The Effect of a High-Fat Breakfast on the Pharmacokinetics of Moxidectin in Healthy Male Subjects: A Randomized Phase I Trial

The objective of this study was to assess the effect of a high-fat meal on the pharmacokinetics of moxidectin. Healthy male subjects were randomized to receive single oral 8 mg doses of moxidectin after an overnight fast or high-fat breakfast. In fasted subjects ( N = 27), mean [SD] parameters were...

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Published inThe American journal of tropical medicine and hygiene Vol. 86; no. 1; pp. 122 - 125
Main Authors Korth-Bradley, Joan M., Parks, Virginia, Chalon, Stephan, Gourley, Ian, Matschke, Kyle, Cailleux, Karine, Fitoussi, Serge, Fleckenstein, Lawrence
Format Journal Article
LanguageEnglish
Published Deerfield, IL American Society of Tropical Medecine and Hygiene 01.01.2012
The American Society of Tropical Medicine and Hygiene
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ISSN0002-9637
1476-1645
1476-1645
DOI10.4269/ajtmh.2012.11-0415

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Abstract The objective of this study was to assess the effect of a high-fat meal on the pharmacokinetics of moxidectin. Healthy male subjects were randomized to receive single oral 8 mg doses of moxidectin after an overnight fast or high-fat breakfast. In fasted subjects ( N = 27), mean [SD] parameters were C max : 58.9 [12.5] ng/mL; t max : 3.7 [1.5] h; area under concentration-time curve (AUC): 3,387 [1,328] ng/h/mL; Vλ z /F: 2,829 [1,267] L; CL/F: 2.76 [1.28] L/h; and t ½ : 784 [347] h. Compared with fasted subjects, fed subjects ( N = 27) exhibited a 34% increase in C max , delay in t max to 5.3 [2.1] h, 44% increase in AUC, 40% decrease in Vλ z /F, and a 35% decrease in CL/F. There was no significant change in t ½ . The changes are consistent with an increase in moxidectin bioavailability following administration with food. There were no clinically relevant changes in vital signs, laboratory tests, or electrocardiograms.
AbstractList The objective of this study was to assess the effect of a high-fat meal on the pharmacokinetics of moxidectin. Healthy male subjects were randomized to receive single oral 8 mg doses of moxidectin after an overnight fast or high-fat breakfast. In fasted subjects (N = 27), mean [SD] parameters were C sub(max): 58.9 [12.5] ng/mL; t sub(max): 3.7 [1.5] h; area under concentration-time curve (AUC): 3,387 [1,328] ng/h/mL; lambda sub(z)/F: 2,829 [1,267] L; CL/F: 2.76 [1.28] L/h; and t sub(1/2): 784 [347] h. Compared with fasted subjects, fed subjects (N = 27) exhibited a 34% increase in C sub(max), delay in t sub(max) to 5.3 [2.1] h, 44% increase in AUC, 40% decrease in V lambda sub(z)/F, and a 35% decrease in CL/F. There was no significant change in t sub(1/2). The changes are consistent with an increase in moxidectin bioavailability following administration with food. There were no clinically relevant changes in vital signs, laboratory tests, or electrocardiograms.
The objective of this study was to assess the effect of a high-fat meal on the pharmacokinetics of moxidectin. Healthy male subjects were randomized to receive single oral 8 mg doses of moxidectin after an overnight fast or high-fat breakfast. In fasted subjects (N = 27), mean [SD] parameters were C(max): 58.9 [12.5] ng/mL; t(max): 3.7 [1.5] h; area under concentration-time curve (AUC): 3,387 [1,328] ng/h/mL; Vλ(z)/F: 2,829 [1,267] L; CL/F: 2.76 [1.28] L/h; and t(1/2): 784 [347] h. Compared with fasted subjects, fed subjects (N = 27) exhibited a 34% increase in C(max), delay in t(max) to 5.3 [2.1] h, 44% increase in AUC, 40% decrease in Vλ(z)/F, and a 35% decrease in CL/F. There was no significant change in t(1/2). The changes are consistent with an increase in moxidectin bioavailability following administration with food. There were no clinically relevant changes in vital signs, laboratory tests, or electrocardiograms.
