A Phase 1 interventional study of Padsevonil (UCB0942) and Erythromycin in Pharmacokinetics, sponsored by UCB Biopharma S.P.R.L.. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-07-12.
Sponsored by UCB Biopharma S.P.R.L. · Phase 1, Interventional, and Basic science
The purpose of this study is to evaluate and compare the Pharmacokinetics (PK) of concomitant administration of Padsevonil (PSL) in the presence and absence of erythromycin in healthy study participants.
Exclusion Criteria:
Treatment Period 1 (Day 1 to Day 11): * Padsevonil 100 mg twice daily (bid) on Day 1 to Day 4 * Padsevonil 100 mg single dose on Day 5 * 1 week of wash-out (from evening of Day 5 to Day 11) Treatment Period 2 (Day 12 to 22): * Padsevonil 100 mg twice daily (bid) on Day 12 to Day 15 * Padsevonil 100 mg single dose on Day 16 * 1 week of wash-out (from evening of Day 16 to Day 22) Treatment Period 3 (Day 23 to Day 38): * Erythromycin 500 mg twice daily (bid) on Day 23 to Day 25 * Padsevonil 100 mg bid and erythromycin 500 mg bid on Day 26 to Day 32 * Padsevonil 100 mg single dose on Day 33 * Erythromycin 500 mg twice daily (bid) on Day 33 to Day 36 * Erythromycin 500 mg single dose on Day 37
Drug: Padsevonil (UCB0942) · Drug: Erythromycin
* Pharmaceutical Form: film-coated tablet * Route of Administration: Oral use
* Pharmaceutical Form: film-coated tablet * Route of Administration: Oral use
Maximum Observed Plasma Concentration (Cmax) of Padsevonil for Single Dose
Cmax: The maximum observed plasma concentration of padsevonil for single dose . Cmax was expressed in nanograms per milliliter (ng/mL).
Time frame: Predose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8, and 12 hours postdose on Day 1, 12, and 26
Area Under the Plasma Concentration-time Curve From Time Zero to 12 Hours (AUC(0-12)) of Padsevonil for Single Dose
AUC(0-12): The area under the plasma concentration-time curve from time zero to 12 hours of padsevonil for single dose . AUC(0-12) was expressed in hours times nanograms per milliliter (hours\*ng/mL).
Time frame: Predose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 6, 8, and 12 hours postdose on Day 1, 12, and 26
Maximum Observed Steady-state Plasma Concentration (Cmax, ss) of Padsevonil for Multiple Doses
Cmax, ss: The maximum observed steady-state plasma concentration of padsevonil for multiple doses. Cmax, ss was expressed in nanograms per millilitre (ng/mL).
Time frame: Blood samples were taken at specific time points from pre-dose to 72 hours post last dose of Padsevonil (PSL) (Treatment Period 1 and 2); from pre-dose to 120 hours post last dose of PSL (Treatment Period 3)
Area Under the Plasma Concentration-time Curve Over a Dosing Interval (12 Hours) (AUCtau) of Padsevonil for Multiple Doses
AUCtau: The area under the plasma concentration-time curve over a dosing interval (12 hours) of padsevonil for multiple doses. AUC(tau) was expressed in hours times nanograms per millilitre (hours\*ng/mL).
Time frame: Blood samples were taken at specific time points from pre-dose to 72 hours post last dose of Padsevonil (PSL) (Treatment Period 1 and 2); from pre-dose to 120 hours post last dose of PSL (Treatment Period 3)
Time of Maximum Plasma Concentration (Tmax) of Padsevonil for Single Dose
Tmax: The time of maximum plasma concentration of padsevonil for single dose. Tmax was expressed in hours (h).
Time frame: Blood samples were taken at specific time points from pre-dose to 12 hours post first dose of Padsevonil for each Treatment Period
Minimum Observed Plasma Concentration (Cmin) of Padsevonil for Single Dose
Cmin: The minimum observed plasma concentration of padsevonil for single dose. Cmin was expressed in nanograms per millilitre (ng/mL).
