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A Study to Investigate the Effect of Esomeprazole and the Effect of Food on the Pharmacokinetics of Balovaptan in Healthy Volunteers

A Single-Center, Part-Randomized, Open-Label, Single-Dose, Three-Period, Crossover Study to Investigate the Effect of Esomeprazole and The Effect of Food on the Pharmacokinetics of Balovaptan in Healthy Volunteers

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04156646
Enrollment
16
Registered
2019-11-07
Start date
2019-11-19
Completion date
2020-01-06
Last updated
2021-03-16

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

Conditions

Autism Spectrum Disorder

Brief summary

This study will investigate the effect of food and the effect of esomeprazole on the pharmacokinetics (PK) of a single dose of balovaptan in healthy volunteers.

Interventions

Balovaptan will be administered after a high-fat, high-calorie meal (Treatment A), after a 10-hour fast (Treatment B), and after a 10-hour fast with esomeprazole 40 mg (Treatment C)

DRUGEsomeprazole

Esomeprazole will be administered once daily for 6 days and with a single dose of balovaptan 1 hour after the fifth esomeprazole dose

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* No evidence of any active or chronic disease * Body mass index (BMI) between 18 and 32 kg/m2 inclusive, at screening * For women of childbearing potential: if engaging in heterosexual activity, agreement to use at least two adequate forms of contraception during the entire study and for 90 days following the last dose of study drug * For men: agreement to use contraceptive measures, and agreement to refrain from donating sperm

Exclusion criteria

* Pregnancy or lactation (positive serum pregnancy test at screening or at admission) * 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 * In the opinion of the Investigator, any major illness within 4 weeks prior to the screening examination or any febrile illness within 1 week prior to screening. * History of any clinically significant, as determined by the investigator, gastrointestinal, renal, hepatic, broncho-pulmonary, neurological, psychiatric, cardiovascular, endocrinological, hematological, lymphatic, musculoskeletal, genitourinary, immunological, dermatological, or connective tissue or allergic disease, metabolic disorder, or cancer * Signs and symptoms potentially indicative of peripheral neuropathy * History or evidence of any medical condition potentially altering the absorption, distribution, metabolism, or elimination of drugs * A history of clinically significant in the opinion of the Investigator hypersensitivity * History or presence of clinically significant ECG abnormalities before study drug administration * Clinically significant abnormalities in laboratory test results * History of coagulopathies, bleeding disorders, or blood dyscrasias * Current suicidal risk, in the opinion of the Investigator * Unexplained syncope during the 6 months prior to screening or with presyncopal and/or syncopal symptoms during orthostatic challenge testing * Current smoker or user of tobacco or nicotine-containing products or subjects who have smoked or used tobacco or nicotine-containing products within 3 months prior to first study drug administration * Suspicion of or presence of a clinically relevant history of or current alcohol and/or other substance abuse or addiction. * Alcohol consumption of \>14 units per week for males and females * Positive urine alcohol test or urine drug screen at screening or Day -1 of any treatment period * Hormone replacement therapy if postmenopausal status cannot be ascertained from medical history or FSH levels * Clinically relevant deviation from normal in the physical examination including vital signs, as determined by the investigator * Positive result for HIV 1, HIV 2, hepatitis C virus antibody, or hepatitis B core (HBc) antibody. * Participation in an investigational drug or device study within 4 weeks or 5 times the elimination half-life, whichever is longer, prior to first dosing, or within 5 months prior to first administration of study drug in case of a study with a biological, as calculated from the day of Follow-up visit from the previous study * Donation of blood or plasma or significant blood loss within 3 months prior to screening * Dietary restrictions that would prohibit the consumption of standardized meals or the highfat, high-calorie meal planned for this study * Use of any prohibited medications or food before study start or subjects who do not agree to refrain from consuming prohibited medications or food during the study * Conditions requiring concomitant medication during the study (including for dental conditions). * Any prescribed systemic or topical medication within 4 weeks (or within 5 times the elimination half-life of the medication, whichever is longer) of the first administration of study drug * Used any nonprescribed systemic or topical medication or herbal remedies within 7 days before the first study drug administration * Received any medications known to chronically alter drug absorption or elimination processes within 4 weeks before the first administration of study drug * Use of any drugs or substances, including herbal treatments such as St John's wort, that are known to be substrates, inducers, or inhibitors of CYP3A4 within 4 weeks before the first administration of study drug * Use of any drugs or substances, including herbal treatments, such as fluoxetine, fluvoxamine, aspirin, norethisterone, rifampicin, etc that are known to be substrates, inducers, or inhibitors of CYP2C19 within 4 weeks before the first administration of study drug * Subjects under judicial supervision, guardianship, or curatorship * Poor venous access for blood sampling * Participants who are intolerant to sucrose * Previous exposure to balovaptan

Design outcomes

Primary

MeasureTime frameDescription
Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of BalovaptanSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post doseArea under the plasma concentration-time curve of Balovaptan from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.
Maximum Plasma Concentration (Cmax) of BalovaptanSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseMaximum plasma concentration of Balovaptan is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units
Mean Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of BalovaptanSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseArea under the plasma concentration-time curve (time 0 to infinity) of Balovaptan is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.
Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of BalovaptanSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseArea under the concentration-time curve (time 0 to time of last quantifiable concentration) of Balovaptan is estimated using non-compartmental methods from the concentration-time profiles.
Time to Reach Cmax in Plasma (Tmax) of BalovaptanSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseTime to maximum plasma concentration of Balovaptan is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.
Last Quantifiable Concentration (Clast) of BalovaptanSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseLast quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.
Time To the Last Quantifiable Concentration (Tlast) of BalovaptanSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseTime to last quantifiable concentration is based on last detectable concentration in the time curve.
Time Between Dosing and Time of First Balovaptan Plasma Concentration (Tlag)Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseTime between dosing and time of first balovaptan plasma concentration is estimated using non-compartmental methods from the concentration-time profiles.
Apparent Clearance (Cl/F) of BalovaptanSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseApparent clearance is estimated using non-compartmental methods from the concentration-time profiles.
Apparent Volume of Distribution (Vd/F) of BalovaptanSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseApparent volume of distribution is estimated using non-compartmental methods from the concentration-time profiles.
Terminal Elimination Phase Half-Life (T1/2) of BalovaptanSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseTerminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Terminal Phase Rate Constant (λz) of BalovaptanSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseTerminal phase rate constant is estimated using non-compartmental methods from the concentration-time profiles.
Plasma Concentrations of BalovaptanSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseAmount of Balovaptan in a given volume of plasma.

