Drug-Drug Interaction Study Between EDP-235, Itraconazole, Carbamazepine and Quinidine in Healthy Subjects.

Purpose

A Drug-Drug Interaction study to assess the effects of itraconazole, carbamazepine and quinidine on the Pharmacokinetics and Safety of EDP-235.

Condition

  • COVID-19

Eligibility

Eligible Ages
Between 18 Years and 55 Years
Eligible Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • An informed consent document signed and dated by the subject - Healthy male and female subjects of any ethnic origin between the ages of 18 and 55 years, inclusive - Screening body mass index (BMI) of 18 to 30 kg/m2 with a minimum body weight of 50 kg - Female subjects of childbearing potential must agree to use two effective methods of contraception from the date of Screening until 90 days after the last dose of EDP-235. A male participant who has not had a vasectomy and is sexually active with a woman of childbearing potential must agree to use effective contraception from the date of Screening to 90 days after his last dose of study drug.

Exclusion Criteria

  • Clinically relevant evidence or history of illness or disease - Pregnant or nursing females - History of febrile illness within 7 days prior to the first dose of study drug or subjects with evidence of active infection - A positive urine drug screen at Screening or Day -1 - Current tobacco smokers or use of tobacco within 3 months prior to Screening. - Any condition possibly affecting drug absorption (e.g., gastrectomy, cholecystectomy) - History of regular alcohol consumption - Participation in a clinical trial within 30 days prior to the first dose of study drug - For Part 2 participants: - Participants of Asian ancestry, given association of carbamazepine and severe rash (Stevens-Johnson Syndrome [SJS and Toxic Epidermal Necrolysis [TEN]) with HLA-B 1502 in this population - Platelets, white blood cell count or hemoglobin below the lower limit of normal, due to reported incidence of agranulocytosis and aplastic anemia with carbamazepine. - For Part 2 and Part 3 participants, the following cardiovascular abnormalities: - QRS duration >110 ms - Incomplete right bundle branch block or any complete bundle branch block - Heart rate <40 or >90 beats per minute (per vital sign capture while rested) - History of unexplained syncope, structural heart disease, or clinically significant arrhythmias - Personal or family history of long QT syndrome (genetically proven or suggested by sudden death of a close relative due to cardiac causes at a young age) or Brugada syndrome - PR interval >220 ms or any 2nd or 3rd degree AV block - Ventricular pre-excitation - History of drug allergy to itraconazole or other azole antifungals; history of drug allergy to carbamazepine or carboxamide derivatives [e.g. oxcarbazepine]; known hypersensitivity to drugs structurally related to carbamazepine [e.g.: tricyclic antidepressants] or any of its excipients);history or known hypersensitivity to mefloquine, quinine, or quinidine

Study Design

Phase
Phase 1
Study Type
Interventional
Allocation
Non-Randomized
Intervention Model
Sequential Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
EDP-235 and Itraconazole interaction (Part 1)
Subjects will receive EDP-235 and Itraconazole on respective dosing days
  • Drug: EDP-235
    Subjects will receive EDP-235 on Days 1 and 14
  • Drug: Itraconazole
    Subjects will receive itraconazole QD Days 5-18
Experimental
EDP-235 and Carbamazepine interaction (Part 2)
Subjects will receive EDP-235 and Carbamazepine on respective dosing days
  • Drug: EDP-235
    Subjects will receive EDP-235 on Days 1 and 23
  • Drug: Carbamazepine
    Subjects will receive carbamazepine BID Days 5-23 and Days 24-27
Experimental
EDP and Quinidine interaction (Part 3)
Subjects will receive EDP-235 and Quinidine on respective dosing days
  • Drug: EDP-235
    Subjects will receive EDP-235 on Days 1 and 8
  • Drug: Quinidine
    Subjects will receive quinidine BID Days 5-12

Recruiting Locations

More Details

NCT ID
NCT05594602
Status
Completed
Sponsor
Enanta Pharmaceuticals, Inc