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A Study to Assess the Effect of Phenytoin on the Drug Levels of Afimetoran and the Effect of Afimetoran on the Drug Levels of Midazolam

An Open-label, Single-sequence, Drug-drug Interaction Study in Healthy Participants to Assess the Effect of Phenytoin on the Pharmacokinetics of a Single Oral Dose of Afimetoran (BMS-986256) (Part 1) and the Effect of Steady-state Afimetoran on the Pharmacokinetics of Midazolam (Part 2)

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05901714
Enrollment
65
Registered
2023-06-13
Start date
2023-06-14
Completion date
2024-04-11
Last updated
2024-08-07

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

Conditions

Healthy Participants

Keywords

BMS-986256, Afimetoran, Midazolam, CYP3A4, Phenytoin

Brief summary

This study will consist of 2 parts. The study will evaluate whether administration of phenytoin impacts the single-dose drug levels of afimetoran and BMT-271199 (Part 1) and will evaluate whether multiple administrations of afimetoran impact the drug levels of midazolam and 1-hydroxymidazolam (Part 2).

Interventions

Specified dose on specified days

DRUGPhenytoin

Specified dose on specified days

DRUGMidazolam

Specified dose on specified days

Sponsors

Bristol-Myers Squibb
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Body mass index (BMI) of 19.0 kilograms per meter squared (kg/m\^2) to 32.0 kg/m2, inclusive, and body weight ≥ 55 kg, at screening.

Exclusion criteria

* Any significant acute or chronic medical illness or any other condition listed as a contraindication in the phenytoin (Part 1) or midazolam (Part 2) package inserts. * History of seizure (including simple febrile seizure), epilepsy, severe head injury (including concussion), multiple sclerosis, or other known neurological condition which the investigator considers to be clinically significant. * Current or recent (within 3 months of study intervention administration) GI disease that could impact upon the absorption of study intervention. Other protocol-defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Maximum observed plasma concentration (Cmax)Up to 53 daysParts 1 and 2
Area under the plasma concentration-time curve from time zero to time of the last quantifiable concentration (AUC[0-T])Up to 53 daysParts 1 and 2
Area under the plasma concentration-time curve from time zero extrapolated to infinite time (AUC[INF])Up to 53 daysParts 1 and 2

Secondary

MeasureTime frameDescription
Number of participants with adverse events (AEs)Up to 124 daysParts 1 and 2
Number of participants with clinical laboratory abnormalitiesUp to 66 daysParts 1 and 2
Time to attain maximum observed plasma concentration (Tmax)Up to 53 daysParts 1 and 2
Number of participants with vital sign abnormalitiesUp to 66 daysParts 1 and 2
Number of participants with electrocardiogram (ECG) abnormalitiesUp to 66 daysParts 1 and 2
Number of participants with physical examination abnormalitiesUp to 66 daysParts 1 and 2
Terminal half-life (T-Half)Up to 53 daysParts 1 and 2
Apparent total body clearance of the drug from the plasma (CLT/F)Up to 53 daysParts 1 and 2

Countries

United States

Outcome results

None listed

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