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Assessment of Exposure of BI 409306 in Cerebrospinal Fluid (CSF) Relative to Plasma as Well as to Evaluation of the Effect of Different Doses of BI 409306 on the cGMP (Cyclic Guanosine Monophosphate) Levels in CSF in Healthy Male Volunteers

Randomised, Double-blind, Placebo-controlled Parallel-group Proof of Mechanism Study to Assess the Pharmacokinetics and to Evaluate the Pharmacodynamic Effect of Different Single Oral Doses of BI 409306 in Healthy Male Volunteers

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01493570
Enrollment
20
Registered
2011-12-16
Start date
2011-12-01
Completion date
2012-02-21
Last updated
2024-03-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Brief summary

Due to the exploratory nature of this trial, there is no primary objective in a confirmatory sense. The study aims \- to evaluate the effect of different doses of BI 409306 on biomarker and to assess the exposure of BI 409306

Interventions

Film-coated tablet

DRUGPlacebo

Film-coated tablet

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE

Eligibility

Sex/Gender
MALE
Age
21 Years to 50 Years
Healthy volunteers
Yes

Inclusion criteria

1. Healthy males according to the following criteria: Based upon a complete medical history, including the physical examination, vital signs after 10 minutes in supine position (blood pressure (BP), pulse rate (PR)), body temperature (BT)), 12-lead electrocardiogram (ECG)), clinical laboratory tests 2. Age =21 and Age =50 years 3. Body Mass Index (BMI) =18.5 and BMI =29.9 kg/m2 4. Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice (GCP) and the local legislation

Exclusion criteria

1. Any finding of the medical examination (including BP, PR and ECG) deviating from normal and considered by the investigator as clinical relevant 2. Abnormal values for Prothrombin Time (PT), (Activated Partial Thromboplastin Time (aPTT) and thrombocytes considered by the investigator as clinically relevant 3. Any evidence of a clinically relevant concomitant disease 4. Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders 5. Surgery of the gastrointestinal tract (except appendectomy) 6. Diseases of the central nervous system (included but not limited to any kind of seizures, stroke or psychiatric disorders) 7. History of relevant orthostatic hypotension, fainting spells or blackouts. 8. Chronic or relevant acute infections 9. History of relevant allergy/hypersensitivity (including allergy to drug or its excipients) 10. Intake of drugs with a long half-life (\> 24 hours) within at least one month or less than 10 half-lives of the respective drug prior to administration 11. Use of drugs which might reasonably influence the results of the trial or that prolong the QT/QTc interval based on the knowledge at the time of protocol preparation within 10 days prior to administration or during the trial 12. Participation in another trial with an investigational drug within two months prior to administration or during the trial 13. Smoker, who consume more than 5 cigarettes per day 14. Inability to refrain from smoking on trial days 15. Alcohol abuse (more than 20 g/day): 2 units/day (14 units/week) 16. Drug abuse 17. Blood donation (more than 100 mL within four weeks prior to administration or during the trial) 18. Excessive physical activities (within one week prior to administration or during the trial) 19. Any laboratory value outside the reference range that is of clinical relevance 20. A marked baseline prolongation of QT/QTc interval (e.g., repeated demonstration of a QTcF interval \>450 ms) 21. Inability to understand and to comply with protocol requirements and restrictions and dietary regimen of trial site 22. of additional risk factors for Torsades de points (TdP) (e.g., heart failure, hypokalemia, family history of Long QT Syndrome) 23. Male subjects who do not agree to minimize the risk of female partners becoming pregnant from the first dosing day until three month after the study completion. Acceptable methods of contraception comprises barrier contraception and a medically accepted contraceptive method for the female (intra-uterine device with spermicide, hormonal contraceptive since at least two months)

