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A Study of ACT-541468 in Healthy Japanese and Caucasian Subjects

Phase 1
Completed
Conditions
Healthy Subjects
Interventions
Drug: placebo
Registration Number
NCT03101189
Lead Sponsor
Idorsia Pharmaceuticals Ltd.
Brief Summary

So far, ACT-541468 has been studied mainly in Caucasian subjects. The present study will bridge results obtained in Caucasian subjects to those in Japanese subjects.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Signed informed consent form;
  • Healthy male and female subjects aged between 20 and 50 years (inclusive) at screening;
  • Negative serum pregnancy tests at screening and negative urine pregnancy test at Day 1 for women of childbearing potential and agreement to use a reliable method of contraception for at least 90 days after last study drug intake;
  • Body mass index (BMI) of 18.0 to 26.0 kg/m2 (inclusive) at screening;
  • Healthy on the basis of physical examination, cardiovascular assessments and laboratory tests;
  • Caucasian or Japanese ethnicity.

Japanese subjects only:

  • must be of native Japanese descent (all parents/grandparents of Japanese descent);
  • must not have been away from Japan for more than 10 years (at screening visit);
  • lifestyle should not have changed significantly since relocation from Japan.

Key

Exclusion Criteria
  • Any contraindication to the study treatments;
  • History or clinical evidence of any disease or medical / surgical condition or treatment, which may put the subject at risk of participation in the study or may interfere with the absorption, distribution, metabolism or excretion of the study treatments;
  • History of narcolepsy or cataplexy or modified Swiss narcolepsy scale total score < 0;
  • 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
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Placeboplacebo2 Japanese / 2 Caucasian subjects will receive 1 placebo capsule to match subjects in the ACT-541468 (25 mg) group and 2 other Japanese / 2 Caucasian subjects will receive 2 placebo capsules to match subjects in the ACT-541468 (50 mg) group
ACT-541468 (25 mg)ACT-5414688 Japanese and 8 Caucasian subjects will receive 25 mg (1 capsule) of ACT-541468 once daily for 5 days
ACT-541468 (50 mg)ACT-5414688 Japanese and 8 Caucasian subjects will receive 50 mg (2 capsules) of ACT-541468 once daily for 5 days
Primary Outcome Measures
NameTimeMethod
Maximum plasma concentration (Cmax) of ACT-541468From Day1 pre-dose to 48 hours after the last dose on Day 5

The geometric mean Cmax values will be calculated based on pharmacokinetic (PK) blood sampling

Area under the plasma concentration-time curves during a dosing interval [AUC(0-24)] of ACT-541468From Day1 pre-dose to 48 hours after the last dose on Day 5

The geometric mean AUC(0-24) values will be calculated based on PK blood sampling

Secondary Outcome Measures
NameTimeMethod
Terminal half-life [t(1/2)] of ACT-541468From Day1 pre-dose to 48 hours after the last dose on Day 5

The geometric mean t(1/2) values will be calculated based on PK blood sampling

Incidence of treatment-emergent adverse eventsUp to Day 7 (end of study)

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

Time to reach Cmax (tmax) of ACT-541468From Day1 pre-dose to 48 hours after the last dose on Day 5

The median tmax values will be calculated based on PK blood sampling

Incidence of adverse events leading to premature discontinuation of study treatmentUp to Day 5

The number of subjects who prematurely discontinued the study treatment due to an adverse event will be reported

Incidence of any clinical relevant findings in ECG variablesUp to Day 7 (end of study)

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

Area under the plasma concentration-time curves from time 0 to 8 h [AUC(0-8)]From Day1 pre-dose to 48 hours after the last dose on Day 5

The geometric mean AUC(0-8) values will be calculated based on PK blood sampling

Trial Locations

Locations (1)

Centre for Human Drug Research

🇳🇱

Leiden, Netherlands

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