as phenothiazines, cimetidine, barbiturates, ketoconazole, fluconazole, rifampin, steroids, and herbal medications) for 30 days prior to Day 0 (Visit 2). Use of any other herbal/complementary treatment must be discussed in advance with the monitor and permission obtained prior to study entry
Ingestion of grapefruit, grapefruit juice, and Cabernet Sauvignon within 15 days prior to Day 0 (Visit 2)
Ingestion of Seville oranges, strawberries or strawberry extract, garlic supplements, St. John's Wort, Milk Thistle, or methylxanthine-containing drinks or food (coffee, tea, cola, energy drinks, chocolate, etc) within 72 hours of PK sampling days
Ingestion of antibiotics within 10 days prior to Day 0 (Visit 2)
Inability to comply with investigator's instructions
History of gastrointestinal, hepatic, or renal disorders within 60 days
History of alcohol abuse
Current use of cigarettes defined as greater than 10 cigarettes per day or rolling/pipe tobacco equivalent
Blood or plasma donations within 30 days prior to Day 0 (Visit 2)
Subjects with a seated systolic blood pressure either <100 mm Hg or >150 mm Hg; resting heart rate either <50 beats/min or >100 beats/min
Subjects with a history of any illness or allergy that, in the opinion of the investigator, might confound the results of the study or pose additional risk in administering tipranavir or ritonavir or tenofovir disoproxil fumarate to the subject
Subjects who have had an acute illness within 2 weeks prior to Day 0 (Visit 2)
Subjects who are currently taking any over-the-counter drug within 7 days prior to Day 0, (Visit 2) or who are currently taking any prescription drug that, in the opinion of the investigator in consultation with the clinical monitor and pharmacokineticist, might interfere with either the absorption, distribution or metabolism of the test substances
Hypersensitivity to tipranavir, ritonavir, or tenofovir disoproxil fumarate
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| Drug |
|
| Ritonavir low dose | Drug |
|
| Ritonavir high dose | Drug |
|
| Tenofovir disoproxil fumarate | Drug |
|
| up to 24 hours |
| Apparent terminal half life (T1/2) | up to 24 hours |
| Time of maximum concentration (Tmax) | up to 24 hours |
| Oral clearance (CL/F) | up to 24 hours |
| Apparent volume of distribution during the terminal elimination phase, divided by F (bioavailability factor) (Vz/F) | up to 24 hours |
| Number of subjects with clinically significant findings in vital signs (pulse rate, blood pressure) | up to 14 days |
| Number of subjects with clinically significant findings in physical examination | up to 14 days |
| Number of subjects with clinically significant findings in electrocardiogram | up to 14 days |
| Number of subjects with clinically significant findings in laboratory tests | up to 14 days |
| Number of subjects with adverse events | up to 14 days |
| ID | Term |
|---|---|
| C107201 | tipranavir |
| D019438 | Ritonavir |
| D000068698 | Tenofovir |
| ID | Term |
|---|---|
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D063065 | Organophosphonates |
| D009943 | Organophosphorus Compounds |
| D000225 | Adenine |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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