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CompletedNCT03017495Updated Jul 10, 2018

A Clinical Study to Investigate the Potential Interactions Between Food and ACT-541468 and Between ACT-541468 and Midazolam

A Phase 1 interventional study of Midazolam and ACT-541468 in Healthy Subjects, sponsored by Idorsia Pharmaceuticals Ltd.. Completed at 1 site in Germany. Open to male participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-07-10.

Sponsored by Idorsia Pharmaceuticals Ltd. · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 45 Years
Sex
Male
01

Study summary

The main objectives of this phase 1 trial are to evaluate the effect of food on the pharmacokinetics (i.e. how long and how much a compound is present in the blood) of ACT-541468 and to evaluate whether ACT-541468 can affect the pharmacokinetics of midazolam, a CYP3A4 substrate.

Read the detailed description

Food effect will be assessed by comparing the pharmacokinetic (PK) parameters of a single dose of ACT-541468 under fasted (Treatment B) and fed (Treatment C) conditions.

Potential CYP3A4 inhibiting / inducing effects of ACT-541468 will be assessed by comparing the PK parameters of midazolam alone (Treatment A) and midazolam given with a single dose of ACT-541468 (Treatment B) or with multiple doses of ACT-541468 (Treatment D).

02

Conditions studied

  • Healthy Subjects

Keywords

  • food-drug interaction
  • drug-drug interaction
  • pharmacokinetics
03

In context

Lead sponsor

Idorsia Pharmaceuticals Ltd. is the lead sponsor of 102 studies on the registry; 5 are open to participants now.

Of its 27 completed or terminated interventional studies of FDA-regulated products, 9 (33%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  • Signed informed consent form
  • Male subjects aged from 18 to 45 years (inclusive) at screening
  • Body mass index (BMI) from 18.0 to 30.0 kg/m2 (inclusive) at screening
  • Healthy on the basis of physical examination, cardiovascular assessments and laboratory tests

Exclusion criteria

Exclusion Criteria:

  • Any contraindication to the study treatments
  • History or clinical evidence of any disease or medical / surgical condition or treatment, which may put the subject at risk of participation in the study or may interfere with the absorption, distribution, metabolism or excretion of the study treatments
  • History of narcolepsy or cataplexy or modified Swiss narcolepsy scale total score \< 0
  • Any circumstances or conditions, which, in the opinion of the investigator, may affect the subject's full participation in the study or compliance with the protocol
05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Food effect and Drug-Drug interaction

    Treatments will be given to all subjects in the same fixed sequence: Treatment A (Day 1, single dose of midazolam, fasted), Treatment B (Day 2, single dose of ACT-541468 followed by single dose of midazolam, fasted), Treatment C (Day 4, single dose ACT-541468, fed), Treatment D (multiple doses of ACT-541468 from Day 5 to Day 8 + single dose of midazolam on Day 8, fasted).

    Drug: Midazolam · Drug: ACT-541468

Interventions

  • DrugMidazolam

    2 mg/mL oral solution

  • DrugACT-541468

    Hard gelatin capsules for oral use at a strength of 25 mg

06

What researchers measure

Primary outcomes

  1. Maximum plasma concentration (Cmax) of ACT-541468

    Cmax is directly determined from the plasma concentrations-time curves of ACT-541468

    Time frame: PK blood samples on Day 2, Day 4 and Day 8: before administration of ACT-541468 and up to 24 hours post-dose, and on Day 6 and Day 7: before ACT-541468 administration only

  2. Time to reach Cmax (tmax) of ACT-541468

    Tmax is directly determined from the plasma concentrations-time curves of ACT-541468

    Time frame: PK blood samples on Day 2, Day 4 and Day 8: before administration of ACT-541468 and up to 24 hours post-dose, and on Day 6 and Day 7: before ACT-541468 administration only

  3. Area under the plasma concentration-time curve [AUC(0-24)] of ACT-541468

    AUC is calculated from time zero to 24 hours post dose

    Time frame: PK blood samples on Day 2, Day 4 and Day 8: before administration of ACT-541468 and up to 24 hours post-dose, and on Day 6 and Day 7: before ACT-541468 administration only

