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Drug - Drug Interaction Study Between Quinine Sulfate and Theophylline
This study has been completed.
Sponsored by: Mutual Pharmaceutical Company, Inc.
Information provided by: Mutual Pharmaceutical Company, Inc.
ClinicalTrials.gov Identifier: NCT00779259
  Purpose

In a prior in vitro study using human hepatocytes quinine was shown to induce the activity of Cytochrome p450 CYP 1A2. The present study will evaluate the extent to which quinine sulfate-related induction of this enzyme affects the pharmacokinetics of theophylline, a sensitive probe drug for the activity of CYP 1A2.


Condition Intervention Phase
Healthy
Drug: Theophylline
Phase I

Drug Information available for: Quinine Quinine bisulfate Quinine hydrochloride Quinine sulfate Theophylline Theophylline sodium glycinate
U.S. FDA Resources
Study Type: Interventional
Study Design: Basic Science, Non-Randomized, Open Label, Single Group Assignment, Pharmacokinetics Study
Official Title: A Pharmacokinetic Drug-Drug Interaction Study to Evaluate the Effect of Steady State Quinine Sulfate on Single-Dose Theophylline Pharmacokinetics in Healthy Adult Males

Further study details as provided by Mutual Pharmaceutical Company, Inc.:

Primary Outcome Measures:
  • The 90% confidence interval of ratios of least-squares means for the Ln transformed kinetic parameters AUC 0-t , AUCinf , & Cmax of quinine before and after a single dose of theophylline and of theophylline before and after quinine at steady state [ Time Frame: days 1 & 12 ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • All treatment emergent adverse events that occur during the observation period, their date of onset, severity rating ,and an a classification of of causality [ Time Frame: days 1-12 ] [ Designated as safety issue: Yes ]

Enrollment: 24
Study Start Date: August 2007
Study Completion Date: September 2007
Primary Completion Date: September 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1
Baseline theophylline kinetics
Drug: Theophylline
300mg
2: Experimental
Theophylline kinetics in the presence of steady state quinine 648mg
Drug: Theophylline
Theophylline with steady state quinine
3: Experimental
(Optional low dose quinine) Theophylline kinetics in the presence of steady state quinine 324mg
Drug: Theophylline
Theophylline with steady state quinine (324mg)

Detailed Description:

This study will compare the pharmacokinetics of theophylline alone and in the presence of quinine sulfate at steady state. In this non-blinded crossover study 24 normal healthy, non-smoking, non-obese male volunteers will serve as their own controls in two cohorts of 12 volunteers each. On day 1 after a minimum overnight fast of 10 hours, study participants will receive a single oral dose theophylline 300mg. Blood will be drawn at times sufficient to adequately define the baseline concentration time curve for this drug. After a 3 day washout period the 12 volunteers will begin a 7 day course of quinine sulfate 648 mg every 8 hours. If ≥ 62.5% of the volunteers in cohort one do not tolerate the 648mg dose of quinine sulfate, the second cohort of 12 volunteers will receive 324mg doses according to the originally stated dosing regimen. On day 11 blood will be drawn from volunteers in both cohorts sufficient to adequately characterize the steady state kinetics of quinine sulfate. On the morning of day 12 after a fast of at least 10 hours the volunteers will receive both quinine sulfate 648mg and theophylline 300mg. In both cohorts blood will be drawn at times sufficient to adequately define the concentration time curve for both a single dose theophylline in the presence of quinine sulfate at steady state and steady state quinine in the presence of theophylline. The concentration time curves generated will be compared to determine the extent of the drug drug interactions.

  Eligibility

Ages Eligible for Study:   18 Years to 45 Years
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Medically healthy non-smoking, non-obese (≥ 55kg and within 15% of IBW) adult male volunteers 18-45 years of age

Exclusion Criteria:

  • Subjects with history or presence of glucose 6 phosphate dehydrogenase deficiency, myasthenia gravis, glaucoma or significant cardiovascular disease (including hypotension, bradycardia or EKG abnormalities), pulmonary, hepatic, gallbladder or biliary tract, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, psychiatric disease or an active sexually transmitted disease
  • Subjects with significant blood loss in the prior 56 days, plasma donation within 7 days , hemoglobin <12.0 g/dl or who have participated in another clinical trial within the prior 30 days
  • Subjects with recent (2-year) history or evidence of alcoholism or drug abuse
  • Subjects who have used any drugs or substances known to inhibit or induce cytochrome P450 (CYP) enzymes and/or P-glycoprotein within 28 days prior to the first dose and throughout the study
  • Subjects who test positive at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HbsAg), or hepatitis C virus (HCV).
  • Subjects who are pregnant or lactating or have known allergies to quinine sulfate, mefloquine, quinidine or ciprofloxacin and other fluoroquinolones
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00779259

Locations
United States, North Dakota
PRACS Institute
Fargo, North Dakota, United States, 58104
Sponsors and Collaborators
Mutual Pharmaceutical Company, Inc.
Investigators
Study Chair: Matthew Davis, MD Mutual Pharmaceutical
Principal Investigator: Barrie March, MD PRACS Institute
  More Information

Responsible Party: Mutual Pharmaceutical Company, Inc. ( Vice President, Branded Products and Medical Affairs )
Study ID Numbers: MPC-001-07-1002, R07-0738
Study First Received: October 22, 2008
Last Updated: October 23, 2008
ClinicalTrials.gov Identifier: NCT00779259  
Health Authority: United States: Food and Drug Administration

Keywords provided by Mutual Pharmaceutical Company, Inc.:
quinine sulfate
theophylline
drug interactions
cytochrome p450
humans
male
adult
drug interactions

Study placed in the following topic categories:
Quinine
Healthy
Theophylline

Additional relevant MeSH terms:
Anti-Infective Agents
Respiratory System Agents
Antiprotozoal Agents
Vasodilator Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Anti-Asthmatic Agents
Neuromuscular Agents
Enzyme Inhibitors
Cardiovascular Agents
Pharmacologic Actions
Antimalarials
Antiparasitic Agents
Phosphodiesterase Inhibitors
Sensory System Agents
Analgesics, Non-Narcotic
Autonomic Agents
Muscle Relaxants, Central
Therapeutic Uses
Analgesics
Peripheral Nervous System Agents
Central Nervous System Agents
Bronchodilator Agents

ClinicalTrials.gov processed this record on January 14, 2009