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Multiple Ascending Dose Study to Evaluate the Safety, Tolerability and Pharmacokinetics of BMS-986120 in Healthy Subjects and the Effects of Co-Administration of Midazolam and BMS-986120

Phase 1
Completed
Conditions
Healthy Adult Volunteers
Interventions
Registration Number
NCT02208882
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to assess the safety, tolerability and effect on Midazolam pharmacokinetics of multiple oral doses of BMS-986120 in healthy subjects.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria
  1. Healthy male and female subjects as determined by no clinically significant deviation from normal in medical history, physical examination, ECGs, and clinical laboratory determinations
  2. Body Mass Index (BMI) of 18 to 32 kg/m2, inclusive. BMI=Weight (kg)/[Height(m)]2
  3. Women who are not of childbearing potential (i.e., who are postmenopausal or surgically sterile) and men, ages 18 to 75, inclusive
Exclusion Criteria
  1. Concurrent, or use within 2-weeks of study drug administration, of marketed or investigational, non-steroidal anti-inflammatory compounds (NSAIDS), aspirin or other antiplatelet agents, oral or parenteral anticoagulants

  2. Subjects at screening or prior to first dose with the following abnormal laboratory values upon repeat testing are excluded:

    • i) Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >upper limit of normal (ULN)
    • ii) Total bilirubin >ULN, thyroid-stimulating hormone (TSH) >1.5 x ULN with T4 within normal limits (Subjects with mild unconjugated hyperbilirubinemia due to Gilbert's syndrome are excluded)
    • iii) CK >3 x ULN (unless exercise related and CK-MB within normal limits)
    • iv) Activated partial thromboplastin (aPTT) or Prothrombin Time (PT)/International Normalized Ratio (INR) >ULN
    • v) Blood urea nitrogen (BUN) or creatinine (Cr) >ULN
  3. Hemoglobin or hematocrit or platelet count <lower limit of normal (LLN)

  4. Bleeding time exceeding 8 minutes at pre-dose on Day -1

  5. Subjects with micro- or macro-hematuria and/or fecal occult blood detected during screening, baseline or documented during other recent medical assessment, unless deemed not clinically significant by the Investigator and Medical Monitor

  6. Any significant acute or chronic medical illness

  7. Current or recent (within 3 months of study drug administration) gastrointestinal disease

  8. Any major surgery within 12 weeks of study drug administration

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Panel 3: BMS-986120 or Placebo + MidazolamBMS-986120BMS-986120 or Placebo (multiple dose) + Midazolam (single dose) by mouth as specified
Panel 1: BMS-986120 or PlaceboPlaceboBMS-986120 or Placebo multiple dose by mouth as specified
Panel 4: BMS-986120 or PlaceboPlaceboBMS-986120 or Placebo multiple dose by mouth as specified
Panel 2: BMS-986120 or PlaceboBMS-986120BMS-986120 or Placebo multiple dose by mouth as specified
Panel 2: BMS-986120 or PlaceboPlaceboBMS-986120 or Placebo multiple dose by mouth as specified
Panel 3: BMS-986120 or Placebo + MidazolamPlaceboBMS-986120 or Placebo (multiple dose) + Midazolam (single dose) by mouth as specified
Panel 1: BMS-986120 or PlaceboBMS-986120BMS-986120 or Placebo multiple dose by mouth as specified
Panel 4: BMS-986120 or PlaceboBMS-986120BMS-986120 or Placebo multiple dose by mouth as specified
Panel 3: BMS-986120 or Placebo + MidazolamMidazolamBMS-986120 or Placebo (multiple dose) + Midazolam (single dose) by mouth as specified
Primary Outcome Measures
NameTimeMethod
Safety and tolerability measured by number of subjects experience serious adverse events, deaths, adverse events leading to discontinuation, and potential clinically significant changes in electrocardiogram (ECG) parametersUp to 168 days
Safety and tolerability measured by percent of subjects experience serious adverse events, deaths, adverse events leading to discontinuation, and potential clinically significant changes in electrocardiogram (ECG) parametersUp to 168 days
Secondary Outcome Measures
NameTimeMethod
Area under the concentration-time curve from time zero to 24h [AUC(TAU)] of BMS-986120 and BMT-141464Part A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22)
Apparent total body clearance (CLT/F) of BMS-986120, Midazolam, and 1'hydroxymidazolamPart A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22)
AUC accumulation index (AI_AUC) of BMS-986120 and BMT-141464Part A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22)
Half-life (T-HALF) of BMS-986120 and BMT-141464Part A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22)
Ratio of metabolite Cmax to parent Cmax, corrected for molecular weight (MR_Cmax) of BMT-141464Part A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22)
Ratio of metabolite AUC(TAU) to parent AUC(TAU), corrected for molecular weight [MR_AUC(TAU)] of BMT-141464Part A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22)
Area under the concentration-time curve from time zero to the time of the last quantifiable concentration [AUC(0-T)] of Midazolam and 1'hydroxymidazolamPart A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22)
Area under the concentration-time curve from time zero extrapolated to infinite time [AUC(INF)] of Midazolam and 1'hydroxymidazolamPart A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22)
Concentration at the end of the dosing Interval (Ctau) of BMS-986120 and BMT-141464Part A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22)
Ratio of metabolite AUC(INF) to parent AUC(INF), corrected for molecular weight [MR_AUC(INF)] of 1'hydroxymidazolamPart A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22)
Maximum observed plasma concentration (Cmax) of BMS-986120, BMT-141464, Midazolam, and 1'hydroxymidazolamPart A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22)
Time of maximum observed plasma concentration (Tmax) of BMS-986120, BMT-141464, Midazolam, and 1'hydroxymidazolamPart A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22)
Effective elimination half-life that explains the degree of AUC accumulation observed (T-HALFeff_AUC) of BMS-986120Part A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22)
Change from baseline in protease-activated receptor-4 - agonist peptide (PAR4-AP) induced platelet aggregation of BMS-986120Part A (Days 1-3) & Part B/C (Days 1-19)

Trial Locations

Locations (1)

Ppd Development, Lp

🇺🇸

Austin, Texas, United States

Ppd Development, Lp
🇺🇸Austin, Texas, United States
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