The present study is designed to determine the effect of islatravir (ISL) \[MK-8591\] on methadone pharmacokinetics (PK). The primary objective is to assess whether ISL impacts the area under the plasma concentration time curve from dosing to 24 hours postdose (AUC0-24) of S-methadone and R-methadone in participants on oral methadone therapy. It is hypothesized that the plasma AUC0-24hr for S- and R-methadone will be similar after methadone alone compared to methadone and ISL 60 mg coadministration.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
14
ISL 30 mg x 2 (60 mg total) capsules taken by mouth.
Research Centers of America, LLC ( Site 0002)
Hollywood, Florida, United States
PRA Health Sciences ( Site 0001)
Salt Lake City, Utah, United States
Dose-Normalized Area Under the Plasma Concentration Time Curve From 0-24 Hours Postdose (AUC0-24) of R-Methadone
The AUC0-24 of R-methadone was determined on Day 1 (methadone) and Day 2 (methadone + ISL). Back-transformed least-squares mean and confidence interval from mixed effects model were performed on natural log-transformed values; data show the geometric least squares mean.
Time frame: Days 1 and 2: predose and 0.5, 1, 1.5, 2, 3, 4, 6, 12, 16, and 24 hours postdose
Dose-Normalized AUC0-24 of S-Methadone
The AUC0-24hr of S-methadone was determined on Day 1 (methadone) and Day 2 (methadone + ISL). Back-transformed least-squares mean and confidence interval from mixed effects model were performed on natural log-transformed values; data show the geometric least squares mean.
Time frame: Days 1 and 2: predose and 0.5, 1, 1.5, 2, 3, 4, 6, 12, 16, and 24 hours postdose
Dose-Normalized Maximum Plasma Concentration (Cmax) of R-Methadone
The Cmax of R-methadone was determined on Day 1 (methadone) and Day 2 (methadone + ISL). Back-transformed least-squares mean and confidence interval from mixed effects model were performed on natural log-transformed values; data show the geometric least squares mean.
Time frame: Days 1 and 2: predose and 0.5, 1, 1.5, 2, 3, 4, 6, 12, 16, and 24 hours postdose
Dose-Normalized Plasma Concentration 24 Hours Postdose (C24) of R-Methadone
The C24 of R-methadone was determined on Day 1 (methadone) and Day 2 (methadone + ISL). Back-transformed least-squares mean and confidence interval from mixed effects model were performed on natural log-transformed values; data show the geometric least squares mean.
Time frame: Days 1 and 2: 24 hours postdose
Time to Maximum Plasma Concentration (Tmax) of R-Methadone
The Tmax of R-methadone was determined on Day 1 (methadone) and Day 2 (methadone + ISL).
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Time frame: Days 1 and 2: predose and 0.5, 1, 1.5, 2, 3, 4, 6, 12, 16, and 24 hours postdose
Dose-Normalized Cmax of S-Methadone
The Cmax of S-methadone was determined on Day 1 (methadone) and Day 2 (methadone + ISL). Back-transformed least-squares mean and confidence interval from mixed effects model were performed on natural log-transformed values; data show the geometric least squares mean.
Time frame: Days 1 and 2: predose and 0.5, 1, 1.5, 2, 3, 4, 6, 12, 16, and 24 hours postdose
Dose-Normalized C24 of S-Methadone
The C24 of S-methadone was determined on Day 1 (methadone) and Day 2 (methadone + ISL). Back-transformed least-squares mean and confidence interval from mixed effects model were performed on natural log-transformed values; data show the geometric least squares mean.
Time frame: Days 1 and 2: 24 hours postdose
Tmax of S-Methadone
The Tmax of S-methadone was determined on Day 1 (methadone) and Day 2 (methadone + ISL).
Time frame: Days 1 and 2: predose and 0.5, 1, 1.5, 2, 3, 4, 6, 12, 16, and 24 hours postdose
Dose-Normalized AUC0-24 of Total Methadone
The AUC0-24hr of total methadone was determined on Day 1 (methadone) and Day 2 (methadone + ISL). Back-transformed least-squares mean and confidence interval from mixed effects model were performed on natural log-transformed values; data show the geometric least squares mean.
Time frame: Days 1 and 2: predose and 0.5, 1, 1.5, 2, 3, 4, 6, 12, 16, and 24 hours postdose
Dose-Normalized Cmax of Total Methadone
The Cmax of total methadone was determined on Day 1 (methadone) and Day 2 (methadone + ISL). Back-transformed least-squares mean and confidence interval from mixed effects model were performed on natural log-transformed values; data show the geometric least squares mean.
Time frame: Days 1 and 2: predose and 0.5, 1, 1.5, 2, 3, 4, 6, 12, 16, and 24 hours postdose
Dose-Normalized C24 of Total Methadone
The C24 of total methadone was determined on Day 1 (methadone) and Day 2 (methadone + ISL). Back-transformed least-squares mean and confidence interval from mixed effects model were performed on natural log-transformed values; data show the geometric least squares mean.
Time frame: Days 1 and 2: 24 hours postdose
Tmax of Total Methadone
The Tmax of total methadone was determined on Day 1 (methadone) and Day 2 (methadone + ISL).
Time frame: Days 1 and 2: predose and 0.5, 1, 1.5, 2, 3, 4, 6, 12, 16, and 24 hours postdose
Number of Participants With Adverse Events (AEs) Following Methadone + ISL Coadministration
The number of participants with AEs will be determined for 14 days after coadministration of methadone and ISL on Day 2.
Time frame: Up to 16 days
Number of Participants Discontinuing Study Therapy Due to AEs Following Coadministration of Methadone and ISL
The number of participants discontinuing study therapy due to AEs after methadone + ISL on Day 2 will be determined.
Time frame: Up to 15 days