Clinical trial

A Single-center, Double-blind for Cenerimod, Open-label for Moxifloxacin, Placebo-controlled, Parallel-group, Randomized Study in Healthy Male and Female Subjects to Investigate I: the Effect of Cenerimod on the QTc Interval II: the Effect of Cenerimod on the Pharmacokinetics of Combined Oral Contraceptives III: the Effect of Charcoal on the Pharmacokinetics of Cenerimod.

Name
ID-064-105
Description
This is a single-center, randomized, double-blind for cenerimod, open-label for moxifloxacin, placebo- and moxifloxacin-controlled, parallel-group study to investigate the effect of cenerimod on the duration of the QT interval in healthy male and female participants. Participants will be randomly assigned to one of the 4 treatments: placebo, cenerimod 0.5 mg, cenerimod 4 mg or moxifloxacin.
Trial arms
Trial start
2020-01-31
Estimated PCD
2021-09-14
Trial end
2021-10-18
Status
Completed
Phase
Early phase I
Treatment
Combined oral contraceptives (COC)
A commercially available COC consisting of 0.1mg levonorgestrel and 0.02 mg ethinylestradiol will be used and administered open-label.
Arms:
Period 1: First administration of combined oral contraceptives, Period 2: Cenerimod 0.5 mg, Period 2: Cenerimod 4 mg, Period 2: Second administration of Combined Oral Contraceptive
Other names:
Levonorgestrel/Ethinylestradiol
Moxifloxacin 400mg
A commercially available formulation of moxifloxacin 400 mg will be used and administered open-label. All tablets will be from the same batch.
Arms:
Period 2: Moxifloxacin
Cenerimod 0.5 mg
This will be administered orally as a film-coated tablet in the morning.
Arms:
Period 2: Second administration of Combined Oral Contraceptive, Period 3: Cenerimod 0.5 mg and charcoal
Other names:
ACT-334441
Cenerimod 4 mg
This will be administered orally as a film-coated tablet in the morning.
Arms:
Period 2: Second administration of Combined Oral Contraceptive, Period 3: Cenerimod 4 mg and charcoal
Other names:
ACT-334441
Charcoal, activated
Granules for oral suspension will be used and administered open-label.
Arms:
Period 3: Cenerimod 0.5 mg and charcoal, Period 3: Cenerimod 4 mg and charcoal
Other names:
Carbomix 50g
Matching Placebo
Cenerimod matching placebo tablets will be administered once daily orally in the morning.
Arms:
Period 2: Placebo
Size
97
Primary endpoint
Placebo-corrected, change-from-baseline QTcF (ΔΔQTcF)
Day 6, 7, 14, 21, 35, and 56.
Maximum plasma concentration (Cmax): levonorgestrel
Day 1 to Day 3; Day 42 to Day 44
Maximum plasma concentration (Cmax): ethinylestradiol
Day 1 to Day 3; Day 42 to Day 44
Time to reach Cmax (tmax): levonorgestrel
Day 1 to Day 3; Day 42 to Day 44
Time to reach Cmax (tmax): ethinylestradiol
Day 1 to Day 3; Day 42 to Day 44
The area under the plasma concentration-time curve (AUC) from zero to infinity (AUC0-inf): levonorgestrel
Day 1 to Day 3; Day 42 to Day 44
The area under the plasma concentration-time curve (AUC) from zero to t (AUC0-t): levonorgestrel
Day 1 to Day 3; Day 42 to Day 44
The area under the plasma concentration-time curve (AUC) from zero to infinity (AUC0-inf): ethinylestradiol
Day 1 to Day 3; Day 42 to Day 44
The area under the plasma concentration-time curve (AUC) from zero to t (AUC0-t): ethinylestradiol
Day 1 to Day 3; Day 42 to Day 44
Terminal elimination half-life (t1/2): levonorgestrel
Day 56 to Day 68
Terminal elimination half-life (t1/2): ethinylestradiol
Day 56 to Day 68
Terminal elimination half-life (t1/2): cenerimod
Day 56 to Day 68
Area under the plasma concentration-time curve (AUC) from Day 56 to infinity (AUC56-inf) for cenerimod
Day 56 to Day 68
Eligibility criteria