The objective of this study was to assess the effect of a high-fat meal on the pharmacokinetics of moxidectin. Healthy male subjects were randomized to receive single oral 8 mg doses of moxidectin after an overnight fast or high-fat breakfast. In fasted subjects ( N = 27), mean [SD] parameters were C max : 58.9 [12.5] ng/mL; t max : 3.7 [1.5] h; area under concentration-time curve (AUC): 3,387 [1,328] ng/h/mL; Vλ z /F: 2,829 [1,267] L; CL/F: 2.76 [1.28] L/h; and t ½ : 784 [347] h. Compared with fasted subjects, fed subjects ( N = 27) exhibited a 34% increase in C max , delay in t max to 5.3 [2.1] h, 44% increase in AUC, 40% decrease in Vλ z /F, and a 35% decrease in CL/F. There was no significant change in t ½ . The changes are consistent with an increase in moxidectin bioavailability following administration with food. There were no clinically relevant changes in vital signs, laboratory tests, or electrocardiograms.
The objective of this study was to assess the effect of a high-fat meal on the pharmacokinetics of moxidectin. Healthy male subjects were randomized to receive single oral 8 mg doses of moxidectin after an overnight fast or high-fat breakfast. In fasted subjects (N = 27), mean [SD] parameters were C(max): 58.9 [12.5] ng/mL; t(max): 3.7 [1.5] h; area under concentration-time curve (AUC): 3,387 [1,328] ng/h/mL; Vλ(z)/F: 2,829 [1,267] L; CL/F: 2.76 [1.28] L/h; and t(1/2): 784 [347] h. Compared with fasted subjects, fed subjects (N = 27) exhibited a 34% increase in C(max), delay in t(max) to 5.3 [2.1] h, 44% increase in AUC, 40% decrease in Vλ(z)/F, and a 35% decrease in CL/F. There was no significant change in t(1/2). The changes are consistent with an increase in moxidectin bioavailability following administration with food. There were no clinically relevant changes in vital signs, laboratory tests, or electrocardiograms.The objective of this study was to assess the effect of a high-fat meal on the pharmacokinetics of moxidectin. Healthy male subjects were randomized to receive single oral 8 mg doses of moxidectin after an overnight fast or high-fat breakfast. In fasted subjects (N = 27), mean [SD] parameters were C(max): 58.9 [12.5] ng/mL; t(max): 3.7 [1.5] h; area under concentration-time curve (AUC): 3,387 [1,328] ng/h/mL; Vλ(z)/F: 2,829 [1,267] L; CL/F: 2.76 [1.28] L/h; and t(1/2): 784 [347] h. Compared with fasted subjects, fed subjects (N = 27) exhibited a 34% increase in C(max), delay in t(max) to 5.3 [2.1] h, 44% increase in AUC, 40% decrease in Vλ(z)/F, and a 35% decrease in CL/F. There was no significant change in t(1/2). The changes are consistent with an increase in moxidectin bioavailability following administration with food. There were no clinically relevant changes in vital signs, laboratory tests, or electrocardiograms.
Author Korth-Bradley, Joan M.
Matschke, Kyle
Gourley, Ian
Fleckenstein, Lawrence
Parks, Virginia
Cailleux, Karine
Chalon, Stephan
Fitoussi, Serge
AuthorAffiliation Pfizer, Inc., Collegeville, Pennsylvania; Pfizer Global Research and Development, Paris, France; MEDISCIS Poitiers (legal name Larime S.A.), Poitiers, France; College of Pharmacy, University of Iowa, Iowa City, Iowa
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Keywords Human
Healthy subject
Phase I trial
Fat
Parasiticide
Male
Tropical medicine
Moxidectin
Pharmacokinetics
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SubjectTerms Administration, Oral
Adult
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antinematodal Agents - administration & dosage
Antinematodal Agents - pharmacokinetics
Antiparasitic agents
Area Under Curve
Biological and medical sciences
Biological Availability
Dietary Fats - administration & dosage
Dietary Fats - pharmacology
Fasting
Food-Drug Interactions
Humans
Infectious diseases
Macrolides - administration & dosage
Macrolides - pharmacokinetics
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Young Adult
Title The Effect of a High-Fat Breakfast on the Pharmacokinetics of Moxidectin in Healthy Male Subjects: A Randomized Phase I Trial
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