Official Title

The Effects of BCRP Q141K on Allopurinol Pharmacokinetics and Dynamics
  • Phase

    Phase 4
  • Study Type

    Interventional
  • Intervention/Treatment

    allopurinol ...
  • Study Participants

    27
Subjects will undergo a placebo and allopurinol phase to better understand the effects of the reduced function BCRP Q141K variant on allopurinol pharmacokinetics and pharmacodynamics.
Study Started
Nov 30
2016
Primary Completion
Mar 31
2018
Study Completion
Mar 31
2018
Results Posted
Jun 23
2020
Last Update
Jun 23
2020

Drug Allopurinol

  • Other names: Zyloprim, Aloprim

Other Placebo

lactose placebo pill

BCRP Q141K CC Placebo Comparator

Participants that are homozygous reference for BCRP Q141K receive at least one 300 mg dose of allopurinol followed by blood/urine collection for up to 72 hours post-dose.

BCRP Q141K CA Experimental

Participants that are heterozygous for the BCRP Q141K allele receive at least one 300 mg dose of allopurinol, with blood/urine collections up to 72 hours post-dose.

BCRP Q141K AA Experimental

Participants homozygous for the BCRP Q141K allele receive at least one 300 mg dose of allopurinol with blood/urine collection for up to 72 hours post-dose.

Criteria

Inclusion Criteria:

self-identified as Asian/European ancestry
generally healthy with approved lab values for CBC,HFP,RFP, and uric acid
Subjects with the ABCG2 genotype, homozygous, heterozygous or homozygous for the major allele of rs2231142 will be recruited

Exclusion Criteria:

vascular disease
renal impairment
medications/supplements that affect uric acid levels
pregnant or lactating women
prior history of allergic reaction to allopurinol or testing positive for HLA-B*5801 allele
risk of urinary or gastric retention or narrow-angle glaucoma
impaired hepatic function
evidence of anemia
evidence or diagnosis of congestive heart failure
smokers
subjects with a mutation other than rs2231142 in the ABCG2 genotype
subjects taking hormonal contraceptives or other hormonal medications
evidence of recreational drug use as determined by questionnaire

Summary

BCRP Q141K CC

BCRP Q141K CA

BCRP Q141K AA

All Events

Event Type Organ System Event Term

Oxypurinol Renal Clearance

Renal clearance as defined by amount excreted in 24 hours/AUC from 0-24 hours

BCRP Q141K CC Genotype

1.9
L/hr (Mean)
Standard Deviation: 1.2

BCRP Q141K CA Genotype

1.4
L/hr (Mean)
Standard Deviation: 0.5

BCRP Q141K AA Genotype

1.6
L/hr (Mean)
Standard Deviation: 0.9

Percent Change Uric Acid

Maximum percent change in uric acid after a single dose of allopurinol

BCRP Q141K CC Genotype

26.8
Percent Change from Baseline (Mean)
Standard Deviation: 5.9

BCRP Q141K CA Genotype

23.8
Percent Change from Baseline (Mean)
Standard Deviation: 7.0

BCRP Q141K AA Genotype

21.4
Percent Change from Baseline (Mean)
Standard Deviation: 2.5

Oxypurinol AUC

Area under the concentration time curve from 0-24 hours following a single dose of allopurinol (i.e. Day 1 of both protocols)

BCRP Q141K CC Genotype

95.9
mcg*hr/mL (Mean)
Standard Deviation: 25.1

BCRP Q141K CA Genotype

99.1
mcg*hr/mL (Mean)
Standard Deviation: 30.1

BCRP Q141K AA Genotype

108.5
mcg*hr/mL (Mean)
Standard Deviation: 36.1

Total

19
Participants

Age, Continuous

27.7
years (Mean)
Standard Deviation: 6.1

Race (NIH/OMB)

Sex: Female, Male

Overall Study

BCRP Q141K CC

BCRP Q141K CA

BCRP Q141K AA

Drop/Withdrawal Reasons

BCRP Q141K CC

BCRP Q141K CA