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A Study in Participants With Epilepsy, to Evaluate the Pharmacokinetics, Safety and Tolerability of Oxcarbazepine on Padsevonil

A Multicenter, Open-label, Parallel-group Study in Study Participants With Epilepsy, to Evaluate the Effect of Oxcarbazepine on the Pharmacokinetics, Safety, and Tolerability of Padsevonil

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03695094
Enrollment
31
Registered
2018-10-03
Start date
2018-09-18
Completion date
2019-05-30
Last updated
2020-06-04

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

Conditions

Epilepsy

Keywords

Epilepsy, Phase 1, padsevonil

Brief summary

The purpose of the study is to evaluate the effect of stable coadministered oxcarbazepine (OXC), on the pharmacokinetics (PK), safety, tolerability of padsevonil (PSL) and the plasma PK of PSL metabolites, UCB1431322-000 and UCB1447499-000, in study participants with epilepsy compared with study participants co-medicated with stable doses of levetiracetam (LEV), lamotrigine (LTG) or brivaracetam (BRV) therapy.

Interventions

Padsevonil (PSL) will be dosed to steady state and the effect of background therapies on pharmacokinetics will be assessed

DRUGOxcarbazepine

Concomitant administration of oxcarbazepine (OXC) at therapeutic dosage

DRUGLevetiracetam

Concomitant administration of levetiracetam (LEV) at therapeutic dosage

DRUGLamotrigine

Concomitant administration of lamotrigine (LTG) at therapeutic dosage

DRUGBrivaracetam

Concomitant administration of brivaracetam (BRV) at therapeutic dosage

Sponsors

UCB Biopharma S.P.R.L.
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
No

Inclusion criteria

* Study participant is male or female between 18 to 64 years of age, inclusive, with a diagnosis of epilepsy according to the International League Against Epilepsy (ILAE) classification * Study participant is currently treated for epilepsy with stable doses of the following for at least 3 months: 1. Inducers Group: Oxcarbazepine (OXC) (at least 1200 mg/day as monotherapy or in combination with brivaracetam (BRV) \[up to 200 mg/day\], levetiracetam (LEV) \[at least 1 g/day\] or lamotrigine (LTG) \[at least 150 mg/day\]); or 2. Neutral (control) Group: LTG (at least 150 mg/day monotherapy or adjunctive to LEV or BRV), LEV (at least 1 g/day monotherapy or adjunctive to LTG), or BRV (up to 200 mg/day adjunctive to LTG) * Study participant in the Inducers Group is taking OXC and has a trough OXC metabolite Mono Hydroxy Derivate (MHD) plasma level in the target range (≥12.0 to ≤35.0 mcg/mL) * Study participant has clinical laboratory test results within the local reference ranges or values are considered as not clinically relevant by the Investigator and approved by the UCB Study Physician * Study participant has a body mass index (BMI) of 18 to 35 kg/m², inclusive, with a body weight of at least 50 kg (male) or 45 kg (female) * Female study participant has a negative serum pregnancy test at the Screening Visit and agrees to use an efficient form of contraception for the duration of the study (unless menopausal \[defined as no menses for 12 months without an alternative medical cause\]; a high follicle-stimulating hormone level in the postmenopausal range may be used to confirm a postmenopausal state in women not using hormonal contraception or hormonal replacement therapy). -Male study participant agrees that, during the study period, when having sexual intercourse with a woman of childbearing potential, he will use an efficient barrier contraceptive (condom plus spermicide) AND that the respective partner will use an additional efficient contraceptive method (eg, oral pills, intrauterine device, intrauterine hormone-releasing systems, or diaphragm, and spermicide)

Exclusion criteria

* Study participant has participated in another study of an investigational medication (or a medical device) within the last 3 months before screening (or 5 half-lives, whichever is longer) or is currently participating in another study of an investigational medication (or a medical device) * Study participant has a known hypersensitivity to any components of the IMP as stated in this protocol * Study participant has any medical condition that, in the opinion of the Investigator, could jeopardize or would compromise the study participant's ability to participate in this study * Study participant has a history of status epilepticus during the last year * Study participant has any clinically relevant electrocardiogram (ECG) finding at the Screening Visit or at Baseline * Study participant has received any prescription or nonprescription medicines, including enzyme inhibitors or inducers, over the counter (OTC) remedies, herbal and dietary supplements (including St. John's Wort), or vitamins up to 2 weeks or 5 half-lives of the respective drug (whichever is longer) before the first administration of IMP and during the clinical part of the study, unless required to treat an Adverse event (AE). This does not include allowed antiepileptic drugs (AEDs) per the protocol, oral contraceptives not exceeding 30 μg ethinyl estradiol or postmenopausal hormone replacement therapy or implants, patches, or IUDs/IUSs delivering progesterone (for female study participants)

