Study to Evaluate Safety and Tolerability of ACT-709478 in Healthy Subjects

Sponsor
Idorsia Pharmaceuticals Ltd. (Industry)
Overall Status
Completed
CT.gov ID
NCT03165097
Collaborator
(none)
46
1
4
17.7
2.6

Study Details

Study Description

Brief Summary

The primary purpose of this study is to evaluate the safety and tolerability of ascending multiple doses of ACT-709478 in healthy male and female subjects

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
46 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Other
Official Title:
A Single-center, Double-blind, Parallel-group, Randomized, Placebo-controlled, Multiple-ascending Oral Dose Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of ACT-709478 in Healthy Subjects
Actual Study Start Date :
Jul 7, 2017
Actual Primary Completion Date :
Nov 15, 2018
Actual Study Completion Date :
Dec 28, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: ACT-709478

40 subjects will receive multiple doses of ACT-709478 at the planned dose levels of 30, 60, 100, and 200 mg. Each dose level will be investigated in a new cohort of 10 healthy male and female subjects (4 male subjects on active drug and 1 on placebo, 4 female subjects on active drug and 1 on placebo) undergoing one treatment period with a once daily dosing scheme.

Drug: ACT-709478
Hard gelatine capsules for oral administration

Placebo Comparator: Placebo

Matched placebo administered accordingly

Drug: Placebo
Placebo capsules matching ACT-709478 capsules

Other: Midazolam

4 mg taken by mouth on Day 1 of the corresponding cohort

Drug: Midazolam
Midazolam oral solution (2 mg/mL) applied with a syringe

Experimental: ACT-709478 combined with Midazolam

On Day 22 and Day 30, midazolam (4 mg) and ACT-709478 (60 mg or 100 mg) to be co-administered.

Drug: ACT-709478 combined with midazolam
Hard gelatine capsules for oral administration (ACT-709478) to be taken first followed by Midazolam oral solution (2 mg/mL) applied with a syringe

Outcome Measures

Primary Outcome Measures

  1. Incidence of treatment-emergent adverse events [up to Day 23]

    The percentage of subjects with treatment-emergent adverse events will be reported

  2. Changes from baseline in vital signs [up to Day 23]

    Vital signs include diastolic and systolic blood pressure and pulse rate

  3. Incidence of any clinical relevant findings in ECG variables [up to Day 23]

    The number of subjects with any treatment-emergent electrocardiogram (ECG) abnormalities will be reported

Secondary Outcome Measures

  1. Maximum plasma concentration (Cmax) of ACT-709478 [up to Day 23]

    Cmax is derived from the observed plasma concentration-time curves

  2. Time to reach Cmax (tmax) of ACT-709478 [up to Day 23]

    tmax is directly derived from the observed plasma concentrations

  3. Terminal half-life (t1/2) of ACT-709478 [up to Day 23]

    t1/2 is calculated from the terminal rate constant obtained from the plasma concentrations-time curves

  4. Area under the plasma concentration-time curve AUC(tau) of ACT-709478 [up to Day 23]

    AUCtau is defined as the area under the plasma concentration-time curve during one dosing interval

  5. Area under the plasma concentration-time curve AUC(tau) of midazolam [24 hours after dosing on Day 1, Day 22 and Day 30]

    AUCtau is defined as the area under the plasma concentration-time curve during one dosing interval

  6. Time to reach Cmax (tmax) [24 hours after dosing on Day 1, Day 22 and Day 30]

    tmax is directly derived from the observed plasma concentrations

  7. Maximum plasma concentration (Cmax) of ACT-709478 [24 hours after dosing on Day 1, Day 22 and Day 30]

    Cmax is derived from the observed plasma concentration-time curves

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 55 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Signed informed consent form

  • Healthy male and female subjects aged between 18 and 55 years (inclusive) at screening

  • Negative serum pregnancy tests at screening and negative urine pregnancy test at Day -1 for women and agreement to use 2 reliable methods of contraception for at least 3 months after last study drug administration

  • Body mass index of 18.0 to 29.9 kg/m2 (inclusive) at screening

  • Systolic blood pressure 100-140 mmHg, diastolic blood pressure 50-90 mmHg, and pulse rate 50-90 bpm (inclusive), measured after 5 minutes in the supine position at screening and on Day -1

  • Healthy on the basis of physical examination, cardiovascular, ophthalmological, neurological assessments and laboratory tests

Exclusion Criteria:
  • Known hypersensitivity to ACT-709478 or drugs of the same class, or any of their excipients

  • History or clinical evidence of any disease and/or existence of any surgical or medical condition, which might interfere with the absorption, distribution, metabolism, or excretion of the study treatments

  • QT interval corrected with Fridericia's formula (QTcF) > 450 ms (using the ECG machine HR correction method) at screening and on Day -1

  • Treatment with another investigational treatment within 2 months or 5 t1/2 (whichever is the longest) prior to screening or participation in more than four investigational treatment studies within 1 year prior to screening

  • Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol

Contacts and Locations

Locations

Site City State Country Postal Code
1 Parexel Berlin Germany 14050

Sponsors and Collaborators

  • Idorsia Pharmaceuticals Ltd.

Investigators

  • Study Director: Study Director, Idorsia Pharmaceuticals Ltd.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Idorsia Pharmaceuticals Ltd.
ClinicalTrials.gov Identifier:
NCT03165097
Other Study ID Numbers:
  • AC-083-102
  • 2017-000336-34
First Posted:
May 24, 2017
Last Update Posted:
Dec 24, 2019
Last Verified:
Dec 1, 2019
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Idorsia Pharmaceuticals Ltd.
Additional relevant MeSH terms:

Study Results

No Results Posted as of Dec 24, 2019