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This Study in Healthy Men Tests How Different Doses of BI 1358894 Are Taken up in the Body and How Well They Are Tolerated. The Study Also Tests How BI 1358894 Affects the Way the Body Breaks Down Midazolam

Safety, Tolerability, and Pharmacokinetics of Multiple Rising Oral Doses of BI 1358894 (Double-blind, Randomised, Placebo-controlled, Parallel-group Design) and Evaluation of Midazolam Interaction (Nested, Open, Fixed-sequence, Intra-individual Comparison) in Healthy Male Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03754959
Enrollment
50
Registered
2018-11-27
Start date
2018-12-18
Completion date
2019-07-22
Last updated
2025-04-03

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

Conditions

Healthy

Brief summary

The primary objective of the trial is to investigate the safety and tolerability of BI 1358894 in healthy male subjects following oral administration of multiple rising doses over 14 days.

Interventions

Film-coated tablet

DRUGPlacebo

Film-coated tablet

DRUGMidazolam

Solution for injection

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Healthy male subjects according to the investigator's assessment, based on a complete medical history including a physical examination, vital signs (Blood Pressure (BP), Pulse Rate (PR)), 12-lead Electrocardiogram (ECG), and clinical laboratory tests * Age of 18 to 45 years (incl.) * Body Mass Index (BMI) of 18.5 to 29.9 kg/m2 (incl.) * Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice (GCP) and local legislation * Willingness to comply with contraception requirements. Subjects who are sexually active must use adequate contraception with their female partner throughout the study and until one month after the last administration of trial medication. Adequate methods are: * Sexual abstinence or * A vasectomy performed at least 1 year prior to screening (with medical assessment of the surgical success) or * Surgical sterilisation (including bilateral tubal occlusion, hysterectomy or bilateral oophorectomy) of the subject's female partner or * The use of condoms, if the female partner uses an adequate contraception method in addition, e.g., intrauterine device (IUD), hormonal contraception (e.g. implants, injectables, combined oral or vaginal contraceptives) that started at least 2 months prior to first drug administration, or barrier method (e.g. diaphragm with spermicide) Unprotected sexual intercourse with a female partner is not allowed throughout the study and until one month after the last administration of trial medication.

Exclusion criteria

* Any finding in the medical examination (including Blood Pressure (BP), Pulse Rate (PR) or Electrocardiogram (ECG)) is deviating from normal and judged as clinically relevant by the investigator * Repeated measurement of systolic blood pressure outside the range of 90 to 140 mmHg, diastolic blood pressure outside the range of 50 to 90 mmHg, or pulse rate outside the range of 50 to 90 beats per minute (bpm) * C-Reactive Protein \> upper limit of normal (ULN), erythrocyte sedimentation rate (ESR) ≥15 millimeters/h, liver or kidney parameter above ULN, or any other laboratory value outside the reference range that the investigator considers to be of clinical relevance * Positive or missing faecal occult blood test (retest allowed) * Positive testing for faecal calprotectin (retest allowed) * Any evidence of a concomitant disease judged as clinically relevant by the investigator * Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders * Cholecystectomy and/or surgery of the gastrointestinal tract that could interfere with the pharmacokinetics of the trial medication (except appendectomy and simple hernia repair) * Diseases of the central nervous system (including but not limited to any kind of seizures or stroke), and other relevant neurological or psychiatric disorders * History of relevant orthostatic hypotension, fainting spells, or blackouts * Chronic or relevant acute infections * History of relevant allergy or hypersensitivity (including allergy to the trial medication or its excipients) * Use of drugs within 30 days prior to administration of trial medication that might reasonably influence the results of the trial (incl. QT/QTc interval prolongation) * Participation in another trial where an investigational drug has been administered within 60 days prior to planned administration of trial medication, or current participation in another trial involving administration of investigational drug * Smoker (more than 10 cigarettes or 3 cigars or 3 pipes per day) * Inability to refrain from smoking during in-house confinement * Alcohol abuse (consumption of more than 30 g per day) * Drug abuse or positive drug screening * Blood donation of more than 100 mL within 30 days prior to administration of trial medication or intended donation during the trial * Intention to perform excessive physical activities within one week prior to administration of trial medication or during the trial * Inability to comply with dietary regimen of trial site * A marked baseline prolongation of QT/QTc interval (such as QTc intervals that are repeatedly greater than 450 ms) or any other relevant Electrocardiogram (ECG) finding at screening * A history of additional risk factors for Torsades de Pointes (such as heart failure, hypokalaemia, or family history of Long QT Syndrome) * Subject is assessed as unsuitable for inclusion by the investigator, for instance, because considered not able to understand and comply with study requirements, or has a condition that would not allow safe participation in the study

