Evaluate the Effect of Ethinyl Estradiol/Norgestimate on the Pharmacokinetics of Lomitapide in Healthy Female Subjects



Status:Completed
Conditions:Healthy Studies
Therapuetic Areas:Other
Healthy:No
Age Range:18 - 40
Updated:3/13/2019
Start Date:February 19, 2014
End Date:April 24, 2014

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A Phase 1, Open-Label, Randomized, 2-Arm Study to Evaluate the Effect of Ethinyl Estradiol/Norgestimate (Ortho Cyclen®), a Weak CYP3A4 Inhibitor, on the Pharmacokinetics of Lomitapide in Healthy Female Subjects

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.

Inclusion Criteria:

1. Healthy females, between 18 and 40 years of age inclusive

2. BMI between 18.5 and 30.0 kg/m2, inclusive; total body weight of >110 lbs (50 kg);

3. in good health, determined by no clinically significant or relevant abnormalities
identified by a detailed medical history and physical exam

4. no known history of hypersensitivity or previous intolerance to lomitapide or
EE/norgestimate

5. creatine phosphokinase, AST, and ALT levels must be below 1.5 times the upper limit of
normal

6. clinical laboratory evaluations within the reference range for the test laboratory

7. negative test for selected drugs of abuse

8. negative hepatitis panel and negative HIV antibody screens

9. are of childbearing potential(ie, not postmenopausal or surgically sterile). All
subjects must have a negative serum beta pregnancy test.

10. able to comprehend and willing to sign an Informed Consent Form

Exclusion Criteria:

1. significant history or clinical manifestation of any metabolic, allergic,
dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, GI,
neurological, or psychiatric disorder

2. history of unexplained breast abnormalities or abnormal uterine bleeding

3. history of significant hypersensitivity, intolerance, or allergy to any drug compound,
food, or other substance

4. history of stomach or intestinal surgery or resection

5. history of Gilbert's Syndrome or suspicion of Gilbert's Syndrome

6. subjects who have an abnormality in the 12-lead ECG

7. use of any drugs of abuse for 6 months prior to Check-in;

8. subjects who consume more than 14 units of alcohol per week or who have a significant
history of alcoholism or drug/chemical abuse within 1 year prior to Check-in

9. use of any tobacco- or nicotine-containing products within 6 months prior to Check-in;

10. participation in any other investigational study drug trial within 30 days prior to
Check-in;

11. use of any prescription medications/products within 14 days prior to Check-in unless
deemed acceptable by the Investigator and Sponsor

12. use of any over-the-counter, nonprescription preparations within 7 days prior to
Check-in, unless deemed acceptable by the Investigator and Sponsor

13. use of alcohol-, grapefruit- (including star fruit), or caffeine-containing foods or
beverages within 72 hours prior to Check-in and through Study Completion

14. use of oral (except scheduled administration of EE/norgestimate), implantable,
injectable, or transdermal contraceptives

15. use of hormone replacement therapy

16. poor peripheral venous access;

17. donation of blood (500 mL) from 30 days prior to Screening through Study Completion

18. receipt of blood products within 2 months prior to Check-in;

19. any acute or chronic condition, scheduled hospitalization (inclusive of elective
surgery during study) or scheduled travel prior to completion of all study procedures
which, in the opinion of the Investigator, would limit the subject's ability to
complete and/or participate in this clinical study;

20. subjects who, in the opinion of the Investigator, should not participate in this
study.
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