PMID- 37248357 OWN - NLM STAT- MEDLINE DCOM- 20230629 LR - 20230629 IS - 1179-1918 (Electronic) IS - 1173-2563 (Linking) VI - 43 IP - 6 DP - 2023 Jun TI - A Phase I Study to Evaluate the Pharmacokinetic Drug‒Drug Interaction of HP501, Febuxostat, and Colchicine in Male Chinese Patients with Hyperuricemia. PG - 401-411 LID - 10.1007/s40261-023-01274-7 [doi] AB - BACKGROUND AND OBJECTIVE: HP501 is a highly selective renal urate transporter 1 (URAT1) inhibitor that is being developed for the treatment of hyperuricemia and gout. The primary aim of the present study was to study the pharmacokinetic drug‒drug interactions (DDIs) of HP501, febuxostat, and colchicine in hyperuricemic patients. METHODS: Hyperuricemic patients were randomly divided into group A, receiving HP501 40 mg once daily on days 1 and 4-10, and group B, receiving febuxostat 40 mg once daily on day 1 and HP501 40 mg plus febuxostat 40 mg on days 4-10. All patients received 0.5 mg colchicine once daily from day 4 to 12. Blood samples were collected for measurement of drug concentrations and serum uric acid (sUA) levels. RESULTS: Coadministration of colchicine with HP501 or HP501 plus febuxostat did not affect steady-state exposure to colchicine. Coadministration of HP501 and febuxostat did not significantly change the pharmacokinetic profiles of either drug. Following multiple administrations of HP501 40 mg once daily for 7 days, the maximal percent sUA change from baseline in group A was - 24.77%. The coadministration of HP501 40 mg and febuxostat 40 mg in group B for 7 days resulted in a - 55.82% maximal sUA reduction from baseline, and all patients achieved the goal of sUA < 360 mumol/L. All adverse events (AEs) were either mild or moderate, and the most frequently reported AEs were diarrhea and elevated alanine aminotransferase (ALT) levels. CONCLUSIONS: The concomitant use of HP501, febuxostat, and colchicine did not produce clinically meaningful DDIs in terms of their pharmacokinetic properties. CLINICAL TRIAL REGISTRATION: No. CTR20212261 ( http://www.chinadrugtrials.org.cn/ ) registered September 2021. CI - (c) 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG. FAU - Ding, Ruilin AU - Ding R AD - Institute of Drug Clinical Trial/GCP Center, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China. FAU - Chen, Longxia AU - Chen L AD - Institute of Drug Clinical Trial/GCP Center, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China. FAU - Li, Xinghai AU - Li X AD - Hinova Pharmaceuticals Inc., Chengdu, Sichuan, China. FAU - Xiong, Tengqiong AU - Xiong T AD - Institute of Drug Clinical Trial/GCP Center, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China. FAU - Chen, Hong AU - Chen H AD - Institute of Drug Clinical Trial/GCP Center, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China. FAU - Hu, Xiaojing AU - Hu X AD - Institute of Drug Clinical Trial/GCP Center, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China. FAU - Li, Yun AU - Li Y AD - Institute of Drug Clinical Trial/GCP Center, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China. FAU - Zhou, Yi AU - Zhou Y AD - Hinova Pharmaceuticals Inc., Chengdu, Sichuan, China. FAU - Liu, Kezhi AU - Liu K AD - Department of Psychiatry, The Affiliated Hospital of Southwest Medical University, Luzhou, China. FAU - Wu, Jianhong AU - Wu J AD - Department of Rheumatology, Dazhou Central Hospital, Dazhou, Sichuan, China. FAU - Jiang, Feng AU - Jiang F AD - Department of Cardiology, The Affiliated Hospital of Southwest Medical University, No. 25 Taiping Street, Jiangyang District, Luzhou, 646000, China. jfeng_06@126.com. FAU - Peng, Qing AU - Peng Q AUID- ORCID: 0000-0003-1372-1993 AD - Department of Cardiology, The Affiliated Hospital of Southwest Medical University, No. 25 Taiping Street, Jiangyang District, Luzhou, 646000, China. qingpeng9712118@163.com. LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial DEP - 20230530 PL - New Zealand TA - Clin Drug Investig JT - Clinical drug investigation JID - 9504817 RN - 101V0R1N2E (Febuxostat) RN - SML2Y3J35T (Colchicine) RN - 0 (Gout Suppressants) RN - 268B43MJ25 (Uric Acid) RN - 0 (Uricosuric Agents) SB - IM MH - Humans MH - Male MH - *Febuxostat/adverse effects MH - *Hyperuricemia/drug therapy MH - Colchicine/adverse effects MH - Gout Suppressants MH - Uric Acid MH - East Asian People MH - Treatment Outcome MH - Uricosuric Agents/therapeutic use EDAT- 2023/05/30 01:06 MHDA- 2023/06/29 06:42 CRDT- 2023/05/29 23:23 PHST- 2023/05/07 00:00 [accepted] PHST- 2023/06/29 06:42 [medline] PHST- 2023/05/30 01:06 [pubmed] PHST- 2023/05/29 23:23 [entrez] AID - 10.1007/s40261-023-01274-7 [pii] AID - 10.1007/s40261-023-01274-7 [doi] PST - ppublish SO - Clin Drug Investig. 2023 Jun;43(6):401-411. doi: 10.1007/s40261-023-01274-7. Epub 2023 May 30.