Time frame: Blood samples were taken at specific time points from pre-dose to 12 hours post first dose of Padsevonil for each Treatment Period
Time of Maximum Plasma Concentration (Tmax) of Padsevonil for Multiple Doses
Tmax: The time of maximum plasma concentration of padsevonil for multiple doses. Tmax was expressed in hours (h).
Time frame: Blood samples were taken at specific time points from pre-dose to 72 hours post last dose of Padsevonil (PSL) (Treatment Period 1 and 2); from pre-dose to 120 hours post last dose of PSL (Treatment Period 3)
Apparent Terminal Elimination Half-life at Steady-state (t1/2,ss) of Padsevonil for Multiple Doses in Plasma
t½,ss: The apparent terminal elimination half-life at steady-state of padsevonil for multiple doses in plasma. t1/2, ss was expressed in hours (h).
Time frame: Blood samples were taken at specific time points from pre-dose to 72 hours post last dose of Padsevonil (PSL) (Treatment Period 1 and 2); from pre-dose to 120 hours post last dose of PSL (Treatment Period 3)
Predose Observed Plasma Concentration (Ctrough) of Padsevonil for Multiple Doses
Ctrough: The predose observed plasma concentration of padsevonil for multiple doses. Ctrough was expressed in nanograms per millilitre (ng/mL).
Time frame: Blood samples were taken at specific time points from pre-dose to 72 hours post last dose of Padsevonil (PSL) (Treatment Period 1 and 2); from pre-dose to 120 hours post last dose of PSL (Treatment Period 3)
Apparent Total Clearance at Steady-state (CL/Fss) of Padsevonil for Multiple Doses in Plasma
CL/Fss: The apparent total clearance at steady-state of padsevonil for multiple doses in plasma. CL/Fss was expressed in milliliters per hour (mL/hour).
Time frame: Blood samples were taken at specific time points from pre-dose to 72 hours post last dose of Padsevonil (PSL) (Treatment Period 1 and 2); from pre-dose to 120 hours post last dose of PSL (Treatment Period 3)
Apparent Elimination Rate Constant (Lambdaz) of Padsevonil for Multiple Doses in Plasma
lambdaz: The apparent elimination rate constant of padsevonil for multiple doses in plasma. Lambdaz was expressed in liters per hour (l/hour).
Time frame: Blood samples were taken at specific time points from pre-dose to 72 hours post last dose of Padsevonil (PSL) (Treatment Period 1 and 2); from pre-dose to 120 hours post last dose of PSL (Treatment Period 3)
Maximum Observed Plasma Concentration (Cmax) of Padsevonil Metabolites (1 and 2) for Single Dose
Cmax: The maximum plasma concentration of padsevonil metabolites (1 and 2) for single dose. Cmax was expressed in nanograms per milliliter (ng/mL).
Time frame: Blood samples were taken at specific time points from pre-dose to 12 hours post first dose of Padsevonil for each Treatment Period
Area Under the Plasma Concentration-time Curve From Time Zero to 12 Hours (AUC(0-12)) of Padsevonil Metabolites (1 and 2) for Single Dose
AUC(0-12): The area under the plasma concentration-time curve from time zero to 12 hours of padsevonil metabolites (1 and 2) for single dose. AUC(0-12) was expressed in hours times nanograms per milliliter (hours\*ng/mL).
Time frame: Blood samples were taken at specific time points from pre-dose to 12 hours post first dose of Padsevonil for each Treatment Period
Area Under the Plasma Concentration-time Curve Over a Dosing Interval (12 Hours) (AUCtau) of Padsevonil Metabolites (1 and 2) for Multiple Doses
AUCtau: The area under the plasma concentration-time curve over a dosing interval (12 hours) of padsevonil metabolites (1 and 2) for multiple doses. AUCtau was expressed in hours times nanograms per milliliter (hours\*ng/mL).
Time frame: Blood samples were taken at specific time points from pre-dose to 72 hours post last dose of Padsevonil (PSL) (Treatment Period 1 and 2); from pre-dose to 120 hours post last dose of PSL (Treatment Period 3)
Maximum Observed Steady-state Plasma Concentration (Cmax, ss) of Padsevonil Metabolites (1 and 2) for Multiple Doses
Cmax, ss: The maximum observed steady-state plasma concentration of padsevonil metabolites (1 and 2) for multiple doses. Cmax, ss was expressed in nanograms per millilitre (ng/mL).
