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A Study to Investigate the Effect of JNJ-64565111 on Cardiac Repolarization (Corrected QT Interval) Compared With Placebo in Healthy Adults: a Thorough ECG Study Employing Placebo, JNJ-64565111, and a Positive Control (Moxifloxacin)

A Randomized, Double-Blind, Parallel, Nested Crossover Study to Investigate the Effect of JNJ-64565111 on Cardiac Repolarization (Corrected QT Interval) Compared With Placebo in Healthy Adults: a Thorough ECG Study Employing Placebo, JNJ-64565111, and a Positive Control (Moxifloxacin)

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03606057
Enrollment
188
Registered
2018-07-30
Start date
2018-07-13
Completion date
2019-02-28
Last updated
2020-03-03

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

Conditions

Healthy

Brief summary

The purpose of this study is to assess the effects on placebo-corrected change from baseline QT interval corrected for individual heart rate (QTcI) of JNJ-64565111 close to steady state on Day 26 and on electrocardiogram morphology at supratherapeutic exposures in otherwise healthy overweight/obese adults after 4 weeks of treatment with JNJ 64565111 administered subcutaneously once weekly.

Interventions

Participants will receive JNJ-64565111, subcutaneously on days 2, 9, 16, and 23.

DRUGMoxifloxacin

Participants will receive moxifloxacin capsule on days 1 or 27 in a nested crossover manner.

DRUGJNJ-64565111-matching Placebo

Participants will receive JNJ-64565111-matching Placebo vehicle solution subcutaneously on days 2, 9, 16, and 23.

Participants will receive moxifloxacin-matching placebo capsule on days 1 and 27 in treatment group 1 and on day 1 or 27 in treatment group 2.

Sponsors

Janssen Research & Development, LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* Body mass index (BMI) between 25.0 and 40.0 kilogram per square meter ( kg/m\^2), inclusive, and a body weight of not less than 80 kg * Blood pressure (BP) between 90 and 140 millimeter of mercury (mmHg) systolic, inclusive, and no higher than 90 mmHg diastolic * If a woman, must have a negative highly sensitive serum (beta-human chorionic gonadotropin \[beta-hCG\]) at screening * If a woman, must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study (from screening through Day 56) or until 30 days after the last dose of study drug for participants that withdraw early from the study * QRS interval of less than or equal to (\<=) 110 milliseconds (ms) * An average of triplicate 12-lead safety electrocardiogram (ECG) recording, completed within 4 minutes total, consistent with normal cardiac conduction and function at screening, including 1. Normal sinus rhythm (heart rate between 45 and 100 beats per minute \[inclusive\]) 2. QT interval corrected for heart rate according to Fridericia's formula (QTcF) interval between 350 to 450 ms (inclusive) 3. PR interval \<= 200 ms 4. ECG morphology consistent with healthy cardiac conduction and function

Exclusion criteria

* Taken any disallowed therapies as defined in a protocol before the planned first dose of study drug * Clinically significant abnormal values for hematology, clinical chemistry, or urinalysis at screening or at admission to the study * Clinically significant abnormal physical examination, vital signs, or 12 lead electrocardiogram at screening or at admission to the study site * Known allergies, hypersensitivity, or intolerance to JNJ-64565111, moxifloxacin, or its excipients * Hepatitis B or C infection * History of additional risk factors for torsade de pointes or the presence of a family history of Short QT Syndrome, Long QT Syndrome, sudden unexplained death at a young age (\<= 40 years), or sudden infant death syndrome in a first-degree relative (that is biological parent, sibling, or child)

Design outcomes

Primary

MeasureTime frameDescription
Placebo-Corrected Change from Baseline in QT Interval Corrected for Individual Heart Rate (QTcI) on Day 26 Time-Matched Time PointsBaseline and Day 26Placebo-corrected change from baseline in QT interval corrected for individual heart rate (QTcI) on day 26 time-matched time points will be determined. The mean change from baseline in QTcI for participants who receive placebo will be subtracted from the mean change from baseline in QTcI for participants on JNJ-64565111 at the same time point to generate placebo-corrected change from baseline in QTcI, which will be presented.
Change from Time-Matched Baseline in QTc IntervalUp to Day 27The QT interval corrected for heart rate (QTc interval) using Fridericia method will be measured by electrocardiograms (ECG).
Change from Time-Matched Baseline in Heart Rate (HR)Up to Day 27The HR will be measured by ECG.
Change from Time-Matched Baseline in QRS IntervalUp to Day 27The QRS Intervals will be measured by ECG.
Change from Time-Matched Baseline in PR IntervalUp to Day 27The PR intervals will be measured by ECG.

Secondary

MeasureTime frameDescription
Number of Participants with Adverse Events as a Measure of Safety and TolerabilityFrom signing of the informed consent form (ICF) to end of study (approximately 12 weeks)An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.
Cardiac Repolarization as Determined by Mean Change from Time-Matched Baseline in QT Interval Corrected for Individual HR (QTcI) on Day 5Baseline and Day 5Mean change from time-matched baseline in QT interval corrected for individual HR (QTcI) on day 5 to determine the effect of JNJ-64565111 on cardiac repolarization.
QTcI Changes Evaluated Using ECG Assessments versus Serum Concentrations of JNJ-64565111Up to Day 27QTcI changes evaluated using ECG assessments versus serum concentrations of JNJ-64565111 will be quantified. QTcI is a QT interval corrected for heart rate using individual-specific correction formula and QTcI changes will be quantified using a linear or nonlinear mixed effects modeling approach.
Cardiac Repolarization as Determined by Mean Change from Time-Matched Baseline in QT Interval Corrected For HR Using Fridericia's Formula (QTcF) on Day 5 and Day 26Baseline, Day 5 and Day 26Mean change from time-matched baseline in QT interval corrected for HR using Fridericia's formula (QTcF) will be assessed on day 5 and day 26 to determine the effect of JNJ-64565111 on cardiac repolarization.
Maximum Observed Serum Concentration (Cmax)Days 1, 5, 26 and 27Cmax is defined as the maximum observed serum analyte concentration.
Time to Reach Maximum Observed Serum Concentration (Tmax)Days 1, 5, 26 and 27Tmax is defined as actual sampling time to reach maximum observed serum analyte concentration.
Average Serum Analyte Concentration (Cavg)Days 1, 5, 26 and 27Cavg is defined as average serum analyte concentration.

Countries

United States

Outcome results

None listed

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