Secondary

MeasureTime frameDescription
Time to Reach Cmax in Plasma (Tmax) of EsomeprazoleSamples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post doseTime to maximum plasma concentration of Esomeprazole is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.
Last Quantifiable Concentration (Clast) of M2 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseLast quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.
Last Quantifiable Concentration (Clast) of M3 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseLast quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.
Last Quantifiable Concentration (Clast) of EsomeprazoleSamples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post doseLast quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.
Time To the Last Quantifiable Concentration (Tlast) of M2 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseTime to last quantifiable concentration is based on last detectable concentration in the time curve.
Time To the Last Quantifiable Concentration (Tlast) of M3 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseTime to last quantifiable concentration is based on last detectable concentration in the time curve.
Time To the Last Quantifiable Concentration (Tlast) of EsomeprazoleSamples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post doseTime to last quantifiable concentration is based on last detectable concentration in the time curve.
Terminal Elimination Phase Half-Life (T1/2) of M2 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseTerminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Terminal Elimination Phase Half-Life (T1/2) of M3 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseTerminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Terminal Elimination Phase Half-Life (T1/2) of EsomeprazoleSamples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post doseTerminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Percentage of Patricipants With Adverse Events (AEs)Randomization to end of study (up to approximately 7 weeks)
Terminal Phase Rate Constant (λz) of M2 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseTerminal phase rate constant is estimated using non-compartmental methods from the concentration-time profiles.
Terminal Phase Rate Constant (λz) of M3 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseTerminal phase rate constant is estimated using non-compartmental methods from the concentration-time profiles.
Maximum Plasma Concentration (Cmax) of M2 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseMaximum plasma concentration of M2 Metabolite is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units
Plasma Concentrations of M2 AnalyteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseAmount of M2 Analyte in a given volume of plasma.
Plasma Concentrations of M3 AnalyteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseAmount of M3 Analyte in a given volume of plasma.
Plasma Concentrations of EsomeprazoleSamples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post doseAmount of Esomeprazole in a given volume of plasma.
Terminal Phase Rate Constant (λz) of EsomeprazoleSamples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post doseTerminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Maximum Plasma Concentration (Cmax) of M3 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseMaximum plasma concentration of M3 Metabolite is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units
Maximum Plasma Concentration (Cmax) of EsomeprazoleSamples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post doseMaximum plasma concentration of Esomeprazole is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units
Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M2 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseArea under the plasma concentration-time curve (time 0 to infinity) of M2 Metabolite is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.
Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of EsomeprazoleSamples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post doseArea under the plasma concentration-time curve (time 0 to infinity) of Esomeprazole is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.
Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M3 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseArea under the plasma concentration-time curve (time 0 to infinity) of M3 Metabolite is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.
Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M2 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post doseArea under the plasma concentration-time curve of M2 Metabolite from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.
Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M3 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post doseArea under the plasma concentration-time curve of M3 Metabolite from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.
Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M2 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseArea under the concentration-time curve (time 0 to time of last quantifiable concentration) of M2 Metabolite is estimated using non-compartmental methods from the concentration-time profiles.
Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M3 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseArea under the concentration-time curve (time 0 to time of last quantifiable concentration) of M3 Metabolite is estimated using non-compartmental methods from the concentration-time profiles.
Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of EsomeprazoleSamples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post doseArea under the concentration-time curve (time 0 to time of last quantifiable concentration) of Esomeprazole is estimated using non-compartmental methods from the concentration-time profiles.
Time to Reach Cmax in Plasma (Tmax) of M2 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseTime to maximum plasma concentration of M2 Metabolite is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.
Time to Reach Cmax in Plasma (Tmax) of M3 MetaboliteSamples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post doseTime to maximum plasma concentration of M3 Metabolite is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.

Countries

United States

Participant flow

Recruitment details

Screening was conducted between Day -28 and Day -2.

Participants by arm

ArmCount
Treatment Sequence ABC
Participants were randomized to ABC sequence on Day 1 of Period 1 with the treatments being as follows: * Treatment A: 20 mg balovaptan administered as a single oral dose following consumption of high-fat, high-calorie meal * Treatment B: 20 mg balovaptan administered as a single oral dose after a ≥10-hour fast * Treatment C: 40 mg esomeprazole administered once daily (QD) for 6 days and with a single dose of balovaptan 20 mg in the fasted state 1 hour after the fifth esomeprazole dose
8
Treatment Sequence BAC
Participants were randomized to BAC sequence on Day 1 of Period 1 with the treatments being as follows: * Treatment B: 20 mg balovaptan administered as a single oral dose after a ≥10-hour fast * Treatment A: 20 mg balovaptan administered as a single oral dose following consumption of high-fat, high-calorie meal * Treatment C: 40 mg esomeprazole administered once daily (QD) for 6 days and with a single dose of balovaptan 20 mg in the fasted state 1 hour after the fifth esomeprazole dose
8
Total16

Withdrawals & dropouts

PeriodReasonFG000FG001
Treatment Period 3 (6 Days)Withdrawal by Subject01

Baseline characteristics

CharacteristicTreatment Sequence ABCTreatment Sequence BACTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
8 Participants8 Participants16 Participants
Age, Continuous39.3 Years
STANDARD_DEVIATION 11.96
47.1 Years
STANDARD_DEVIATION 13.26
43.2 Years
STANDARD_DEVIATION 12.9
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants1 Participants2 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants7 Participants14 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 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
3 Participants4 Participants7 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants1 Participants
Race (NIH/OMB)
White
5 Participants3 Participants8 Participants
Sex: Female, Male
Female
4 Participants1 Participants5 Participants
Sex: Female, Male
Male
4 Participants7 Participants11 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 160 / 160 / 16
other
Total, other adverse events
1 / 161 / 161 / 16
serious
Total, serious adverse events
0 / 160 / 160 / 16

Outcome results

Primary

Apparent Clearance (Cl/F) of Balovaptan

Apparent clearance is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedApparent Clearance (Cl/F) of Balovaptan11.51 L/hGeometric Coefficient of Variation 35.7
Balovaptan 20 mg FastedApparent Clearance (Cl/F) of Balovaptan11.73 L/hGeometric Coefficient of Variation 36.3
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedApparent Clearance (Cl/F) of Balovaptan11.26 L/hGeometric Coefficient of Variation 32.2
Primary

Apparent Volume of Distribution (Vd/F) of Balovaptan

Apparent volume of distribution is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedApparent Volume of Distribution (Vd/F) of Balovaptan422.7 LGeometric Coefficient of Variation 28.7
Balovaptan 20 mg FastedApparent Volume of Distribution (Vd/F) of Balovaptan422.5 LGeometric Coefficient of Variation 33.4
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedApparent Volume of Distribution (Vd/F) of Balovaptan429.4 LGeometric Coefficient of Variation 18.5
Primary

Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of Balovaptan

Area under the plasma concentration-time curve of Balovaptan from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedArea Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of Balovaptan935.2 h*ng/mLGeometric Coefficient of Variation 31.7
Balovaptan 20 mg FastedArea Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of Balovaptan945.2 h*ng/mLGeometric Coefficient of Variation 30.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedArea Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of Balovaptan965.0 h*ng/mLGeometric Coefficient of Variation 30.7
Primary

Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Balovaptan

Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of Balovaptan is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedArea Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Balovaptan1671.0 h*ng/mLGeometric Coefficient of Variation 50.2
Balovaptan 20 mg FastedArea Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Balovaptan1636.1 h*ng/mLGeometric Coefficient of Variation 53.3
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedArea Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Balovaptan1650.9 h*ng/mLGeometric Coefficient of Variation 48.3
Primary

Last Quantifiable Concentration (Clast) of Balovaptan

Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedLast Quantifiable Concentration (Clast) of Balovaptan1.693 ng/mLGeometric Coefficient of Variation 45.2
Balovaptan 20 mg FastedLast Quantifiable Concentration (Clast) of Balovaptan1.745 ng/mLGeometric Coefficient of Variation 57.3
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedLast Quantifiable Concentration (Clast) of Balovaptan2.253 ng/mLGeometric Coefficient of Variation 142.8
Primary

Maximum Plasma Concentration (Cmax) of Balovaptan

Maximum plasma concentration of Balovaptan is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedMaximum Plasma Concentration (Cmax) of Balovaptan74.83 ng/mLGeometric Coefficient of Variation 42.6
Balovaptan 20 mg FastedMaximum Plasma Concentration (Cmax) of Balovaptan97.44 ng/mLGeometric Coefficient of Variation 44.6
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedMaximum Plasma Concentration (Cmax) of Balovaptan79.67 ng/mLGeometric Coefficient of Variation 38.3
Primary

Mean Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of Balovaptan

Area under the plasma concentration-time curve (time 0 to infinity) of Balovaptan is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Population: For one participant with Balovaptan 20 mg Fasted+ Esomeprazole 40 mg Fasted, AUC(0-inf)%extrap was \> 20%, so AUC(0-inf) and T1/2 were not included in summary statistics.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedMean Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of Balovaptan1736.7 h*ng/mLGeometric Coefficient of Variation 51.3
Balovaptan 20 mg FastedMean Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of Balovaptan1705.7 h*ng/mLGeometric Coefficient of Variation 55.9
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedMean Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of Balovaptan1820.0 h*ng/mLGeometric Coefficient of Variation 46.9
Primary

Plasma Concentrations of Balovaptan

Amount of Balovaptan in a given volume of plasma.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Population: Number of analyzed participants reflects number of participants whose samples were available at given timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan24 Hrs Postdose25.43 ng/mLGeometric Coefficient of Variation 42.7
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan4 Hrs Postdose51.84 ng/mLGeometric Coefficient of Variation 50.2
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan8 Hrs Postdose51.07 ng/mLGeometric Coefficient of Variation 30.7
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan5 Hrs Postdose60.59 ng/mLGeometric Coefficient of Variation 36.5
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan36 Hrs Postdose14.94 ng/mLGeometric Coefficient of Variation 57.1
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan6 Hrs Postdose56.91 ng/mLGeometric Coefficient of Variation 34.6
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan96 Hrs Postdose2.68 ng/mLGeometric Coefficient of Variation 112
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan48 Hrs Postdose9.75 ng/mLGeometric Coefficient of Variation 70.5
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan72 Hrs Postdose4.47 ng/mLGeometric Coefficient of Variation 90.2
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan144 Hrs Postdose2.38 ng/mLGeometric Coefficient of Variation 186.5
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan192 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan12 Hrs Postdose39.18 ng/mLGeometric Coefficient of Variation 27.4
Balovaptan 20 mg FedPlasma Concentrations of BalovaptanPredoseNA ng/mL
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan0.25 Hrs Postdose3.90 ng/mLGeometric Coefficient of Variation 246.8
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan1.5 Hrs Postdose20.08 ng/mLGeometric Coefficient of Variation 88.2
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan0.5 Hrs Postdose8.89 ng/mLGeometric Coefficient of Variation 235.7
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan16 Hrs Postdose33.17 ng/mLGeometric Coefficient of Variation 38.5
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan1 Hrs Postdose17.76 ng/mLGeometric Coefficient of Variation 113
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan2.5 Hrs Postdose32.90 ng/mLGeometric Coefficient of Variation 73
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan2 Hrs Postdose27.47 ng/mLGeometric Coefficient of Variation 77
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan3 Hrs Postdose41.92 ng/mLGeometric Coefficient of Variation 73.6
Balovaptan 20 mg FedPlasma Concentrations of Balovaptan3.5 Hrs Postdose45.68 ng/mLGeometric Coefficient of Variation 60.4
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan0.5 Hrs Postdose21.26 ng/mLGeometric Coefficient of Variation 117.5
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan3.5 Hrs Postdose60.63 ng/mLGeometric Coefficient of Variation 31.2
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan24 Hrs Postdose22.95 ng/mLGeometric Coefficient of Variation 43.6
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan192 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan4 Hrs Postdose59.58 ng/mLGeometric Coefficient of Variation 27.9
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan3 Hrs Postdose63.60 ng/mLGeometric Coefficient of Variation 29.7
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan2.5 Hrs Postdose66.40 ng/mLGeometric Coefficient of Variation 33.4
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan5 Hrs Postdose59.56 ng/mLGeometric Coefficient of Variation 27.4
Balovaptan 20 mg FastedPlasma Concentrations of BalovaptanPredoseNA ng/mL
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan12 Hrs Postdose34.74 ng/mLGeometric Coefficient of Variation 32.9
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan6 Hrs Postdose49.69 ng/mLGeometric Coefficient of Variation 28.3
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan8 Hrs Postdose44.58 ng/mLGeometric Coefficient of Variation 30
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan36 Hrs Postdose13.92 ng/mLGeometric Coefficient of Variation 55.4
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan1 Hrs Postdose63.58 ng/mLGeometric Coefficient of Variation 60.9
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan0.25 Hrs Postdose2.46 ng/mLGeometric Coefficient of Variation 136
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan48 Hrs Postdose10.70 ng/mLGeometric Coefficient of Variation 7.376
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan144 Hrs Postdose2.45 ng/mLGeometric Coefficient of Variation 204.4
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan2 Hrs Postdose70.75 ng/mLGeometric Coefficient of Variation 32.9
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan72 Hrs Postdose4.28 ng/mLGeometric Coefficient of Variation 97.8
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan96 Hrs Postdose2.86 ng/mLGeometric Coefficient of Variation 125
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan1.5 Hrs Postdose66.54 ng/mLGeometric Coefficient of Variation 47.4
Balovaptan 20 mg FastedPlasma Concentrations of Balovaptan16 Hrs Postdose28.88 ng/mLGeometric Coefficient of Variation 37.5
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan36 Hrs Postdose15.13 ng/mLGeometric Coefficient of Variation 50.1
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan1.5 Hrs Postdose49.82 ng/mLGeometric Coefficient of Variation 52.7
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan8 Hrs Postdose48.05 ng/mLGeometric Coefficient of Variation 30.5
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan12 Hrs Postdose35.91 ng/mLGeometric Coefficient of Variation 31.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan16 Hrs Postdose30.85 ng/mLGeometric Coefficient of Variation 37.1
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan24 Hrs Postdose25.95 ng/mLGeometric Coefficient of Variation 37.2
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan72 Hrs Postdose5.04 ng/mLGeometric Coefficient of Variation 64
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan144 Hrs Postdose2.57 ng/mLGeometric Coefficient of Variation 198.5
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan192 Hrs PostdoseNA ng/mL
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of BalovaptanPredoseNA ng/mL
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan0.25 Hrs PostdoseNA ng/mL
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan0.5 Hrs Postdose8.40 ng/mLGeometric Coefficient of Variation 129.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan2 Hrs Postdose62.24 ng/mLGeometric Coefficient of Variation 37
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan2.5 Hrs Postdose63.44 ng/mLGeometric Coefficient of Variation 32.1
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan3 Hrs Postdose66.26 ng/mLGeometric Coefficient of Variation 29.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan3.5 Hrs Postdose64.70 ng/mLGeometric Coefficient of Variation 34.5
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan4 Hrs Postdose63.95 ng/mLGeometric Coefficient of Variation 31.5
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan5 Hrs Postdose61.45 ng/mLGeometric Coefficient of Variation 35.4
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan6 Hrs Postdose54.51 ng/mLGeometric Coefficient of Variation 31.1
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan1 Hrs Postdose44.78 ng/mLGeometric Coefficient of Variation 70.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan48 Hrs Postdose12.15 ng/mLGeometric Coefficient of Variation 6.794
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of Balovaptan96 Hrs Postdose2.98 ng/mLGeometric Coefficient of Variation 91.4
Primary