Design outcomes

Primary

MeasureTime frameDescription
The Maximum Observed Plasma Concentration (Cmax) of Padsevonil (PSL) During the StudyBlood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-doseThe Cmax for Padsevonil in plasma was expressed in nanograms per milliliter (ng/mL).
The Time to Reach Maximum Concentration (Tmax) for Padsevonil During the StudyBlood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-doseThe tmax for Padsevonil in plasma was expressed in hours (hr).
The Area Under the Plasma Concentration Time Curve (AUCtau) Over a Dosing Interval for PSLBlood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-doseThe AUCtau for Padsevonil in plasma was expressed in hours times nanograms per milliliter (hr\*ng/mL).
The Apparent Total Plasma Clearance at Steady-state (CL/Fss) for PSL During the StudyBlood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-doseThe CL/Fss for Padsevonil in plasma was expressed in liters per hour (L/hr). Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).

Secondary

MeasureTime frameDescription
The Ratio of PSL Metabolite UCB1431322-000 to PSL Based on the Area Under the Curve (AUCtau) During the StudyBlood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-doseMetabolite-to-Parent Ratios were corrected for differences in molecular weight. Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).
The Maximum Observed Plasma Concentration (Cmax) for UCB1447499-000 During the StudyBlood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-doseThe Cmax for UCB1447499-000 in plasma was expressed in ng/mL. Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).
The Time to Reach Maximum Concentration (Tmax) for UCB1447499-000 During the StudyBlood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-doseThe tmax for UCB1447499-000 in plasma was expressed in hr.
Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLTrough plasma samples were taken prior to the morning dose of OXC on Day -1, Day 1 through Day 20 (+/-1)The trough plasma concentration of MHD with PSL was expressed in micrograms per milliliter (µg/mL). Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).
The Ratio of PSL Metabolite UCB1447499-000 to PSL Based on the Area Under the Curve (AUCtau)Blood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-doseMetabolite-to-Parent Ratios were corrected for differences in molecular weight. Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).
Percentage of Participants With at Least One Adverse Event (AE) During the StudyFrom screening (Day -28 to Day -2) up to end of study (EOS) visit day 20 (+/-1)An AE was any untoward medical occurrence in a patient or clinical investigation study participant administered a pharmaceutical product that did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Percentage of Participants With at Least One Serious Adverse Event (SAE) During the StudyFrom screening (Day -28 to Day -2) up to end of study (EOS) visit day 20 (+/-1)A SAE was any untoward medical occurrence that at any dose resulted in death, was life-threatening, required in patient hospitalization or prolongation of existing hospitalization, was a congenital anomaly or birth defect, was an infection that requires treatment parenteral antibiotics or other important medical events which based on medical or scientific judgement could jeopardize the patients, or could require medical or surgical intervention to prevent any of the above.
The Area Under the Curve (AUCtau) Over a Dosing Interval for UCB1447499-000 During the StudyBlood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-doseThe AUCtau for UCB1447499-000 in plasma was expressed in hr\*ng/mL. Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).
The Maximum Observed Plasma Concentration (Cmax) for UCB1431322-000 During the StudyBlood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-doseThe Cmax for UCB1431322-000 in plasma was expressed in nanograms per milliliter (ng/mL). Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).
The Time to Reach Maximum Concentration (Tmax) for UCB1431322-000 During the StudyBlood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-doseThe tmax for UCB1431322-000 in plasma was expressed in hours (hr).
The Area Under the Curve (AUCtau) Over a Dosing Interval for UCB1431322-000 During the StudyBlood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-doseThe AUCtau for UCB1431322-000 in plasma in was expressed in hours times nanograms per milliliter (hr\*ng/mL). Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).

Countries

Bulgaria, Netherlands

Participant flow

Recruitment details

The study started to enroll patients in September 2018 and concluded in May 2019.

Pre-assignment details

The study included a Screening Period (Day -28 to Day -2), a Baseline Visit (Day -1), a Treatment Period (Day 1 to Day 12) and a Safety Follow-Up Period Day (13 to Day 20±1). Participant Flow refers to the Full Analysis Set.