Time frame: Blood samples were taken at specific time points from pre-dose to 72 hours post last dose of Padsevonil (PSL) (Treatment Period 1 and 2); from pre-dose to 120 hours post last dose of PSL (Treatment Period 3)
Metabolite-to-parent Ratio for Cmax of Padsevonil Metabolites (1 and 2) in Plasma
Metabolite-to-parent ratio calculated as: Cmax of padsevonil metabolites (1 and 2) divided by Cmax of padsevonil following a single dose in plasma. Metabolite-to-parent ratio for Cmax was expressed as ratio.
Time frame: Blood samples were taken at specific time points from pre-dose to 12 hours post dose of Padsevonil for each Treatment Period
Metabolite-to-parent Ratio for AUC(0-12) of Padsevonil Metabolites (1 and 2) in Plasma
Metabolite-to-parent ratio calculated as: AUC(0-12)of padsevonil metabolites (1 and 2) divided by AUC(0-12) of padsevonil following a single dose in plasma. Metabolite-to-parent ratio for AUC(0-12) was expressed as ratio.
Time frame: Blood samples were taken at specific time points from pre-dose to 12 hours post first dose of Padsevonil for each Treatment Period
Metabolite-to-parent Ratio for AUCtau of Padsevonil Metabolites (1 and 2) in Plasma
Metabolite-to-parent ratio calculated as: AUCtau of padsevonil metabolites (1 and 2) divided by AUCtau of padsevonil following multiple dosing in plasma. Metabolite-to-parent ratio for AUCtau was expressed as ratio.
Time frame: Blood samples were taken at specific time points from pre-dose to 72 hours post last dose of Padsevonil (PSL) (Treatment Period 1 and 2); from pre-dose to 120 hours post last dose of PSL (Treatment Period 3)
Renal Clearance (CLr) of Padsevonil and Metabolites (1 and 2) for Single Dose in Urine
CLr: The renal clearance of padsevonil and its metabolites (1 and 2) for single dose in urine. CLr was expressed in milliliters per hour (mL/hour).
Time frame: Urine samples were taken 0 to 12 hours post first dose of Padsevonil during each Treatment Period
Renal Clearance (CLr) of Padsevonil and Metabolites (1 and 2) for Multiple Doses in Urine
CLr: The renal clearance of padsevonil and its metabolites (1 and 2) for multiple doses in urine. CLr was expressed in milliliters per hour (mL/hour).
Time frame: Urine samples were taken 0 to 12 hours, 12 to 24 hours,and 24 to 48 hours post last PSL dose during Treatment Period 1 and 2; 0 to 12 hours, 12 to 24 hours, 24 to 48 hours, 48 to 72 hours, and 72 to 96 hours post last dose of PSL during Treatment Period 3
Cumulative Amount (Ae) of Padsevonil and Metabolites (1, 2, and 3) Excreted Into the Urine for Single Dose
Ae: The cumulative amount of padsevonil and its metabolites (1, 2, and 3) excreted into the urine for single dose. Ae was expressed in milligrams (mg).
Time frame: Urine samples were taken 0 to 12 hours post first dose of Padsevonil during each Treatment Period
Cumulative Amount (Ae) of Padsevonil and Metabolites (1, 2, and 3) Excreted Into the Urine for Multiple Doses
Ae: The cumulative amount of padsevonil and its metabolites (1, 2, and 3) excreted into the urine for multiple doses. Ae was expressed in milligrams (mg).
Time frame: Urine samples were taken 0 to 12 hours, 12 to 24 hours,and 24 to 48 hours post last PSL dose during Treatment Period 1 and 2; 0 to 12 hours, 12 to 24 hours, 24 to 48 hours, 48 to 72 hours, and 72 to 96 hours post last dose of PSL during Treatment Period 3
Fraction (fe) of Padsevonil and Metabolites (1, 2, and 3) Excreted Into the Urine for Single Dose
fe: The fraction of padsevonil or metabolites (1, 2, and 3) excreted into the urine for single dose. fe was expressed in percentage (%).