  4. Terminal half-life (t1/2) of ACT-541468

    t1/2 is calculated from the plasma concentrations-time curves of ACT-541468

    Time frame: PK blood samples on Day 2, Day 4 and Day 8: before administration of ACT-541468 and up to 24 hours post-dose, and on Day 6 and Day 7: before ACT-541468 administration only

  5. Maximum plasma concentration (Cmax) of midazolam

    Cmax is directly obtained from the plasma concentrations-time curves of midazolam

    Time frame: PK blood samples on Day 1, Day 2, Day 8: before administration of midazolam and up to 24 hours post dose

  6. Time to reach Cmax (tmax) of midazolam

    Tmax is directly obtained from the plasma concentrations-time curves of midazolam

    Time frame: PK blood samples on Day 1, Day 2, Day 8: before administration of midazolam and up to 24 hours post dose

  7. Area under the plasma concentration-time curve [AUC(0-24)] of midazolam

    AUC is calculated from time zero to 24 hours post dose

    Time frame: PK blood samples on Day 1, Day 2, Day 8: before administration of midazolam and up to 24 hours post dose

  8. Terminal half-life (t1/2) of midazolam

    t1/2 is calculated from the plasma concentrations-time curves of midazolam

    Time frame: PK blood samples on Day 1, Day 2, Day 8: before administration of midazolam and up to 24 hours post dose

  9. Maximum plasma concentration (Cmax) of 1-hydroxymidazolam

    Cmax is directly determined from the plasma concentrations-time curves of 1-hydroxymidazolam

    Time frame: PK blood samples on Day 1, Day 2, Day 8: before administration of midazolam and up to 24 hours post dose

  10. Time to reach Cmax (tmax) of 1-hydroxymidazolam

    Tmax is directly determined from the plasma concentrations-time curves of 1-hydroxymidazolam

    Time frame: PK blood samples on Day 1, Day 2, Day 8: before administration of midazolam and up to 24 hours post dose

  11. Area under the plasma concentration-time curve [AUC(0-24)] of 1-hydroxymidazolam

    AUC is calculated from time zero to 24 hours post dose

    Time frame: PK blood samples on Day 1, Day 2, Day 8: before administration of midazolam and up to 24 hours post dose

  12. Terminal half-life (t1/2) of 1-hydroxymidazolam

    t1/2 is calculated from the plasma concentrations-time curves of 1-hydroxymidazolam

    Time frame: PK blood samples on Day 1, Day 2, Day 8: before administration of midazolam and up to 24 hours post dose

Secondary outcomes

  1. Number of subjects with treatment-emergent adverse events and serious adverse events

    Time frame: From baseline to end-of-study, i.e.,maximum 5 days after Day 8

  2. Maximum plasma concentration (Cmax) of ACT-541468 metabolites

    Time frame: PK blood samples on Day 8, before administration of ACT-541468 and up to 24 hours post dose

  3. Time to reach Cmax (tmax) of ACT-541468 metabolites

    Time frame: PK blood samples on Day 8, before administration of ACT-541468 and up to 24 hours post dose

  4. Area under the plasma concentration-time curve [AUC(0-24)] of ACT-541468 metabolites

    Time frame: PK blood samples on Day 8, before administration of ACT-541468 and up to 24 hours post dose

  5. Terminal half-life (t1/2) of ACT-541468 metabolites

    Time frame: PK blood samples on Day 8, before administration of ACT-541468 and up to 24 hours post dose

07

Study locations

1 site
  • Investigator Site
    Kiel, 24105, Germany
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 10, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03017495
Lead sponsor
Idorsia Pharmaceuticals Ltd.
Responsible party
Sponsor
First posted
Jan 11, 2017
Start date
Jan 1, 2017
Primary completion
Feb 1, 2017
Completion
Feb 1, 2017
Last update
Jul 10, 2018

Study contacts

Marie-Laure Boof, PhD
study director · Actelion

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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