Evidence map›Paper›PMID 32564301›Full record

ArticleClinical drug investigation2020

Evaluation of the Potential Pharmacokinetic Interactions Between Vixotrigine and an Oral Contraceptive.

Yuan Zhao, Mark Versavel, Beth Tidemann-Miller, Romy Christmann, Himanshu Naik

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Clinical drug investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03324685 (A Phase 1 Study to Evaluate the Pharmacokinetic Interaction Potential Between BIIB074 and an Oral Contraceptive Regimen in Healthy Female Subjects), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 91% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03324685 phase1completednot on this map

A Phase 1 Study to Evaluate the Pharmacokinetic Interaction Potential Between BIIB074 and an Oral Contraceptive Regimen in Healthy Female Subjects

TypeinterventionalSponsorBiogenRan2017 to 2018Enrolled36ConditionsDrug InteractionsArmsBIIB074, OC (ethinyl estradiol and levonorgestrel)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Yuan ZhaoClinical Pharmacology and Pharmacometrics, Biogen, 225 Binney Street, Cambridge, MA, 02142, USA.
Mark VersavelvZenium, Arlington, MA, USA.
Beth Tidemann-MillerBiostatistics, Biogen, Cambridge, MA, USA.
Romy ChristmannGlobal Safety Regulatory Sciences, Biogen, Cambridge, MA, USA.
Himanshu NaikClinical Pharmacology and Pharmacometrics, Biogen, 225 Binney Street, Cambridge, MA, 02142, USA. himanshu.naik@biogen.com.ORCID http://orcid.org/0000-0002-0215-296X
Biogen (United States) · USMillennium Engineering and Integration (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveVixotrigine is a voltage- and use-dependent sodium channel blocker in development for neuropathic pain management. This study evaluated the effect of coadministration of vixotrigine (metabolized primarily via uridine diphosphate-glucuronosyltransferases) and an oral contraceptive containing ethinyl estradiol (uridine diphosphate-glucuronosyltransferase inducer) and levonorgestrel on the pharmacokinetics and safety of all three compounds.

methodsIn this phase I, open-label, fixed-sequence, multiple-dose study, 36 healthy women received oral vixotrigine 150 mg three times daily for 6 days and once on day 7. This was followed by a washout period, days 8-11. The oral contraceptive was administered alone on days 12-25 and with vixotrigine 150 mg three times daily on days 26-32. Serial blood samples were collected for pharmacokinetic analysis. Safety was assessed.

resultsThe geometric least-squares mean ratios (90% confidence intervals) for the area under the concentration-time curve over 8 h and maximum concentration of vixotrigine co-administered with an oral contraceptive vs vixotrigine alone were 0.85 (0.82-0.89) and 0.91 (0.87-0.96), respectively. The geometric least-squares mean ratios (90% confidence interval) for area under the concentration-time curve over 24 h and maximum concentration of ethinyl estradiol with vixotrigine vs ethinyl estradiol alone were 0.94 (0.91-0.97) and 0.89 (0.84-0.94), respectively; the ratios for levonorgestrel with vixotrigine vs levonorgestrel alone were 1.06 (0.98-1.16) and 1.05 (0.98-1.13), respectively. No adverse events occurring with vixotrigine alone were deemed related to the study drug by the investigators.

conclusionsCoadministration of vixotrigine and an oral contraceptive containing ethinyl estradiol and levonorgestrel had no clinically relevant effect on exposure of all three compounds.

trial registrationClinicalTrials.gov registration number: NCT03324685 (registered 25 October, 2017).

Indexed as

AdolescentAdultContraceptives, Oral, CombinedDrug InteractionsEthinyl EstradiolFemaleHumansLevonorgestrelMiddle AgedPhenyl EthersProlineYoung AdultContraceptives, Oral, CombinedEthinyl EstradiolLevonorgestrelPhenyl EthersProlinevixotrigine

Identifiers

PMID32564301
PMCPMC7359159
OpenAlexW3036103858

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.