Design outcomes

Primary

MeasureTime frameDescription
Number of Subjects With On-treatment Drug-related Adverse Events (AEs).Midazolam: Up to 1 day, BI 1358894 or Placebo + Midazolam: Up to 1 day and BI 1358894: Up to 13 days.Number of subjects with on-treatment drug-related Adverse Events (AEs).

Secondary

MeasureTime frameDescription
Maximum Measured Concentration of BI 1358894 in PlasmaWithin 2 hours before and 0.17, 0.33, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 27, 48, 72, 75, 96, 120, 123, 144, 192, 195, 240, 243, 288, 311, 312.17, 312.33, 312.5, 313, 314, 315, 316, 318, 320, 324, 336, 360, 384, 408, 432, 456, 504 hours after administration.Maximum measured concentration of the analyte BI 1358894 in plasma (Cmax).
Area Under the Concentration-time Curve of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τWithin 2 hours before and 0.17, 0.33, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 27, 48, 72, 75, 96, 120, 123, 144, 192, 195, 240, 243, 288, 311, 312.17, 312.33, 312.5, 313, 314, 315, 316, 318, 320, 324, 336, 360, 384, 408, 432, 456, 504 hours after administration.Area under the concentration-time curve of BI 1358894 in plasma at steady state over a uniform dosing interval τ (AUCτ,ss)
Maximum Measured Concentration of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τWithin 2 hours before and 0.17, 0.33, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 27, 48, 72, 75, 96, 120, 123, 144, 192, 195, 240, 243, 288, 311, 312.17, 312.33, 312.5, 313, 314, 315, 316, 318, 320, 324, 336, 360, 384, 408, 432, 456, 504 hours after administration.Maximum measured concentration of BI 1358894 in plasma at steady state over a uniform dosing interval τ (Cmax,ss)
Area Under the Concentration-time Curve of BI 1358894 in Plasma Over a Time Interval 0 to 24 h After Administration of the First DoseWithin 2 hours before and 0.17, 0.33, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 27, 48, 72, 75, 96, 120, 123, 144, 192, 195, 240, 243, 288, 311, 312.17, 312.33, 312.5, 313, 314, 315, 316, 318, 320, 324, 336, 360, 384, 408, 432, 456, 504 hours after administration.Area under the concentration-time curve of the analyte in plasma over a time interval 0 to 24 hours (h) after administration of the first dose (AUC0-24).
Area Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)25.5, 23.83, 23.5, 23, 22, 21.5, 21, 20, 18, 16 and 1 hour before and 0.17, 0.5, 1, 2, 2.5, 3, 4, 6, 8, 311, 312.33, 312.5, 313, 314, 314.5, 315, 316, 318 and 320 hours after administration of BI 1358894.Area under the concentration-time curve of midazolam in plasma over the time interval from 0 to the last quantifiable data point (AUC0-tz).
Maximum Measured Concentration of Midazolam in Plasma (Day 1)25.5, 23.83, 23.5, 23, 22, 21.5, 21, 20, 18, 16 and 1 hour before and 0.17, 0.5, 1, 2, 2.5, 3, 4, 6, 8, 311, 312.33, 312.5, 313, 314, 314.5, 315, 316, 318 and 320 hours after administration of BI 1358894.Maximum measured concentration of midazolam in plasma (Cmax).
Maximum Measured Concentration of Midazolam in Plasma (Day 14)25.5, 23.83, 23.5, 23, 22, 21.5, 21, 20, 18, 16 and 1 hour before and 0.17, 0.5, 1, 2, 2.5, 3, 4, 6, 8, 311, 312.33, 312.5, 313, 314, 314.5, 315, 316, 318 and 320 hours after administration of BI 1358894.Maximum measured concentration of midazolam in plasma (Cmax).
Area Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)25.5, 23.83, 23.5, 23, 22, 21.5, 21, 20, 18, 16 and 1 hour before and 0.17, 0.5, 1, 2, 2.5, 3, 4, 6, 8, 311, 312.33, 312.5, 313, 314, 314.5, 315, 316, 318 and 320 hours after administration of BI 1358894 .Area under the concentration-time curve of midazolam in plasma over the time interval from 0 to the last quantifiable data point (AUC0-tz).