Participants by arm

ArmCount
Group 1 (Inducers)
Participants were on stable therapy with oxcarbazepine (OXC), at least 1200 milligrams per day (mg/day), which could be used as monotherapy or adjunctive to 1 or more of levetiracetam (LEV), lamotrigine (LTG), or brivaracetam (BRV). Padsevonil (PSL) was dosed to steady state (4.5 days) and the effect of background therapy on PSL pharmacokinetics (PK) was assessed at steady state.
16
Group 2 (Neutral [Control])
Participants were on stable therapy with LTG (at least 150 mg/day monotherapy or adjunctive to LEV or BRV), LEV (at least 1 g/day monotherapy or adjunctive to LTG), or BRV (up to 200 mg/day adjunctive to LTG). Padsevonil (PSL) was dosed to steady state (4.5 days) and the effect of background therapy on PSL pharmacokinetics (PK) was assessed at steady state.
15
Total Title31
Total62

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event11
Overall StudyWithdrawal by Subject10

Baseline characteristics

CharacteristicGroup 1 (Inducers)Group 2 (Neutral [Control])Total Title
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
16 Participants15 Participants31 Participants
Age, Continuous41.4 years
STANDARD_DEVIATION 12.1
33.6 years
STANDARD_DEVIATION 10.4
37.6 years
STANDARD_DEVIATION 11.8
Race/Ethnicity, Customized
Other or mixed
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
16 Participants14 Participants30 Participants
Sex: Female, Male
Female
7 Participants9 Participants16 Participants
Sex: Female, Male
Male
9 Participants6 Participants15 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 160 / 15
other
Total, other adverse events
16 / 1615 / 15
serious
Total, serious adverse events
0 / 160 / 15

Outcome results

Primary

The Apparent Total Plasma Clearance at Steady-state (CL/Fss) for PSL During the Study

The CL/Fss for Padsevonil in plasma was expressed in liters per hour (L/hr). Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).

Time frame: Blood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-dose

Population: The Pharmacokinetic Per-Protocol Set (PK-PPS) was a subset of the Full Analysis Set (FAS), consisting of study participants who had no important protocol deviations affecting the PK parameters and for whom a sufficient number of samples were available to determine at least 1 PK parameter.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Group 1 (Inducers) (PK-PPS)The Apparent Total Plasma Clearance at Steady-state (CL/Fss) for PSL During the Study75.44 L/hrGeometric Coefficient of Variation 34.8
Group 2 (Neutral [Control]) (PK-PPS)The Apparent Total Plasma Clearance at Steady-state (CL/Fss) for PSL During the Study47.94 L/hrGeometric Coefficient of Variation 39.3
Primary

The Area Under the Plasma Concentration Time Curve (AUCtau) Over a Dosing Interval for PSL

The AUCtau for Padsevonil in plasma was expressed in hours times nanograms per milliliter (hr\*ng/mL).

Time frame: Blood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-dose

Population: The Pharmacokinetic Per-Protocol Set (PK-PPS) was a subset of the Full Analysis Set (FAS), consisting of study participants who had no important protocol deviations affecting the PK parameters and for whom a sufficient number of samples were available to determine at least 1 PK parameter.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Group 1 (Inducers) (PK-PPS)The Area Under the Plasma Concentration Time Curve (AUCtau) Over a Dosing Interval for PSL5301 hr*ng/mL
Group 2 (Neutral [Control]) (PK-PPS)The Area Under the Plasma Concentration Time Curve (AUCtau) Over a Dosing Interval for PSL8339 hr*ng/mL
Comparison: The analysis of variance model (ANOVA) included the fixed effects of treatment group. The natural logs were taken of the dependent variables and were back-transformed after the analysis. The geometric mean ratio and the respective 90% confidence interval (CI) was derived for the Inducers group vs the Neutral-control group from the ANOVA model using least-squares means difference.90% CI: [0.504, 0.801]ANOVA
Primary

The Maximum Observed Plasma Concentration (Cmax) of Padsevonil (PSL) During the Study

The Cmax for Padsevonil in plasma was expressed in nanograms per milliliter (ng/mL).

