This is an open-label pharmacokinetic study in 16 healthy Thai subjects. To assess the safety and tolerability and pharmacological interactions of the combination of artemether-lumefantrine and amodiaquine. This study is funded by Prof White's WT PRF. The Welcome Trust grant reference number is B9R04920.
This study will enroll 16 healthy subjects both male and female, aged 18-60 years, at the Clinical Therapeutic Unit, Faculty of Tropical Medicine, Mahidol University. Subjects will be healthy HIV-1, hepatitis B and C uninfected individuals who comprehend the purpose of the study and have provided written consent. All subjects will undergo screening assessments (visit 1). Screening assessments (visit 1) may be carried out over more than one day, provided that all required assessments are completed within the 14 days prior to visit 2. If the interval between screening (visit 1) and day -1 visit 2 is three days or less, the clinical laboratory screening test result and serum pregnancy test result can be used for enrolment evaluation on day -1 visit 2. In such cases, these tests would not need to be repeated at day-1 visit 2. Visit 1 (Screening visit): All laboratory assessments (chemistry, hematology, FBS and urinalysis) must be drawn in the fasting state (8 hours fast) including serum pregnancy testing (if appropriate) Visit 2-4: 16 healthy subjects who fulfill the eligibility criteria will be recruited and randomized to the study. All laboratory assessments (chemistry, hematology, FBS and urinalysis) must be drawn in the fasting state (8 hours fast). Results of these tests are to be available and reviewed prior to each subject receiving the study drug on day 0.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
8
Artemether-lumefantrine on Day 0, 1 and 2 Washout period: more than 6 weeks
Amodiaquine on Day 0, 1 and 2 Washout period: more than 6 weeks
Artemether-lumefantrine on Day 0, 1 and 2 Washout period: more than 6 weeks
Faculty of Tropical Medicine, Mahidol University
Bangkok, Thailand
Area under the concentration-time curve (AUC0-∞)
of artemether, lumefantrine and amodiaquine and their metabolites when given alone and in combination.
Time frame: approximately 6 - 12 months
Area under the concentration-time curve AUC (0-last)
of artemether, lumefantrine and amodiaquine and their metabolites when given alone and in combination.
Time frame: approximately 6 - 12 months
maximum concentration (Cmax)
of artemether, lumefantrine and amodiaquine and their metabolites when given alone and in combination.
Time frame: approximately 6 - 12 months
Elimination clearance (CL/F)
of artemether, lumefantrine and amodiaquine and their metabolites when given alone and in combination.
Time frame: approximately 6 - 12 months
terminal elimination half-life (t1/2)
of artemether, lumefantrine and amodiaquine and their metabolites when given alone and in combination.
Time frame: approximately 6 - 12 months
apparent volume of distribution (Vd)
of artemether, lumefantrine and amodiaquine and their metabolites when given alone and in combination.
Time frame: approximately 6 - 12 months
Number of adverse events
Adverse events will be assessed as one of safety and tolerability parameters.
Time frame: approximately 6 - 12 months
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Artemether-lumefantrine + Amodiaquine on Day 0, 1 and 2
Number of event concerning of abnormal electrocardiograph
Electrocardiographic changes especially QTc interval prolongation will be assessed as one of safety and tolerability parameters.
Time frame: approximately 6 - 12 months
Number of event concerning of abnormal vital signs
Abnormal vital signs will be assessed as one of safety and tolerability parameters.
Time frame: approximately 6 - 12 months
Number of event concerning of abnormal laboratory values
Abnormal laboratory values will be assessed as one of safety and tolerability parameters.
Time frame: approximately 6 - 12 months
Pharmacogenetic polymorphisms identification
Genotyping will be performed to identify polymorphisms of cytochrome 450 and other enzymes related to drug metabolism from subject who is an unusual metabolizer.
Time frame: approximately 6 - 12 months