Terminal Elimination Phase Half-Life (T1/2) of Balovaptan

Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Population: For one participant with Balovaptan 20 mg Fasted+ Esomeprazole 40 mg Fasted, AUC(0-inf)%extrap was \> 20%, so AUC(0-inf) and T1/2 were not included in summary statistics.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedTerminal Elimination Phase Half-Life (T1/2) of Balovaptan25.44 hGeometric Coefficient of Variation 40
Balovaptan 20 mg FastedTerminal Elimination Phase Half-Life (T1/2) of Balovaptan24.98 hGeometric Coefficient of Variation 47
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedTerminal Elimination Phase Half-Life (T1/2) of Balovaptan27.26 hGeometric Coefficient of Variation 40.9
Primary

Terminal Phase Rate Constant (λz) of Balovaptan

Terminal phase rate constant is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedTerminal Phase Rate Constant (λz) of Balovaptan0.0272 /hGeometric Coefficient of Variation 33.3
Balovaptan 20 mg FastedTerminal Phase Rate Constant (λz) of Balovaptan0.0278 /hGeometric Coefficient of Variation 37.5
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedTerminal Phase Rate Constant (λz) of Balovaptan0.0263 /hGeometric Coefficient of Variation 30.3
Primary

Time Between Dosing and Time of First Balovaptan Plasma Concentration (Tlag)

Time between dosing and time of first balovaptan plasma concentration is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (MEDIAN)
Balovaptan 20 mg FedTime Between Dosing and Time of First Balovaptan Plasma Concentration (Tlag)0.2500 h
Balovaptan 20 mg FastedTime Between Dosing and Time of First Balovaptan Plasma Concentration (Tlag)0.2500 h
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedTime Between Dosing and Time of First Balovaptan Plasma Concentration (Tlag)0.2500 h
Primary

Time to Reach Cmax in Plasma (Tmax) of Balovaptan

Time to maximum plasma concentration of Balovaptan is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (MEDIAN)
Balovaptan 20 mg FedTime to Reach Cmax in Plasma (Tmax) of Balovaptan4.50 h
Balovaptan 20 mg FastedTime to Reach Cmax in Plasma (Tmax) of Balovaptan1.00 h
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedTime to Reach Cmax in Plasma (Tmax) of Balovaptan1.75 h
Primary

Time To the Last Quantifiable Concentration (Tlast) of Balovaptan

Time to last quantifiable concentration is based on last detectable concentration in the time curve.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedTime To the Last Quantifiable Concentration (Tlast) of Balovaptan115.86 hGeometric Coefficient of Variation 33.4
Balovaptan 20 mg FastedTime To the Last Quantifiable Concentration (Tlast) of Balovaptan113.79 hGeometric Coefficient of Variation 35
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedTime To the Last Quantifiable Concentration (Tlast) of Balovaptan103.58 hGeometric Coefficient of Variation 41
Secondary

Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M2 Metabolite

Area under the plasma concentration-time curve of M2 Metabolite from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedArea Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M2 Metabolite150.6 h*ng/mLGeometric Coefficient of Variation 38.3
Balovaptan 20 mg FastedArea Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M2 Metabolite180.1 h*ng/mLGeometric Coefficient of Variation 39.5
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedArea Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M2 Metabolite182.2 h*ng/mLGeometric Coefficient of Variation 35.9
Secondary

Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M3 Metabolite

Area under the plasma concentration-time curve of M3 Metabolite from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedArea Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M3 Metabolite269.8 h*ng/mLGeometric Coefficient of Variation 40.9
Balovaptan 20 mg FastedArea Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M3 Metabolite325.1 h*ng/mLGeometric Coefficient of Variation 42
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedArea Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M3 Metabolite325.5 h*ng/mLGeometric Coefficient of Variation 34.1
Secondary

Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Esomeprazole

Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of Esomeprazole is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedArea Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Esomeprazole4014.9 h*ng/mLGeometric Coefficient of Variation 42.9
Secondary

Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M2 Metabolite

Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of M2 Metabolite is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedArea Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M2 Metabolite897.6 h*ng/mLGeometric Coefficient of Variation 27.2
Balovaptan 20 mg FastedArea Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M2 Metabolite869.4 h*ng/mLGeometric Coefficient of Variation 26.9
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedArea Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M2 Metabolite873.9 h*ng/mLGeometric Coefficient of Variation 32.8
Secondary

Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M3 Metabolite

Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of M3 Metabolite is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedArea Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M3 Metabolite1389.6 h*ng/mLGeometric Coefficient of Variation 23.9
Balovaptan 20 mg FastedArea Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M3 Metabolite1462.8 h*ng/mLGeometric Coefficient of Variation 29.3
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedArea Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M3 Metabolite1384.3 h*ng/mLGeometric Coefficient of Variation 35.6
Secondary

Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of Esomeprazole

Area under the plasma concentration-time curve (time 0 to infinity) of Esomeprazole is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.