Time frame: Blood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-dose

Population: The Pharmacokinetic Per-Protocol Set (PK-PPS) was a subset of the Full Analysis Set (FAS), consisting of study participants who had no important protocol deviations affecting the PK parameters and for whom a sufficient number of samples were available to determine at least 1 PK parameter.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Group 1 (Inducers) (PK-PPS)The Maximum Observed Plasma Concentration (Cmax) of Padsevonil (PSL) During the Study1210 ng/mL
Group 2 (Neutral [Control]) (PK-PPS)The Maximum Observed Plasma Concentration (Cmax) of Padsevonil (PSL) During the Study1670 ng/mL
Comparison: The analysis of variance model (ANOVA) included the fixed effects of treatment group. The natural logs were taken of the dependent variables and were back-transformed after the analysis. The geometric mean ratio and the respective 90% confidence interval (CI) was derived for the Inducers group vs the Neutral-control group from the ANOVA model using least-squares means difference.90% CI: [0.586, 0.896]ANOVA
Primary

The Time to Reach Maximum Concentration (Tmax) for Padsevonil During the Study

The tmax for Padsevonil in plasma was expressed in hours (hr).

Time frame: Blood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-dose

Population: The Pharmacokinetic Per-Protocol Set (PK-PPS) was a subset of the Full Analysis Set (FAS), consisting of study participants who had no important protocol deviations affecting the PK parameters and for whom a sufficient number of samples were available to determine at least 1 PK parameter.

ArmMeasureValue (MEDIAN)
Group 1 (Inducers) (PK-PPS)The Time to Reach Maximum Concentration (Tmax) for Padsevonil During the Study1.500 hr
Group 2 (Neutral [Control]) (PK-PPS)The Time to Reach Maximum Concentration (Tmax) for Padsevonil During the Study2.000 hr
Secondary

Percentage of Participants With at Least One Adverse Event (AE) During the Study

An AE was any untoward medical occurrence in a patient or clinical investigation study participant administered a pharmaceutical product that did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.

Time frame: From screening (Day -28 to Day -2) up to end of study (EOS) visit day 20 (+/-1)

Population: The Full Analysis Set (FAS) consisted of all study participants who signed the ICF and received at least 1 dose of IMP.

ArmMeasureValue (NUMBER)
Group 1 (Inducers) (PK-PPS)Percentage of Participants With at Least One Adverse Event (AE) During the Study100 percentage of participants
Group 2 (Neutral [Control]) (PK-PPS)Percentage of Participants With at Least One Adverse Event (AE) During the Study100 percentage of participants
Secondary

Percentage of Participants With at Least One Serious Adverse Event (SAE) During the Study

A SAE was any untoward medical occurrence that at any dose resulted in death, was life-threatening, required in patient hospitalization or prolongation of existing hospitalization, was a congenital anomaly or birth defect, was an infection that requires treatment parenteral antibiotics or other important medical events which based on medical or scientific judgement could jeopardize the patients, or could require medical or surgical intervention to prevent any of the above.

Time frame: From screening (Day -28 to Day -2) up to end of study (EOS) visit day 20 (+/-1)

Population: The Full Analysis Set (FAS) consisted of all study participants who signed the ICF and received at least 1 dose of IMP.

ArmMeasureValue (NUMBER)
Group 1 (Inducers) (PK-PPS)Percentage of Participants With at Least One Serious Adverse Event (SAE) During the Study0 percentage of participants
Group 2 (Neutral [Control]) (PK-PPS)Percentage of Participants With at Least One Serious Adverse Event (SAE) During the Study0 percentage of participants
Secondary

The Area Under the Curve (AUCtau) Over a Dosing Interval for UCB1431322-000 During the Study

The AUCtau for UCB1431322-000 in plasma in was expressed in hours times nanograms per milliliter (hr\*ng/mL). Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).

Time frame: Blood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-dose

Population: The Pharmacokinetic Per-Protocol Set (PK-PPS) was a subset of the Full Analysis Set (FAS), consisting of study participants who had no important protocol deviations affecting the PK parameters and for whom a sufficient number of samples were available to determine at least 1 PK parameter.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Group 1 (Inducers) (PK-PPS)The Area Under the Curve (AUCtau) Over a Dosing Interval for UCB1431322-000 During the Study11720 hr*ng/mLGeometric Coefficient of Variation 21.3
Group 2 (Neutral [Control]) (PK-PPS)The Area Under the Curve (AUCtau) Over a Dosing Interval for UCB1431322-000 During the Study11200 hr*ng/mLGeometric Coefficient of Variation 30.7
Secondary

The Area Under the Curve (AUCtau) Over a Dosing Interval for UCB1447499-000 During the Study

The AUCtau for UCB1447499-000 in plasma was expressed in hr\*ng/mL. Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).