Time frame: Urine samples were taken 0 to 12 hours post first dose of Padsevonil during each Treatment Period
Fraction (fe) of Padsevonil and Metabolites (1, 2, and 3) Excreted Into the Urine for Multiple Doses
fe: The fraction of padsevonil and its metabolites (1, 2, and 3) excreted into the urine for multiple doses. fe was expressed in percentage (%).
Time frame: Urine samples were taken 0 to 12 hours, 12 to 24 hours,and 24 to 48 hours post last PSL dose during Treatment Period 1 and 2; 0 to 12 hours, 12 to 24 hours, 24 to 48 hours, 48 to 72 hours, and 72 to 96 hours post last dose of PSL during Treatment Period 3
Formation Clearance (CLform) of Padsevonil Metabolites (1, 2, and 3) in the Urine for Single Dose
CLform: The formation clearance of padsevonil metabolites (1, 2, and 3) in the urine for single dose. CLform was expressed in milliliters per hour (mL/hour).
Time frame: Urine samples were taken 0 to 12 hours post first dose of Padsevonil during each Treatment Period
Formation Clearance (CLform) of Padsevonil Metabolites (1, 2, and 3) in the Urine for Multiple Doses
CLform: The formation clearance of padsevonil metabolites (1, 2, and 3) in the urine for multiple doses. CLform was expressed in milliliters per hour (mL/hour).
Time frame: Urine samples were taken 0 to 12 hours, 12 to 24 hours,and 24 to 48 hours post last PSL dose during Treatment Period 1 and 2; 0 to 12 hours, 12 to 24 hours, 24 to 48 hours, 48 to 72 hours, and 72 to 96 hours post last dose of PSL during Treatment Period 3
Percentage of Participants Experiencing Treatment-Emergent Serious Adverse Events (SAEs) During the Study
An SAE is any untoward medical occurrence that at any dose: * Results in death * Is life-threatening * Requires in patient hospitalization or prolongation of existing hospitalization * Is a congenital anomaly or birth defect * Is an infection that requires treatment parenteral antibiotics * Other important medical events which based on medical or scientific judgement may jeopardize the patients, or may require medical or surgical intervention to prevent any of the above.
Time frame: From beginning of the first Treatment Period (Day 1) to the Safety Follow-up Visit (up to 48 days )
Percentage of Participants Experiencing Treatment-Emergent Non-serious Adverse Events (AEs) During the Study
Treatment-emergent Adverse Events (TEAEs) were defined as those events which started on or after the date of first dose of UP0057 IMP, or events in which severity worsened on or after the date of first dose of UP0057 study medication.
Time frame: From beginning of the first Treatment Period (Day 1) to the Safety Follow-up Visit (up to 48 days )
The study started to enroll patients in March 2018 and concluded in August 2018.
| Milestone | Padsevonil and/or Erythromycin |
|---|---|
| Started | 28 |
| Completed | 28 |
| Not completed | 0 |
| Milestone | Padsevonil and/or Erythromycin |
|---|---|
| Started | 28 |
| Completed | 27 |
| Not completed | 1 |
| Withdrew: Consent withdrawal by subject | 1 |
| Milestone | Padsevonil and/or Erythromycin |
|---|---|
| Started | 27 |
| Completed | 27 |
| Not completed | 0 |
| Milestone | Padsevonil and/or Erythromycin |
|---|---|
| Started | 27 |
| Completed | 26 |
| Not completed | 1 |
| Withdrew: Un-cooperative behaviour | 1 |
| Milestone | Padsevonil and/or Erythromycin |
|---|---|
| Started | 26 |
| Completed | 26 |
| Not completed | 0 |
Cmax: The maximum observed plasma concentration of padsevonil for single dose . Cmax was expressed in nanograms per milliliter (ng/mL).
| ng/mL | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Maximum Observed Plasma Concentration (Cmax) of Padsevonil for Single Dose | 366.6 ± 38.8 | 385.3 ± 40.9 | 697.4 ± 46.9 |
AUC(0-12): The area under the plasma concentration-time curve from time zero to 12 hours of padsevonil for single dose . AUC(0-12) was expressed in hours times nanograms per milliliter (hours\*ng/mL).