Design outcomes

Primary

MeasureTime frameDescription
Maximum (Absolute) Change From Baseline of cGMP Concentration in CSFWithin 2:00 hours (h):minutes (min) before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.Maximum (absolute) change from baseline of cyclic guanosine monophosphate (cGMP) concentration in cerebrospinal fluid (CSF) is presented. The maximum (absolute) change from baseline in cGMP concentration was calculated as: maximum measured concentration of cGMP after dosing of BI 409306 (cGMPmax) - cGMP concentration at baseline (cGMP0).
Ratio of Cmax of BI 409306 in CSF Compared to PlasmaPharmacokinetic samples were collected within 2 hours before and up to up to 24 hours after BI 409306 administration (please refer the description for the time frame in detail).Ratio of Cmax (maximum measured concentration) of BI 409306 in Cerebrospinal fluid (CSF) compared to plasma is presented. Ratio was calculated as: Cmax of BI 409306 in CSF/ Cmax of BI 409306 in plasma. Time frame: Blood: Within 2:00 hours (h):minutes (min) before dosing and 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing. CSF: Within 2:00 hours (h):minutes (min) before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.
Maximum Change From Baseline of cGMP in CSF Calculated as Ratio (Emax)Within 2:00 hours (h):minutes (min) before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.The maximum change from baseline of cyclic guanosine monophosphate (cGMP) in cerebrospinal fluid (CSF) was calculated as: exp(ln(cGMPmax) - ln(cGMP0)), where cGMP0 is the baseline cGMP value per subject (mean of the two pre-dose measurements) and cGMPmax is the maximal cGMP value per subject measured after drug intake.
Maximum Relative Change From Baseline of cGMP in CSFWithin 2:00 hours (h):minutes(min) before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00h, 4:00, 6:00, 8:00h, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.Maximum relative change from baseline of cyclic guanosine monophosphate (cGMP) in cerebrospinal fluid (CSF) is presented. Maximum relative change from baseline was calculated as: (cGMPmax - cGMP0)/ cGMP0, where cGMPmax is the maximum measured concentration of cGMP after dosing of BI 409306 and cGMP0 is cGMP concentration at baseline.

Secondary

MeasureTime frameDescription
Maximum Measured Concentration of BI 409306 in Plasma and CSF (Cmax)Pharmacokinetic samples were collected within 2 hours before and up to up to 24 hours after BI 409306 administration (please refer the description for the time frame in detail).Maximum measured concentration of BI 409306 in plasma and CSF (cerebrospinal fluid) (Cmax) is reported. Time frame: Blood: Within 2:00 hours (h): minutes (min) before dosing and 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing CSF: Within 2:00 hours (h):minutes (min before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing
Time From Dosing to Maximum Measured BI 409306 Concentration in Plasma and CSF (Tmax)Pharmacokinetic samples were collected within 2 hours before and up to up to 24 hours after BI 409306 administration (please refer the description for the time frame in detail).Time from dosing to maximum measured BI 409306 concentration in plasma and CSF (cerebrospinal fluid) (tmax) is reported. Time frame: Blood: Within 2:00 hours (h):minutes (min) before dosing and 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00, and 24:00 h:min after dosing. CSF: Within 2:00 hours (h):minutes (min) before dosing and 0:00, 0:10 , 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.
Maximum Measured cGMP Concentration in CSF (Cmax)Within 2:00 hours (h): minutes (min) before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.Maximum measured cyclic guanosine monophosphate (cGMP) concentration in cerebrospinal fluid (CSF) (Cmax) is reported.
Time From Dosing to Maximum Measured cGMP Concentration in CSF (Tmax)Within 2:00 hours (h):minutes (min) before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.Time from dosing to maximum measured cyclic guanosine monophosphate (cGMP) concentration in cerebrospinal fluid (CSF) (tmax) is reported.

Countries

Belgium

Participant flow

Recruitment details

This randomised, parallel-group, double-blinded, double-dummy, single dose trial was placebo-controlled. Test product and placebo were given as a single dose to healthy male subjects in a single centre.

Pre-assignment details

All subjects were screened for eligibility to participate in trial. Subjects attended specialist sites to ensure that they (the subjects) met all implemented inclusion/exclusion criteria. Subjects were not to be randomised to trial drug if any of the specific entry criteria was violated.

Participants by arm

ArmCount
BI 409306 25mg
Subjects were orally administered single dose of BI 409306 25 milligram (mg) (5x5 mg) film-coated tablets in the morning.
4
BI 409306 50 mg
Subjects were orally administered single dose of BI 409306 50 mg (1x50 mg) film-coated tablet in the morning.
4
BI 409306 100 mg
Subjects were orally administered single dose of BI 409306 100 mg (2x50 mg) film-coated tablets in the morning.
4
BI 409306 200 mg
Subjects were orally administered single dose of BI 409306 200 mg (1x150 mg and 1x50 mg) film-coated tablets in the morning.
4
Placebo
Subjects were orally administered BI 409306 matching placebo film-coated tablet in the morning
4
Total20