Countries

Germany

Participant flow

Recruitment details

Safety, tolerability, and pharmacokinetics of multiple rising oral doses of BI 1358894 (double-blind, randomised, placebo-controlled, parallel-group design) and evaluation of midazolam interaction (nested, open, fixed-sequence, intra-individual comparison) in healthy male subjects

Pre-assignment details

All subjects were screened for eligibility to participate in trial. Subjects attended specialist sites to ensure that they 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
Placebo Matching BI 1358894 Dose Group
Oral administration of placebo matching to BI 1358894 film-coated tablet with 240 milliliter (mL) of water after a standard continental breakfast once per day from day 1 to day 14 Oral administration of midazolam as solution for injection (5 mg/5 mL) diluted to 50 microgram (μg)/mL\*1.5 mL (75 μg) with 240 milliliter (mL) water as three single doses on days -1, 1 and 14, after a standard continental breakfast. On Day 1 and 14 Placebo matching to BI 1358894 was administered immediately prior to midazolam.
10
BI 1358894 10 Milligram (mg) Dose Group
Oral administration of 10 milligram (mg) BI 1358894 film-coated tablet (2\*5 mg tablet) once daily for 14 days with 240 milliliter (mL) water after a standard continental breakfast. Oral administration of midazolam as solution for injection (5 mg/5 mL) diluted to 50 microgram (μg)/mL\*1.5 mL (75 μg) with 240 milliliter (mL) water as three single doses on days -1, 1 and 14, after a standard continental breakfast. On Day 1 and 14 BI 1358894 was administered immediately prior to midazolam.
8
BI 1358894 25 Milligram (mg) Dose Group
Oral administration of 25 milligram (mg) BI 1358894 film-coated tablet (1\*25 mg tablet) once daily for 14 days with 240 milliliter (mL) water after a standard continental breakfast. Oral administration of midazolam as solution for injection (5 mg/5 mL) diluted to 50 microgram (μg)/mL\*1.5 mL (75 μg) with 240 milliliter (mL) water as three single doses on days -1, 1 and 14, after a standard continental breakfast. On Day 1 and 14 BI 1358894 was administered immediately prior to midazolam.
8
BI 1358894 50 Milligram (mg) Dose Group
Oral administration of 50 milligram (mg) BI 1358894 film-coated tablet (2\*25 mg tablet) once daily for 14 days with 240 milliliter (mL) water after standard continental breakfast. Oral administration of midazolam as solution for injection (5 mg/5 mL) diluted to 50 microgram (μg)/mL\*1.5 mL (75 μg) with 240 milliliter (mL) water as three single doses on days -1, 1 and 14, after a standard continental breakfast. On Day 1 and 14 BI 1358894 was administered immediately prior to midazolam.
8
BI 1358894 100 Milligram (mg) Dose Group
Oral administration of 100 milligram (mg) BI 1358894 film-coated tablet (1\*100 mg tablet) once daily for 14 days with 240 milliliter (mL) water after standard continental breakfast. Oral administration of midazolam as solution for injection (5 mg/5 mL) diluted to 50 microgram (μg)/mL\*1.5 mL (75 μg) with 240 milliliter (mL) water as three single doses on days -1, 1 and 14, after a standard continental breakfast. On Day 1 and 14 BI 1358894 was administered immediately prior to midazolam.
8
BI 1358894 200 Milligram (mg) Dose Group
Oral administration of 200 milligram (mg) BI 1358894 film-coated tablet (2\*100 mg tablet) once daily for 14 days with 240 milliliter (mL) water after standard continental breakfast. Oral administration of midazolam as solution for injection (5 mg/5 mL) diluted to 50 microgram (μg)/mL\*1.5 mL (75 μg) with 240 milliliter (mL) water as three single doses on days -1, 1 and 14, after a standard continental breakfast. On Day 1 and 14 BI 1358894 was administered immediately prior to midazolam.
8
Total50