| hours*ng/mL | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Area Under the Plasma Concentration-time Curve From Time Zero to 12 Hours (AUC(0-12)) of Padsevonil for Single Dose | 1428 ± 40.7 | 1571 ± 41.8 | 2576 ± 47.0 |
Cmax, ss: The maximum observed steady-state plasma concentration of padsevonil for multiple doses. Cmax, ss was expressed in nanograms per millilitre (ng/mL).
| ng/mL | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Maximum Observed Steady-state Plasma Concentration (Cmax, ss) of Padsevonil for Multiple Doses | 475.0 ± 38.4 | 473.9 ± 43.7 | 1010 ± 45.7 |
AUCtau: The area under the plasma concentration-time curve over a dosing interval (12 hours) of padsevonil for multiple doses. AUC(tau) was expressed in hours times nanograms per millilitre (hours\*ng/mL).
| hours*ng/mL | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Area Under the Plasma Concentration-time Curve Over a Dosing Interval (12 Hours) (AUCtau) of Padsevonil for Multiple Doses | 2049 ± 41.1 | 2274 ± 47.1 | 5073 ± 55.9 |
Tmax: The time of maximum plasma concentration of padsevonil for single dose. Tmax was expressed in hours (h).
| hours | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Time of Maximum Plasma Concentration (Tmax) of Padsevonil for Single Dose | 3.000 (1.00 to 4.05) | 1.500 (0.500 to 4.00) | 1.500 (0.750 to 3.02) |
Cmin: The minimum observed plasma concentration of padsevonil for single dose. Cmin was expressed in nanograms per millilitre (ng/mL).
| ng/mL | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Minimum Observed Plasma Concentration (Cmin) of Padsevonil for Single Dose | 2.857 ± 100.9 | 5.643 ± 147.8 | 4.286 ± 172.5 |
Tmax: The time of maximum plasma concentration of padsevonil for multiple doses. Tmax was expressed in hours (h).
| hours | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Time of Maximum Plasma Concentration (Tmax) of Padsevonil for Multiple Doses | 1.750 (0.500 to 4.00) | 1.500 (0.500 to 4.00) | 2.000 (0.750 to 4.00) |
t½,ss: The apparent terminal elimination half-life at steady-state of padsevonil for multiple doses in plasma. t1/2, ss was expressed in hours (h).
| hours | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Apparent Terminal Elimination Half-life at Steady-state (t1/2,ss) of Padsevonil for Multiple Doses in Plasma | 6.465 (4.44 to 11.0) | 6.649 (2.04 to 14.3) | 8.548 (5.54 to 26.9) |
Ctrough: The predose observed plasma concentration of padsevonil for multiple doses. Ctrough was expressed in nanograms per millilitre (ng/mL).
| ng/mL | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Predose Observed Plasma Concentration (Ctrough) of Padsevonil for Multiple Doses | 57.03 ± 69.0 | 68.57 ± 85.1 | 182.6 ± 95.5 |
CL/Fss: The apparent total clearance at steady-state of padsevonil for multiple doses in plasma. CL/Fss was expressed in milliliters per hour (mL/hour).
| mL/hour | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Apparent Total Clearance at Steady-state (CL/Fss) of Padsevonil for Multiple Doses in Plasma | 48810 ± 41.1 | 43970 ± 47.1 | 19710 ± 55.9 |
lambdaz: The apparent elimination rate constant of padsevonil for multiple doses in plasma. Lambdaz was expressed in liters per hour (l/hour).
| l\hour | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Apparent Elimination Rate Constant (Lambdaz) of Padsevonil for Multiple Doses in Plasma | 0.1049 ± 27.9 | 0.1006 ± 36.2 | 0.07975 ± 34.5 |
Cmax: The maximum plasma concentration of padsevonil metabolites (1 and 2) for single dose. Cmax was expressed in nanograms per milliliter (ng/mL).
| ng/mL | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Metabolite 1 | 166.6 ± 29.1 | 158.7 ± 34.5 | 189.5 ± 29.8 |
| Metabolite 2 | 110.5 ± 33.4 | 94.47 ± 44.2 | 108.3 ± 49.6 |
AUC(0-12): The area under the plasma concentration-time curve from time zero to 12 hours of padsevonil metabolites (1 and 2) for single dose. AUC(0-12) was expressed in hours times nanograms per milliliter (hours\*ng/mL).
