Clinical Trial Results:
An Open-label, Randomized Crossover Study to Obtain a Preliminary Estimate of the Bioavailability of Atazanavir and Cobicistat When Administered in an Age-appropriate Fixed‑dose Combination Formulation Compared with Coadministration of the Age-appropriate Atazanavir and Cobicistat Individual Formulations and to Assess Preliminary Palatability/Acceptability in Healthy Adults
Summary
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EudraCT number |
2020-002885-15 |
Trial protocol |
Outside EU/EEA |
Global end of trial date |
06 Jan 2021
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Results information
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Results version number |
v1(current) |
This version publication date |
03 Dec 2021
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First version publication date |
03 Dec 2021
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
AI424-567
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Bristol-Myers Squibb
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Sponsor organisation address |
Chaussée de la Hulpe 185, Brussels, Belgium, 1170
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Public contact |
EU Study Start-Up Unit, Bristol-Myers Squibb International Corporation, Clinical.Trials@bms.com
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Scientific contact |
Bristol-Myers Squibb Study Director, Bristol-Myers Squibb, Clinical.Trials@bms.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
Yes
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EMA paediatric investigation plan number(s) |
EMEA-001465-PIP01-13 | ||
Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
12 Nov 2020
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
06 Jan 2021
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
To compare the bioavailability of ATV and COBI when administered as a mini-tablet formulation with coadministration as individual component formulations in healthy adults
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Protection of trial subjects |
The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Conference on Harmonization Good Clinical Practice Guidelines. All the local regulatory requirements pertinent to safety of trial participants were followed.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
26 Feb 2020
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
United States: 34
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Worldwide total number of subjects |
34
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EEA total number of subjects |
0
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
34
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
- | |||||||||||||||
Pre-assignment
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Screening details |
34 participants were randomized and treated | |||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Not blinded | |||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Sequence Group 1 = A-B | |||||||||||||||
Arm description |
Participants are randomly assigned to receive treatment A on day 1. There is a 7-day wash-out period. Participants receive treatment B on day 8. Treatment A: Single oral dose of atazanavir (ATV) and cobicistat (COBI) mini-tablets (300 mg/150 mg), mixed with a small serving of food Treatment B: Single oral dose of atazanavir (ATV) powder (300 mg, mixed with a small serving of food) + cobicistat (COBI) tablet (150 mg) followed by 240 mL of water. | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
EVOTAZ
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Chewable/dispersible tablet
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Routes of administration |
Other use
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Dosage and administration details |
once-daily (QD) fixed-dose combination (FDC) tablet comprising atazanavir (ATV) 300 mg and cobicistat (COBI) 150 mg, mixed with a small serving of food
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Investigational medicinal product name |
Cobicistat (COBI)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
150 mg
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Investigational medicinal product name |
Atazanavir (ATV)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Oral powder
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Routes of administration |
Oral use
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Dosage and administration details |
300 mg, mixed with a small serving of
food
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Arm title
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Sequence Group 2 = B-A | |||||||||||||||
Arm description |
Participants are randomly assigned to receive treatment B on day 1. There is a 7-day wash-out period. Participants receive treatment A on day 8. Treatment A: Single oral dose of atazanavir (ATV) and cobicistat (COBI) mini-tablets (300 mg/150 mg), mixed with a small serving of food Treatment B: Single oral dose of atazanavir (ATV) powder (300 mg, mixed with a small serving of food) + cobicistat (COBI) tablet (150 mg) followed by 240 mL of water. | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
Cobicistat (COBI)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
150 mg
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Investigational medicinal product name |
EVOTAZ
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Chewable/dispersible tablet
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Routes of administration |
Other use
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Dosage and administration details |
