AIC316-03-I-01
55 evidence topics · 4 sources
Objective
Objectives in the protocol and statistical plan summary
Location and study date
Registry dates and status
| Field | Quoted record |
|---|---|
| Study start (actual) | “2020-07-13” |
| Primary completion (actual) | “2020-10-13” |
| Study completion (actual) | “2020-10-13” |
| First submitted | “2022-08-22” |
| First posted | “2022-08-24” |
| Results first submitted | “2022-09-16” |
| Results first posted | “2023-09-15” |
| Last update posted | “2024-02-22” |
| Recruitment status | “Completed” |
Registry study site
| Field | Quoted record |
|---|---|
| Number of locations | “This study has 1 location” |
| Location | “Cincinnati, Ohio, United States, 45227” |
| Facility | “Medpace Clinical Pharmacology” |
Trial center, planned trial period, and document dates
| Field | Quoted record |
|---|---|
| Trial center | “Medpace Clinical Pharmacology 5355 Medpace Way, Cincinnati, Ohio 45227, USA” |
| Planned first participant first visit | “Jul 2020” |
| Planned last participant last visit | “Sep 2020” |
| Phase of development | “Phase 1” |
| Clinical trial protocol | “Clinical Trial Protocol, V1.0: 04Jun2020” |
| Pharmacokinetic statistical analysis plan | “Pharmacokinetic Statistical Analysis Plan, V1.0: 01Jul2020” |
| Safety statistical analysis plan | “Safety Statistical Analysis Plan, V2.0: 21Jul2020” |
| Summary document | “Summary of the Clinical Trial Protocol and Statistical Plan, V1.0: 16Sep2022” |
Study design
Design as conducted, in the registry record
Registry design fields
| Field | Quoted record |
|---|---|
| Study type | “Interventional” |
| Phase | “Phase 1” |
| Allocation | “Non-Randomized” |
| Interventional model | “Sequential Assignment” |
| Interventional model description | “Sequence for all subjects: Treatment 1: single dose of 100 mg PTV followed by Wash out period (4weeks) followed by Treatment 2: single dose of 100 mg PTV Day 1 and 40 mg/day ESO from Day -3 to Day 1” |
| Masking | “None (Open Label)” |
| Primary purpose | “Other” |
| Enrollment (actual) | “16” |
Design as planned, in the protocol and statistical plan summary
Clinic stay through day 5 of each period, as stated in a dietary restriction
Eligibility criteria
Age, sex, and healthy volunteer status in the registry record
| Field | Quoted record |
|---|---|
| Ages eligible for study | “18 Years to 45 Years” |
| Sexes eligible for study | “All” |
| Accepts healthy volunteers | “Yes” |
Main criteria for inclusion in the protocol and statistical plan summary
Inclusion criteria: health status, consent, and body weight
Inclusion criteria: contraception and pregnancy testing
Inclusion criteria: infection and drug screening
Exclusion criteria: vital signs, electrocardiogram, and laboratory values
Exclusion criteria: medications, investigational products, and blood donation
Exclusion criteria: diet, alcohol, and tobacco
Treatment
Treatment periods in the registry record
Products, doses, and duration in the protocol and statistical plan summary
| Field | Quoted record |
|---|---|
| Pritelivir product | “Oral 100 mg pritelivir tablets” |
| Esomeprazole product | “Oral 40 mg esomeprazole tablets (Nexium®)” |
| Pritelivir in each treatment period | “Pritelivir: single dose of 100 mg on Day 1” |
| Esomeprazole in treatment period 2 | “Esomeprazole: 40 mg qd from Day -3 to Day 1, inclusive” |
| Duration of treatment period 2 | “In Treatment Period 2: 4 days” |
Regimen as described in the prescribing information
Study outcomes
Rationale for using pritelivir exposure as the primary endpoint
Primary pharmacokinetic variables
Primary outcome measures in the registry record
Clinical relevance of reduced pritelivir exposure in the prescribing information
Secondary pharmacokinetic variables
Secondary outcome measures in the registry record
Safety variables
“Overall tolerability” (opens the source at this quote in a new tab)
“Clinical laboratory parameters” (opens the source at this quote in a new tab)
“Vital signs (blood pressure, pulse rate)” (opens the source at this quote in a new tab)
“Standard 12-lead ECG” (opens the source at this quote in a new tab)
Statistical analysis description
Number of participants (Planned and analyzed)
Planned number of participants
Participants in the pharmacokinetic comparison reported in the prescribing information
| Field | Quoted record |
|---|---|
| Number of participants included in the pharmacokinetic analysis | “15” |
Description of analysis sets
Pharmacokinetic set and safety set
Analysis of relative bioavailability
Descriptive statistics for pharmacokinetic data
Safety analysis and electrocardiogram analysis