Time frame: Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose

Population: 3 participants were excluded from the analysis due to missing data. For one of those the value was excluded due to AUC(0-inf)%extrap \> 20%.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedArea Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of Esomeprazole4570.1 h*ng/mLGeometric Coefficient of Variation 48.7
Secondary

Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M2 Metabolite

Area under the plasma concentration-time curve (time 0 to infinity) of M2 Metabolite is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Population: For one participant (Balovaptan 20 mg Fasted, Balovaptan 20 mg Fasted + Esomeprazole) AUC(0-inf)%extrap was \> 20%, so AUC(0-inf) was not included in summary statistics. For one participant in Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fastedthere was no terminal phase, so AUC(0-inf) could not be calculated. One participant was discontinued in Period 3 with Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted after withdrawal of consent.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedArea Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M2 Metabolite987.3 h*ng/mLGeometric Coefficient of Variation 27.5
Balovaptan 20 mg FastedArea Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M2 Metabolite998.5 h*ng/mLGeometric Coefficient of Variation 22.7
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedArea Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M2 Metabolite1087.7 h*ng/mLGeometric Coefficient of Variation 21.9
Secondary

Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M3 Metabolite

Area under the plasma concentration-time curve (time 0 to infinity) of M3 Metabolite is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Population: Balovaptan 20 mg Fed: 3 participants were exluded from the analysis due to AUC(0-inf)%extrap \> 20% Balovaptan 20 mg Fasted: 3 participants were exluded from the analysis due to AUC(0-inf)%extrap \> 20% Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted: 4 participants were exluded from the analysis due to AUC(0-inf)%extrap \> 20%. One additional participant was discontinued in Period 3 with Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted after withdrawal of consent.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedArea Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M3 Metabolite1552.9 h*ng/mLGeometric Coefficient of Variation 26.2
Balovaptan 20 mg FastedArea Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M3 Metabolite1590.0 h*ng/mLGeometric Coefficient of Variation 26.9
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedArea Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M3 Metabolite1723.2 h*ng/mLGeometric Coefficient of Variation 26.5
Secondary

Last Quantifiable Concentration (Clast) of Esomeprazole

Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedLast Quantifiable Concentration (Clast) of Esomeprazole133.3 ng/mLGeometric Coefficient of Variation 78.8
Secondary

Last Quantifiable Concentration (Clast) of M2 Metabolite

Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedLast Quantifiable Concentration (Clast) of M2 Metabolite1.515 ng/mLGeometric Coefficient of Variation 30
Balovaptan 20 mg FastedLast Quantifiable Concentration (Clast) of M2 Metabolite1.739 ng/mLGeometric Coefficient of Variation 29.4
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedLast Quantifiable Concentration (Clast) of M2 Metabolite1.682 ng/mLGeometric Coefficient of Variation 82.8
Secondary

Last Quantifiable Concentration (Clast) of M3 Metabolite

Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedLast Quantifiable Concentration (Clast) of M3 Metabolite2.211 ng/mLGeometric Coefficient of Variation 46.2
Balovaptan 20 mg FastedLast Quantifiable Concentration (Clast) of M3 Metabolite2.279 ng/mLGeometric Coefficient of Variation 55.4
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedLast Quantifiable Concentration (Clast) of M3 Metabolite2.837 ng/mLGeometric Coefficient of Variation 82.1
Secondary

Maximum Plasma Concentration (Cmax) of Esomeprazole

Maximum plasma concentration of Esomeprazole is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units

Time frame: Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedMaximum Plasma Concentration (Cmax) of Esomeprazole1255.2 ng/mLGeometric Coefficient of Variation 36.9
Secondary

Maximum Plasma Concentration (Cmax) of M2 Metabolite

Maximum plasma concentration of M2 Metabolite is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedMaximum Plasma Concentration (Cmax) of M2 Metabolite11.27 ng/mLGeometric Coefficient of Variation 27
Balovaptan 20 mg FastedMaximum Plasma Concentration (Cmax) of M2 Metabolite11.44 ng/mLGeometric Coefficient of Variation 30.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedMaximum Plasma Concentration (Cmax) of M2 Metabolite11.68 ng/mLGeometric Coefficient of Variation 30.1
Secondary

Maximum Plasma Concentration (Cmax) of M3 Metabolite

Maximum plasma concentration of M3 Metabolite is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedMaximum Plasma Concentration (Cmax) of M3 Metabolite15.96 ng/mLGeometric Coefficient of Variation 37
Balovaptan 20 mg FastedMaximum Plasma Concentration (Cmax) of M3 Metabolite16.91 ng/mLGeometric Coefficient of Variation 40.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedMaximum Plasma Concentration (Cmax) of M3 Metabolite16.85 ng/mLGeometric Coefficient of Variation 32.3
Secondary

Percentage of Patricipants With Adverse Events (AEs)

Time frame: Randomization to end of study (up to approximately 7 weeks)

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Balovaptan 20 mg FedPercentage of Patricipants With Adverse Events (AEs)1 Participants
Balovaptan 20 mg FastedPercentage of Patricipants With Adverse Events (AEs)1 Participants
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPercentage of Patricipants With Adverse Events (AEs)1 Participants
Secondary

Plasma Concentrations of Esomeprazole

Amount of Esomeprazole in a given volume of plasma.