once-daily (QD) fixed-dose combination (FDC) tablet comprising atazanavir (ATV) 300 mg and cobicistat (COBI) 150 mg, mixed with a small serving of food
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Investigational medicinal product name |
Atazanavir (ATV)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Oral powder
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Routes of administration |
Oral use
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Dosage and administration details |
300 mg, mixed with a small serving of
food
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Baseline characteristics reporting groups
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Reporting group title |
Sequence Group 1 = A-B
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Reporting group description |
Participants are randomly assigned to receive treatment A on day 1. There is a 7-day wash-out period. Participants receive treatment B on day 8. Treatment A: Single oral dose of atazanavir (ATV) and cobicistat (COBI) mini-tablets (300 mg/150 mg), mixed with a small serving of food Treatment B: Single oral dose of atazanavir (ATV) powder (300 mg, mixed with a small serving of food) + cobicistat (COBI) tablet (150 mg) followed by 240 mL of water. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Sequence Group 2 = B-A
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Reporting group description |
Participants are randomly assigned to receive treatment B on day 1. There is a 7-day wash-out period. Participants receive treatment A on day 8. Treatment A: Single oral dose of atazanavir (ATV) and cobicistat (COBI) mini-tablets (300 mg/150 mg), mixed with a small serving of food Treatment B: Single oral dose of atazanavir (ATV) powder (300 mg, mixed with a small serving of food) + cobicistat (COBI) tablet (150 mg) followed by 240 mL of water. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Sequence Group 1 = A-B
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Reporting group description |
Participants are randomly assigned to receive treatment A on day 1. There is a 7-day wash-out period. Participants receive treatment B on day 8. Treatment A: Single oral dose of atazanavir (ATV) and cobicistat (COBI) mini-tablets (300 mg/150 mg), mixed with a small serving of food Treatment B: Single oral dose of atazanavir (ATV) powder (300 mg, mixed with a small serving of food) + cobicistat (COBI) tablet (150 mg) followed by 240 mL of water. | ||
Reporting group title |
Sequence Group 2 = B-A
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Reporting group description |
Participants are randomly assigned to receive treatment B on day 1. There is a 7-day wash-out period. Participants receive treatment A on day 8. Treatment A: Single oral dose of atazanavir (ATV) and cobicistat (COBI) mini-tablets (300 mg/150 mg), mixed with a small serving of food Treatment B: Single oral dose of atazanavir (ATV) powder (300 mg, mixed with a small serving of food) + cobicistat (COBI) tablet (150 mg) followed by 240 mL of water. | ||
Subject analysis set title |
Treatment A: ATV/COBI mini-tablets
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Subject analysis set type |
Full analysis | ||
Subject analysis set description |
1 X 300 mg ATV/150 mg COBI bottle of mini-tablets mixed with a small serving of chocolate pudding
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Subject analysis set title |
Treatment B: ATV powder and COBI tablet
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Subject analysis set type |
Full analysis | ||
Subject analysis set description |
6 X REYATAZ (ATV) 50-mg powder packets (300 mg total) mixed with a small serving of applesauce and 1 X COBI 150-mg tablet followed by 240 mL of water.
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End point title |
Cmax: Maximum observed plasma concentration [1] | ||||||||||||||||||
End point description |
The maximum observed serum concentration was measured compare the bioavailability of Atazanavir (ATV) and Cobicistat (COBI) when administered as a mini-tablet formulation with co-administration as individual component formulations in healthy adults. Note: 99999 = NA
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End point type |
Primary
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End point timeframe |
Time points can include: Day 1 and 8 (Pre-dose, 1, 2, 2.30, 3, 4, 5, 6, 8, 12, and 16 hours post dose). Day 2 and 9 (24, 30, 36 hours post dose). Day 3 and 10 (48 hours post dose).
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: Only summary statistics were planned for these endpoints |
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No statistical analyses for this end point |
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End point title |
AUC(INF): Area under the plasma concentration-time curve from time zero extrapolated to infinite time [2] | ||||||||||||||||||
End point description |
The area under the plasma concentration-time curve from time zero extrapolated to infinite time was measured compare the bioavailability of Atazanavir (ATV) and Cobicistat (COBI) when administered as a mini-tablet formulation with co-administration as individual component formulations in healthy adults. Note: 99999 = NA
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End point type |
Primary
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End point timeframe |
Time points can include: Day 1 and 8 (Pre-dose, 1, 2, 2.30, 3, 4, 5, 6, 8, 12, and 16 hours post dose). Day 2 and 9 (24, 30, 36 hours post dose). Day 3 and 10 (48 hours post dose).