Baseline analysis population posted with the registry results
| Analysis | Quoted population description |
|---|---|
| Baseline characteristics | “Safety Set” |
Results
Participant disposition
Baseline characteristics
Age, sex, and ethnicity
| Characteristic | All participants |
|---|---|
| Participants | “16” |
| Age in years, mean (standard deviation) | “29.6 (8.20)” |
| Female, count and percentage | “5”“31.3%” |
| Male, count and percentage | “11”“68.8%” |
| Hispanic or Latino, count and percentage | “1”“6.3%” |
| Not Hispanic or Latino, count and percentage | “15”“93.8%” |
| Ethnicity unknown or not reported, count and percentage | “0”“0.0%” |
Efficacy results
Geometric mean ratios of pritelivir exposure with and without esomeprazole
| Parameter | Geometric mean ratio (90% confidence interval), with esomeprazole relative to pritelivir alone |
|---|---|
| AUC0-inf | “0.41 (0.36, 0.48)” |
| AUC0-last | “0.41 (0.35, 0.47)” |
| Cmax | “0.24 (0.20-0.30)” |
Percentage decrease in pritelivir exposure with esomeprazole
Primary outcome measures on the registry: maximum concentration and area under the curve
| Parameter, mean (standard deviation) | Unit | Pritelivir 100 mg alone | Esomeprazole 40 mg and pritelivir 100 mg |
|---|---|---|---|
| Cmax | “ng/mL” | “1102 (421)” | “282 (141)” |
| AUC(0-last) | “ng*h/mL” | “67599 (22012)” | “28325 (11071)” |
| AUC(0-infinity) | “ng*h/mL” | “69140 (22147)” | “29404 (11447)” |
Secondary outcome measures on the registry: time to maximum concentration and lag time
| Parameter, median (full range) | Unit | Pritelivir 100 mg alone | Esomeprazole 40 mg and pritelivir 100 mg |
|---|---|---|---|
| tmax | “hours” | “3.00 (0.50 to 10.00)” | “8.00 (0.75 to 48.00)” |
| tlag | “hours” | “0.00 (0.00 to 0.25)” | “0.00 (0.00 to 0.25)” |
Secondary outcome measures on the registry: elimination, clearance, and volume of distribution
| Parameter, mean (standard deviation) | Unit | Pritelivir 100 mg alone | Esomeprazole 40 mg and pritelivir 100 mg |
|---|---|---|---|
| Terminal elimination rate constant (λz) | “1/h” | “0.0106 (0.0020)” | “0.00970 (0.0018)” |
| Terminal elimination half-life (t1/2z) | “hours” | “67.7 (12)” | “73.7 (13)” |
| Apparent clearance (CL/F) | “L/h” | “1.58 (0.46)” | “3.93 (1.6)” |
| Apparent volume of distribution (Vd/F) | “L” | “157 (63)” | “432 (231)” |
Prescribing information warning on acid-reducing agents
Prescribing information instructions for proton pump inhibitors
Other acid-reducing agents evaluated in the phase 3 trial, as stated in the prescribing information
Health-related quality of life and patient-reported outcomes
Not applicable.
Safety results
Adverse event reporting period
| Field | Quoted record |
|---|---|
| Time frame | “32 days” |
Deaths, serious adverse events, and other adverse events
| Category | Pritelivir 100 mg alone | Esomeprazole 40 mg and pritelivir 100 mg |
|---|---|---|
| All-cause mortality | “0/16 (0.00%)” | “0/15 (0.00%)” |
| Serious adverse events | “0/16 (0.00%)” | “0/15 (0.00%)” |
| Other (not including serious) adverse events | “2/16 (12.50%)” | “4/15 (26.67%)” |
Adverse events by system organ class and preferred term
| System organ class | Preferred term | Pritelivir 100 mg alone, affected / at risk | Esomeprazole 40 mg and pritelivir 100 mg, affected / at risk |
|---|---|---|---|
| Gastrointestinal disorders | “Tooth impacted” | “1/16 (6.25%)” | “0/15 (0.00%)” |
| Infections and infestations | “Upper respiratory tract infection” | “0/16 (0.00%)” | “1/15 (6.67%)” |
| Injury, poisoning and procedural complications | “Ankle fracture” | “1/16 (6.25%)” | “0/15 (0.00%)” |
| Injury, poisoning and procedural complications | “Lumbar vertebral fracture” | “0/16 (0.00%)” | “1/15 (6.67%)” |
| Injury, poisoning and procedural complications | “Pulmonary contusion” | “0/16 (0.00%)” | “1/15 (6.67%)” |
| Injury, poisoning and procedural complications | “Skin abrasion” | “1/16 (6.25%)” | “0/15 (0.00%)” |
| Musculoskeletal and connective tissue disorders | “Myalgia” | “0/16 (0.00%)” | “1/15 (6.67%)” |
| Nervous system disorders | “Headache” | “0/16 (0.00%)” | “1/15 (6.67%)” |
Study limitations
Summary
AIC316-03-I-01 was an open-label, fixed-sequence trial without randomization in 16 healthy adults aged 18 to 45 years at 1 site. Pritelivir was given as a single 100 mg dose under fasted conditions, and esomeprazole 40 mg once daily was the only acid-reducing regimen tested. One participant withdrew before the second period, and 15 participants entered it. The registry posts means and standard deviations; the geometric mean ratios appear in the prescribing information. No metabolite result is posted, and no journal publication of the trial was identified.