Time frame: Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose

Population: Number of analyzed participants reflects number of participants whose samples were available at given timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedPlasma Concentrations of EsomeprazolePredoseNA ng/mL
Balovaptan 20 mg FedPlasma Concentrations of Esomeprazole0.25 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FedPlasma Concentrations of Esomeprazole0.5 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FedPlasma Concentrations of Esomeprazole1 Hrs Postdose171.8 ng/mLGeometric Coefficient of Variation 171.5
Balovaptan 20 mg FedPlasma Concentrations of Esomeprazole1.5 Hrs Postdose242.6 ng/mLGeometric Coefficient of Variation 102.8
Balovaptan 20 mg FedPlasma Concentrations of Esomeprazole2 Hrs Postdose697.1 ng/mLGeometric Coefficient of Variation 66.2
Balovaptan 20 mg FedPlasma Concentrations of Esomeprazole3 Hrs Postdose984.4 ng/mLGeometric Coefficient of Variation 36.1
Balovaptan 20 mg FedPlasma Concentrations of Esomeprazole4 Hrs Postdose770.7 ng/mLGeometric Coefficient of Variation 34.7
Balovaptan 20 mg FedPlasma Concentrations of Esomeprazole6 Hrs Postdose336.6 ng/mLGeometric Coefficient of Variation 59.8
Balovaptan 20 mg FedPlasma Concentrations of Esomeprazole8 Hrs Postdose133.3 ng/mLGeometric Coefficient of Variation 78.8
Secondary

Plasma Concentrations of M2 Analyte

Amount of M2 Analyte in a given volume of plasma.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Population: Number of analyzed participants reflects number of participants whose samples were available at given timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte12 Hrs Postdose6.921 ng/mLGeometric Coefficient of Variation 40.4
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte2.5 Hrs Postdose2.236 ng/mLGeometric Coefficient of Variation 83.3
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte36 Hrs Postdose10.509 ng/mLGeometric Coefficient of Variation 29.6
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte8 Hrs Postdose5.223 ng/mLGeometric Coefficient of Variation 48.9
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte3 Hrs Postdose2.714 ng/mLGeometric Coefficient of Variation 80
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte72 Hrs Postdose6.576 ng/mLGeometric Coefficient of Variation 30.7
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte6 Hrs Postdose4.158 ng/mLGeometric Coefficient of Variation 50.9
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte3.5 Hrs Postdose2.780 ng/mLGeometric Coefficient of Variation 75.7
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte0.5 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte5 Hrs Postdose3.756 ng/mLGeometric Coefficient of Variation 60.5
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte4 Hrs Postdose3.208 ng/mLGeometric Coefficient of Variation 65.5
Balovaptan 20 mg FedPlasma Concentrations of M2 AnalytePredoseNA ng/mL
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte192 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte48 Hrs Postdose9.383 ng/mLGeometric Coefficient of Variation 28.2
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte1 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte144 Hrs Postdose2.033 ng/mLGeometric Coefficient of Variation 64.7
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte24 Hrs Postdose10.123 ng/mLGeometric Coefficient of Variation 29.4
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte1.5 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte96 Hrs Postdose4.050 ng/mLGeometric Coefficient of Variation 41.6
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte16 Hrs Postdose8.384 ng/mLGeometric Coefficient of Variation 39.7
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte2 Hrs Postdose2.021 ng/mLGeometric Coefficient of Variation 97.7
Balovaptan 20 mg FedPlasma Concentrations of M2 Analyte0.25 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte4 Hrs Postdose4.860 ng/mLGeometric Coefficient of Variation 49.1
Balovaptan 20 mg FastedPlasma Concentrations of M2 AnalytePredoseNA ng/mL
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte24 Hrs Postdose10.928 ng/mLGeometric Coefficient of Variation 30.9
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte36 Hrs Postdose10.519 ng/mLGeometric Coefficient of Variation 27.4
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte0.25 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte0.5 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte1 Hrs Postdose3.081 ng/mLGeometric Coefficient of Variation 62.2
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte1.5 Hrs Postdose3.421 ng/mLGeometric Coefficient of Variation 57.2
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte2 Hrs Postdose3.637 ng/mLGeometric Coefficient of Variation 45.6
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte2.5 Hrs Postdose3.724 ng/mLGeometric Coefficient of Variation 48.8
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte3 Hrs Postdose4.293 ng/mLGeometric Coefficient of Variation 49.9
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte3.5 Hrs Postdose4.724 ng/mLGeometric Coefficient of Variation 49.2
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte5 Hrs Postdose5.696 ng/mLGeometric Coefficient of Variation 47.9
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte6 Hrs Postdose5.797 ng/mLGeometric Coefficient of Variation 50
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte8 Hrs Postdose6.550 ng/mLGeometric Coefficient of Variation 46.6
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte12 Hrs Postdose7.889 ng/mLGeometric Coefficient of Variation 39.5
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte16 Hrs Postdose9.207 ng/mLGeometric Coefficient of Variation 40.9
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte48 Hrs Postdose9.134 ng/mLGeometric Coefficient of Variation 25.8
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte72 Hrs Postdose5.998 ng/mLGeometric Coefficient of Variation 27.5
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte96 Hrs Postdose3.748 ng/mLGeometric Coefficient of Variation 32.9
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte144 Hrs Postdose2.139 ng/mLGeometric Coefficient of Variation 71.9
Balovaptan 20 mg FastedPlasma Concentrations of M2 Analyte192 Hrs PostdoseNA ng/mL
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte2 Hrs Postdose3.019 ng/mLGeometric Coefficient of Variation 54.9
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte96 Hrs Postdose4.450 ng/mLGeometric Coefficient of Variation 27.5
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte12 Hrs Postdose8.426 ng/mLGeometric Coefficient of Variation 42.9
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte1.5 Hrs Postdose2.690 ng/mLGeometric Coefficient of Variation 72.6
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte36 Hrs Postdose11.409 ng/mLGeometric Coefficient of Variation 26.9
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte16 Hrs Postdose9.563 ng/mLGeometric Coefficient of Variation 34.2
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte1 Hrs Postdose2.649 ng/mLGeometric Coefficient of Variation 95.5
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte0.5 Hrs PostdoseNA ng/mL
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte192 Hrs PostdoseNA ng/mL
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte48 Hrs Postdose10.191 ng/mLGeometric Coefficient of Variation 26.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte0.25 Hrs PostdoseNA ng/mL
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte144 Hrs Postdose2.107 ng/mLGeometric Coefficient of Variation 45.2
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte4 Hrs Postdose4.749 ng/mLGeometric Coefficient of Variation 41.1
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte3.5 Hrs Postdose4.217 ng/mLGeometric Coefficient of Variation 44.5
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte72 Hrs Postdose27.5 ng/mLGeometric Coefficient of Variation 23.5
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte5 Hrs Postdose5.471 ng/mLGeometric Coefficient of Variation 44.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte3 Hrs Postdose3.878 ng/mLGeometric Coefficient of Variation 43.2
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 AnalytePredoseNA ng/mL
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte6 Hrs Postdose5.775 ng/mLGeometric Coefficient of Variation 39.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte2.5 Hrs Postdose3.502 ng/mLGeometric Coefficient of Variation 46.4
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte24 Hrs Postdose10.887 ng/mLGeometric Coefficient of Variation 33
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M2 Analyte8 Hrs Postdose6.512 ng/mLGeometric Coefficient of Variation 40.8
Secondary

