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A Single Ascending Dose Study of ACT-541468 in Healthy Male Subjects

Phase 1
Completed
Conditions
Healthy Subjects
Interventions
Drug: Placebo (Formulation A)
Drug: Placebo (Formulation B)
Drug: Placebo tracer
Registration Number
NCT02919319
Lead Sponsor
Idorsia Pharmaceuticals Ltd.
Brief Summary

The main objectives of this first-into-man study were to investigate the safety, tolerability and the pharmacokinetic profile of single oral doses of ACT-541468 in healthy male adults. Pharmacodynamic effects (through a battery of Central Nervous System tests) were also assessed.

Detailed Description

The study consisted of ascending dose groups; each dose group was investigated in a new group of 8 healthy male subjects (6 on active drug and 2 on placebo). In addition, the study included a biocomparison part (dose group 2), an absolute bioavailability part (dose group 4), and a mass balance / metabolism part (dose group 3).

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
40
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Dose group 1ACT-541468 (Formulation A)Six subjects received 5 mg of ACT-541468 (formulation A) as a single oral dose and two subjects received the matching placebo.
Dose group 1Placebo (Formulation A)Six subjects received 5 mg of ACT-541468 (formulation A) as a single oral dose and two subjects received the matching placebo.
Dose group 2Placebo (Formulation A)Three subjects received a single oral dose (25 mg) of ACT-541468 formulation A during Period 1 and a single oral dose (25 mg) of ACT-541468 formulation B during Period 2. Three other subjects Subjects received ACT-541468 formulation B during Period 1 and ACT-541468 formulation A during Period 2. Two additional subjects received the matching placebos in both treatment periods.
Dose group 2Placebo (Formulation B)Three subjects received a single oral dose (25 mg) of ACT-541468 formulation A during Period 1 and a single oral dose (25 mg) of ACT-541468 formulation B during Period 2. Three other subjects Subjects received ACT-541468 formulation B during Period 1 and ACT-541468 formulation A during Period 2. Two additional subjects received the matching placebos in both treatment periods.
Dose group 3Placebo (Formulation A)Six subjects received 50 mg of ACT-541468 (formulation A) as a single oral dose in combination with a \[14C\]-ACT-541468 oral tracer for the mass balance and metabolism analyses. Two other subjects received the matching placebos.
Dose group 314C-labeled ACT-541468Six subjects received 50 mg of ACT-541468 (formulation A) as a single oral dose in combination with a \[14C\]-ACT-541468 oral tracer for the mass balance and metabolism analyses. Two other subjects received the matching placebos.
Dose group 3Placebo tracerSix subjects received 50 mg of ACT-541468 (formulation A) as a single oral dose in combination with a \[14C\]-ACT-541468 oral tracer for the mass balance and metabolism analyses. Two other subjects received the matching placebos.
Dose group 4Placebo (Formulation A)Six subjects received 100 mg of ACT-541468 (formulation A) as a single oral dose in combination with a \[14C\]-ACT-541468 intravenous tracer for the absolute bioavailability assessment. Two other subjects received the matching placebos.
Dose group 5ACT-541468 (Formulation A)Six subjects received 200 mg of ACT-541468 (formulation A) as a single oral dose and two subjects received the matching placebo.
Dose group 5Placebo (Formulation A)Six subjects received 200 mg of ACT-541468 (formulation A) as a single oral dose and two subjects received the matching placebo.
Dose group 4Placebo tracerSix subjects received 100 mg of ACT-541468 (formulation A) as a single oral dose in combination with a \[14C\]-ACT-541468 intravenous tracer for the absolute bioavailability assessment. Two other subjects received the matching placebos.
Dose group 4ACT-541468 (Formulation A)Six subjects received 100 mg of ACT-541468 (formulation A) as a single oral dose in combination with a \[14C\]-ACT-541468 intravenous tracer for the absolute bioavailability assessment. Two other subjects received the matching placebos.
Dose group 2ACT-541468 (Formulation A)Three subjects received a single oral dose (25 mg) of ACT-541468 formulation A during Period 1 and a single oral dose (25 mg) of ACT-541468 formulation B during Period 2. Three other subjects Subjects received ACT-541468 formulation B during Period 1 and ACT-541468 formulation A during Period 2. Two additional subjects received the matching placebos in both treatment periods.
Dose group 2ACT-541468 (Formulation B)Three subjects received a single oral dose (25 mg) of ACT-541468 formulation A during Period 1 and a single oral dose (25 mg) of ACT-541468 formulation B during Period 2. Three other subjects Subjects received ACT-541468 formulation B during Period 1 and ACT-541468 formulation A during Period 2. Two additional subjects received the matching placebos in both treatment periods.
Dose group 3ACT-541468 (Formulation A)Six subjects received 50 mg of ACT-541468 (formulation A) as a single oral dose in combination with a \[14C\]-ACT-541468 oral tracer for the mass balance and metabolism analyses. Two other subjects received the matching placebos.
Dose group 414C-labeled ACT-541468Six subjects received 100 mg of ACT-541468 (formulation A) as a single oral dose in combination with a \[14C\]-ACT-541468 intravenous tracer for the absolute bioavailability assessment. Two other subjects received the matching placebos.
Primary Outcome Measures
NameTimeMethod
Number of subjects with treatment-emergent adverse events and serious adverse eventsDay 8

Collection of any adverse event at each dose level

Secondary Outcome Measures
NameTimeMethod
Maximum plasma concentration (Cmax) of ACT-541468From pre-dose up to 168 hours post-dose

Cmax was directly derived from the observed plasma concentrations of ACT-541468 for each dose level

Time to reach Cmax (tmax) of ACT-541468From pre-dose up to 168 hours post-dose

tmax was directly derived from the observed plasma concentrations of ACT-541468 for each dose level

Terminal half-life (t1/2) of ACT-541468From pre-dose up to 168 hours post-dose

t1/2 was calculated from the terminal rate constant obtained from the plasma concentrations-time curves of ACT-541468, at each dose level

Area under the plasma concentration-time curves [AUC(0-inf)] of ACT-541468From pre-dose up to 168 hours post-dose

AUC(0-inf) is the area under the plasma concentration-time curves of ACT-541468, calculated from time 0 (pre-dose) to extrapolated infinite time, at each dose level

Percentage of dose excreted in feces and urineFrom pre-dose up to 168 hours post-dose

Percentage of oral dose of 14C-labeled ACT-541468 excreted in feces (FPE), urine (UPE) and both, as determined in the dose group 3

Absolute bioavailability (F) of ACT-541468Up to 96 hours post-dose

Absolute bioavailability was determined for dose group 4 and defined as the ratio of AUC(0-inf) after oral administration of ACT-541468 and after intravenous infusion of 14C-labeled ACT-541468 (tracer)

Trial Locations

Locations (1)

Investigator Site

🇳🇱

Leiden, Netherlands

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