Baseline characteristics

CharacteristicBI 409306 25mgTotalPlaceboBI 409306 200 mgBI 409306 100 mgBI 409306 50 mg
Age, Continuous39.5 Years
STANDARD_DEVIATION 7.9
37.9 Years
STANDARD_DEVIATION 9.4
29.5 Years
STANDARD_DEVIATION 8.9
35.8 Years
STANDARD_DEVIATION 9
38.5 Years
STANDARD_DEVIATION 11.5
46.3 Years
STANDARD_DEVIATION 2.9
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
4 Participants20 Participants4 Participants4 Participants4 Participants4 Participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Male
4 Participants20 Participants4 Participants4 Participants4 Participants4 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 40 / 40 / 40 / 40 / 4
other
Total, other adverse events
4 / 44 / 44 / 44 / 44 / 4
serious
Total, serious adverse events
0 / 40 / 40 / 40 / 40 / 4

Outcome results

Primary

Maximum (Absolute) Change From Baseline of cGMP Concentration in CSF

Maximum (absolute) change from baseline of cyclic guanosine monophosphate (cGMP) concentration in cerebrospinal fluid (CSF) is presented. The maximum (absolute) change from baseline in cGMP concentration was calculated as: maximum measured concentration of cGMP after dosing of BI 409306 (cGMPmax) - cGMP concentration at baseline (cGMP0).

Time frame: Within 2:00 hours (h):minutes (min) before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.

Population: Pharmacodynamic set (PDS): This analysis set included all treated subjects who provided at least 1 evaluable observation for a pharmacodynamic endpoint.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
BI 409306 25mgMaximum (Absolute) Change From Baseline of cGMP Concentration in CSF2.299 nanomole/LiterStandard Error 0.825
BI 409306 50 mgMaximum (Absolute) Change From Baseline of cGMP Concentration in CSF3.451 nanomole/LiterStandard Error 0.827
BI 409306 100 mgMaximum (Absolute) Change From Baseline of cGMP Concentration in CSF5.239 nanomole/LiterStandard Error 0.824
BI 409306 200 mgMaximum (Absolute) Change From Baseline of cGMP Concentration in CSF9.089 nanomole/LiterStandard Error 0.852
PlaceboMaximum (Absolute) Change From Baseline of cGMP Concentration in CSF0.748 nanomole/LiterStandard Error 0.852
Primary

Maximum Change From Baseline of cGMP in CSF Calculated as Ratio (Emax)

The maximum change from baseline of cyclic guanosine monophosphate (cGMP) in cerebrospinal fluid (CSF) was calculated as: exp(ln(cGMPmax) - ln(cGMP0)), where cGMP0 is the baseline cGMP value per subject (mean of the two pre-dose measurements) and cGMPmax is the maximal cGMP value per subject measured after drug intake.

Time frame: Within 2:00 hours (h):minutes (min) before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.

Population: Pharmacodynamic set (PDS): This analysis set included all treated subjects who provided at least 1 evaluable observation for a pharmacodynamic endpoint.

ArmMeasureValue (GEOMETRIC_MEAN)
BI 409306 25mgMaximum Change From Baseline of cGMP in CSF Calculated as Ratio (Emax)NA ratio
BI 409306 50 mgMaximum Change From Baseline of cGMP in CSF Calculated as Ratio (Emax)NA ratio
BI 409306 100 mgMaximum Change From Baseline of cGMP in CSF Calculated as Ratio (Emax)NA ratio
BI 409306 200 mgMaximum Change From Baseline of cGMP in CSF Calculated as Ratio (Emax)NA ratio
PlaceboMaximum Change From Baseline of cGMP in CSF Calculated as Ratio (Emax)NA ratio
Primary

Maximum Relative Change From Baseline of cGMP in CSF

Maximum relative change from baseline of cyclic guanosine monophosphate (cGMP) in cerebrospinal fluid (CSF) is presented. Maximum relative change from baseline was calculated as: (cGMPmax - cGMP0)/ cGMP0, where cGMPmax is the maximum measured concentration of cGMP after dosing of BI 409306 and cGMP0 is cGMP concentration at baseline.

Time frame: Within 2:00 hours (h):minutes(min) before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00h, 4:00, 6:00, 8:00h, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.