Plasma Concentrations of M3 Analyte

Amount of M3 Analyte in a given volume of plasma.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Population: Number of analyzed participants reflects number of participants whose samples were available at given timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte0.5 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte16 Hrs Postdose14.113 ng/mLGeometric Coefficient of Variation 40.9
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte3 Hrs Postdose6.616 ng/mLGeometric Coefficient of Variation 85.9
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte0.25 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte3.5 Hrs Postdose5.985 ng/mLGeometric Coefficient of Variation 78
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte12 Hrs Postdose12.697 ng/mLGeometric Coefficient of Variation 5.7063
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte4 Hrs Postdose6.408 ng/mLGeometric Coefficient of Variation 71.4
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte96 Hrs Postdose6.066 ng/mLGeometric Coefficient of Variation 31.6
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte8 Hrs Postdose11.157 ng/mLGeometric Coefficient of Variation 47.8
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte5 Hrs Postdose8.901 ng/mLGeometric Coefficient of Variation 58.8
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte72 Hrs Postdose8.108 ng/mLGeometric Coefficient of Variation 28.3
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte6 Hrs Postdose9.691 ng/mLGeometric Coefficient of Variation 59.8
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte1 Hrs Postdose2.347 ng/mLGeometric Coefficient of Variation 138.4
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte192 Hrs Postdose2.211 ng/mLGeometric Coefficient of Variation 46.2
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte48 Hrs Postdose11.665 ng/mLGeometric Coefficient of Variation 26.4
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte1.5 Hrs Postdose3.787 ng/mLGeometric Coefficient of Variation 95.1
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte144 Hrs Postdose3.525 ng/mLGeometric Coefficient of Variation 45.5
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte36 Hrs Postdose13.626 ng/mLGeometric Coefficient of Variation 26.4
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte2 Hrs Postdose5.211 ng/mLGeometric Coefficient of Variation 83
Balovaptan 20 mg FedPlasma Concentrations of M3 AnalytePredoseNA ng/mL
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte24 Hrs Postdose14.388 ng/mLGeometric Coefficient of Variation 33.4
Balovaptan 20 mg FedPlasma Concentrations of M3 Analyte2.5 Hrs Postdose5.520 ng/mLGeometric Coefficient of Variation 83.5
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte192 Hrs Postdose2.279 ng/mLGeometric Coefficient of Variation 55.4
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte0.5 Hrs Postdose5.006 ng/mLGeometric Coefficient of Variation 118
Balovaptan 20 mg FastedPlasma Concentrations of M3 AnalytePredoseNA ng/mL
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte0.25 Hrs PostdoseNA ng/mL
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte1 Hrs Postdose7.812 ng/mLGeometric Coefficient of Variation 60.6
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte1.5 Hrs Postdose8.928 ng/mLGeometric Coefficient of Variation 59.6
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte2 Hrs Postdose10.157 ng/mLGeometric Coefficient of Variation 46.8
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte2.5 Hrs Postdose10.539 ng/mLGeometric Coefficient of Variation 47.9
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte3 Hrs Postdose10.980 ng/mLGeometric Coefficient of Variation 48.6
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte3.5 Hrs Postdose11.369 ng/mLGeometric Coefficient of Variation 50.8
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte4 Hrs Postdose12.160 ng/mLGeometric Coefficient of Variation 50.8
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte5 Hrs Postdose13.241 ng/mLGeometric Coefficient of Variation 41.5
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte6 Hrs Postdose12.831 ng/mLGeometric Coefficient of Variation 47.9
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte8 Hrs Postdose13.875 ng/mLGeometric Coefficient of Variation 48.4
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte12 Hrs Postdose14.296 ng/mLGeometric Coefficient of Variation 39.7
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte16 Hrs Postdose15.145 ng/mLGeometric Coefficient of Variation 41.6
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte24 Hrs Postdose15.061 ng/mLGeometric Coefficient of Variation 39.7
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte36 Hrs Postdose14.148 ng/mLGeometric Coefficient of Variation 29.7
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte48 Hrs Postdose11.470 ng/mLGeometric Coefficient of Variation 29
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte72 Hrs Postdose8.129 ng/mLGeometric Coefficient of Variation 31.3
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte96 Hrs Postdose6.111 ng/mLGeometric Coefficient of Variation 42.4
Balovaptan 20 mg FastedPlasma Concentrations of M3 Analyte144 Hrs Postdose3.747 ng/mLGeometric Coefficient of Variation 45.7
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte192 Hrs Postdose2.569 ng/mLGeometric Coefficient of Variation 54.2
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte16 Hrs Postdose15.049 ng/mLGeometric Coefficient of Variation 30.1
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte2 Hrs Postdose8.859 ng/mLGeometric Coefficient of Variation 55.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte96 Hrs Postdose6.653 ng/mLGeometric Coefficient of Variation 34.1
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte24 Hrs Postdose16.092 ng/mLGeometric Coefficient of Variation 29.9
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte1.5 Hrs Postdose6.705 ng/mLGeometric Coefficient of Variation 62.6
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 AnalytePredoseNA ng/mL
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte36 Hrs Postdose13.793 ng/mLGeometric Coefficient of Variation 27.7
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte1 Hrs Postdose5.556 ng/mLGeometric Coefficient of Variation 78.9
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte3 Hrs Postdose10.887 ng/mLGeometric Coefficient of Variation 39.4
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte48 Hrs Postdose12.966 ng/mLGeometric Coefficient of Variation 27.3
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte0.5 Hrs Postdose3.172 ng/mLGeometric Coefficient of Variation 127.1
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte5 Hrs Postdose12.998 ng/mLGeometric Coefficient of Variation 46.7
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte144 Hrs Postdose3.957 ng/mLGeometric Coefficient of Variation 45.2
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte6 Hrs Postdose13.442 ng/mLGeometric Coefficient of Variation 39.6
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte4 Hrs Postdose11.969 ng/mLGeometric Coefficient of Variation 38
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte72 Hrs Postdose9.023 ng/mLGeometric Coefficient of Variation 25.2
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte8 Hrs Postdose13.762 ng/mLGeometric Coefficient of Variation 40.4
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte3.5 Hrs Postdose11.316 ng/mLGeometric Coefficient of Variation 41.2
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte0.25 Hrs PostdoseNA ng/mL
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte12 Hrs Postdose14.287 ng/mLGeometric Coefficient of Variation 36.3
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedPlasma Concentrations of M3 Analyte2.5 Hrs Postdose9.853 ng/mLGeometric Coefficient of Variation 45.8
Secondary

