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Study to Evaluate Safety and Tolerability of ACT-709478 in Healthy Subjects

A Single-center, Double-blind, Parallel-group, Randomized, Placebo-controlled, Multiple-ascending Oral Dose Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of ACT-709478 in Healthy Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03165097
Enrollment
46
Registered
2017-05-24
Start date
2017-07-07
Completion date
2018-12-28
Last updated
2019-12-24

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

Conditions

Healthy Subjects

Keywords

tolerability, safety

Brief summary

The primary purpose of this study is to evaluate the safety and tolerability of ascending multiple doses of ACT-709478 in healthy male and female subjects

Interventions

Hard gelatine capsules for oral administration

DRUGPlacebo

Placebo capsules matching ACT-709478 capsules

DRUGMidazolam

Midazolam oral solution (2 mg/mL) applied with a syringe

DRUGACT-709478 combined with midazolam

Hard gelatine capsules for oral administration (ACT-709478) to be taken first followed by Midazolam oral solution (2 mg/mL) applied with a syringe

Sponsors

Idorsia Pharmaceuticals Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Signed informed consent form * Healthy male and female subjects aged between 18 and 55 years (inclusive) at screening * Negative serum pregnancy tests at screening and negative urine pregnancy test at Day -1 for women and agreement to use 2 reliable methods of contraception for at least 3 months after last study drug administration * Body mass index of 18.0 to 29.9 kg/m2 (inclusive) at screening * Systolic blood pressure 100-140 mmHg, diastolic blood pressure 50-90 mmHg, and pulse rate 50-90 bpm (inclusive), measured after 5 minutes in the supine position at screening and on Day -1 * Healthy on the basis of physical examination, cardiovascular, ophthalmological, neurological assessments and laboratory tests

Exclusion criteria

* Known hypersensitivity to ACT-709478 or drugs of the same class, or any of their excipients * History or clinical evidence of any disease and/or existence of any surgical or medical condition, which might interfere with the absorption, distribution, metabolism, or excretion of the study treatments * QT interval corrected with Fridericia's formula (QTcF) \> 450 ms (using the ECG machine HR correction method) at screening and on Day -1 * Treatment with another investigational treatment within 2 months or 5 t1/2 (whichever is the longest) prior to screening or participation in more than four investigational treatment studies within 1 year prior to screening * Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol

Design outcomes

Primary

MeasureTime frameDescription
Incidence of treatment-emergent adverse eventsup to Day 23The percentage of subjects with treatment-emergent adverse events will be reported
Changes from baseline in vital signsup to Day 23Vital signs include diastolic and systolic blood pressure and pulse rate
Incidence of any clinical relevant findings in ECG variablesup to Day 23The number of subjects with any treatment-emergent electrocardiogram (ECG) abnormalities will be reported

Secondary

MeasureTime frameDescription
Area under the plasma concentration-time curve AUC(tau) of ACT-709478up to Day 23AUCtau is defined as the area under the plasma concentration-time curve during one dosing interval
Maximum plasma concentration (Cmax) of ACT-709478up to Day 23Cmax is derived from the observed plasma concentration-time curves
Time to reach Cmax (tmax)24 hours after dosing on Day 1, Day 22 and Day 30tmax is directly derived from the observed plasma concentrations
Area under the plasma concentration-time curve AUC(tau) of midazolam24 hours after dosing on Day 1, Day 22 and Day 30AUCtau is defined as the area under the plasma concentration-time curve during one dosing interval
Time to reach Cmax (tmax) of ACT-709478up to Day 23tmax is directly derived from the observed plasma concentrations
Terminal half-life (t1/2) of ACT-709478up to Day 23t1/2 is calculated from the terminal rate constant obtained from the plasma concentrations-time curves

Countries

Germany

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 28, 2026