Population: Pharmacodynamic set (PDS): This analysis set included all treated subjects who provided at least 1 evaluable observation for a pharmacodynamic endpoint.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
BI 409306 25mgMaximum Relative Change From Baseline of cGMP in CSF1.166 RatioStandard Error 0.714
BI 409306 50 mgMaximum Relative Change From Baseline of cGMP in CSF1.329 RatioStandard Error 0.716
BI 409306 100 mgMaximum Relative Change From Baseline of cGMP in CSF2.247 RatioStandard Error 0.713
BI 409306 200 mgMaximum Relative Change From Baseline of cGMP in CSF4.973 RatioStandard Error 0.738
PlaceboMaximum Relative Change From Baseline of cGMP in CSF0.910 RatioStandard Error 0.737
Primary

Ratio of Cmax of BI 409306 in CSF Compared to Plasma

Ratio of Cmax (maximum measured concentration) of BI 409306 in Cerebrospinal fluid (CSF) compared to plasma is presented. Ratio was calculated as: Cmax of BI 409306 in CSF/ Cmax of BI 409306 in plasma. Time frame: Blood: Within 2:00 hours (h):minutes (min) before dosing and 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing. CSF: Within 2:00 hours (h):minutes (min) before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.

Time frame: Pharmacokinetic samples were collected within 2 hours before and up to up to 24 hours after BI 409306 administration (please refer the description for the time frame in detail).

Population: Pharmacokinetic Set (PKS): This analysis set included all treated subjects who provided at least 1 evaluable observation for a pharmacokinetic endpoint and who had no important protocol violation relevant to the evaluation of pharmacokinetic parameters.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
BI 409306 25mgRatio of Cmax of BI 409306 in CSF Compared to Plasma0.267 RatioGeometric Coefficient of Variation 18.4
BI 409306 50 mgRatio of Cmax of BI 409306 in CSF Compared to Plasma0.244 RatioGeometric Coefficient of Variation 15.8
BI 409306 100 mgRatio of Cmax of BI 409306 in CSF Compared to Plasma0.294 RatioGeometric Coefficient of Variation 42.8
BI 409306 200 mgRatio of Cmax of BI 409306 in CSF Compared to Plasma0.335 RatioGeometric Coefficient of Variation 5.74
Comparison: Dose-adjusted CSF to plasma ratio for Cmax. The Analysis of Variance (ANOVA) model was used with 'subject nested within treatment' considered as random effect.p-value: 190% CI: [25.418, 31.532]ANOVA
Secondary

Maximum Measured cGMP Concentration in CSF (Cmax)

Maximum measured cyclic guanosine monophosphate (cGMP) concentration in cerebrospinal fluid (CSF) (Cmax) is reported.

Time frame: Within 2:00 hours (h): minutes (min) before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.

Population: Pharmacodynamic set (PDS): This analysis set included all treated subjects who provided at least 1 evaluable observation for a pharmacodynamic endpoint.

ArmMeasureValue (MEAN)Dispersion
BI 409306 25mgMaximum Measured cGMP Concentration in CSF (Cmax)5.96 nanomole/Liter (nmol/L)Standard Deviation 3.31
BI 409306 50 mgMaximum Measured cGMP Concentration in CSF (Cmax)6.32 nanomole/Liter (nmol/L)Standard Deviation 2.91
BI 409306 100 mgMaximum Measured cGMP Concentration in CSF (Cmax)8.80 nanomole/Liter (nmol/L)Standard Deviation 3.44
BI 409306 200 mgMaximum Measured cGMP Concentration in CSF (Cmax)11.2 nanomole/Liter (nmol/L)Standard Deviation 3.09
PlaceboMaximum Measured cGMP Concentration in CSF (Cmax)5.36 nanomole/Liter (nmol/L)Standard Deviation 1.11
Secondary

Maximum Measured Concentration of BI 409306 in Plasma and CSF (Cmax)

Maximum measured concentration of BI 409306 in plasma and CSF (cerebrospinal fluid) (Cmax) is reported. Time frame: Blood: Within 2:00 hours (h): minutes (min) before dosing and 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing CSF: Within 2:00 hours (h):minutes (min before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing

Time frame: Pharmacokinetic samples were collected within 2 hours before and up to up to 24 hours after BI 409306 administration (please refer the description for the time frame in detail).