Baseline characteristics

CharacteristicPlacebo Matching BI 1358894 Dose GroupBI 1358894 10 Milligram (mg) Dose GroupBI 1358894 25 Milligram (mg) Dose GroupBI 1358894 50 Milligram (mg) Dose GroupBI 1358894 100 Milligram (mg) Dose GroupBI 1358894 200 Milligram (mg) Dose GroupTotal
Age, Continuous32.1 Years
STANDARD_DEVIATION 9.7
32.0 Years
STANDARD_DEVIATION 8.1
32.4 Years
STANDARD_DEVIATION 6.8
32.3 Years
STANDARD_DEVIATION 7.7
29.3 Years
STANDARD_DEVIATION 1.8
26.3 Years
STANDARD_DEVIATION 5.1
30.8 Years
STANDARD_DEVIATION 7.2
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants2 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants8 Participants8 Participants8 Participants6 Participants8 Participants48 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
10 Participants8 Participants7 Participants8 Participants8 Participants8 Participants49 Participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Male
10 Participants8 Participants8 Participants8 Participants8 Participants8 Participants50 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
deaths
Total, all-cause mortality
0 / 500 / 100 / 80 / 80 / 80 / 80 / 80 / 100 / 80 / 80 / 80 / 80 / 8
other
Total, other adverse events
2 / 501 / 104 / 84 / 83 / 84 / 85 / 87 / 103 / 86 / 81 / 84 / 85 / 8
serious
Total, serious adverse events
0 / 500 / 100 / 80 / 80 / 80 / 80 / 80 / 100 / 80 / 80 / 80 / 80 / 8

Outcome results

Primary

Number of Subjects With On-treatment Drug-related Adverse Events (AEs).

Number of subjects with on-treatment drug-related Adverse Events (AEs).

Time frame: Midazolam: Up to 1 day, BI 1358894 or Placebo + Midazolam: Up to 1 day and BI 1358894: Up to 13 days.

Population: Treated set (TS): all subjects who received at least one dose of study drug. This was the full analysis set population in the sense of ICH-E9.

ArmMeasureValue (NUMBER)
MidazolamNumber of Subjects With On-treatment Drug-related Adverse Events (AEs).0 Participants
Placebo + MidazolamNumber of Subjects With On-treatment Drug-related Adverse Events (AEs).1 Participants
BI 1358894 10 mg + MidazolamNumber of Subjects With On-treatment Drug-related Adverse Events (AEs).4 Participants
BI 1358894 25 mg + MidazolamNumber of Subjects With On-treatment Drug-related Adverse Events (AEs).4 Participants
BI 1358894 50 mg + MidazolamNumber of Subjects With On-treatment Drug-related Adverse Events (AEs).3 Participants
BI 1358894 100 mg + MidazolamNumber of Subjects With On-treatment Drug-related Adverse Events (AEs).4 Participants
BI 1358894 200 mg + MidazolamNumber of Subjects With On-treatment Drug-related Adverse Events (AEs).5 Participants
Placebo Matching BI 1358894 Dose GroupNumber of Subjects With On-treatment Drug-related Adverse Events (AEs).6 Participants
BI 1358894 10 Milligram (mg) Dose GroupNumber of Subjects With On-treatment Drug-related Adverse Events (AEs).2 Participants
BI 1358894 25 Milligram (mg) Dose GroupNumber of Subjects With On-treatment Drug-related Adverse Events (AEs).5 Participants
BI 1358894 50 Milligram (mg) Dose GroupNumber of Subjects With On-treatment Drug-related Adverse Events (AEs).1 Participants
BI 1358894 100 Milligram (mg) Dose GroupNumber of Subjects With On-treatment Drug-related Adverse Events (AEs).4 Participants
BI 1358894 200 Milligram (mg) Dose GroupNumber of Subjects With On-treatment Drug-related Adverse Events (AEs).5 Participants
Secondary

Area Under the Concentration-time Curve of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ

Area under the concentration-time curve of BI 1358894 in plasma at steady state over a uniform dosing interval τ (AUCτ,ss)

Time frame: Within 2 hours before and 0.17, 0.33, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 27, 48, 72, 75, 96, 120, 123, 144, 192, 195, 240, 243, 288, 311, 312.17, 312.33, 312.5, 313, 314, 315, 316, 318, 320, 324, 336, 360, 384, 408, 432, 456, 504 hours after administration.

