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A Study to Evaluate the Effects of KarXT on the Drug Levels of Midazolam, Fexofenadine, and Digoxin

Not Applicable
Not yet recruiting
Conditions
Healthy Volunteers
Interventions
Registration Number
NCT07118215
Lead Sponsor
Karuna Therapeutics
Brief Summary

The purpose of this study is to evaluate the effects of KarXT administration on the drug levels of midazolam, fexofenadine, and digoxin in healthy adult participants.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Participants must be healthy male and female (INOCBP) as determined by no clinically significant deviation from normal in medical history, physical examination, 12-lead ECG, VS, and clinical laboratory determinations.
  • Participants must have BMI of 18.0 to 32.0 kg/m2.
Exclusion Criteria
  • Participants must not have organ dysfunction or any clinically significant deviation from normal in physical examination, VS, ECG, or clinical laboratory determinations beyond what is consistent with the target population reference ranges.
  • Participants must not have cirrhosis, biliary duct abnormalities, hepatobiliary carcinoma, and/or active hepatic viral infections based on the LFT results.
  • Participants must not have any other significant acute or chronic medical illness, as assessed by the investigator.
  • Participants must not have history or high risk of urinary retention, gastric retention, or narrow-angle glaucoma or known history of prostate hypertrophy or nocturia.
  • Participants must not have current or recent (within 3 months of first study intervention administration) GI disease that could possibly affect drug ADME (eg, bariatric procedure).
  • Participants must not have any major surgery, including GI surgery (eg, cholecystectomy and any other GI surgery) that could impact upon the absorption of study intervention (uncomplicated appendectomy and hernia repair are acceptable).
  • Participants must not have history of active GI obstructive disorder.
  • Participants must not have history of bladder stones.
  • Participants must not have history of recurrent urinary tract infections.
  • Other protocol define inclusion/exclusion criteria apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Part 1KarXT-
Part 2Fexofenadine-
Part 1Midazolam-
Part 2KarXT-
Part 3KarXT-
Part 3Digoxin-
Primary Outcome Measures
NameTimeMethod
Part 1: Geometric mean ratio (GMR) of Maximum observed plasma concentration (Cmax) of midazolam with and without KarXTUp to approximately day 24
Part 1: GMR of Area under the plasma concentration-time curve (AUC) of midazolam with and without KarXTUp to approximately day 24
Part 2: GMR of Cmax of fexofenadine with and without KarXTUp to approximately day 24
Part 2: GMR of AUC of fexofenadine with and without KarXTUp to approximately day 24
Part 3: GMR of Cmax of digoxin with and without KarXTUp to approximately day 24
Part 3: GMR of AUC of digoxin with and without KarXTUp to approximately day 24
Secondary Outcome Measures
NameTimeMethod
Number of participants wtih serious adverse events (SAEs)Up to approximately day 47

Part 1, 2 and 3

Number of participants with vital sign abnormalitiesUp to approximately day 24

Part 1, 2 and 3

Number of participants with 12-lead electrocardiogram abnormalities (ECGs)Up to approximately day 24

Part 1, 2 and 3

Number of participants with clinical laboratory assessment abnormalitiesUp to approximately day 24

Part 1, 2 and 3

Number of participants with adverse event of special interest (AESIs)Up to approximately day 47
Number of participants wtih adverse events (AEs)Up to approximately day 47

Part 1, 2 and 3

Number of participants with physical examination abnormalitiesUp to approximately day 24

Part 1, 2 and 3

Number of participants with suicidal ideation with the use of the Columbia-Suicide Severity Rating Scale (C-SSRS)Up to approximately day 24

Part 1, 2 and 3

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