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Notes [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: Only summary statistics were planned for these endpoints |
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No statistical analyses for this end point |
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End point title |
Tmax: Time of maximum observed plasma concentration | ||||||||||||||||||
End point description |
The time of maximum observed plasma concentration was measured to assess the pharmacokinetics of Atazanavir (ATV) and Cobicistat (COBI) when administered as a mini-tablet formulation and when co-administered as individual component formulations in healthy adults. Note: 99999 = NA
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End point type |
Secondary
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End point timeframe |
Time points can include: Day 1 and 8 (Pre-dose, 1, 2, 2.30, 3, 4, 5, 6, 8, 12, and 16 hours post dose). Day 2 and 9 (24, 30, 36 hours post dose). Day 3 and 10 (48 hours post dose).
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No statistical analyses for this end point |
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End point title |
T-HALF: Terminal plasma half-life | ||||||||||||||||||
End point description |
The terminal plasma half-life was measured to assess the pharmacokinetics of Atazanavir (ATV) and Cobicistat (COBI) when administered as a mini-tablet formulation and when co-administered as individual component formulations in healthy adults. Note: 99999 = NA
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End point type |
Secondary
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End point timeframe |
Time points can include: Day 1 and 8 (Pre-dose, 1, 2, 2.30, 3, 4, 5, 6, 8, 12, and 16 hours post dose). Day 2 and 9 (24, 30, 36 hours post dose). Day 3 and 10 (48 hours post dose).
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No statistical analyses for this end point |
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End point title |
AUC(0-T): Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration | ||||||||||||||||||
End point description |
The area under the plasma concentration-time curve from time zero to time of last quantifiable concentration was measured to assess the pharmacokinetics of Atazanavir (ATV) and Cobicistat (COBI) when administered as a mini-tablet formulation and when co-administered as individual component formulations in healthy adults. Note: 99999 = NA
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End point type |
Secondary
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End point timeframe |
Time points can include: Day 1 and 8 (Pre-dose, 1, 2, 2.30, 3, 4, 5, 6, 8, 12, and 16 hours post dose). Day 2 and 9 (24, 30, 36 hours post dose). Day 3 and 10 (48 hours post dose).
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No statistical analyses for this end point |
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End point title |
C24: Observed concentration at 24 hours | ||||||||||||||||||
End point description |
The observed concentration at 24 hours was measured to assess the pharmacokinetics of Atazanavir (ATV) and Cobicistat (COBI) when administered as a mini-tablet formulation and when co-administered as individual component formulations in healthy adults. Note: 99999 = NA
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End point type |
Secondary
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End point timeframe |
Time points can include: Day 1 and 8 (Pre-dose, 1, 2, 2.30, 3, 4, 5, 6, 8, 12, and 16 hours post dose). Day 2 and 9 (24, 30, 36 hours post dose). Day 3 and 10 (48 hours post dose).
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No statistical analyses for this end point |
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End point title |
The Number of Participants Experiencing Adverse Events (AEs) | |||||||||
End point description |
The number of participants experiencing adverse events (AEs) to assess the safety and tolerability of Atazanavir (ATV) and Cobicistat (COBI) when administered as a mini-tablet formulation and when co-administered as individual component formulations in healthy adults.
An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.
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End point type |
Secondary
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End point timeframe |
From first dose up to approximately 1 year
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No statistical analyses for this end point |
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End point title |
The Number of Participants Experiencing Serious Adverse Events (SAEs) | |||||||||
End point description |
The number of participants experiencing serious adverse events (SAEs) to assess the safety and tolerability of Atazanavir (ATV) and Cobicistat (COBI) when administered as a mini-tablet formulation and when co-administered as individual component formulations in healthy adults.