Time frame: Blood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-dose

Population: The Pharmacokinetic Per-Protocol Set (PK-PPS) was a subset of the Full Analysis Set (FAS), consisting of study participants who had no important protocol deviations affecting the PK parameters and for whom a sufficient number of samples were available to determine at least 1 PK parameter.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Group 1 (Inducers) (PK-PPS)The Area Under the Curve (AUCtau) Over a Dosing Interval for UCB1447499-000 During the Study1854 hr*ng/mLGeometric Coefficient of Variation 29
Group 2 (Neutral [Control]) (PK-PPS)The Area Under the Curve (AUCtau) Over a Dosing Interval for UCB1447499-000 During the Study1678 hr*ng/mLGeometric Coefficient of Variation 28.2
Secondary

The Maximum Observed Plasma Concentration (Cmax) for UCB1431322-000 During the Study

The Cmax for UCB1431322-000 in plasma was expressed in nanograms per milliliter (ng/mL). Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).

Time frame: Blood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-dose

Population: The Pharmacokinetic Per-Protocol Set (PK-PPS) was a subset of the Full Analysis Set (FAS), consisting of study participants who had no important protocol deviations affecting the PK parameters and for whom a sufficient number of samples were available to determine at least 1 PK parameter.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Group 1 (Inducers) (PK-PPS)The Maximum Observed Plasma Concentration (Cmax) for UCB1431322-000 During the Study1753 ng/mLGeometric Coefficient of Variation 21.7
Group 2 (Neutral [Control]) (PK-PPS)The Maximum Observed Plasma Concentration (Cmax) for UCB1431322-000 During the Study1700 ng/mLGeometric Coefficient of Variation 29.4
Secondary

The Maximum Observed Plasma Concentration (Cmax) for UCB1447499-000 During the Study

The Cmax for UCB1447499-000 in plasma was expressed in ng/mL. Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).

Time frame: Blood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-dose

Population: The Pharmacokinetic Per-Protocol Set (PK-PPS) was a subset of the Full Analysis Set (FAS), consisting of study participants who had no important protocol deviations affecting the PK parameters and for whom a sufficient number of samples were available to determine at least 1 PK parameter.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Group 1 (Inducers) (PK-PPS)The Maximum Observed Plasma Concentration (Cmax) for UCB1447499-000 During the Study380.1 ng/mLGeometric Coefficient of Variation 37.8
Group 2 (Neutral [Control]) (PK-PPS)The Maximum Observed Plasma Concentration (Cmax) for UCB1447499-000 During the Study307.2 ng/mLGeometric Coefficient of Variation 32.6
Secondary

The Ratio of PSL Metabolite UCB1431322-000 to PSL Based on the Area Under the Curve (AUCtau) During the Study

Metabolite-to-Parent Ratios were corrected for differences in molecular weight. Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).

Time frame: Blood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-dose

Population: The Pharmacokinetic Per-Protocol Set (PK-PPS) was a subset of the Full Analysis Set (FAS), consisting of study participants who had no important protocol deviations affecting the PK parameters and for whom a sufficient number of samples were available to determine at least 1 PK parameter.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Group 1 (Inducers) (PK-PPS)The Ratio of PSL Metabolite UCB1431322-000 to PSL Based on the Area Under the Curve (AUCtau) During the Study2.283 ratioGeometric Coefficient of Variation 22.4
Group 2 (Neutral [Control]) (PK-PPS)The Ratio of PSL Metabolite UCB1431322-000 to PSL Based on the Area Under the Curve (AUCtau) During the Study1.386 ratioGeometric Coefficient of Variation 48.2
Secondary

The Ratio of PSL Metabolite UCB1447499-000 to PSL Based on the Area Under the Curve (AUCtau)

Metabolite-to-Parent Ratios were corrected for differences in molecular weight. Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).

Time frame: Blood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-dose

Population: The Pharmacokinetic Per-Protocol Set (PK-PPS) was a subset of the Full Analysis Set (FAS), consisting of study participants who had no important protocol deviations affecting the PK parameters and for whom a sufficient number of samples were available to determine at least 1 PK parameter.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Group 1 (Inducers) (PK-PPS)The Ratio of PSL Metabolite UCB1447499-000 to PSL Based on the Area Under the Curve (AUCtau)0.3492 ratioGeometric Coefficient of Variation 32.8
Group 2 (Neutral [Control]) (PK-PPS)The Ratio of PSL Metabolite UCB1447499-000 to PSL Based on the Area Under the Curve (AUCtau)0.2011 ratioGeometric Coefficient of Variation 45.7
Secondary

The Time to Reach Maximum Concentration (Tmax) for UCB1431322-000 During the Study

The tmax for UCB1431322-000 in plasma was expressed in hours (hr).

