TBTC Study 27/28 PK: Moxifloxacin Pharmacokinetics During TB Treatment

Completed · Phase 2

Conditions studied: Tuberculosis

In brief

This substudy of TBTC Studies 27 and 28 compares 1) the pharmacokinetics of moxifloxacin alone versus moxifloxacin administered with rifampin in healthy volunteers and 2) the pharmacokinetics of moxifloxacin among patients with tuberculosis being treated with multidrug therapy (isoniazid or ethambutol, rifampin, and pyrazinamide) to those of healthy volunteers receiving moxifloxacin plus rifampin. It also evaluates the association between polymorphisms of MDR1 genotype (P-glycoprotein) and rifampin pharmacokinetic parameters, the effect of polymorphisms of MDR1 genotype and/or rifampin pharmacokinetics on isoniazid pharmacokinetic parameters adjusted for N-acetyltransferase genotype (NAT2), and determines by multivariate regression analyses the associations between moxifloxacin or rifampin pharmacokinetic parameters and markers of tuberculosis disease severity including the covariates of two-month culture positivity, cavitary lung disease, Body Mass Index, weight, duration of study treatment prior to PK, co-morbidities and C-reactive protein. Healthy volunteers and TB patients receive frequent scheduled blood draws during a 24 hour period after ingesting a dose of TB drugs.

Key facts

Study ID

NCT00164463

Run by

Centers for Disease Control and Prevention

People needed

72

Starts

2004-07-01

Expected to finish

2007-08-01

Last updated by the study team

2011-06-08

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• For Healthy Volunteers:
• Provision of informed consent for the study.
• Age > 18 years.
• Willingness to be available for 2 weeks of DOT.
• Willingness to be admitted to a GCRC or hospital on two occasions.
• Women of child-bearing potential must agree to practice an adequate method of birth control. Barrier methods of contraception or abstinence from sexual activity are satisfactory methods.
• Willingness to have HIV testing done if documented results are not available. (A prior negative result must be obtained within one year and consists of a negative HIV ELISA. A positive result must be both a positive HIV ELISA and Western Blot, or a plasma HIV PCR RNA level greater than 5000 copies/ml).
• Laboratory screening (if not already available) within 30 days of the first PK admission:
• Serum potassium within normal limits
• Hematocrit > 35%
• Absolute neutrophil count > 1000 /mm3
• AST < 3 times the upper limit of normal
• Bilirubin < 2 times the upper limit of normal
• Creatinine < 2 times the upper limit of normal
• Eligible and enrolled for medical health care sponsored by the United States federal government (such as the Veterans Administration enrollment Priority 1 through 7, VHA Directive 2003-003).
• For Patients with Tuberculosis Enrolled in TBTC Study 27 or Study 28:
• Any patient enrolled in TBTC Study 27 or Study 28 receiving a daily (5-7 days per week) regimen.
• Provision of informed consent for the study.
• Willingness to be admitted to a GCRC or hospital on one occasion.

You may not qualify if…

• For Healthy Volunteers:
• Karnofsky score less than 90
• Pregnancy or breast-feeding. (A negative pregnancy test is required for women of childbearing potential within 14 days before the first dose of moxifloxacin.)
• Known allergy to any fluoroquinolone or rifamycin antibiotic
• Current or planned therapy during the study with drugs having unacceptable interactions with rifampin
• History of prolonged QT syndrome or current or planned therapy with quinidine, procainamide, amiodarone, sotalol, or ziprasidone during period of administration of moxifloxacin and for one week after treatment
• For Patients with Tuberculosis Enrolled in TBTC Study 27 or Study 28:
• Severe anemia as defined by a hematocrit less than 25% (most recent value, measured within 30 days of the PK study).
• History of severe liver disease classified as Child Pugh Class C.

Where it is running

• University of Southern California Medical Center — Los Angeles, California, United States
• Johns Hopkins University — Baltimore, Maryland, United States
• Duke University Medical Center — Durham, North Carolina, United States
• University of North Texas Health Science Center — Fort Worth, Texas, United States
• Houston Veterans Administration Medical Center — Houston, Texas, United States
• Audie L Murphy Memorial Veterans Administration Medical Center — San Antonio, Texas, United States
• University of British Columbia — Vancouver, British Columbia, Canada
• Makerere University Medical School — Kampala, Uganda

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.