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Study to Determine the Effect of BMS-791325 on the ECG QTcF Interval in Healthy Subjects

Phase 1
Completed
Conditions
Hepatitis C
Interventions
Drug: Placebo matching BMS-791325
Registration Number
NCT02084953
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to determine whether BMS-791325 has an effect on the electrocardiogram (ECG) interval QT corrected for Fridericia's method (QTcF).

Detailed Description

Primary Purpose: Other: This Phase 1 study is a clinical pharmacology thorough QT study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
59
Inclusion Criteria
  • Healthy men and women, ages 18 to 49 yr old
  • BMI 18 to 32
  • Women must not be pregnant or breastfeeding
Exclusion Criteria
  • Any significant acute or chronic medical illness
  • A personal history of clinically relevant cardiac disease, symptomatic or asymptomatic arrhythmias, presyncope or syncopal episodes, or additional risk factors for torsades de pointes (eg, heart failure)
  • History of hypokalemia, personal history or family history of prolonged QT interval, or family history of sudden cardiac death at a young age
  • History of biliary disorders, including Gilbert's disease or Dubin-Johnson disease
  • Inability to swallow multiple tablets consecutively
  • Any of the following on 12-lead electrocardiogram (ECG) prior to study drug administration: PR ≥ 210 msec, QRS ≥ 120 msec, QT ≥ 500 msec, QTcF ≥ 450 msec, Heart Rate (HR) < 45 bpm
  • Second or third degree heart block prior to study drug
  • Positive urine screen for drugs of abuse
  • Positive blood screen for hepatitis C antibody, hepatitis B surface antigen, or Human Immunodeficiency Virus (HIV)-1, -2 antibody
  • Any of the following lab results outside of the ranges specified below prior to dosing: Alanine aminotransferase (ALT) > upper limit of normal (ULN), Aspartate aminotransferase (AST) > ULN, Total bilirubin > ULN, Direct bilirubin > ULN, Creatinine > ULN, Serum potassium < lower limit of normal (LLN), Serum magnesium < LLN
  • History of allergy to Moxifloxacin, BMS-791325, nonstructural protein 5B (NS5B) non-nucleoside inhibitors or related compounds

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
ARM A: BMS-791325BMS-791325BMS-791325 600 mg tablet orally on 1st and 2nd day, then 900 mg on the 3rd day once a day for 3 days
ARM C: Placebo matching BMS-791325Placebo matching BMS-791325Placebo matching BMS-791325 0 mg tablet orally once daily for 3 days
ARM B: MoxifloxacinMoxifloxacinMoxifloxacin 400mg tablet orally once on third day
Primary Outcome Measures
NameTimeMethod
Difference from placebo of BMS-791325 in time-matched change from baseline (Day -1 on the study) to Day 3 of each period (ΔΔQTcF) at postdose extraction times for the QTcFApproximately 28 days
Secondary Outcome Measures
NameTimeMethod
ΔΔHR, ΔΔPR, ΔΔQRS, ΔΔQTApproximately 28 days

Difference from placebo in time-matched change from baseline (Day -1) to Day 3 at postdose extraction times in the ECG-derived RR or HR and other ECG intervals (PR, QRS, QT). QT is the unadjusted QT interval

Area under the concentration-time curve in one dosing interval (AUC(TAU)) of BMS-791325, BMS-794712, and BMS-94815843 timepoints up to day 26
Number and percent of subjects having a within-period maximum HR, PR, QRS, QT, QTcF, ΔQT and ΔQTcF within prespecified categoriesApproximately 28 days
Relationship between plasma concentrations of BMS-791325, BMS-794712, and BMS-948158, and the corresponding ΔΔQTcFApproximately 28 days
Maximum observed concentration (Cmax) of BMS-791325, BMS-794712, and BMS-94815843 timepoints up to day 26
AUC(TAU) metabolic ratios of BMS-791325, BMS-794712, and BMS-94815843 timepoints up to day 26
Incidence of AEs, SAEs, AEs leading to discontinuation and death, marked laboratory abnormalities, findings on 12-lead safety ECG measurements and physical examination, and abnormalities in vital sign measurements exceeding pre-defined thresholdsUp to day 28

Adverse event (AEs)

Serious adverse event (SAEs)

Difference from placebo of Moxifloxacin in change from baseline (Day -1) to Day 3 at postdose extraction times for the QTcF (ΔΔQTcF)Approximately 28 days
Time of maximum observed concentration (Tmax) of BMS-791325, BMS-794712, and BMS-94815843 timepoints up to day 26
Apparent total oral clearance (CLT/F) of BMS-791325, BMS-794712, and BMS-94815843 timepoints up to day 26
Terminal phase plasma half life (T-HALF) of BMS-791325, BMS-794712, and BMS-94815843 timepoints up to day 26

Trial Locations

Locations (1)

Ppd Development, Llc

🇺🇸

Austin, Texas, United States

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