| hours*ng/mL | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Metabolite 1 | 828.3 ± 24.2 | 824.3 ± 25.5 | 905.6 ± 29.7 |
| Metabolite 2 | 596.5 ± 39.0 | 534.4 ± 43.9 | 599.5 ± 49.5 |
AUCtau: The area under the plasma concentration-time curve over a dosing interval (12 hours) of padsevonil metabolites (1 and 2) for multiple doses. AUCtau was expressed in hours times nanograms per milliliter (hours\*ng/mL).
| hours*ng/mL | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Metabolite 1 | 1748 ± 35.1 | 1993 ± 40.8 | 2625 ± 46.1 |
| Metabolite 2 | 775.1 ± 37.4 | 813.1 ± 40.5 | 799.0 ± 38.5 |
Cmax, ss: The maximum observed steady-state plasma concentration of padsevonil metabolites (1 and 2) for multiple doses. Cmax, ss was expressed in nanograms per millilitre (ng/mL).
| ng/mL | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Metabolite 1 | 232.3 ± 27.1 | 258.3 ± 32.3 | 310.3 ± 46.0 |
| Metabolite 2 | 118.6 ± 29.3 | 113.3 ± 36.8 | 101.8 ± 37.1 |
Metabolite-to-parent ratio calculated as: Cmax of padsevonil metabolites (1 and 2) divided by Cmax of padsevonil following a single dose in plasma. Metabolite-to-parent ratio for Cmax was expressed as ratio.
| ratio | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Metabolite 1 | 0.4544 ± 40.6 | 0.4119 ± 45.5 | 0.2717 ± 49.5 |
| Metabolite 2 | 0.3015 ± 66.8 | 0.2452 ± 77.1 | 0.1552 ± 94.3 |
Metabolite-to-parent ratio calculated as: AUC(0-12)of padsevonil metabolites (1 and 2) divided by AUC(0-12) of padsevonil following a single dose in plasma. Metabolite-to-parent ratio for AUC(0-12) was expressed as ratio.
| ratio | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Metabolite 1 | 0.5799 ± 39.7 | 0.5246 ± 42.8 | 0.3515 ± 48.9 |
| Metabolite 2 | 0.4176 ± 70.0 | 0.3401 ± 78.7 | 0.2327 ± 97.1 |
Metabolite-to-parent ratio calculated as: AUCtau of padsevonil metabolites (1 and 2) divided by AUCtau of padsevonil following multiple dosing in plasma. Metabolite-to-parent ratio for AUCtau was expressed as ratio.
| ratio | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Metabolite 1 | 0.8533 ± 34.9 | 0.8766 ± 38.7 | 0.5174 ± 48.2 |
| Metabolite 2 | 0.3783 ± 63.4 | 0.3576 ± 75.5 | 0.1575 ± 88.5 |
CLr: The renal clearance of padsevonil and its metabolites (1 and 2) for single dose in urine. CLr was expressed in milliliters per hour (mL/hour).
| mL/hour | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Padsevonil | 27.40 ± 54.3 | 25.80 ± 73.0 | 19.36 ± 60.2 |
| Metabolite 1 | 253.7 ± 47.8 | 283.0 ± 60.1 | 255.0 ± 53.9 |
| Metabolite 2 | 17640 ± 19.6 | 17630 ± 21.2 | 16290 ± 20.7 |
CLr: The renal clearance of padsevonil and its metabolites (1 and 2) for multiple doses in urine. CLr was expressed in milliliters per hour (mL/hour).
| mL/hours | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Padsevonil | 28.43 ± 58.0 | 25.24 ± 59.7 | 25.12 ± 56.1 |
| Metabolite 1 | 335.0 ± 50.2 | 325.4 ± 40.8 | 311.4 ± 51.7 |
| Metabolite 2 | 19390 ± 24.9 | 18530 ± 20.7 | 16470 ± 27.6 |
Ae: The cumulative amount of padsevonil and its metabolites (1, 2, and 3) excreted into the urine for single dose. Ae was expressed in milligrams (mg).