Population: Pharmacokinetic parameter set (PKS): all subjects in the TS who provided at least 1 PK parameter that was not excluded due to a protocol deviation relevant to the statistical evaluation of PK endpoints or due to PK non-evaluability, only subjects with available data were included in the endpoint.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MidazolamArea Under the Concentration-time Curve of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ2070 nanomol * hours per literGeometric Coefficient of Variation 27.1
Placebo + MidazolamArea Under the Concentration-time Curve of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ3520 nanomol * hours per literGeometric Coefficient of Variation 27.8
BI 1358894 10 mg + MidazolamArea Under the Concentration-time Curve of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ5890 nanomol * hours per literGeometric Coefficient of Variation 35.1
BI 1358894 25 mg + MidazolamArea Under the Concentration-time Curve of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ12600 nanomol * hours per literGeometric Coefficient of Variation 16.3
BI 1358894 50 mg + MidazolamArea Under the Concentration-time Curve of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ18900 nanomol * hours per literGeometric Coefficient of Variation 13.5
Secondary

Area Under the Concentration-time Curve of BI 1358894 in Plasma Over a Time Interval 0 to 24 h After Administration of the First Dose

Area under the concentration-time curve of the analyte in plasma over a time interval 0 to 24 hours (h) after administration of the first dose (AUC0-24).

Time frame: Within 2 hours before and 0.17, 0.33, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 27, 48, 72, 75, 96, 120, 123, 144, 192, 195, 240, 243, 288, 311, 312.17, 312.33, 312.5, 313, 314, 315, 316, 318, 320, 324, 336, 360, 384, 408, 432, 456, 504 hours after administration.

Population: Pharmacokinetic parameter set (PKS): all subjects in the TS who provided at least 1 PK parameter that was not excluded due to a protocol deviation relevant to the statistical evaluation of PK endpoints or due to PK non-evaluability, only subjects with available data were included in the endpoint.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MidazolamArea Under the Concentration-time Curve of BI 1358894 in Plasma Over a Time Interval 0 to 24 h After Administration of the First Dose801 nanomols * hours per literGeometric Coefficient of Variation 22.7
Placebo + MidazolamArea Under the Concentration-time Curve of BI 1358894 in Plasma Over a Time Interval 0 to 24 h After Administration of the First Dose1570 nanomols * hours per literGeometric Coefficient of Variation 28
BI 1358894 10 mg + MidazolamArea Under the Concentration-time Curve of BI 1358894 in Plasma Over a Time Interval 0 to 24 h After Administration of the First Dose2690 nanomols * hours per literGeometric Coefficient of Variation 17.5
BI 1358894 25 mg + MidazolamArea Under the Concentration-time Curve of BI 1358894 in Plasma Over a Time Interval 0 to 24 h After Administration of the First Dose5520 nanomols * hours per literGeometric Coefficient of Variation 18.3
BI 1358894 50 mg + MidazolamArea Under the Concentration-time Curve of BI 1358894 in Plasma Over a Time Interval 0 to 24 h After Administration of the First Dose8200 nanomols * hours per literGeometric Coefficient of Variation 13.3
Secondary

Area Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)

Area under the concentration-time curve of midazolam in plasma over the time interval from 0 to the last quantifiable data point (AUC0-tz).

Time frame: 25.5, 23.83, 23.5, 23, 22, 21.5, 21, 20, 18, 16 and 1 hour before and 0.17, 0.5, 1, 2, 2.5, 3, 4, 6, 8, 311, 312.33, 312.5, 313, 314, 314.5, 315, 316, 318 and 320 hours after administration of BI 1358894 .