Population: Pharmacokinetic Set (PKS): This analysis set included all treated subjects who provided at least 1 evaluable observation for a pharmacokinetic endpoint and who had no important protocol violation relevant to the evaluation of pharmacokinetic parameters.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
BI 409306 25mgMaximum Measured Concentration of BI 409306 in Plasma and CSF (Cmax)CSF46.9 nanomole/Liter (nmol/L)Geometric Coefficient of Variation 84.3
BI 409306 25mgMaximum Measured Concentration of BI 409306 in Plasma and CSF (Cmax)Plasma176 nanomole/Liter (nmol/L)Geometric Coefficient of Variation 92.6
BI 409306 50 mgMaximum Measured Concentration of BI 409306 in Plasma and CSF (Cmax)Plasma751 nanomole/Liter (nmol/L)Geometric Coefficient of Variation 35.7
BI 409306 50 mgMaximum Measured Concentration of BI 409306 in Plasma and CSF (Cmax)CSF183 nanomole/Liter (nmol/L)Geometric Coefficient of Variation 51.3
BI 409306 100 mgMaximum Measured Concentration of BI 409306 in Plasma and CSF (Cmax)CSF271 nanomole/Liter (nmol/L)Geometric Coefficient of Variation 39.7
BI 409306 100 mgMaximum Measured Concentration of BI 409306 in Plasma and CSF (Cmax)Plasma922 nanomole/Liter (nmol/L)Geometric Coefficient of Variation 36.5
BI 409306 200 mgMaximum Measured Concentration of BI 409306 in Plasma and CSF (Cmax)CSF902 nanomole/Liter (nmol/L)Geometric Coefficient of Variation 36.3
BI 409306 200 mgMaximum Measured Concentration of BI 409306 in Plasma and CSF (Cmax)Plasma2700 nanomole/Liter (nmol/L)Geometric Coefficient of Variation 38.9
Secondary

Time From Dosing to Maximum Measured BI 409306 Concentration in Plasma and CSF (Tmax)

Time from dosing to maximum measured BI 409306 concentration in plasma and CSF (cerebrospinal fluid) (tmax) is reported. Time frame: Blood: Within 2:00 hours (h):minutes (min) before dosing and 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00, and 24:00 h:min after dosing. CSF: Within 2:00 hours (h):minutes (min) before dosing and 0:00, 0:10 , 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.

Time frame: Pharmacokinetic samples were collected within 2 hours before and up to up to 24 hours after BI 409306 administration (please refer the description for the time frame in detail).

Population: Pharmacokinetic Set (PKS): This analysis set included all treated subjects who provided at least 1 evaluable observation for a pharmacokinetic endpoint and who had no important protocol violation relevant to the evaluation of pharmacokinetic parameters.

ArmMeasureGroupValue (MEDIAN)
BI 409306 25mgTime From Dosing to Maximum Measured BI 409306 Concentration in Plasma and CSF (Tmax)CSF2.00 hour
BI 409306 25mgTime From Dosing to Maximum Measured BI 409306 Concentration in Plasma and CSF (Tmax)Plasma1.25 hour
BI 409306 50 mgTime From Dosing to Maximum Measured BI 409306 Concentration in Plasma and CSF (Tmax)Plasma0.750 hour
BI 409306 50 mgTime From Dosing to Maximum Measured BI 409306 Concentration in Plasma and CSF (Tmax)CSF2.00 hour
BI 409306 100 mgTime From Dosing to Maximum Measured BI 409306 Concentration in Plasma and CSF (Tmax)CSF1.75 hour
BI 409306 100 mgTime From Dosing to Maximum Measured BI 409306 Concentration in Plasma and CSF (Tmax)Plasma0.875 hour
BI 409306 200 mgTime From Dosing to Maximum Measured BI 409306 Concentration in Plasma and CSF (Tmax)CSF1.50 hour
BI 409306 200 mgTime From Dosing to Maximum Measured BI 409306 Concentration in Plasma and CSF (Tmax)Plasma0.750 hour
Secondary

Time From Dosing to Maximum Measured cGMP Concentration in CSF (Tmax)

Time from dosing to maximum measured cyclic guanosine monophosphate (cGMP) concentration in cerebrospinal fluid (CSF) (tmax) is reported.

Time frame: Within 2:00 hours (h):minutes (min) before dosing and 0:00, 0:10, 0:20, 0:30, 0:45, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 14:00 and 24:00 h:min after dosing.

Population: Pharmacodynamic set (PDS): This analysis set included all treated subjects who provided at least 1 evaluable observation for a pharmacodynamic endpoint.

ArmMeasureValue (MEDIAN)
BI 409306 25mgTime From Dosing to Maximum Measured cGMP Concentration in CSF (Tmax)5.00 hour
BI 409306 50 mgTime From Dosing to Maximum Measured cGMP Concentration in CSF (Tmax)2.50 hour
BI 409306 100 mgTime From Dosing to Maximum Measured cGMP Concentration in CSF (Tmax)3.52 hour
BI 409306 200 mgTime From Dosing to Maximum Measured cGMP Concentration in CSF (Tmax)2.00 hour
PlaceboTime From Dosing to Maximum Measured cGMP Concentration in CSF (Tmax)16.00 hour

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026