Inclusion Criteria: * Signed informed consent in a language understandable to the participant prior to any study-mandated procedure. * Body mass index of 18.0 to 29.9 kg/m\^2 (inclusive) at the screening. * No clinically relevant findings on the physical examination at screening. * Systolic blood pressure 90 to 145 mmHg, diastolic blood pressure 45 to 90 mmHg, and pulse rate 50 to 100 bpm (inclusive), measured on the same arm, after 5 min in the supine position at screening and on Day -1. * 12-lead ECG without clinically relevant abnormalities, measured after 5 min in the supine position at screening and on admission. * No clinically relevant findings in clinical laboratory tests (hematology, clinical chemistry, and urinalysis) at screening and on admission. * Negative results from urine drug screen and breath alcohol tests at screening and on admission. * Women of non-childbearing potential (i.e., postmenopausal \[defined as 12 consecutive months with no menses without an alternative medical cause, confirmed by a follicle-stimulating hormone test\], with previous bilateral salpingectomy, bilateral salpingo-oophorectomy or hysterectomy, or with premature ovarian failure \[confirmed by a specialist\]). * Women of childbearing potential must have a negative serum pregnancy test at Screening and a negative urine pregnancy test on Day -1. They must consistently and correctly use (from screening, during the entire study, and up to end-of-study) a highly effective method of contraception with a failure rate of less than 1% per year (i.e., intrauterine device, bilateral tubal occlusion) or be sexually inactive, or have a vasectomized partner. Hormonal contraceptive must not be used within 3 months prior to screening until end of study visit. Exclusion Criteria: * Previous exposure to cenerimod. * Previous exposure to combined oral contraceptive(s), moxifloxacin, or charcoal within 3 months prior to screening. * Known hypersensitivity to treatments of the same class as cenerimod, or any of the excipients. * Known hypersensitivity to combined oral contraceptive(s), moxifloxacin, or charcoal or treatments of the same class, or any of their excipients. * Any contraindication to combined oral contraceptive(s) or moxifloxacin treatment. * Known hypersensitivity or allergy to natural rubber latex. * Lymphopenia (\< 1000 cells/μL) at Screening and on Day -1. * Familial history of sick-sinus syndrome. * Any cardiac condition or illness (including ECG abnormalities) with a potential to increase the cardiac risk of the subject based on the standard 12-lead ECG at screening. * History of major medical or surgical disorders which, in the opinion of the investigator, are likely to interfere with the absorption, distribution, metabolism, or excretion of the study treatment (appendectomy and herniotomy allowed, cholecystectomy not allowed). * Acute, ongoing, recurrent, or chronic systemic disease able to interfere with the evaluation. * Clinically relevant history of fainting, collapse, syncope, orthostatic hypotension, or vasovagal reactions. * Any immunosuppressive treatment within 6 weeks or 5 terminal half-lives (t½), whichever is longer, before first study drug administration. * History or clinical evidence of alcoholism or drug abuse. * Excessive caffeine consumption, defined as 800 mg or more per day at screening. * Nicotine consumption within 3 months prior to screening and inability to refrain from nicotine consumption. * Previous treatment with any prescribed medications (including vaccines) or over-the-counter (OTC) medications (including herbal medicines such as St John's Wort, homeopathic preparations, vitamins, and minerals). * Viral, fungal, bacterial or protozoal infection and / or serology. * History of deep vein thrombophlebitis or thromboembolic disorders. * Legal incapacity or limited legal capacity at screening. * Pregnant or lactating women. * History or presence of rhythm disorders (e.g., sinoatrial heart block, sick-sinus syndrome, second- or third-degree atrioventricular block, long QT syndrome, symptomatic bradycardia, atrial flutter, or atrial fibrillation) .
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'Period 1: Pharmacokinetic study, Period 2: Thorough-QT and Drug-drug-interaction study. Period 3: Accelerated elimination study.', 'primaryPurpose': 'OTHER', 'maskingInfo': {'masking': 'QUADRUPLE', 'maskingDescription': 'The Thorough QT/QTc prolongation (TQT) study is a double-blind parallel study. The accelerated elimination and the combined oral contraceptive pharmacokinetic drug-drug-interaction are open-label.', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 97, 'type': 'ACTUAL'}}
Updated at
2022-11-16

1 organization

4 products

1 indication

Product
Cenerimod