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Drug-Drug Interaction Study to Evaluate the Effects of Ecopipam on the Pharmacokinetics of Multiple Substrates

A Phase 1, Open-Label, Fixed Sequence Drug-Drug Interaction Study to Evaluate the Effects of Repeat Doses of Ecopipam on the Pharmacokinetics of Multiple Substrates for Drug Metabolism and Transport in Healthy Subjects

Status
Terminated
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04764851
Enrollment
30
Registered
2021-02-21
Start date
2021-02-18
Completion date
2021-05-07
Last updated
2021-05-24

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

Conditions

Drug-Interactions

Brief summary

This is a single center, open-label, fixed sequence Phase 1, drug-drug interaction (DDI) study in healthy subjects.

Detailed description

Following a screening period of up to 28 days, subjects will be admitted to the clinical research unit into one of three cohorts. On the morning of Day 1, subjects in cohorts 1, 2, and 3 will receive fasted doses of probe substrate(s) per assigned cohort. On Day 5, Cohort 2 only will receive a second fasted dose of probe substrates. Subjects in cohorts 1, 2, and 3 will receive the final fasted dose of probe substrate(s) on Day 13. Fasted ecopipam administration will begin on Day 5 and will continue through Day 17 at \ 2mg/kg for all cohorts. Ecopipam doses will be tapered starting on Day 18 by 25 mg/day increments until subjects are off drug, with final discharge occurring 24 hours after the ecopipam HCl dose has been reduced to 25 mg (Day 21, 23, or 25).

Interventions

COMBINATION_PRODUCTCohort 1 Probe Cocktail

dextromethorphan, caffeine, omeprazole, and midazolam

COMBINATION_PRODUCTCohort 2 Probe Cocktail

dabigatran, pitavastatin, rosuvastatin, atorvastatin, midazolam

COMBINATION_PRODUCTCohort 3 Probe Cocktail

bupropion

Sponsors

Syneos Health
CollaboratorOTHER
Nuventra, Inc.
CollaboratorINDUSTRY
Emalex Biosciences Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

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

Inclusion criteria

* Male subjects or female subjects of non-childbearing potential * ≥18 and \<55 years of age at the time of consent * BMI \>18.5 and \<30 kg/m2 and a weight of ≥50 kg for males or ≥45 kg for females * Sexually active males must use a double barrier method of contraception during the study and for at least 90 days after the last dose of study drug * Male subjects must be willing not to donate sperm until 90 days following the last study drug administration

Exclusion criteria

* Personal or family History of significant medical illness * Clinically significant abnormalities on screening tests/exams * History of or significant risk of committing suicide * Donation of plasma within 7 days prior to dosing * Donation or significant loss of blood within 30 days prior to the first dosing * Major surgery within 3 months or minor surgery within 1 month prior to admission * Use of prohibited prescription, over-the-counter medications or natural health products * Alcohol-based products 24 hours prior to admission * Female subjects who are currently pregnant or lactating * Positive pregnancy test * Use of tobacco or nicotine products within 3 months prior to Screening * Significant alcohol consumption * History of drug abuse within the previous 2 years, or a positive drug screen * History of allergy to study medications * Undergoing abrupt discontinuation of alcohol or sedatives * Not suitable for study in the opinion of the Principal Investigator

Design outcomes

Primary

MeasureTime frameDescription
Cmax of dabigatran in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of dextromethorphan (and its dextrorphan metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of dextromethorphan (and its dextrorphan metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of IV midazolam (and its 1'-hydroxymidazolam metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of IV midazolam (and its 1'-hydroxymidazolam metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of oral midazolam (and its 1'-hydroxymidazolam metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax oral midazolam (and its 1'-hydroxymidazolam metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of dabigatran in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of pitavastatin (and its pitavastatin lactone metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of pitavastatin (and its pitavastatin lactone metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of rosuvastatin in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of rosuvastatin in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of dextromethorphan (and its dextrorphan metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of dextromethorphan (and its dextrorphan metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of IV midazolam (and its 1'-hydroxymidazolam metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of IV midazolam (and its 1'-hydroxymidazolam metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of oral midazolam (and its 1'-hydroxymidazolam metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of oral midazolam (and its 1'-hydroxymidazolam metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of dabigatran in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of dabigatran in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of pitavastatin (and its pitavastatin lactone metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of pitavastatin (and its pitavastatin lactone metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUCinf of rosuvastatin in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUCinf of rosuvastatin in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUCinf of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUCinf of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of dextromethorphan (and its dextrorphan metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of dextromethorphan (and its dextrorphan metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of IV midazolam (and its 1'-hydroxymidazolam metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of IV midazolam (and its 1'-hydroxymidazolam metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of oral midazolam (and its 1'-hydroxymidazolam metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of oral midazolam (and its 1'-hydroxymidazolam metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of dabigatran in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of dabigatran in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of pitavastatin (and its pitavastatin lactone metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of pitavastatin (and its pitavastatin lactone metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of rosuvastatin in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of rosuvastatin in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic
AUClast of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic

Secondary

MeasureTime frameDescription
V/F for IV midazolam in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for IV midazolam in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for oral midazolam in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for oral midazolam in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for dabigatran in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for dabigatran in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for pitavastatin in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for pitavastatin in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for rosuvastatin in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for rosuvastatin in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for atorvastatin in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for atorvastatin in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for bupropion in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for bupropion in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for caffeine in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for caffeine in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for omeprazole in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for omeprazole in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Total concentration of bilirubin in the presence of ecopipamUp to Day 13Bilirubin sampling will occur on Day 1 and Day 13
Total concentration of bilirubin in the absence of ecopipamUp to Day 13Bilirubin sampling will occur on Day 1 and Day 13
Unconjugated concentration of bilirubin in the presence of ecopipamUp to Day 13Bilirubin sampling will occur on Day 1 and Day 13
Unconjugated concentration of bilirubin in the absence of ecopipamUp to Day 13Bilirubin sampling will occur on Day 1 and Day 13
Safety and tolerability as demonstrated by MOAA/SUp to Day 55Safety and tolerability measures will be recorded at the indicated timepoints.
Safety and tolerability as demonstrated by C-SSRSUp to Day 55Safety and tolerability measures will be recorded at the indicated timepoints.
Safety and tolerability as demonstrated by concomitant medicationsUp to Day 55Safety and tolerability measures will be recorded at the indicated timepoints.
AEs with relatedness associated with oral midazolamUp to Day 55Subjects will be continually monitored for adverse events
AEs with relatedness associated with dabigatranUp to Day 55Subjects will be continually monitored for adverse events
AEs with relatedness associated with pitavastatinUp to Day 55Subjects will be continually monitored for adverse events
AEs with relatedness associated with rosuvastatinUp to Day 55Subjects will be continually monitored for adverse events
AEs with relatedness associated with atorvastatinUp to Day 55Subjects will be continually monitored for adverse events
AEs with relatedness associated with bupropionUp to Day 55Subjects will be continually monitored for adverse events
AEs with relatedness associated with caffeineUp to Day 55Subjects will be continually monitored for adverse events
AEs with relatedness associated with omeprazoleUp to Day 55Subjects will be continually monitored for adverse events
AEs with relatedness associated with ecopipamUp to Day 55Subjects will be continually monitored for adverse events
Absolute values of white blood cell (WBC) count (K/Ul)Up to Day 25Blood samples will be collected for the assessment of hematology parameters.
Absolute values of neutrophils, lymphocytes, monocytes, eosinophils, and basophils (10E3/uL)Blood samples will be collected for the assessment of hematology parameters.Up to Day 25
Absolute values of platelets (K/uL)Up to Day 25Blood samples will be collected for the assessment of hematology parameters.
Absolute values of hematocrit (%)Up to Day 25Blood samples will be collected for the assessment of hematology parameters.
Absolute values of hemoglobin (g/dL)Up to Day 25Blood samples will be collected for the assessment of hematology parameters.
Absolute values of Red blood cell (RBC) count (M/uL)Up to Day 25Blood samples will be collected for the assessment of hematology parameters.
Absolute values of blood sodium, magnesium, urea, phosphorus, potassium, and chloride (mg/dL)Up to Day 25Blood samples will be collected for the assessment of clinical chemistry parameters.
Absolute values of creatinine, calcium, glucose, and direct and total bilirubin (mg/dL)Up to Day 25Blood samples will be collected for the assessment of clinical chemistry parameters.
Absolute values of albumin and total protein (g/dL)Up to Day 25Blood samples will be collected for the assessment of clinical chemistry parameters.
Absolute values of alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), gamma glutamyl transferase (GGT), and creatinine phosphokinase (CPK) (U/L)Up to Day 25Blood samples will be collected for the assessment of clinical chemistry parameters.
Absolute values of urine specific gravityUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Absolute values of urine pHUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Absolute values of urine glucoseUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Absolute values of urine proteinUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Absolute values of urine bloodUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Absolute values of urine ketonesUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Absolute values of urine bilirubin, urobilinogen, and nitriteUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Absolute values of urine leukocytes by dipstickUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Change from Day -1 to Day of Discharge in white blood cell (WBC) count (K/Ul)Up to Day 25Blood samples will be collected for the assessment of hematology parameters.
Change from Day -1 to Day of Discharge in neutrophils, lymphocytes, monocytes, eosinophils, and basophils (10E3/uL)Up to Day 25Blood samples will be collected for the assessment of hematology parameters.
Change from Day -1 to Day of Discharge in platelets (K/uL)Up to Day 25Blood samples will be collected for the assessment of hematology parameters.
Change from Day -1 to Day of Discharge in hematocrit (%)Up to Day 25Blood samples will be collected for the assessment of hematology parameters.
Change from Day -1 to Day of Discharge in hemoglobin (g/dL)Up to Day 25Blood samples will be collected for the assessment of hematology parameters.
Change from Day -1 to Day of Discharge in Red blood cell (RBC) count (M/uL)Up to Day 25Blood samples will be collected for the assessment of hematology parameters.
Change from Day -1 to Day of Discharge in blood sodium, magnesium, urea, phosphorus, potassium, and chloride (mg/dL)Up to Day 25Blood samples will be collected for the assessment of clinical chemistry parameters.
Change from Day -1 to Day of Discharge in creatinine, calcium, glucose, and direct and total bilirubin (mg/dL)Up to Day 25Blood samples will be collected for the assessment of clinical chemistry parameters.
