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Study to Evaluate the Abuse Potential of ACT-541468 in Healthy Recreational Drug Users

Phase 1
Completed
Conditions
Healthy Recreational Drug Users
Interventions
Registration Number
NCT03657355
Lead Sponsor
Idorsia Pharmaceuticals Ltd.
Brief Summary

This placebo- and active controlled study will investigate the abuse potential of ACT-541468 in healthy recreational drug users

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
63
Inclusion Criteria
  • Signed informed consent prior to any study-mandated procedure
  • Male or female healthy subjects, 18-55 years of age (inclusive) at Screening
  • Body mass index of 18.0-33.0 kg/m2 (inclusive) at Screening and a minimum weight of 50.0 kg at Screening
  • Current sedative users who have used sedatives (e.g., benzodiazepines, zolpidem, eszopiclone, gamma-hydroxybutyrate, barbiturates) for recreational (non-therapeutic) purposes (i.e., for psychoactive effects) at least ten times in their life and at least once in the 12 weeks before Screening
  • Women of childbearing potential must consistently and correctly use a reliable method of contraception with a failure rate of < 1% per year, be sexually inactive, or have a vasectomized partner
  • Women of non-childbearing potential
  • Male subjects are required to use a medically acceptable method of contraception throughout the entire study period and for at least 90 days after last study drug administration
Exclusion Criteria
  • History of major medical or surgical disorders which, in the opinion of the investigator, are likely to interfere with the absorption, distribution, metabolism, or excretion of the study treatment(s)

  • Positive HIV or hepatitis B/C test at Screening

  • Female subjects who are currently pregnant or lactating or who are planning to become pregnant within 1 month of the last study treatment administration

  • Modified Swiss Narcolepsy Scale total score < 0 at Screening or history of narcolepsy or cataplexy

  • Substance or alcohol dependence within 2 years prior to Screening or prior participation in a substance or alcohol dependence rehabilitation program

  • Subjects who have a positive urine drug screen at admittance to the qualification or core phase

  • Any sleep-disorder including self-reported insomnia disorder, breathing-related sleep disorders, restless legs syndrome (RLS), nightmare disorder, non-rapid eye movement (REM), sleep arousal disorders, REM sleep behavior disorder, circadian rhythm sleep-wake disorders, or narcolepsy

  • Any of the following SLEEP-50 Questionnaire scores at Screening:

    • ≥ 15 on Apnea subscale;
    • ≥ 7 on Narcolepsy subscale;
    • ≥ 7 on RLS or Periodic limb movement disorder subscale;
    • ≥ 8 on Circadian Rhythm subscale;
    • ≥ 7 on Sleepwalking subscale;
    • ≥ 3 on Item 32 and ≥ 9 on Items 33 to 35 (i.e., on nightmare subscale);
    • ≥ 15 on Impact subscale.
  • Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
150 mg suvorexantSuvorexantSuvorexant will be administered as tablets for oral use.
PlaceboPlaceboPlacebo will be administered as tablets for oral use.
50 mg ACT-541468ACT-541468ACT-541468 will be administered as tablets for oral use.
100 mg ACT-541468ACT-541468ACT-541468 will be administered as tablets for oral use.
30 mg zolpidemZolpidemZolpidem will be administered as tablets for oral use.
150 mg ACT-541468ACT-541468ACT-541468 will be administered as tablets for oral use.
Primary Outcome Measures
NameTimeMethod
Maximum effect (Emax) of the Drug Liking VAS ('at this moment') over 24 h post-dose during each treatment periodDuration: for up to 24 hours post-dose

VAS = visual analogue scale

Secondary Outcome Measures
NameTimeMethod
Drug Similarity VASDuration: for up to 1 hour post-dose

VAS = visual analogue scale

Bad Effects VAS (unipolar)Duration: for up to 24 hours post-dose

VAS = visual analogue scale

Alertness/Drowsiness VAS (bipolar)Duration: for up to 24 hours post-dose

VAS = visual analogue scale

Drug Liking VAS (bipolar)Duration: for up to 24 hours post-dose

VAS = visual analogue scale

Overall Drug Liking VAS (bipolar)Duration: for up to 12 hours post-dose

VAS = visual analogue scale

Take Drug Again VAS (bipolar)Duration: for up to 12 hours post-dose
Good Effects VAS (unipolar)Duration: for up to 24 hours post-dose
Any Effects VAS (unipolar)Duration: for up to 24 hours post-dose

VAS = visual analogue scale

Feeling High VAS (unipolar)Duration: for up to 24 hours post-dose

VAS = visual analogue scale

Bowdle VAS Internal and External PerceptionsDuration: for up to 24 hours post-dose
Observer's Assessment of Alertness/Sedation composite and sum scoresDuration: for up to 24 hours post-dose
Reaction time task scoreDuration: for up to 8 hours post-dose
Rapid visual information processing scoreDuration: for up to 8 hours post-dose
Paired Associates Learning scoreDuration: for up to 8 hours post-dose

Trial Locations

Locations (2)

Altasciences Company Inc.

🇨🇦

Montreal, Canada

Altasciences Clinical Kansas, Inc. (former Vince and Associates Clinical Research, Inc.)

🇺🇸

Overland Park, Kansas, United States

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