| milligrams | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Padsevonil | 0.03914 ± 57.5 | 0.04054 ± 75.0 | 0.04987 ± 74.6 |
| Metabolite 1 | 0.2101 ± 43.2 | 0.2333 ± 52.1 | 0.2309 ± 45.8 |
| Metabolite 2 | 10.53 ± 42.5 | 9.423 ± 45.5 | 9.764 ± 53.1 |
| Metabolite 3 | 29.11 ± 39.3 | 27.44 ± 42.3 | 26.09 ± 40.6 |
Ae: The cumulative amount of padsevonil and its metabolites (1, 2, and 3) excreted into the urine for multiple doses. Ae was expressed in milligrams (mg).
| milligrams | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Padsevonil | 0.05825 ± 57.2 | 0.05741 ± 58.6 | 0.1274 ± 62.3 |
| Metabolite 1 | 0.6188 ± 45.3 | 0.6657 ± 45.0 | 0.8797 ± 46.8 |
| Metabolite 2 | 15.03 ± 45.8 | 15.07 ± 46.9 | 13.67 ± 41.4 |
| Metabolite 3 | 70.83 ± 30.7 | 65.30 ± 34.0 | 81.36 ± 30.7 |
fe: The fraction of padsevonil or metabolites (1, 2, and 3) excreted into the urine for single dose. fe was expressed in percentage (%).
| percentage excreted | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Padsevonil | 0.03914 ± 57.5 | 0.04054 ± 75.0 | 0.04987 ± 74.6 |
| Metabolite 1 | 0.2170 ± 43.2 | 0.2410 ± 52.1 | 0.2385 ± 45.8 |
| Metabolite 2 | 10.52 ± 42.5 | 9.419 ± 45.5 | 9.760 ± 53.1 |
| Metabolite 3 | 21.17 ± 39.3 | 19.96 ± 42.3 | 18.98 ± 40.6 |
fe: The fraction of padsevonil and its metabolites (1, 2, and 3) excreted into the urine for multiple doses. fe was expressed in percentage (%).
| percentage excreted | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Padsevonil | 0.05825 ± 57.2 | 0.05741 ± 58.6 | 0.1274 ± 62.3 |
| Metabolite 1 | 0.6049 ± 45.6 | 0.6700 ± 44.6 | 0.8443 ± 45.3 |
| Metabolite 2 | 15.02 ± 45.8 | 15.06 ± 46.9 | 13.15 ± 37.9 |
| Metabolite 3 | 51.52 ± 30.7 | 47.50 ± 34.0 | 56.69 ± 38.0 |
CLform: The formation clearance of padsevonil metabolites (1, 2, and 3) in the urine for single dose. CLform was expressed in milliliters per hour (mL/hour).
| mL/hour | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Metabolite 1 | 151.9 ± 67.3 | 153.4 ± 75.8 | 92.59 ± 80.8 |
| Metabolite 2 | 7365 ± 80.2 | 5994 ± 87.8 | 3788 ± 107.5 |
| Metabolite 3 | 14820 ± 60.5 | 12700 ± 59.9 | 7367 ± 72.0 |
CLform: The formation clearance of padsevonil metabolites (1, 2, and 3) in the urine for multiple doses. CLform was expressed in milliliters per hour (mL/hour).
| mL/h | Padsevonil (Period 1) (PK-PPS) | Padsevonil (Period 2) (PK-PPS) | Padsevonil and Erythromycin (Period 3b) (PK-PPS) |
|---|---|---|---|
| Metabolite 1 | 295.3 ± 63.2 | 294.6 ± 58.9 | 166.4 ± 63.8 |
| Metabolite 2 | 7331 ± 80.5 | 6622 ± 90.9 | 2593 ± 93.9 |
| Metabolite 3 | 25150 ± 44.7 | 20890 ± 48.1 | 11170 ± 58.7 |
An SAE is any untoward medical occurrence that at any dose: * Results in death * Is life-threatening * Requires in patient hospitalization or prolongation of existing hospitalization * Is a congenital anomaly or birth defect * Is an infection that requires treatment parenteral antibiotics * Other important medical events which based on medical or scientific judgement may jeopardize the patients, or may require medical or surgical intervention to prevent any of the above.