Cmax of bupropion (and its 4-hydroxybupropion metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Change from Day -1 to Day of Discharge in alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), gamma glutamyl transferase (GGT), and creatinine phosphokinase (CPK) (U/L)Up to Day 25Blood samples will be collected for the assessment of clinical chemistry parameters.
Change from Day -1 to Day of Discharge in urine specific gravityUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Change from Day -1 to Day of Discharge in urine pHUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Change from Day -1 to Day of Discharge in urine glucoseUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Change from Day -1 to Day of Discharge in urine proteinUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Change from Day -1 to Day of Discharge in urine bloodUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Change from Day -1 to Day of Discharge in urine ketonesUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Change from Day -1 to Day of Discharge in urine bilirubin, urobilinogen, and nitrite (Milligrams per deciliter)Up to Day 25Urine samples will be collected for the assessment of urine parameters.
Change from Day -1 to Day of Discharge in urine leukocytes by dipstickUp to Day 25Urine samples will be collected for the assessment of urine parameters.
Absolute values of electrocardiogram (ECG) parameters: PR, QRS, QT, and QT interval corrected for heart rate using Fridericia's formula (QTcF) (Milliseconds)Up to Day 25Twelve-lead ECGs will be obtained with the participant in a supine position after a rest of at least 5 minutes using an automated ECG machine. PR, QRS, QT, and QTcF intervals will be measured.
Change from pre-dose for the respective day in ECG parameters: PR, QRS, QT, and QTcF (Milliseconds)Up to Day 25Twelve-lead ECGs will be obtained with the participant in a supine position after a rest of at least 5 minutes using an automated ECG machine. PR, QRS, QT, and QTcF intervals will be measured.
Absolute values of oral temperature (degrees Celsius)Up to Day 25Temperature will be assessed as part of vital signs.
Change from pre-dose for the respective day in oral temperature (degrees Celsius)Up to Day 25Temperature will be assessed as part of vital signs.
Absolute values of heart rate (beats/minute)Up to Day 25Heart rate will be assessed as part of vital signs.
Change from pre-dose for the respective day in heart rate (beats/minute)Up to Day 25Heart rate will be assessed as part of vital signs.
Absolute values of respiratory rate (breaths/minute)Up to Day 25Respiratory rate will be assessed as part of vital signs.
Change from pre-dose for the respective day in respiratory rate (breaths/minute)Up to Day 25Respiratory rate will be assessed as part of vital signs.
Absolute values of systolic blood pressure (SBP) and diastolic blood pressure (DBP) (mmHG)Up to Day 25Blood pressure will be assessed as part of vital signs.
Change from pre-dose for the respective day in SBP and DBP (mmHG)Up to Day 25Blood pressure will be assessed as part of vital signs.
Change from Day -1 to Day of Discharge in albumin and total protein (g/dL)Up to Day 25Blood samples will be collected for the assessment of clinical chemistry parameters.
Cmax of bupropion (and its 4-hydroxybupropion metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of caffeine (and its metabolite paraxanthine) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of caffeine (and its metabolite paraxanthine) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax omeprazole (and its 5'-hydroxy omeprazole metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax omeprazole (and its 5'-hydroxy omeprazole metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of bupropion (and its 4-hydroxybupropion metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of bupropion (and its 4-hydroxybupropion metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of caffeine (and its metabolite paraxanthine) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of caffeine (and its metabolite paraxanthine) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of omeprazole (and its 5'-hydroxy omeprazole metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUCinf of omeprazole (and its 5'-hydroxy omeprazole metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUClast of bupropion (and its 4-hydroxybupropion metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUClast of bupropion (and its 4-hydroxybupropion metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUClast of caffeine (and its metabolite paraxanthine) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUClast of caffeine (and its metabolite paraxanthine) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUClast of omeprazole (and its 5'-hydroxy omeprazole metabolite) in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AUClast of omeprazole (and its 5'-hydroxy omeprazole metabolite) in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for dextromethorphan in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for dextromethorphan in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for IV midazolam in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for IV midazolam in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for oral midazolam in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for oral midazolam in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AEs with relatedness associated with IV midazolamUp to Day 55Subjects will be continually monitored for adverse events
CL/F for dabigatran in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for dabigatran in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for pitavastatin in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for pitavastatin in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for rosuvastatin in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for rosuvastatin in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for atorvastatin in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for atorvastatin in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for bupropion in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for bupropion in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for caffeine in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
AEs with relatedness associated with dextromethorphanUp to Day 55Subjects will be continually monitored for adverse events
CL/F for caffeine in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for omeprazole in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
CL/F for omeprazole in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for dextromethorphan in the presence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis
V/F for dextromethorphan in the absence of ecopipamUp to Day 18Up to 38 blood samples will be collected at the indicated time points for pharmacokinetic analysis

Countries

United States

Outcome results

None listed

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