Time frame: Blood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-dose

Population: The Pharmacokinetic Per-Protocol Set (PK-PPS) was a subset of the Full Analysis Set (FAS), consisting of study participants who had no important protocol deviations affecting the PK parameters and for whom a sufficient number of samples were available to determine at least 1 PK parameter.

ArmMeasureValue (MEDIAN)
Group 1 (Inducers) (PK-PPS)The Time to Reach Maximum Concentration (Tmax) for UCB1431322-000 During the Study3.500 hr
Group 2 (Neutral [Control]) (PK-PPS)The Time to Reach Maximum Concentration (Tmax) for UCB1431322-000 During the Study3.500 hr
Secondary

The Time to Reach Maximum Concentration (Tmax) for UCB1447499-000 During the Study

The tmax for UCB1447499-000 in plasma was expressed in hr.

Time frame: Blood samples were taken on Day 1 through Day 12, prior to the morning dose of PSL, at Day 13 prior to unit discharge and at Day 8 at pre-defined time points up to 12 hours post-dose

Population: The Pharmacokinetic Per-Protocol Set (PK-PPS) was a subset of the Full Analysis Set (FAS), consisting of study participants who had no important protocol deviations affecting the PK parameters and for whom a sufficient number of samples were available to determine at least 1 PK parameter.

ArmMeasureValue (MEDIAN)
Group 1 (Inducers) (PK-PPS)The Time to Reach Maximum Concentration (Tmax) for UCB1447499-000 During the Study2.000 hr
Group 2 (Neutral [Control]) (PK-PPS)The Time to Reach Maximum Concentration (Tmax) for UCB1447499-000 During the Study2.000 hr
Secondary

Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSL

The trough plasma concentration of MHD with PSL was expressed in micrograms per milliliter (µg/mL). Geometric Means and Coefficients of Variation (CVs) were only calculated if at least 2/3 of the parameters were properly determined parameters (i.e. non-calculated and non-flagged).

Time frame: Trough plasma samples were taken prior to the morning dose of OXC on Day -1, Day 1 through Day 20 (+/-1)

Population: The Pharmacokinetic Per-Protocol Set (PK-PPS) was a subset of the Full Analysis Set (FAS), consisting of study participants who had no important protocol deviations affecting the PK parameters and for whom a sufficient number of samples were available to determine at least 1 PK parameter.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Group 1 (Inducers) (PK-PPS)Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLDay 114.9 µg/mLGeometric Coefficient of Variation 14.5
Group 1 (Inducers) (PK-PPS)Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLDay 214.0 µg/mLGeometric Coefficient of Variation 21.6
Group 1 (Inducers) (PK-PPS)Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLDay 314.9 µg/mLGeometric Coefficient of Variation 17
Group 1 (Inducers) (PK-PPS)Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLDay 415.5 µg/mLGeometric Coefficient of Variation 16
Group 1 (Inducers) (PK-PPS)Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLDay 515.2 µg/mLGeometric Coefficient of Variation 17.5
Group 1 (Inducers) (PK-PPS)Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLDay 615.4 µg/mLGeometric Coefficient of Variation 18.1
Group 1 (Inducers) (PK-PPS)Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLDay 715.4 µg/mLGeometric Coefficient of Variation 17
Group 1 (Inducers) (PK-PPS)Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLDay 816.3 µg/mLGeometric Coefficient of Variation 16.1
Group 1 (Inducers) (PK-PPS)Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLDay 915.4 µg/mLGeometric Coefficient of Variation 13.2
Group 1 (Inducers) (PK-PPS)Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLDay 1015.5 µg/mLGeometric Coefficient of Variation 13.8
Group 1 (Inducers) (PK-PPS)Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLDay 1115.4 µg/mLGeometric Coefficient of Variation 18.6
Group 1 (Inducers) (PK-PPS)Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLDay 1213.8 µg/mLGeometric Coefficient of Variation 20.9
Group 1 (Inducers) (PK-PPS)Trough Plasma Concentration of Mono Hydroxy Derivate (MHD) in the Inducers Group Before, During and After Dosing to Steady State With PSLDay 1311.3 µg/mLGeometric Coefficient of Variation 46.4

Source: ClinicalTrials.gov · Data processed: Feb 7, 2026