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Drug Drug Interaction

Phase 1

Drug Interaction | Small molecule | Other |Vicore Pharma Holding AB American Depositary Shares|Last Updated: Jan 3, 2025

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment19

FDA Designations

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Clinical trial landscape

Drug Drug Interaction · 1 trial · 1 indication

Phase 1 1
NCT05830799A Trial to Evaluate the Impact of C21 on the Exposure of 4 Substrates in Healthy VolunteersDrug Interaction
COMPLETED19 Analytics
PHASE1COMPLETED
A Trial to Evaluate the Impact of C21 on the Exposure of 4 Substrates in Healthy Volunteers
Drug InteractionUnlock trial analytics

Study Endpoints

Primary Endpoints

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Caffeine and Paraxanthine (Cmax)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24 hours post dose at Day 2 (period 1), Day 5 (period 2) and Day 18 (period 3)

Maximum observed concentration (Cmax) for caffeine and its metabolite paraxanthine.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Caffeine and Paraxanthine (Tmax)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24 hours post dose at Day 2 (period 1), Day 5 (period 2) and Day 18 (period 3)

Time of occurrence of Cmax (Tmax) for caffeine and its metabolite paraxanthine.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Caffeine and Paraxanthine (AUC0-last)
Day 2 to day 19

Area under the plasma concentration vs. time curve from 0 to time of last measurable plasma concentration (AUC0-last) for caffeine and its metabolite paraxanthine.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Caffeine and Paraxanthine (AUC0-inf)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24 hours post dose at Day 2 (period 1), Day 5 (period 2) and Day 18 (period 3)

Area under the plasma concentration vs. time curve from 0 to infinity (AUC0-inf) for caffeine and its metabolite paraxanthine.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Tolbutamide and 4-hydroxy-tolbutamide and Carboxy-tolbutamide (Cmax)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24 hours post dose at Day 2 (period 1), Day 5 (period 2) and Day 18 (period 3)

Maximum observed concentration (Cmax) for Tolbutamide and its metabolites 4-hydroxy-tolbutamide and carboxy-tolbutamide.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Tolbutamide and 4-hydroxy-tolbutamide and Carboxy-tolbutamide (Tmax)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24 hours post dose at Day 2 (period 1), Day 5 (period 2) and Day 18 (period 3)

Time of occurrence of Cmax (Tmax) for Tolbutamide and its metabolites 4-hydroxy-tolbutamide and carboxy-tolbutamide.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Tolbutamide and 4-hydroxy-tolbutamide and Carboxy-tolbutamide (AUC0-last)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24 hours post dose at Day 2 (period 1), Day 5 (period 2) and Day 18 (period 3)

Area under the plasma concentration vs. time curve from 0 to time of last measurable plasma concentration (AUC0-last) for Tolbutamide and its metabolites 4-hydroxy-tolbutamide and carboxy-tolbutamide.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Tolbutamide and 4-hydroxy-tolbutamide and Carboxy-tolbutamide (AUC0-inf)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24 hours post dose at Day 2 (period 1), Day 5 (period 2) and Day 18 (period 3)

Area under the plasma concentration vs. time curve from 0 to infinity (AUC0-inf) for Tolbutamide and its metabolites 4-hydroxy-tolbutamide and carboxy-tolbutamide.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Midazolam and 1-hydroxy-midazolam (Cmax)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24 hours post dose at Day 2 (period 1), Day 5 (period 2) and Day 18 (period 3)

Maximum observed concentration (Cmax) for midazolam and its metabolite 1-hydroxy-midazolam.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Midazolam and 1-hydroxy-midazolam (Tmax)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24 hours post dose at Day 2 (period 1), Day 5 (period 2) and Day 18 (period 3)

Time of occurrence of Cmax (Tmax) for midazolam and its metabolite 1-hydroxy-midazolam.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Midazolam and 1-hydroxy-midazolam (AUC0-last)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24 hours post dose at Day 2 (period 1), Day 5 (period 2) and Day 18 (period 3)

Area under the plasma concentration vs. time curve from 0 to time of last measurable plasma concentration (AUC0-last) for midazolam and its metabolite 1-hydroxy-midazolam.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Midazolam and 1-hydroxy-midazolam (AUC0-inf)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24 hours post dose at Day 2 (period 1), Day 5 (period 2) and Day 18 (period 3)

