The purpose of the study is to assess the effect of multiple doses of isavuconazole on the pharmacokinetics (PK) of sirolimus after single dose administration.
Subjects will receive a single dose of sirolimus on Day 1 followed by a 21 day wash-out period (time from sirolimus dosing to isavuconazole dosing). On Days 22 and 23, isavuconazole will be dosed three times daily (TID). On Days 24 through 34, isavuconazole will be administered once daily (QD). All subjects will be administered a single dose of sirolimus on Day 26.
Study Type
INTERVENTIONAL
Allocation
NA
Masking
NONE
Enrollment
22
Oral
Oral
Covance
Dallas, Texas, United States
Pharmacokinetics (PK) of sirolimus in whole blood: AUCinf
Area under the concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf)
Time frame: Days 1 and 26 at predose and at 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, 192 and 216 hours postdose
PK of sirolimus in whole blood: AUClast
AUC from the time of dosing to the last quantifiable concentration (AUClast)
Time frame: Days 1 and 26 at predose and at 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, 192 and 216 hours postdose
PK of sirolimus in whole blood: Cmax
Maximum concentration (Cmax)
Time frame: Days 1 and 26 at predose and at 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, 192 and 216 hours postdose
Composite of PK variables of sirolimus in whole blood: tmax, Vz/F, CL/F, and t 1/2
Time to attain Cmax (tmax), apparent volume of distribution (Vz/F), apparent body clearance after oral dosing (CL/F), and apparent terminal elimination half-life (t1/2)
Time frame: Days 1 and 26 at predose and at 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, 192 and 216 hours postdose
PK variable of isavuconazole in plasma: Ctrough
trough concentration (Ctrough)
Time frame: Day 24 and Days 28 through 35 predose
Composite of PK variables of isavuconazole in plasma: AUCtau, Cmax, and tmax
AUC during the time interval between consecutive dosing (AUCtau)
Time frame: Day 25, predose and at 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 16 hours postdose; Day 26 predose and at 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24 and 36 hours postdose
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