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Pharmacokinetic Interaction Between Diltiazem and ACT-541468 in Healthy Subjects

A Single-center, Open-label, Randomized, Two-way Crossover Study to Investigate the Effect of Multiple-dose Diltiazem on the Pharmacokinetics of a Single Dose of 25 mg ACT-541468 in Healthy Male Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02526888
Enrollment
14
Registered
2015-08-18
Start date
2015-09-01
Completion date
2015-11-01
Last updated
2018-07-10

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

Conditions

Healthy Subjects

Keywords

pharmacokinetic, interaction

Brief summary

The main objective of this study is to investigate whether repeated administration of a cardiac medication (diltiazem) can affect the pharmacokinetics (i.e., amount and time of presence in the blood) of ACT-541468

Detailed description

Because ACT-541468 appears to be mainly metabolized by CYP3A4, it is deemed of interest to investigate the potential influence of diltiazem, a well-known CYP3A4 inhibitor on the pharmacokinetic profile of ACT-541468. Safety of the concomitant administration of the two drugs will also be assessed

Interventions

Oral capsule (25 mg) as single dose

DRUGDiltiazem

Two oral capsules (2 x 120 mg) once daily from Day 1 to Day 7

Sponsors

Idorsia Pharmaceuticals Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

* Signed informed consent * Body mass index (BMI) between 18.0 and 28.0 kg/m2 (inclusive) at screening * Healthy on the basis of physical examination,cardiovascular assessments and laboratory tests

Exclusion criteria

* Any contraindication to the study drugs * 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 * 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

Design outcomes

Primary

MeasureTime frameDescription
Maximum plasma concentration (Cmax) of ACT-541468From baseline to end of study (Day 8 after last study drug intake for sequence AB, Day 5 after last study drug intake for sequence BA)Cmax will be directly derived from the plasma concentration time curves of ACT-541468
Time to reach Cmax of ACT-541468 in plasmaFrom baseline to end of study (Day 8 after last study drug intake for sequence AB, Day 5 after last study drug intake for sequence BAtmax will be directly derived from the plasma concentration time curves of ACT-541468
Area under the plasma concentration-time curve (AUC) of ACT-541468From baseline to end of study (Day 8 after last study drug intake for sequence AB, Day 5 after last study drug intake for sequence BA)AUC will be calculated for the following time frame: from time zero to the last measured concentration above the limit of quantification and from time zero to infinitiy

Other

MeasureTime frameDescription
Incidence of safety events of interestFrom baseline to end of study (Day 8 after last study drug intake for sequence AB, Day 5 after last study drug intake for sequence BA)Events of interest are any abnormalities in ECG, vital signs or laboratory test results
Incidence of adverse eventsFrom baseline to end of study (Day 8 after last study drug intake for sequence AB, Day 5 after last study drug intake for sequence BA)Number of participants with any adverse events, including laboratory abnormalities

Countries

Germany

Outcome results

None listed

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