Area under the plasma concentration vs. time curve from 0 to to infinity (AUC0-inf) for midazolam and its metabolite 1-hydroxy-midazolam.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Nintedanib and BIBF 1202 (Cmax)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 hours post dose at Day 1 (period 1), Day 4 (period 2) and Day 17 (period 3)

Maximum observed concentration (Cmax) for nintedanib and its metabolite BIBF 1202.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Nintedanib and BIBF 1202 (Tmax)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 hours post dose at Day 1 (period 1), Day 4 (period 2) and Day 17 (period 3)

Time of occurrence of Cmax (Tmax) for nintedanib and its metabolite BIBF 1202.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Nintedanib and BIBF 1202 (AUC0-last)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 hours post dose at Day 1 (period 1), Day 4 (period 2) and Day 17 (period 3)

Area under the plasma concentration vs. time curve from 0 to time of last measurable plasma concentration (AUC0-last) for nintedanib and its metabolite BIBF 1202.

To Evaluate the Impact of C21 on the Pharmacokinetics (PK) of Nintedanib and BIBF 1202 (AUC0-inf)
Pre-dose and 0:15, 0:30, 0:45, 1, 1:30, 2, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 hours post dose at Day 1 (period 1), Day 4 (period 2) and Day 17 (period 3)

Area under the plasma concentration vs. time curve from 0 to infinity (AUC0-inf) for nintedanib and its metabolite BIBF 1202.

Secondary Endpoints

To Evaluate the Pharmacokinetics (PK) of C21 and M1 (Cmax)
Day 17
To Evaluate the Pharmacokinetics (PK) of C21 and M1 (Tmax)
Day 17
To Evaluate the Pharmacokinetics (PK) of C21 and M1 (AUC0-last)
Day 17
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeBASIC_SCIENCE

Treatment Arms

ArmTypeDescription
Experimental: C21EXPERIMENTALC21, single dose, oral administration twice daily, for 15 days

Interventions

NameTypeDescription
Drug Drug InteractionDRUGThe intervention phase consists of 3 periods: in period 1, the pharmacokinetics (PK) of all substrates will be evaluated in the absence of C21, in period 2, a potential inhibitory effect of C21 on the substrates be evaluated, and in period 3, the net effect of potential C21-mediated induction and inhibition on the substrates will be evaluated
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Eligibility Criteria

Age Range18 Years to 60 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. Willing and able to give written informed consent for participation in the trial. 2. Healthy male, or healthy female subject of non-childbearing potential, aged 18 to 60 years, inclusive. 3. Body mass index ≥ 18.5 and ≤ 30.0 kg/m2 at the time of the screening visit. 4. Medica...

Countries:Sweden
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Frequently asked questions about Drug Drug Interaction

What is Drug Drug Interaction?

Drug Drug Interaction refers to a clinical study evaluating how C21, a small molecule, affects the exposure of four other substrates in healthy volunteers. The study was conducted in Sweden and enrolled 19 participants aged 18 years and older. It is an investigational drug interaction trial, not a treatment for a specific disease.

Who makes Drug Drug Interaction?

Drug Drug Interaction is being developed by Vicore Pharma Holding AB, a biopharmaceutical company. The company's American Depositary Shares trade under the ticker symbol VCRE. The development program focuses on understanding how C21 interacts with other drugs in healthy volunteers.

What phase is Drug Drug Interaction in?

Drug Drug Interaction is in Phase 1 clinical development. The single clinical trial, NCT05830799, has been completed. This phase typically involves initial studies in healthy volunteers to assess drug interactions and safety. The drug remains investigational and is not yet approved for any medical use.

What clinical trials is Drug Drug Interaction in?

Drug Drug Interaction has one completed clinical trial, NCT05830799, titled "A Trial to Evaluate the Impact of C21 on the Exposure of 4 Substrates in Healthy Volunteers." This Phase 1 study enrolled 19 healthy volunteers in Sweden and was not randomized, double-blind, or controlled. It assessed how C21 affects the exposure of four other drugs.

Is Drug Drug Interaction FDA approved?

Drug Drug Interaction is not FDA approved. It is an investigational drug interaction study in Phase 1 clinical development. The completed trial, NCT05830799, evaluated the impact of C21 on the exposure of four substrates in healthy volunteers. Approval status for any therapeutic use has not been established.