Randomized, Double-Blind, Placebo-Controlled Multiple Ascending Dose Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Multiple Oral Doses of BMS-986120 in Healthy Subjects and the Effect of BMS-986120 on the Pharmacokinetics of Midazolam in Healthy Subjects
Overview
- Phase
- Phase 1
- Intervention
- BMS-986120
- Conditions
- Healthy Adult Volunteers
- Sponsor
- Bristol-Myers Squibb
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- 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) parameters
- Status
- Completed
- Last Updated
- 10 years ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Healthy male and female subjects as determined by no clinically significant deviation from normal in medical history, physical examination, ECGs, and clinical laboratory determinations
- •Body Mass Index (BMI) of 18 to 32 kg/m2, inclusive. BMI=Weight (kg)/\[Height(m)\]2
- •Women who are not of childbearing potential (i.e., who are postmenopausal or surgically sterile) and men, ages 18 to 75, inclusive
Exclusion Criteria
- •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
- •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
- •Hemoglobin or hematocrit or platelet count \<lower limit of normal (LLN)
- •Bleeding time exceeding 8 minutes at pre-dose on Day -1
- •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
Arms & Interventions
Panel 1: BMS-986120 or Placebo
BMS-986120 or Placebo multiple dose by mouth as specified
Intervention: BMS-986120
Panel 1: BMS-986120 or Placebo
BMS-986120 or Placebo multiple dose by mouth as specified
Intervention: Placebo
Panel 2: BMS-986120 or Placebo
BMS-986120 or Placebo multiple dose by mouth as specified
Intervention: BMS-986120
Panel 2: BMS-986120 or Placebo
BMS-986120 or Placebo multiple dose by mouth as specified
Intervention: Placebo
Panel 3: BMS-986120 or Placebo + Midazolam
BMS-986120 or Placebo (multiple dose) + Midazolam (single dose) by mouth as specified
Intervention: BMS-986120
Panel 3: BMS-986120 or Placebo + Midazolam
BMS-986120 or Placebo (multiple dose) + Midazolam (single dose) by mouth as specified
Intervention: Placebo
Panel 3: BMS-986120 or Placebo + Midazolam
BMS-986120 or Placebo (multiple dose) + Midazolam (single dose) by mouth as specified
Intervention: Midazolam
Panel 4: BMS-986120 or Placebo
BMS-986120 or Placebo multiple dose by mouth as specified
Intervention: BMS-986120
Panel 4: BMS-986120 or Placebo
BMS-986120 or Placebo multiple dose by mouth as specified
Intervention: Placebo
Outcomes
Primary Outcomes
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) parameters
Time Frame: Up 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) parameters
Time Frame: Up to 168 days
Secondary Outcomes
- Area under the concentration-time curve from time zero to 24h [AUC(TAU)] of BMS-986120 and BMT-141464(Part 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'hydroxymidazolam(Part 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-141464(Part A (Days 1-8), Part B/C (Days 1-19), & Part D (Days 1-22))
- Half-life (T-HALF) of BMS-986120 and BMT-141464(Part 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-141464(Part 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-141464(Part 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'hydroxymidazolam(Part 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'hydroxymidazolam(Part 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-141464(Part 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'hydroxymidazolam(Part 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'hydroxymidazolam(Part 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'hydroxymidazolam(Part 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-986120(Part 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-986120(Part A (Days 1-3) & Part B/C (Days 1-19))