Population: PKS-Midazolam (PKS-MDZ): all subjects from the TS receiving BI 1358894 or placebo and midazolam who provided at least one secondary PK parameter for midazolam that was not excluded according to the description above. It was used for investigation of relative bioavailability

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)Midazolam + BI 1358894 or Placebo2960 picomol * hours per literGeometric Coefficient of Variation 31.8
MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)Midazolam3030 picomol * hours per literGeometric Coefficient of Variation 28.6
Placebo + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)Midazolam3790 picomol * hours per literGeometric Coefficient of Variation 46
Placebo + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)Midazolam + BI 1358894 or Placebo3630 picomol * hours per literGeometric Coefficient of Variation 47.2
BI 1358894 10 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)Midazolam3090 picomol * hours per literGeometric Coefficient of Variation 28.6
BI 1358894 10 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)Midazolam + BI 1358894 or Placebo3120 picomol * hours per literGeometric Coefficient of Variation 29.6
BI 1358894 25 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)Midazolam + BI 1358894 or Placebo2810 picomol * hours per literGeometric Coefficient of Variation 37.2
BI 1358894 25 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)Midazolam3000 picomol * hours per literGeometric Coefficient of Variation 40.2
BI 1358894 50 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)Midazolam3610 picomol * hours per literGeometric Coefficient of Variation 22.1
BI 1358894 50 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)Midazolam + BI 1358894 or Placebo3360 picomol * hours per literGeometric Coefficient of Variation 26.3
BI 1358894 100 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)Midazolam + BI 1358894 or Placebo2480 picomol * hours per literGeometric Coefficient of Variation 24.1
BI 1358894 100 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 1)Midazolam2750 picomol * hours per literGeometric Coefficient of Variation 28.2
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA model on the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [90.2, 106.2]
90% CI: [89.9, 102.4]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA model on the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [96.3, 106.1]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA model on the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [86.8, 101.1]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA model on the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [87.3, 99.3]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA model on the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [83.8, 96.7]
Secondary

Area Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)

Area under the concentration-time curve of midazolam in plasma over the time interval from 0 to the last quantifiable data point (AUC0-tz).

Time frame: 25.5, 23.83, 23.5, 23, 22, 21.5, 21, 20, 18, 16 and 1 hour before and 0.17, 0.5, 1, 2, 2.5, 3, 4, 6, 8, 311, 312.33, 312.5, 313, 314, 314.5, 315, 316, 318 and 320 hours after administration of BI 1358894.

Population: PKS-Midazolam (PKS-MDZ): all subjects from the TS receiving BI 1358894 or placebo and midazolam who provided at least one secondary PK parameter for midazolam that was not excluded according to the description above. It was used for investigation of relative bioavailability

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)Midazolam3030 picomol * hours per literGeometric Coefficient of Variation 28.6
MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)Midazolam + BI 1358894 or Placebo3200 picomol * hours per literGeometric Coefficient of Variation 28.9
Placebo + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)Midazolam3790 picomol * hours per literGeometric Coefficient of Variation 46
Placebo + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)Midazolam + BI 1358894 or Placebo4450 picomol * hours per literGeometric Coefficient of Variation 43.3
BI 1358894 10 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)Midazolam + BI 1358894 or Placebo3360 picomol * hours per literGeometric Coefficient of Variation 26
BI 1358894 10 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)Midazolam3090 picomol * hours per literGeometric Coefficient of Variation 28.6
BI 1358894 25 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)Midazolam + BI 1358894 or Placebo3440 picomol * hours per literGeometric Coefficient of Variation 17.3
BI 1358894 25 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)Midazolam3000 picomol * hours per literGeometric Coefficient of Variation 40.2
BI 1358894 50 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)Midazolam + BI 1358894 or Placebo3480 picomol * hours per literGeometric Coefficient of Variation 23.6
BI 1358894 50 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)Midazolam3610 picomol * hours per literGeometric Coefficient of Variation 22.1
BI 1358894 100 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)Midazolam2750 picomol * hours per literGeometric Coefficient of Variation 28.2
BI 1358894 100 mg + MidazolamArea Under the Concentration-time Curve of Midazolam in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (Day 14)Midazolam + BI 1358894 or Placebo2460 picomol * hours per literGeometric Coefficient of Variation 23.4
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA model on the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [95.6, 116.9]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA model on the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [106.5, 129.6]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA model on the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [102.9, 123.1]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA model on the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [90.1, 135.1]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA model on the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [84.5, 110.1]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA model on the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [74.9, 106.4]
Secondary

Maximum Measured Concentration of BI 1358894 in Plasma

Maximum measured concentration of the analyte BI 1358894 in plasma (Cmax).

Time frame: Within 2 hours before and 0.17, 0.33, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 27, 48, 72, 75, 96, 120, 123, 144, 192, 195, 240, 243, 288, 311, 312.17, 312.33, 312.5, 313, 314, 315, 316, 318, 320, 324, 336, 360, 384, 408, 432, 456, 504 hours after administration.

Population: Pharmacokinetic parameter set (PKS): all subjects in the TS who provided at least 1 PK parameter that was not excluded due to a protocol deviation relevant to the statistical evaluation of PK endpoints or due to PK non-evaluability, only subjects with available data were included in the endpoint.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MidazolamMaximum Measured Concentration of BI 1358894 in Plasma78.8 Nanomol per literGeometric Coefficient of Variation 16
Placebo + MidazolamMaximum Measured Concentration of BI 1358894 in Plasma152 Nanomol per literGeometric Coefficient of Variation 34.7
BI 1358894 10 mg + MidazolamMaximum Measured Concentration of BI 1358894 in Plasma217 Nanomol per literGeometric Coefficient of Variation 28.3
BI 1358894 25 mg + MidazolamMaximum Measured Concentration of BI 1358894 in Plasma491 Nanomol per literGeometric Coefficient of Variation 17.2
BI 1358894 50 mg + MidazolamMaximum Measured Concentration of BI 1358894 in Plasma634 Nanomol per literGeometric Coefficient of Variation 20.8
Secondary

Maximum Measured Concentration of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ

Maximum measured concentration of BI 1358894 in plasma at steady state over a uniform dosing interval τ (Cmax,ss)

Time frame: Within 2 hours before and 0.17, 0.33, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 27, 48, 72, 75, 96, 120, 123, 144, 192, 195, 240, 243, 288, 311, 312.17, 312.33, 312.5, 313, 314, 315, 316, 318, 320, 324, 336, 360, 384, 408, 432, 456, 504 hours after administration.

Population: Pharmacokinetic parameter set (PKS): all subjects in the TS who provided at least 1 PK parameter that was not excluded due to a protocol deviation relevant to the statistical evaluation of PK endpoints or due to PK non-evaluability, only subjects with available data were included in the endpoint.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MidazolamMaximum Measured Concentration of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ138 nanomol per literGeometric Coefficient of Variation 14.5
Placebo + MidazolamMaximum Measured Concentration of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ225 nanomol per literGeometric Coefficient of Variation 18.8
BI 1358894 10 mg + MidazolamMaximum Measured Concentration of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ383 nanomol per literGeometric Coefficient of Variation 26.7
BI 1358894 25 mg + MidazolamMaximum Measured Concentration of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ843 nanomol per literGeometric Coefficient of Variation 19.8
BI 1358894 50 mg + MidazolamMaximum Measured Concentration of BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ1150 nanomol per literGeometric Coefficient of Variation 13.8
Secondary

Maximum Measured Concentration of Midazolam in Plasma (Day 1)

Maximum measured concentration of midazolam in plasma (Cmax).

Time frame: 25.5, 23.83, 23.5, 23, 22, 21.5, 21, 20, 18, 16 and 1 hour before and 0.17, 0.5, 1, 2, 2.5, 3, 4, 6, 8, 311, 312.33, 312.5, 313, 314, 314.5, 315, 316, 318 and 320 hours after administration of BI 1358894.

Population: PKS-Midazolam (PKS-MDZ): all subjects from the TS receiving BI 1358894 or placebo and midazolam who provided at least one secondary PK parameter for midazolam that was not excluded according to the description above. It was used for investigation of relative bioavailability

