The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics (PK) of single and multiple ascending doses of fidaxomicin in healthy subjects. This study will also compare the safety, tolerability and PK of single and multiple doses of fidaxomicin in healthy Japanese and Caucasian subjects.
Eligible subjects will check into the unit on Day-2 and remain confined to the clinical unit until Day 17. Cohorts 2 and 3, which may run in parallel, will only be enrolled after review of the available safety data of Cohort 1 by the Safety Review Team.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
QUADRUPLE
Enrollment
36
oral
oral
Parexel
Glendale, California, United States
Pharmacokinetics (PK) of fidaxomicin in plasma (single dose): Lag time (tlag)
Time frame: Days 1-5 (14 times)
PK of fidaxomicin plasma (single dose): Time to attain maximum concentration (tmax)
Time frame: Days 1-5 (14 times)
PK of fidaxomicin in plasma (single dose): Maximum Concentration (Cmax)
Time frame: Days 1-5 (14 times)
PK of fidaxomicin in plasma (single dose): Area Under the Plasma Concentration - Time Curve (AUC) from Time Zero to Time of Last Measurable Concentration (AUClast)
Time frame: Days 1-5 (14 times)
PK of fidaxomicin in plasma (single dose): AUC - Time Curve from Time Zero to Infinity (aucinf)
Time frame: Days 1-5 (14 times)
PK of fidaxomicin in plasma (single dose): AUC - Time Curve from Time Zero to 12 hours (AUC 0-12h)
Time frame: Days 1-5 (14 times)
PK of fidaxomicin in plasma (single dose): Total Body Clearance after Single Dose (CL/F)
Time frame: Days 1-5 (14 times)
PK of fidaxomicin in plasma (single dose): Apparent Volume of Distribution During Terminal Phase (Vz/F)
Time frame: Days 1-5 (14 times)
PK of fidaxomicin in plasma (last dose): Apparent Volume of Distribution During Terminal Phase (Vz/F)
Time frame: Days 15-17 (11 times)
PK of fidaxomicin in plasma (single dose): Apparent Terminal elimination Half-life (t 1/2)
Single Dose
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Time frame: Days 1-5 (14 times)
PK of fidaxomicin in plasma (last dose): Apparent Terminal elimination Half-life (t 1/2)
Single Dose
Time frame: Days 15-17 (11 times)
PK of fidaxomicin in plasma (single dose): Trough levels
Time frame: Days 6, 7, 10, and 12 (pre-morning dose)
PK of fidaxomicin in plasma (last dose): tmax at Steady State (tmax, ss)
Last Dose
Time frame: Days 15-17 (11 times)
PK of fidaxomicin in plasma (last dose): Cmax at Steady State (Cmax, ss)
Last Dose
Time frame: Days 15-17 (11 times)
PK of fidaxomicin in plasma (last dose): AUC Over the dosing Interval (AUCtau)
Time frame: Days 15-17 (11 times)
PK of fidaxomicin in plasma (last dose): CL/F at Steady State (CL/F ss)
Time frame: Days 15-17 (11 times)
PK of fidaxomicin in plasma (last dose): Peak: Trough Ratio (PTR)
Time frame: Days 15-17 (11 times)
PK of fidaxomicin in plasma (last dose): Accumulation Ratio (Racc)
Time frame: Days 15-17 (11 times)
PK of fidaxomicin in plasma (last dose): Pre-dose Plasma Concentration Determined Directly from the Concentration-Time Profile (Ctrough)
Time frame: Days 15-17 (11 times)
PK of fidaxomicin in urine (last dose): Cumulative Amount of Drug Excreted in the urine from Time Zero to Time of Last Measurable Concentration (Aelast)
Time frame: Days 1-5 (6 times)
PK of fidaxomicin in urine (single dose): Percent Fraction of Administered Drug Excreted Unchanged in the urine from Time Zero to Time of Last Measurable Concentration (% Aelast )
Time frame: Days 1-5 (6 times)
PK of fidaxomicin in urine (single dose): Cumulative Amount of Drug Excreted in the Urine from time Zero to Infinity after Single Dose (Aeinf)
Time frame: Days 1-5 (6 times)
PK of fidaxomicin in urine (single dose): Percent Fraction of administered drug excreted unchanged in the urine from time Zero to Infinity after Single Dose (% Aeinf)
Time frame: Days 1-5 (6 times)
PK of fidaxomicin in urine (single dose): Renal Clearance (CL/R
Time frame: Days 1-5 (6 times)
PK of fidaxomicin in urine (last dose): Cumulative Amount of Drug Excreted in the urine over the dosing Interval at Steady State (Aetau)
Time frame: Day 15 (1 time)
PK of fidaxomicin in urine (last dose): Percent Fraction of Administered Drug Excreted Unchanged in the Urine over the Dosing Interval at Steady State (% Aetau)
Time frame: Day 15 (1 time)
PK of fidaxomicin in urine (last dose): Renal Clearance at Steady State (CLR,ss)
Time frame: Day 15 ( 1 time)
PK of fidaxomicin in feces (single dose): Amount of Drug Excreted in the Feces (Ae)
Time frame: Days 1-5 (5 times)
PK of fidaxomicin in feces (last dose): Amount of Drug Excreted in the Feces (Ae)
Time frame: Days 15-17 (first bowel movement (BM) following the last dose to be collected)
PK of fidaxomicin in feces (single dose): Percent Fraction of Administered Drug Excreted Unchanged in the Feces (%Ae)
Time frame: Days 1-5 (5 times)
PK of fidaxomicin in feces (last dose): Percent Fraction of Administered Drug Excreted Unchanged in the Feces (%Ae)
Time frame: Days 15-17 (first BM following the last dose to be collected)