Serious Adverse Event (SAE) is defined as any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, and is an important medical event
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End point type |
Secondary
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End point timeframe |
From first dose up to approximately 1 year
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No statistical analyses for this end point |
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End point title |
The Number of Participants Experiencing Adverse Events (AEs) Leading to Discontinuation | |||||||||
End point description |
The number of participants experiencing adverse events (AEs) leading to discontinuation to assess the safety and tolerability of Atazanavir (ATV) and Cobicistat (COBI) when administered as a mini-tablet formulation and when co-administered as individual component formulations in healthy adults.
An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.
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End point type |
Secondary
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End point timeframe |
From first dose up to approximately 1 year
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No statistical analyses for this end point |
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End point title |
The Number of Participants Deaths | |||||||||
End point description |
The number of participants deaths to assess the safety and tolerability of Atazanavir (ATV) and Cobicistat (COBI) when administered as a mini-tablet formulation and when co-administered as individual component formulations in healthy adults.
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End point type |
Secondary
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End point timeframe |
From first dose up to approximately 1 year
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No statistical analyses for this end point |
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End point title |
The Number of Participants Experiencing Clinical Laboratory Abnormalities | ||||||||||||||||||||||||
End point description |
The number of participants experiencing clinical laboratory abnormalities to assess the safety and tolerability of Atazanavir (ATV) and Cobicistat (COBI) when administered as a mini-tablet formulation and when co-administered as individual component formulations in healthy adults.
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End point type |
Secondary
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End point timeframe |
Clinical laboratory tests performed on Days -1 and 7
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No statistical analyses for this end point |
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End point title |
The number of Participants with Out-of-Range Vital Sign Findings | |||||||||
End point description |
The number of participants who experienced out of range vital sign findings during the course of the study. The following parameters were analyzed for vital sign examination: body temperature, respiratory rate, and seated blood pressure and heart rate.
Blood pressure and heart rate should be measured after the participant has been resting quietly for at least 5 minutes.
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End point type |
Secondary
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End point timeframe |
Screening, Pre-dose on Days 1 and 8 for blood pressure and heart rate only. Full vital signs at study discharge (The approximate duration of this study will be 38 days, including a 28-day screening period and a 10-day treatment period.)
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No statistical analyses for this end point |
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End point title |
The number of Participants with Electrocardiogram (ECG) abnormalities Identified by the Investigator | |||||||||
End point description |
The number of participants who experienced a clinically relevant electrocardiogram (ECG) finding during the course of the study.
Parameters Include: PR Interval (msec), QRS Duration (msec), QT Interval (msec), QTcF Interval (msec).
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End point type |
Secondary
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End point timeframe |
From screening to 10 days after second treatment dose
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No statistical analyses for this end point |
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End point title |
Palatability Questionnaire Results | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
The number of participants in each Palatability questionnaire category to assess the acceptability and palatability of the ATV/COBI mini-tablet formulation in healthy adults.
A palatability assessment will be completed for the ATV/COBI mini-tablets only (Treatment A)
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End point type |
Secondary
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End point timeframe |
Within 5 minutes post dose on Day 1 or 8.
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No statistical analyses for this end point |
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Adverse events information [1]
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Timeframe for reporting adverse events |
From 1st dose to 100 days after last dose (Up to approximately 110 days)
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Assessment type |
Systematic | |||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | |||||||||||||||
Dictionary version |
23.1
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Reporting groups
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Reporting group title |
Treatment B: ATV powder and COBI tablet
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Reporting group description |
6 X REYATAZ (ATV) 50-mg powder packets (300 mg total) mixed with a small serving of applesauce and 1 X COBI 150-mg tablet followed by 240 mL of water. | |||||||||||||||
Reporting group title |
Treatment A: ATV/COBI mini-tablets
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Reporting group description |
1 X 300 mg ATV/150 mg COBI bottle of mini-tablets mixed with a small serving of chocolate pudding | |||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | ||||||||||||||||
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Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: There are no non-serious adverse events in this study |
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |