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A Study Investigating the Absolute Oral Bioavailability of Balovaptan After Single and Multiple Daily Oral Doses of Balovaptan in Healthy Volunteers

A Single-Center, Non-Randomized, Open-Label, Parallel Group, Two-Treatment Study Investigating the Absolute Oral Bioavailability of Balovaptan After Single and Multiple Daily Oral Doses of Balovaptan in Healthy Volunteers

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03764449
Enrollment
16
Registered
2018-12-05
Start date
2019-01-10
Completion date
2019-03-15
Last updated
2020-02-24

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

Conditions

Healthy Volunteers

Brief summary

This study was a non-randomized, open-label, parallel group, two-treatment study in healthy volunteers to investigate the absolute oral bioavailability of balovaptan. The study was conducted at 1 site in the Netherlands.

Interventions

DRUGOral Balovaptan

In Period 1, balovaptan was administered as a single oral dose. In Period 2, balovaptan was administered as an oral dose once daily on Day 1 to Day 14.

DRUGIV Balovaptan

In Period 1, IV infusion of balovaptan was administered after the balovaptan oral dose. In Period 2, IV infusion of balovaptan was administered after the final oral dose of balovaptan.

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy male and female subjects. Healthy status is defined by absence of evidence of any active or chronic disease following a detailed medical and surgical history, a complete physical examination including vital signs, 12-lead ECG, hematology, blood chemistry, urinalysis, and serology. * Body Mass Index of 18 to 30 kg/m2, inclusive. * For women of childbearing potential: agreement to use at least 2 acceptable contraceptive methods during the treatment period and for 90 days after the last dose of study drug. * For men: agreement to use contraceptive measures, and agreement to refrain from donating sperm until 90 days after the last dose of study drug.

Exclusion criteria

* Female subjects who are pregnant or lactating. * Any condition or disease detected during the medical interview/physical examination that would render the subject unsuitable for the study, place the subject at undue risk or interfere with the ability of the subject to complete the study in the opinion of the Investigator.

Design outcomes

Primary

MeasureTime frameDescription
Absolute Bioavailability of Oral Balovaptan at Dose Level A (Cohort 1)Day 1 of Period 1 (Period 1 is 14 days).Absolute oral bioavailability of a single dose A of balovaptan.

Secondary

MeasureTime frameDescription
Clast of M2 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Clast of M3 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Absolute Bioavailability of Oral Balovaptan at Dose Level B (Cohort 2)Day 1 of Period 1 (Period 1 is 14 days).Absolute oral bioavailability of a single dose B balovaptan.
Absolute Bioavailability of Oral Balovaptan at Dose A and Dose BDay 14 of Period 2 (Period 2 is 19 days).Absolute oral bioavailability of balovaptan after once daily doses of Dose A and Dose B for 14 days.
Maximum Plasma Concentration (Cmax) of IV BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Cmax of Oral BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Cmax of M2 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Cmax of M3 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Time to Maximum Observed Plasma Concentration (Tmax) of IV BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Tmax of Oral BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Tmax of M2 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Tmax of M3 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Apparent Terminal Half-Life (t1/2) of IV BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
T1/2 of Oral BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
T1/2 of M2 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
T1/2 of M3 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Measurable Plasma Concentration Time Point (AUC0-last) of IV BalovaptanDay 1 of Period 1 (Period 1 is 14 days)
AUC0-last of Oral BalovaptanDay 1 of Period 1 (Period 1 is 14 days)
AUC0-last of M2 MetabolitesDay 1 of Period 1 (Period 1 is 14 days)
AUC0-last of M3 MetabolitesDay 1 of Period 1 (Period 1 is 14 days)
Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of IV BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
AUC0-inf of Oral BalovaptanDay 1 of Period 1 (Period 1 is 14 days).
AUC0-inf of M2 MetabolitesDay 1 of Period 1 (Period 1 is 14 days).
AUC0-inf of M3 MetabolitesDay 1 of Period 1 (Period 1 is 14 days).
Area Under the Plasma Concentration-Time Curve Over the Dosing Interval at Steady State (AUC0-24) of IV BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
AUC0-24 of Oral BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
AUC0-24 of M2 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
AUC0-24 of M3 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Last Measurable Plasma Concentration (Clast) of IV BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Time of Last Measurable Plasma Concentration (Tlast) of IV BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Tlast of Oral BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Tlast of M2 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Tlast of M3 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Terminal Elimination Rate Constant (λz) of IV BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
λz of Oral BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Clast of Oral BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
λz of M3 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Total Body Clearance (CL) of IV BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Volume of Distribution (Vss) of IV BalovaptanDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).
Percentage of Participants With Treatment-Emergent Adverse EventsUp to 35 days from screening (sceening is up to 28 days prior to admission to the clinical research unit).
λz of M2 MetabolitesDay 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Countries

Netherlands

Participant flow

Recruitment details

The study was conducted at 1 site in the Netherlands.

Pre-assignment details

Participants in this study included healthy volunteers.

Participants by arm

ArmCount
Cohort 1
Participants received the study drug at dose level A in 2 periods. There was a minimum of a 14-day wash out period between Day 1 of Period 1 and Day 1 of Period 2.
8
Cohort 2
Participants received the study drug at dose level B in 2 periods. There was a minimum of a 14-day wash out period between Day 1 of Period 1 and Day 1 of Period 2.
8
Total16

Baseline characteristics

CharacteristicCohort 2TotalCohort 1
Age, Continuous33.5 Years
STANDARD_DEVIATION 13.24
37.4 Years
STANDARD_DEVIATION 14.85
41.4 Years
STANDARD_DEVIATION 16.18
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants2 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants14 Participants8 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
8 Participants14 Participants6 Participants
Sex: Female, Male
Female
2 Participants4 Participants2 Participants
Sex: Female, Male
Male
6 Participants12 Participants6 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 80 / 80 / 8
other
Total, other adverse events
4 / 86 / 85 / 87 / 8
serious
Total, serious adverse events
0 / 80 / 80 / 80 / 8

Outcome results

Primary

Absolute Bioavailability of Oral Balovaptan at Dose Level A (Cohort 1)

Absolute oral bioavailability of a single dose A of balovaptan.

Time frame: Day 1 of Period 1 (Period 1 is 14 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Absolute Bioavailability of Oral Balovaptan at Dose Level A (Cohort 1)100.6 PercentageGeometric Coefficient of Variation 31.4
Secondary

Absolute Bioavailability of Oral Balovaptan at Dose A and Dose B

Absolute oral bioavailability of balovaptan after once daily doses of Dose A and Dose B for 14 days.

Time frame: Day 14 of Period 2 (Period 2 is 19 days).

Population: PK analysis consisted of all receiving at least 1 dose balovaptan.Participants excluded from analysis, if significantly violated inclusion/exclusion criteria, deviated significantly from protocol, or if data unavailable/incomplete.There were 2 outliers;sensitivity analysis excluding those 2,resulted in similar bioavailability across all treatments.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Absolute Bioavailability of Oral Balovaptan at Dose A and Dose B82.3 PercentageGeometric Coefficient of Variation 72.4
Cohort 2Absolute Bioavailability of Oral Balovaptan at Dose A and Dose B103.1 PercentageGeometric Coefficient of Variation 4.1
Secondary

Absolute Bioavailability of Oral Balovaptan at Dose Level B (Cohort 2)

Absolute oral bioavailability of a single dose B balovaptan.

Time frame: Day 1 of Period 1 (Period 1 is 14 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Absolute Bioavailability of Oral Balovaptan at Dose Level B (Cohort 2)108.2 PercentageGeometric Coefficient of Variation 5.9
Secondary

Apparent Terminal Half-Life (t1/2) of IV Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Apparent Terminal Half-Life (t1/2) of IV BalovaptanDay 1 of Period 135.2 HourGeometric Coefficient of Variation 23.7
Cohort 1Apparent Terminal Half-Life (t1/2) of IV BalovaptanDay 14 of Period 227.7 HourGeometric Coefficient of Variation 18.3
Cohort 2Apparent Terminal Half-Life (t1/2) of IV BalovaptanDay 1 of Period 119.5 HourGeometric Coefficient of Variation 34
Cohort 2Apparent Terminal Half-Life (t1/2) of IV BalovaptanDay 14 of Period 215.7 HourGeometric Coefficient of Variation 28.2
Secondary

Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of IV Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of IV BalovaptanDay 1 of Period 18929 h*pg/mLGeometric Coefficient of Variation 34
Cohort 1Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of IV BalovaptanDay 14 of Period 215492 h*pg/mLGeometric Coefficient of Variation 71.5
Cohort 2Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of IV BalovaptanDay 1 of Period 19569 h*pg/mLGeometric Coefficient of Variation 19.8
Cohort 2Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of IV BalovaptanDay 14 of Period 210430 h*pg/mLGeometric Coefficient of Variation 27.9
Secondary

Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Measurable Plasma Concentration Time Point (AUC0-last) of IV Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days)

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Measurable Plasma Concentration Time Point (AUC0-last) of IV Balovaptan8087 h*pg/mLGeometric Coefficient of Variation 35.5
Cohort 2Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Measurable Plasma Concentration Time Point (AUC0-last) of IV Balovaptan9372 h*pg/mLGeometric Coefficient of Variation 19.3
Secondary

Area Under the Plasma Concentration-Time Curve Over the Dosing Interval at Steady State (AUC0-24) of IV Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Area Under the Plasma Concentration-Time Curve Over the Dosing Interval at Steady State (AUC0-24) of IV BalovaptanDay 1 of Period 14400 h*pg/mLGeometric Coefficient of Variation 42.8
Cohort 1Area Under the Plasma Concentration-Time Curve Over the Dosing Interval at Steady State (AUC0-24) of IV BalovaptanDay 14 of Period 29898 h*pg/mLGeometric Coefficient of Variation 89
Cohort 2Area Under the Plasma Concentration-Time Curve Over the Dosing Interval at Steady State (AUC0-24) of IV BalovaptanDay 1 of Period 16690 h*pg/mLGeometric Coefficient of Variation 13.9
Cohort 2Area Under the Plasma Concentration-Time Curve Over the Dosing Interval at Steady State (AUC0-24) of IV BalovaptanDay 14 of Period 27908 h*pg/mLGeometric Coefficient of Variation 19.4
Secondary

AUC0-24 of M2 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1AUC0-24 of M2 MetabolitesDay 1 of Period 154.7 h*ng/mLGeometric Coefficient of Variation 73.5
Cohort 1AUC0-24 of M2 MetabolitesDay 14 of Period 2404 h*ng/mLGeometric Coefficient of Variation 64.2
Cohort 2AUC0-24 of M2 MetabolitesDay 1 of Period 1427 h*ng/mLGeometric Coefficient of Variation 41.1
Cohort 2AUC0-24 of M2 MetabolitesDay 14 of Period 22087 h*ng/mLGeometric Coefficient of Variation 32.1
Secondary

AUC0-24 of M3 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1AUC0-24 of M3 MetabolitesDay 1 of Period 1106 h*ng/mLGeometric Coefficient of Variation 40.5
Cohort 1AUC0-24 of M3 MetabolitesDay 14 of Period 21102 h*ng/mLGeometric Coefficient of Variation 17.4
Cohort 2AUC0-24 of M3 MetabolitesDay 1 of Period 11188 h*ng/mLGeometric Coefficient of Variation 29.2
Cohort 2AUC0-24 of M3 MetabolitesDay 14 of Period 24727 h*ng/mLGeometric Coefficient of Variation 28.3
Secondary

AUC0-24 of Oral Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1AUC0-24 of Oral BalovaptanDay 1 of Period 1458 h*ng/mLGeometric Coefficient of Variation 22.3
Cohort 1AUC0-24 of Oral BalovaptanDay 14 of Period 21322 h*ng/mLGeometric Coefficient of Variation 19.3
Cohort 2AUC0-24 of Oral BalovaptanDay 1 of Period 13632 h*ng/mLGeometric Coefficient of Variation 15.6
Cohort 2AUC0-24 of Oral BalovaptanDay 14 of Period 25505 h*ng/mLGeometric Coefficient of Variation 30.7
Secondary

AUC0-inf of M2 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1AUC0-inf of M2 Metabolites520 h*ng/mLGeometric Coefficient of Variation 55.1
Cohort 2AUC0-inf of M2 Metabolites1819 h*ng/mLGeometric Coefficient of Variation 36.5
Secondary

AUC0-inf of M3 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1AUC0-inf of M3 Metabolites1122 h*ng/mLGeometric Coefficient of Variation 14.8
Cohort 2AUC0-inf of M3 Metabolites4221 h*ng/mLGeometric Coefficient of Variation 27.5
Secondary

AUC0-inf of Oral Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1AUC0-inf of Oral Balovaptan1008 h*ng/mLGeometric Coefficient of Variation 24.4
Cohort 2AUC0-inf of Oral Balovaptan5550 h*ng/mLGeometric Coefficient of Variation 23.9
Secondary

AUC0-last of M2 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days)

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1AUC0-last of M2 Metabolites297 h*ng/mLGeometric Coefficient of Variation 72
Cohort 2AUC0-last of M2 Metabolites1751 h*ng/mLGeometric Coefficient of Variation 37.5
Secondary

AUC0-last of M3 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days)

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1AUC0-last of M3 Metabolites754 h*ng/mLGeometric Coefficient of Variation 24.3
Cohort 2AUC0-last of M3 Metabolites3908 h*ng/mLGeometric Coefficient of Variation 24.5
Secondary

AUC0-last of Oral Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days)

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1AUC0-last of Oral Balovaptan937 h*ng/mLGeometric Coefficient of Variation 25.6
Cohort 2AUC0-last of Oral Balovaptan5497 h*ng/mLGeometric Coefficient of Variation 23.9
Secondary

Clast of M2 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Clast of M2 MetabolitesDay 1 of Period 11.24 ng/mLGeometric Coefficient of Variation 10.4
Cohort 1Clast of M2 MetabolitesDay 14 of Period 23.19 ng/mLGeometric Coefficient of Variation 51.2
Cohort 2Clast of M2 MetabolitesDay 1 of Period 11.25 ng/mLGeometric Coefficient of Variation 15.6
Cohort 2Clast of M2 MetabolitesDay 14 of Period 29.95 ng/mLGeometric Coefficient of Variation 58
Secondary

Clast of M3 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Clast of M3 MetabolitesDay 1 of Period 11.43 ng/mLGeometric Coefficient of Variation 24.4
Cohort 1Clast of M3 MetabolitesDay 14 of Period 211.9 ng/mLGeometric Coefficient of Variation 21.3
Cohort 2Clast of M3 MetabolitesDay 1 of Period 12.74 ng/mLGeometric Coefficient of Variation 55.8
Cohort 2Clast of M3 MetabolitesDay 14 of Period 217.6 ng/mLGeometric Coefficient of Variation 64
Secondary

Clast of Oral Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Clast of Oral BalovaptanDay 1 of Period 11.22 ng/mLGeometric Coefficient of Variation 13.4
Cohort 1Clast of Oral BalovaptanDay 14 of Period 23.51 ng/mLGeometric Coefficient of Variation 62.2
Cohort 2Clast of Oral BalovaptanDay 1 of Period 11.22 ng/mLGeometric Coefficient of Variation 10.6
Cohort 2Clast of Oral BalovaptanDay 14 of Period 23.40 ng/mLGeometric Coefficient of Variation 88.6
Secondary

Cmax of M2 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Cmax of M2 MetabolitesDay 1 of Period 13.87 ng/mLGeometric Coefficient of Variation 62.1
Cohort 1Cmax of M2 MetabolitesDay 14 of Period 220.3 ng/mLGeometric Coefficient of Variation 65.8
Cohort 2Cmax of M2 MetabolitesDay 1 of Period 123.6 ng/mLGeometric Coefficient of Variation 38.1
Cohort 2Cmax of M2 MetabolitesDay 14 of Period 2105 ng/mLGeometric Coefficient of Variation 29
Secondary

Cmax of M3 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Cmax of M3 MetabolitesDay 1 of Period 16.18 ng/mLGeometric Coefficient of Variation 28.6
Cohort 1Cmax of M3 MetabolitesDay 14 of Period 257.2 ng/mLGeometric Coefficient of Variation 18.8
Cohort 2Cmax of M3 MetabolitesDay 1 of Period 157.9 ng/mLGeometric Coefficient of Variation 30.3
Cohort 2Cmax of M3 MetabolitesDay 14 of Period 2260 ng/mLGeometric Coefficient of Variation 26.5
Secondary

Cmax of Oral Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Cmax of Oral BalovaptanDay 1 of Period 136.9 ng/mLGeometric Coefficient of Variation 36.8
Cohort 1Cmax of Oral BalovaptanDay 14 of Period 2108 ng/mLGeometric Coefficient of Variation 20.4
Cohort 2Cmax of Oral BalovaptanDay 1 of Period 1443 ng/mLGeometric Coefficient of Variation 15.2
Cohort 2Cmax of Oral BalovaptanDay 14 of Period 2643 ng/mLGeometric Coefficient of Variation 25
Secondary

Last Measurable Plasma Concentration (Clast) of IV Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Last Measurable Plasma Concentration (Clast) of IV BalovaptanDay 1 of Period 113.6 pg/mLGeometric Coefficient of Variation 49.7
Cohort 1Last Measurable Plasma Concentration (Clast) of IV BalovaptanDay 14 of Period 212.5 pg/mLGeometric Coefficient of Variation 45.5
Cohort 2Last Measurable Plasma Concentration (Clast) of IV BalovaptanDay 1 of Period 16.62 pg/mLGeometric Coefficient of Variation 29.8
Cohort 2Last Measurable Plasma Concentration (Clast) of IV BalovaptanDay 14 of Period 26.92 pg/mLGeometric Coefficient of Variation 22.6
Secondary

Maximum Plasma Concentration (Cmax) of IV Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Maximum Plasma Concentration (Cmax) of IV BalovaptanDay 1 of Period 1688 pg/mLGeometric Coefficient of Variation 30.5
Cohort 1Maximum Plasma Concentration (Cmax) of IV BalovaptanDay 14 of Period 21591 pg/mLGeometric Coefficient of Variation 115.8
Cohort 2Maximum Plasma Concentration (Cmax) of IV BalovaptanDay 1 of Period 11601 pg/mLGeometric Coefficient of Variation 28.2
Cohort 2Maximum Plasma Concentration (Cmax) of IV BalovaptanDay 14 of Period 21974 pg/mLGeometric Coefficient of Variation 37.9
Secondary

Percentage of Participants With Treatment-Emergent Adverse Events

Time frame: Up to 35 days from screening (sceening is up to 28 days prior to admission to the clinical research unit).

Population: The safety analysis population consisted of participants who received at least one dose of balovaptan.

ArmMeasureValue (NUMBER)
Cohort 1Percentage of Participants With Treatment-Emergent Adverse Events50 Percentage
Cohort 2Percentage of Participants With Treatment-Emergent Adverse Events75 Percentage
Cohort 2, Period 1Percentage of Participants With Treatment-Emergent Adverse Events63 Percentage
Cohort 2, Period 2Percentage of Participants With Treatment-Emergent Adverse Events88 Percentage
Secondary

T1/2 of M2 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1T1/2 of M2 MetabolitesDay 1 of Period 148.5 HourGeometric Coefficient of Variation 36.7
Cohort 1T1/2 of M2 MetabolitesDay 14 of Period 236.3 HourGeometric Coefficient of Variation 25
Cohort 2T1/2 of M2 MetabolitesDay 1 of Period 135.7 HourGeometric Coefficient of Variation 27.2
Cohort 2T1/2 of M2 MetabolitesDay 14 of Period 228.5 HourGeometric Coefficient of Variation 13.5
Secondary

T1/2 of M3 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1T1/2 of M3 MetabolitesDay 1 of Period 193.0 HourGeometric Coefficient of Variation 18.5
Cohort 1T1/2 of M3 MetabolitesDay 14 of Period 260.3 HourGeometric Coefficient of Variation 29.1
Cohort 2T1/2 of M3 MetabolitesDay 1 of Period 168.2 HourGeometric Coefficient of Variation 29.8
Cohort 2T1/2 of M3 MetabolitesDay 14 of Period 233.7 HourGeometric Coefficient of Variation 11.2
Secondary

T1/2 of Oral Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1T1/2 of Oral BalovaptanDay 1 of Period 138.8 HourGeometric Coefficient of Variation 25.9
Cohort 1T1/2 of Oral BalovaptanDay 14 of Period 231.2 HourGeometric Coefficient of Variation 15.6
Cohort 2T1/2 of Oral BalovaptanDay 1 of Period 129.1 HourGeometric Coefficient of Variation 28.7
Cohort 2T1/2 of Oral BalovaptanDay 14 of Period 222.7 HourGeometric Coefficient of Variation 15.7
Secondary

Terminal Elimination Rate Constant (λz) of IV Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Terminal Elimination Rate Constant (λz) of IV BalovaptanDay 1 of Period 10.0197 /hourGeometric Coefficient of Variation 23.7
Cohort 1Terminal Elimination Rate Constant (λz) of IV BalovaptanDay 14 of Period 20.0250 /hourGeometric Coefficient of Variation 18.3
Cohort 2Terminal Elimination Rate Constant (λz) of IV BalovaptanDay 1 of Period 10.0356 /hourGeometric Coefficient of Variation 34
Cohort 2Terminal Elimination Rate Constant (λz) of IV BalovaptanDay 14 of Period 20.0442 /hourGeometric Coefficient of Variation 28.2
Secondary

Time of Last Measurable Plasma Concentration (Tlast) of IV Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (MEDIAN)
Cohort 1Time of Last Measurable Plasma Concentration (Tlast) of IV BalovaptanDay 1 of Period 1106.75 Hour
Cohort 1Time of Last Measurable Plasma Concentration (Tlast) of IV BalovaptanDay 14 of Period 2106.75 Hour
Cohort 2Time of Last Measurable Plasma Concentration (Tlast) of IV BalovaptanDay 1 of Period 1100.75 Hour
Cohort 2Time of Last Measurable Plasma Concentration (Tlast) of IV BalovaptanDay 14 of Period 282.75 Hour
Secondary

Time to Maximum Observed Plasma Concentration (Tmax) of IV Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all partcipants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (MEDIAN)
Cohort 1Time to Maximum Observed Plasma Concentration (Tmax) of IV BalovaptanDay 1 of Period 10.25 Hour
Cohort 1Time to Maximum Observed Plasma Concentration (Tmax) of IV BalovaptanDay 14 of Period 20.25 Hour
Cohort 2Time to Maximum Observed Plasma Concentration (Tmax) of IV BalovaptanDay 1 of Period 10.25 Hour
Cohort 2Time to Maximum Observed Plasma Concentration (Tmax) of IV BalovaptanDay 14 of Period 20.25 Hour
Secondary

Tlast of M2 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (MEDIAN)
Cohort 1Tlast of M2 MetabolitesDay 1 of Period 1120.00 Hour
Cohort 1Tlast of M2 MetabolitesDay 14 of Period 1108.00 Hour
Cohort 2Tlast of M2 MetabolitesDay 1 of Period 1168.00 Hour
Cohort 2Tlast of M2 MetabolitesDay 14 of Period 1108.00 Hour
Secondary

Tlast of M3 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (MEDIAN)
Cohort 1Tlast of M3 MetabolitesDay 1 of Period 1216.00 Hour
Cohort 1Tlast of M3 MetabolitesDay 14 of Period 2108.00 Hour
Cohort 2Tlast of M3 MetabolitesDay 1 of Period 1216.00 Hour
Cohort 2Tlast of M3 MetabolitesDay 14 of Period 2108.00 Hour
Secondary

Tlast of Oral Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (MEDIAN)
Cohort 1Tlast of Oral BalovaptanDay 1 of Period 1132.00 Hour
Cohort 1Tlast of Oral BalovaptanDay 14 of Period 2108.00 Hour
Cohort 2Tlast of Oral BalovaptanDay 1 of Period 1156.00 Hour
Cohort 2Tlast of Oral BalovaptanDay 14 of Period 2108.00 Hour
Secondary

Tmax of M2 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (MEDIAN)
Cohort 1Tmax of M2 MetabolitesDay 1 of Period 124.0 Hour
Cohort 1Tmax of M2 MetabolitesDay 14 of Period 24.50 Hour
Cohort 2Tmax of M2 MetabolitesDay 1 of Period 124.0 Hour
Cohort 2Tmax of M2 MetabolitesDay 14 of Period 23.38 Hour
Secondary

Tmax of M3 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (MEDIAN)
Cohort 1Tmax of M3 MetabolitesDay 1 of Period 148.0 Hour
Cohort 1Tmax of M3 MetabolitesDay 14 of Period 22.13 Hour
Cohort 2Tmax of M3 MetabolitesDay 1 of Period 112.0 Hour
Cohort 2Tmax of M3 MetabolitesDay 14 of Period 21.88 Hour
Secondary

Tmax of Oral Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (MEDIAN)
Cohort 1Tmax of Oral BalovaptanDay 14 of Period 21.28 Hour
Cohort 1Tmax of Oral BalovaptanDay 1 of Period 11.23 Hour
Cohort 2Tmax of Oral BalovaptanDay 1 of Period 11.00 Hour
Cohort 2Tmax of Oral BalovaptanDay 14 of Period 21.11 Hour
Secondary

Total Body Clearance (CL) of IV Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Total Body Clearance (CL) of IV BalovaptanDay 1 of Period 19.98 L/hGeometric Coefficient of Variation 34.1
Cohort 1Total Body Clearance (CL) of IV BalovaptanDay 14 of Period 26.23 L/hGeometric Coefficient of Variation 71.4
Cohort 2Total Body Clearance (CL) of IV BalovaptanDay 1 of Period 19.75 L/hGeometric Coefficient of Variation 20.4
Cohort 2Total Body Clearance (CL) of IV BalovaptanDay 14 of Period 29.36 L/hGeometric Coefficient of Variation 27.1
Secondary

Volume of Distribution (Vss) of IV Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1Volume of Distribution (Vss) of IV BalovaptanDay 1 of Period 1396 LiterGeometric Coefficient of Variation 53.1
Cohort 1Volume of Distribution (Vss) of IV BalovaptanDay 14 of Period 2166 LiterGeometric Coefficient of Variation 95.4
Cohort 2Volume of Distribution (Vss) of IV BalovaptanDay 1 of Period 1197 LiterGeometric Coefficient of Variation 21.9
Cohort 2Volume of Distribution (Vss) of IV BalovaptanDay 14 of Period 2154 LiterGeometric Coefficient of Variation 15.3
Secondary

λz of M2 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1λz of M2 MetabolitesDay 1 of Period 10.0143 /hourGeometric Coefficient of Variation 36.7
Cohort 1λz of M2 MetabolitesDay 14 of Period 20.0191 /hourGeometric Coefficient of Variation 25
Cohort 2λz of M2 MetabolitesDay 1 of Period 10.0194 /hourGeometric Coefficient of Variation 27.2
Cohort 2λz of M2 MetabolitesDay 14 of Period 20.0244 /hourGeometric Coefficient of Variation 13.5
Secondary

λz of M3 Metabolites

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1λz of M3 MetabolitesDay 1 of Period 10.0075 /hourGeometric Coefficient of Variation 18.5
Cohort 1λz of M3 MetabolitesDay 14 of Period 20.0115 /hourGeometric Coefficient of Variation 29.1
Cohort 2λz of M3 MetabolitesDay 1 of Period 10.0102 /hourGeometric Coefficient of Variation 29.8
Cohort 2λz of M3 MetabolitesDay 14 of Period 20.0206 /hourGeometric Coefficient of Variation 11.2
Secondary

λz of Oral Balovaptan

Time frame: Day 1 of Period 1 (Period 1 is 14 days); Day 14 of Period 2 (Period 2 is 19 days).

Population: The Pharmacokinetic (PK) analysis population consisted of all participants who received at least one dose of balovaptan. Participants were excluded from the PK analysis population if they significantly violated the inclusion or exclusion criteria, deviated significantly from the protocol, or if data were unavailable or incomplete.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1λz of Oral BalovaptanDay 1 of Period 10.0179 /hGeometric Coefficient of Variation 25.9
Cohort 1λz of Oral BalovaptanDay 14 of Period 20.0222 /hGeometric Coefficient of Variation 15.6
Cohort 2λz of Oral BalovaptanDay 1 of Period 10.0239 /hGeometric Coefficient of Variation 28.7
Cohort 2λz of Oral BalovaptanDay 14 of Period 20.0306 /hGeometric Coefficient of Variation 15.7

Source: ClinicalTrials.gov · Data processed: Feb 15, 2026