NCT02919319

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
40

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Feb 2015

Shorter than P25 for phase_1

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2015

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2015

Completed
1.4 years until next milestone

First Submitted

Initial submission to the registry

September 28, 2016

Completed
1 day until next milestone

First Posted

Study publicly available on registry

September 29, 2016

Completed
Last Updated

July 10, 2018

Status Verified

July 1, 2018

Enrollment Period

3 months

First QC Date

September 28, 2016

Last Update Submit

July 6, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Number of subjects with treatment-emergent adverse events and serious adverse events

    Collection of any adverse event at each dose level

    Day 8

Secondary Outcomes (6)

  • Maximum plasma concentration (Cmax) of ACT-541468

    From pre-dose up to 168 hours post-dose

  • Time to reach Cmax (tmax) of ACT-541468

    From pre-dose up to 168 hours post-dose

  • Terminal half-life (t1/2) of ACT-541468

    From pre-dose up to 168 hours post-dose

  • Area under the plasma concentration-time curves [AUC(0-inf)] of ACT-541468

    From pre-dose up to 168 hours post-dose

  • Percentage of dose excreted in feces and urine

    From pre-dose up to 168 hours post-dose

  • +1 more secondary outcomes

Other Outcomes (4)

  • Change from baseline in saccadic peak velocity (SPV)

    At baseline till 10 hours after study drug administration

  • Change from baseline in body sway

    At baseline till 10 hours after study drug administration

  • Change from baseline in adaptive tracking

    At baseline till 10 hours after study drug administration

  • +1 more other outcomes

Study Arms (5)

Dose group 1

EXPERIMENTAL

Six subjects received 5 mg of ACT-541468 (formulation A) as a single oral dose and two subjects received the matching placebo.

Drug: ACT-541468 (Formulation A)Drug: Placebo (Formulation A)

Dose group 2

EXPERIMENTAL

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.

Drug: ACT-541468 (Formulation A)Drug: ACT-541468 (Formulation B)Drug: Placebo (Formulation A)Drug: Placebo (Formulation B)

Dose group 3

EXPERIMENTAL

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.

Drug: ACT-541468 (Formulation A)Drug: Placebo (Formulation A)Drug: 14C-labeled ACT-541468Drug: Placebo tracer

Dose group 4

EXPERIMENTAL

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.

Drug: ACT-541468 (Formulation A)Drug: Placebo (Formulation A)Drug: 14C-labeled ACT-541468Drug: Placebo tracer

Dose group 5

EXPERIMENTAL

Six subjects received 200 mg of ACT-541468 (formulation A) as a single oral dose and two subjects received the matching placebo.

Drug: ACT-541468 (Formulation A)Drug: Placebo (Formulation A)

Interventions

Hard gelatin capsules for oral administration formulated at strengths of 5 mg, 25 mg and 100 mg

Dose group 1Dose group 2Dose group 3Dose group 4Dose group 5

Soft gelatin capsules for oral administration formulated at the strength of 25 mg

Dose group 2

Hard capsules matching ACT-541468 Formulation A

Dose group 1Dose group 2Dose group 3Dose group 4Dose group 5

Soft capsules matching ACT-541468 Formulation B

Dose group 2

Tracer at a nominal dose of 250 nCi (corresponding to 2.02 µg ACT-541468) administered either orally or intravenously

Dose group 3Dose group 4

Sterile NaCl 0.9% was used as placebo matching the tracer for oral and i.v. administration.

Dose group 3Dose group 4

Eligibility Criteria

Age18 Years - 45 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Signed informed consent prior to any study-mandated procedure.
  • Males aged from 18 to 45 years (inclusive) at screening.
  • Body mass index (BMI) between 18.0 and 30.0 kg/m2 (inclusive) at screening.
  • Systolic blood pressure (SBP), diastolic blood pressure (DBP) and pulse rate (PR) between 100-145 mmHg, 50-90 mmHg and 45-90 bpm (all inclusive) at screening, respectively.
  • Healthy on the basis of physical examination,electrocardiogram and laboratory tests.

You may not qualify if:

  • Known hypersensitivity to any excipients of the drug formulations.
  • History or presence of any disease or 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 drugs.
  • History of narcolepsy or cataplexy or modified Swiss narcolepsy scale total score \< 0 at screening.
  • Any circumstances or conditions, which, in the opinion of the investigator, may affect the subject's full participation in the study or compliance with the protocol.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Investigator Site

Leiden, 2333 CL, Netherlands

Location

MeSH Terms

Interventions

daridorexant

Study Officials

  • Clemens Muehlan

    Actelion

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 28, 2016

First Posted

September 29, 2016

Study Start

February 1, 2015

Primary Completion

May 1, 2015

Study Completion

May 1, 2015

Last Updated

July 10, 2018

Record last verified: 2018-07

Locations