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Influence of Genetic Polymorphisms on Progesterone-Associated Attenuation of Drug-Induced QT Interval Lengthening

  • STATUS
    Not Recruiting
Updated on 19 February 2024

Summary

We aim to identify potential polymorphisms in genes that could influence variability in the progesterone response to drug-induced QT interval prolongation, including potential polymorphisms in genes encoding: cytochrome P (CYP) 450 3A5, which is a major contributor to progesterone metabolism;3 other CYP enzymes contributing to progesterone metabolism, including 2C19, 2C9, and 3A4;4 progesterone receptors;5 estrogen receptors; potassium current, including hERG and KCNQ1; and sodium and calcium current. In addition, we aim to perform pharmacokinetic (PK)-pharmacodynamic (PD) modeling of the relationship between serum ibutilide concentrations and QTc interval, to determine if variability in that relationship influenced the response to progesterone in individual subjects.

Description

We aim to identify potential polymorphisms in genes that could influence variability in the progesterone response to drug-induced QT interval prolongation, including potential polymorphisms in genes encoding: cytochrome P (CYP) 450 3A5, which is a major contributor to progesterone metabolism;3 other CYP enzymes contributing to progesterone metabolism, including 2C19, 2C9, and 3A4;4 progesterone receptors;5 estrogen receptors; potassium current, including hERG and KCNQ1; and sodium and calcium current. In addition, we aim to perform pharmacokinetic (PK)-pharmacodynamic (PD) modeling of the relationship between serum ibutilide concentrations and QTc interval, to determine if variability in that relationship influenced the response to progesterone in individual subjects.

Details
Condition healthy
Age 100years or below
Clinical Study IdentifierTX8619
Last Modified on19 February 2024

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