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 1)Midazolam (R)929 picomole per literGeometric Coefficient of Variation 25.6
MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 1)Midazolam + BI 1358894 or placeobo (T)913 picomole per literGeometric Coefficient of Variation 26.2
Placebo + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 1)Midazolam (R)1120 picomole per literGeometric Coefficient of Variation 34.1
Placebo + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 1)Midazolam + BI 1358894 or placeobo (T)1090 picomole per literGeometric Coefficient of Variation 32.1
BI 1358894 10 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 1)Midazolam (R)963 picomole per literGeometric Coefficient of Variation 42
BI 1358894 10 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 1)Midazolam + BI 1358894 or placeobo (T)1130 picomole per literGeometric Coefficient of Variation 30.5
BI 1358894 25 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 1)Midazolam (R)974 picomole per literGeometric Coefficient of Variation 35
BI 1358894 25 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 1)Midazolam + BI 1358894 or placeobo (T)920 picomole per literGeometric Coefficient of Variation 32.8
BI 1358894 50 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 1)Midazolam + BI 1358894 or placeobo (T)1150 picomole per literGeometric Coefficient of Variation 19
BI 1358894 50 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 1)Midazolam (R)1170 picomole per literGeometric Coefficient of Variation 8.89
BI 1358894 100 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 1)Midazolam + BI 1358894 or placeobo (T)812 picomole per literGeometric Coefficient of Variation 19.7
BI 1358894 100 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 1)Midazolam (R)828 picomole per literGeometric Coefficient of Variation 30.6
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA mode lon the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [84.2, 114.8]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA mode lon the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [87.9, 109.3]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA mode lon the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [102.6, 134.6]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA mode lon the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [85.5, 104.4]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA mode lon the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [87.3, 99.3]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA mode lon the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [84.3, 114]
Secondary

Maximum Measured Concentration of Midazolam in Plasma (Day 14)

Maximum measured concentration of midazolam in plasma (Cmax).

Time frame: 25.5, 23.83, 23.5, 23, 22, 21.5, 21, 20, 18, 16 and 1 hour before and 0.17, 0.5, 1, 2, 2.5, 3, 4, 6, 8, 311, 312.33, 312.5, 313, 314, 314.5, 315, 316, 318 and 320 hours after administration of BI 1358894.

Population: PKS-Midazolam (PKS-MDZ): all subjects from the TS receiving BI 1358894 or placebo and midazolam who provided at least one secondary PK parameter for midazolam that was not excluded according to the description above. It was used for investigation of relative bioavailability

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 14)Midazolam + BI 1358894 or placeobo (T)887 picomole per literGeometric Coefficient of Variation 27.1
MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 14)Midazolam (R)929 picomole per literGeometric Coefficient of Variation 25.6
Placebo + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 14)Midazolam + BI 1358894 or placeobo (T)1180 picomole per literGeometric Coefficient of Variation 28.2
Placebo + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 14)Midazolam (R)1120 picomole per literGeometric Coefficient of Variation 34.1
BI 1358894 10 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 14)Midazolam (R)963 picomole per literGeometric Coefficient of Variation 42
BI 1358894 10 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 14)Midazolam + BI 1358894 or placeobo (T)1070 picomole per literGeometric Coefficient of Variation 31
BI 1358894 25 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 14)Midazolam + BI 1358894 or placeobo (T)1090 picomole per literGeometric Coefficient of Variation 27.3
BI 1358894 25 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 14)Midazolam (R)974 picomole per literGeometric Coefficient of Variation 35
BI 1358894 50 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 14)Midazolam + BI 1358894 or placeobo (T)985 picomole per literGeometric Coefficient of Variation 29.3
BI 1358894 50 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 14)Midazolam (R)1170 picomole per literGeometric Coefficient of Variation 8.89
BI 1358894 100 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 14)Midazolam (R)828 picomole per literGeometric Coefficient of Variation 30.6
BI 1358894 100 mg + MidazolamMaximum Measured Concentration of Midazolam in Plasma (Day 14)Midazolam + BI 1358894 or placeobo (T)722 picomole per literGeometric Coefficient of Variation 18.8
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA mode lon the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [81.3, 112.1]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA mode lon the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [91.5, 122]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA mode lon the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [90.9, 148.7]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA mode lon the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [92.4, 123.4]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA mode lon the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [71.2, 98.9]
Comparison: The statistical model used for the analysis of the secondary endpoints was an ANOVA mode lon the logarithmic scale including 'treatment' ('midazolam' and 'midazolam + Placebo/BI') as fixed effect and 'subject' as random effect. The analysis was performed separately for Day 1 and Day 14.90% CI: [73.5, 103.5]

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026