Terminal Elimination Phase Half-Life (T1/2) of Esomeprazole

Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose

Population: For one participant AUC(0-inf)%extrap was \> 20%, so T1/2 was not included in summary statistics. For 2 participants, there was no terminal phase, so T1/2 could not be calculated.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedTerminal Elimination Phase Half-Life (T1/2) of Esomeprazole1.590 hGeometric Coefficient of Variation 29.2
Secondary

Terminal Elimination Phase Half-Life (T1/2) of M2 Metabolite

Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Population: For one participant in Balovaptan 20 mg Fasted and one participant in Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted AUC(0-inf)%extrap was \> 20%, so T1/2 were not included in summary statistics. For one additional participant in Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted there was no terminal phase, so AUC(0-inf) and T1/2 could not be calculated.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedTerminal Elimination Phase Half-Life (T1/2) of M2 Metabolite38.99 hGeometric Coefficient of Variation 29.2
Balovaptan 20 mg FastedTerminal Elimination Phase Half-Life (T1/2) of M2 Metabolite37.81 hGeometric Coefficient of Variation 30.7
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedTerminal Elimination Phase Half-Life (T1/2) of M2 Metabolite39.19 hGeometric Coefficient of Variation 22.7
Secondary

Terminal Elimination Phase Half-Life (T1/2) of M3 Metabolite

Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Population: For 3 subjects in Balovaptan 20 mg Fed, 3 subjects in Balovaptan 20 mg Fasted and 4 subjects in Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted AUC(0-inf)%extrap was \> 20%, so AUC(0-inf) were not included in summary statistics.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedTerminal Elimination Phase Half-Life (T1/2) of M3 Metabolite57.40 hGeometric Coefficient of Variation 17.3
Balovaptan 20 mg FastedTerminal Elimination Phase Half-Life (T1/2) of M3 Metabolite59.30 hGeometric Coefficient of Variation 17.6
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedTerminal Elimination Phase Half-Life (T1/2) of M3 Metabolite57.81 hGeometric Coefficient of Variation 19.2
Secondary

Terminal Phase Rate Constant (λz) of Esomeprazole

Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose

Population: For two participants there was no terminal phase, so they are excluded form the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedTerminal Phase Rate Constant (λz) of Esomeprazole0.4197 /hGeometric Coefficient of Variation 30.1
Secondary

Terminal Phase Rate Constant (λz) of M2 Metabolite

Terminal phase rate constant is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Population: For one participant there was no terminal phase, so they are excluded form the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedTerminal Phase Rate Constant (λz) of M2 Metabolite0.0178 /hGeometric Coefficient of Variation 30.3
Balovaptan 20 mg FastedTerminal Phase Rate Constant (λz) of M2 Metabolite0.0174 /hGeometric Coefficient of Variation 31.9
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedTerminal Phase Rate Constant (λz) of M2 Metabolite0.0171 /hGeometric Coefficient of Variation 25.5
Secondary

Terminal Phase Rate Constant (λz) of M3 Metabolite

Terminal phase rate constant is estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Population: For one participant there was no terminal phase, so they are excluded form the analysis.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedTerminal Phase Rate Constant (λz) of M3 Metabolite0.0112 /hGeometric Coefficient of Variation 22.1
Balovaptan 20 mg FastedTerminal Phase Rate Constant (λz) of M3 Metabolite0.0107 /hGeometric Coefficient of Variation 24.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedTerminal Phase Rate Constant (λz) of M3 Metabolite0.0107 /hGeometric Coefficient of Variation 25.2
Secondary

Time to Reach Cmax in Plasma (Tmax) of Esomeprazole

Time to maximum plasma concentration of Esomeprazole is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose

ArmMeasureValue (MEDIAN)
Balovaptan 20 mg FedTime to Reach Cmax in Plasma (Tmax) of Esomeprazole2.00 h
Secondary

Time to Reach Cmax in Plasma (Tmax) of M2 Metabolite

Time to maximum plasma concentration of M2 Metabolite is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (MEDIAN)
Balovaptan 20 mg FedTime to Reach Cmax in Plasma (Tmax) of M2 Metabolite36.00 h
Balovaptan 20 mg FastedTime to Reach Cmax in Plasma (Tmax) of M2 Metabolite24.03 h
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedTime to Reach Cmax in Plasma (Tmax) of M2 Metabolite36.00 h
Secondary

Time to Reach Cmax in Plasma (Tmax) of M3 Metabolite

Time to maximum plasma concentration of M3 Metabolite is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (MEDIAN)
Balovaptan 20 mg FedTime to Reach Cmax in Plasma (Tmax) of M3 Metabolite20.01 h
Balovaptan 20 mg FastedTime to Reach Cmax in Plasma (Tmax) of M3 Metabolite24.02 h
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedTime to Reach Cmax in Plasma (Tmax) of M3 Metabolite16.00 h
Secondary

Time To the Last Quantifiable Concentration (Tlast) of Esomeprazole

Time to last quantifiable concentration is based on last detectable concentration in the time curve.

Time frame: Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedTime To the Last Quantifiable Concentration (Tlast) of Esomeprazole8.002 hGeometric Coefficient of Variation 0.1
Secondary

Time To the Last Quantifiable Concentration (Tlast) of M2 Metabolite

Time to last quantifiable concentration is based on last detectable concentration in the time curve.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedTime To the Last Quantifiable Concentration (Tlast) of M2 Metabolite155.3 hGeometric Coefficient of Variation 21.2
Balovaptan 20 mg FastedTime To the Last Quantifiable Concentration (Tlast) of M2 Metabolite142.4 hGeometric Coefficient of Variation 25.2
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedTime To the Last Quantifiable Concentration (Tlast) of M2 Metabolite142.4 hGeometric Coefficient of Variation 29.5
Secondary

Time To the Last Quantifiable Concentration (Tlast) of M3 Metabolite

Time to last quantifiable concentration is based on last detectable concentration in the time curve.

Time frame: Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Balovaptan 20 mg FedTime To the Last Quantifiable Concentration (Tlast) of M3 Metabolite192.0 hGeometric Coefficient of Variation 0
Balovaptan 20 mg FastedTime To the Last Quantifiable Concentration (Tlast) of M3 Metabolite192.0 hGeometric Coefficient of Variation 0
Balovaptan 20 mg Fasted + Esomeprazole 40 mg FastedTime To the Last Quantifiable Concentration (Tlast) of M3 Metabolite168.7 hGeometric Coefficient of Variation 23.1

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