| percentage of participants | Padsevonil (Period 1+2) (FAS) | Erythromycin (Period 3a) (FAS) | Padsevonil and Erythromycin (Period 3b) (FAS) | Erythromycin (Period 3c) (FAS) |
|---|---|---|---|---|
| Percentage of Participants Experiencing Treatment-Emergent Serious Adverse Events (SAEs) During the Study | 0 | 0 | 0 | 0 |
Treatment-emergent Adverse Events (TEAEs) were defined as those events which started on or after the date of first dose of UP0057 IMP, or events in which severity worsened on or after the date of first dose of UP0057 study medication.
| percentage of participants | Padsevonil (Period 1+2) (FAS) | Erythromycin (Period 3a) (FAS) | Padsevonil and Erythromycin (Period 3b) (FAS) | Erythromycin (Period 3c) (FAS) |
|---|---|---|---|---|
| Percentage of Participants Experiencing Treatment-Emergent Non-serious Adverse Events (AEs) During the Study | 100 | 11.1 | 96.3 | 19.2 |
Collected over From beginning of the first Treatment Period (Day 1) to the Safety Follow-up Visit (up to Day 48). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Padsevonil (Period 1+2) (FAS) | 0/28 (0%) | 0/28 (0%) | 28/28 (100%) |
| Erythromycin (Period 3a) (FAS) | 0/27 (0%) | 0/27 (0%) | 0/27 (0%) |
| Padsevonil and Erythromycin (Period 3b) (FAS) | 0/27 (0%) | 0/27 (0%) | 25/27 (92.6%) |
| Erythromycin (Period 3c) (FAS) | 0/26 (0%) | 0/26 (0%) | 2/26 (7.7%) |
| Event | Padsevonil (Period 1+2) (FAS) | Erythromycin (Period 3a) (FAS) | Padsevonil and Erythromycin (Period 3b) (FAS) | Erythromycin (Period 3c) (FAS) |
|---|---|---|---|---|
| SomnolenceNervous system disorders | 28/28 | 0/27 | 25/27 | 0/26 |
| DizzinessNervous system disorders | 18/28 | 0/27 | 8/27 | 0/26 |
| Medical device site reactionGeneral disorders | 5/28 | 0/27 | 7/27 | 0/26 |
| Euphoric moodPsychiatric disorders | 6/28 | 0/27 | 5/27 | 0/26 |
| HeadacheNervous system disorders | 5/28 | 0/27 | 0/27 | 2/26 |
| Back painMusculoskeletal and connective tissue disorders | 3/28 | 0/27 | 0/27 | 0/26 |
| ParaesthesiaNervous system disorders | 2/28 | 0/27 | 0/27 | 0/26 |
| Depressed moodPsychiatric disorders | 2/28 | 0/27 | 0/27 | 0/26 |
| InsomniaPsychiatric disorders | 2/28 | 0/27 | 0/27 | 0/26 |
| Dry skinSkin and subcutaneous tissue disorders | 2/28 | 0/27 | 0/27 | 0/26 |
Baseline Characteristics refer to the Full Analysis Set (FAS) which consisted of all study participants who have signed the Informed Consent Form (ICF) and received the investigational medicinal product (IMP).
| Age, Categorical(Participants) | Padsevonil and/or Erythromycin |
|---|---|
| <=18 years | 0 |
| Between 18 and 65 years | 28 |
| >=65 years | 0 |
| Age, Continuous(years) | Padsevonil and/or Erythromycin |
|---|---|
| Mean | 36.7 ± 8.3 |
| Sex: Female, Male(Participants) | Padsevonil and/or Erythromycin |
|---|---|
| Female | 3 |
| Male | 25 |
| Race/Ethnicity, Customized(Participants) | Padsevonil and/or Erythromycin |
|---|---|
| Asian | 2 |
| Black | 1 |
| White | 24 |
| Missing | 1 |
Documents are hosted by the registry — open the source record to download them.
This study is completed, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
UCB Biopharma S.P.R.L.