The primary objective of this study is to assess the effect of ethinyl estradiol (EE)/norgestimate, a weak cytochrome P450 (CYP) 3A4 inhibitor, on the pharmacokinetics (PK) of lomitapide and 2 primary metabolites, M1 and M3.
This study will be a single center, randomized, open-label, 2 arm study to evaluate the effects of EE/norgestimate, a weak CYP3A4 inhibitor, on the PK of lomitapide in healthy female subjects when EE/norgestimate is administered simultaneously with lomitapide and when administration is separated by 12 hours.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
32
20 mg
1x0.035-mg EE/0.25-mg norgestimate tablet
Covance Clinical Research Unit, Inc
Dallas, Texas, United States
Cmax for Arm 1 (Lomitapide & EE/Noregestimate - Taken Together)
Maximum observed plasma concentration of lomitapide and its 2 primary metabolites, M1 \& M3
Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing
Tmax for Arm 1 (Lomitapide & EE/Noregestimate - Taken Together)
Time to reach maximum observed plasma concentration of lomitapide and its 2 primary metabolites, M1 \& M3.
Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing
AUC0-t for Arm 1 (Lomitapide & EE/Noregestimate - Taken Together)
Area under the concentration-time curve from zero to last quantifiable concentration of lomitapide and its 2 primary metabolites, M1 \& M3.
Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing
AUC0-∞ for Arm 1 (Lomitapide & EE/Noregestimate - Taken Together)
Area under the concentration-time curve from zero to infinity of lomitapide and its 2 primary metabolites, M1 \& M3.
Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing
t1/2 for Arm 1 (Lomitapide & EE/Noregestimate - Taken Together)
Apparent terminal elimination half-life of lomitapide and its 2 primary metabolites, M1 \& M3.
Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing
Cmax for Arm 2 (Lomitapide & EE/Noregestimate - 12 Hours Apart)
Maximum observed plasma concentration of lomitapide and its metabolites, M1 \& M3.
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Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing
Tmax for Arm 2 (Lomitapide & EE/Noregestimate - 12 Hours Apart)
Time to reach maximum observed plasma concentration of lomitapide and its metabolites, M1 \& M3.
Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing
AUC0-t for Arm 2 (Lomitapide & EE/Noregestimate - 12 Hours Apart)
Area under the concentration-time curve from zero to last quantifiable concentration of lomitapide and its metabolites, M1 \& M3.
Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing
AUC0-∞ for Arm 2 (Lomitapide & EE/Noregestimate - 12 Hours Apart)
Area under the concentration-time curve from zero to infinity of lomitapide and its metabolites, M1 \& M3.
Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing
t1/2 for Arm 2 (Lomitapide & EE/Noregestimate - 12 Hours Apart)
Apparent terminal elimination half-life of lomitapide and its metabolites, M1 \& M3.
Time frame: 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 169 hours after dosing