Study of Drug Combination on Pharmacokinetics in Healthy Volunteers

Study Overview
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Brief Summary
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The purpose of this study is to assess the effect of Daclatasvir, Asunaprevir, and BMS-791325 on the pharmacokinetics of selective serotonin reuptake inhibitors.

Official Title
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Effect of a Combination of Daclatasvir, Asunaprevir, and BMS-791325 on the Pharmacokinetics of Selective Serotonin Reuptake Inhibitors in Healthy Subjects

Conditions
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Hepatitis C Infection

Intervention / Treatment
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* Drug: Escitalopram
* Drug: Sertraline
* Drug: DCV 3DAA FDC
* Drug: BMS-791325


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Signed Informed Consent Form a) Signed written informed consent must be obtained from the subjects in accordance with requirements of the study center's IRB or IEC before the initiation of any protocol-required procedures. Target Population a) Healthy subjects as determined by no clinically significant deviation from normal in medical history, psychiatric history, physical examination findings, vital sign measurements, 12-lead ECG measurements, physical measurements, and clinical laboratory test results. Age and Reproductive Status Males and females, ages 25 to 55 years, inclusive. Women of childbearing potential (WOCBP) must have a negative serum pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG) within 24 hours prior to the start of study drug. Women must not be breastfeeding. Exclusion Criteria: Any significant acute or chronic medical illness. Current or recent (within 3 months of study drug administration) gastrointestinal disease that could impact upon the absorption of study drug (appendectomies with no complications are allowed at the investigator's discretion). Any major surgery within 4 weeks of study drug administration. Smokers (those who currently smoke, as well as those who have stopped smoking less than 6 months prior to the start of study drug administration). Any other sound medical, psychiatric, and/or social reason as determined by the investigator.

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cohort 2<br>Sertraline (50 milligrams each morning) day 1-7, DCV 3DAA FDC + 75 mg BMS-791325 twice daily days 13 to 22, DCV 3DAA FDC + 75 mg BMS-791325 twice daily + Sertraline (50 milligrams each morning) days 23-29 | Drug: Sertraline<br>* 50 milligrams administered each morning<br>* Other names: Zoloft;Drug: DCV 3DAA FDC<br>* Fixed dose combination (daclatasvir [DCV] 30 milligrams, asunaprevir [ASV] 200 milligrams, and BMS-791325 75 milligrams) one tablet administered twice daily<br>Drug: BMS-791325<br>* 75 milligrams single-agent film coated oral tablet administered twice daily<br>|
| Experimental: Cohort 1<br>Escitalopram (10 milligrams each morning) day 1-7, DCV 3DAA FDC + 75 mg BMS-791325 twice daily days 13 to 22, DCV 3DAA FDC + 75 mg BMS-791325 twice daily + Escitalopram (10 milligrams each morning) days 23-29 | Drug: Escitalopram<br>* 10 milligrams administered each morning<br>* Other names: Lexapro;Drug: DCV 3DAA FDC<br>* Fixed dose combination (daclatasvir [DCV] 30 milligrams, asunaprevir [ASV] 200 milligrams, and BMS-791325 75 milligrams) one tablet administered twice daily<br>Drug: BMS-791325<br>* 75 milligrams single-agent film coated oral tablet administered twice daily<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Serial blood samples for plasma SSRI (selective serotonin reuptake inhibitor) of escitalopram or sertraline |  | Before dosing (0 hour) through 24 hours after SSRI administration on day 7 and day 29 | 
| Serial blood samples for determination of plasma concentrations of DCV (daclatasvir), ASV (asunaprevir), BMS-791325, and the metabolite BMS-794712 |  | Before dosing (0 hour) through 12 hours after SSRI administration on day 22 and day 29 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Safety assessments based on review of adverse events, vital sign measurements, electrocardiograms, physical examinations, and clinical laboratory tests. |  | Two to three months |