ClinicalTrials.gg
CompletedNCT04829773Updated Apr 2, 2021

Study Evaluating the Effect of Food on the Pharmacokinetics of Palovarotene and the Effect of Palovarotene on the Pharmacokinetics of the CYP3A4 Substrate Midazolam in Two Cohorts of Healthy Adult Subjects

A Phase 1 interventional study of Palovarotene and midazolam in Fibrodysplasia Ossificans Progressiva, sponsored by Clementia Pharmaceuticals Inc.. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-04-02.

Sponsored by Clementia Pharmaceuticals Inc. (part of Ipsen) · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Mar 2019, 7 years 7 months ago, and no results have been posted to the registry.
  • Registered 2 years 2 months after the study started (first participant enrolled Jan 2019, registered Apr 2021).
Phase
Phase 1
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
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Study summary

Study to evaluate the effect of food and the effect of swallowing capsule whole versus sprinkling on apple sauce on the pharmacokinetics (PK)/bioavailability of palovarotene, and evaluate the effect of palovarotene on the PK of the CYP3A4 substrate midazolam.

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Conditions studied

  • Fibrodysplasia Ossificans Progressiva

Browse trials for

03

In context

Myositis Ossificans

24 studies on the registry are indexed under Myositis Ossificans; 5 are open to participants now.

This study's enrollment of 48 is close to the median of 48 across 16 interventional studies indexed under Myositis Ossificans.

Browse Myositis Ossificans studies →

Lead sponsor

Clementia Pharmaceuticals Inc. is the lead sponsor of 10 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 3 (50%) have results posted.

First submitted after Clementia Pharmaceuticals Inc. became part of Ipsen.

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

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Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Key Inclusion Criteria:

  • Generally healthy male or female aged 18 to 55 years, inclusive; (BMI) of 18 to 30 kg/m2 and a body weight of >50 kg; resting pulse of >45 bpm and \<100 bpm; systolic and diastolic blood pressure of \<140/90 mmHg

Key Exclusion Criteria:

  • a history or current evidence of a or uncontrolled disease, disease or condition known to interfere with the absorption, distribution, metabolism, or excretion of drugs
  • exposure to synthetic oral retinoids or creams containing retinoids in the past 30 days prior to the signature of the .
  • history or presence of silent infections, including positive tests for type 1 (HIV-1), human immunodeficiency virus type 2 (HIV-2), virus (HBV), or virus (HCV)
  • history of allergy or to retinoids, gelatin, or lactose
  • For the DDI component only, the subject had a history of allergy or hypersensitivity to benzodiazepines, midazolam, cherries, or midazolam formulation
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    PK Cohort 1

    Subjects received three single oral doses of palovarotene on Days 1, 6, and 11, separated by 5-day washout periods. Sequence A-B-C: Subjects received a single oral dose of palovarotene whole capsule under fasting conditions (at least a 10-hour overnight fast); followed by a single oral dose of palovarotene whole capsule 30 minutes after the start of a standardized high-fat, high-caloric breakfast; and then followed by a single oral dose of palovarotene sprinkled on 1 teaspoon of apple sauce, administered 30 minutes after the start of a standardized high-fat, high-caloric breakfast.

    Drug: Palovarotene

  • Experimental
    PK Cohort 2

    Subjects received three single oral doses of palovarotene on Days 1, 6, and 11, separated by 5-day washout periods. Sequence B-C-A: Subjects received a single oral dose of palovarotene whole capsule 30 minutes after the start of a standardized high-fat, high-caloric breakfast; followed by a single oral dose of palovarotene sprinkled on 1 teaspoon of apple sauce, administered 30 minutes after the start of a standardized high-fat, high-caloric breakfast; and then followed by a single oral dose of palovarotene whole capsule under fasting conditions (at least a 10-hour overnight fast).

    Drug: Palovarotene

  • Experimental
    PK Cohort 3

    Subjects received three single oral doses of palovarotene on Days 1, 6, and 11, separated by 5-day washout periods. Sequence C-A-B: Subjects received a single oral dose of palovarotene sprinkled on 1 teaspoon of apple sauce, administered 30 minutes after the start of a standardized high-fat, high-caloric breakfast; followed by a single oral dose of palovarotene whole capsule under fasting conditions (at least a 10-hour overnight fast); and then followed by a single oral dose of palovarotene whole capsule 30 minutes after the start of a standardized high-fat, high-caloric breakfast.

    Drug: Palovarotene

  • Experimental
    Drug-Drug interaction (DDI) Cohort

    On the morning of Day 1, subjects received a single dose of midazolam 30 minutes after the start of a standardized breakfast. On Day 2 (after the 24-hour midazolam blood draw) through Day 15, subjects received a daily, single dose of palovarotene in the morning 30 minutes after the start of a standardized breakfast. A second dose of midazolam was administered on Day 15 in the morning (immediately following the palovarotene dose) 30 minutes after the start of a standardized breakfast.

    Drug: Palovarotene · Drug: midazolam

Interventions

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What researchers measure

Primary outcomes

  1. Maximum (peak) observed plasma drug concentration

    Time frame: Days 1, 2, 3, 6, 7, 8, 11, 12, 13.

  2. Time to reach maximum (peak) (t max) observed plasma concentration following drug administration

    Time frame: Days 1, 2, 3, 6, 7, 8, 11, 12, 13

  3. Area under the plasma concentration time (AUC 0-last) curve from time zero to the last quantifiable time point, calculated by linear-log trapezoidal summation

    Time frame: Days 1, 2, 3, 6, 7, 8, 11, 12, 13

  4. Area under the plasma concentration time curve from time zero to infinity (AUC 0-infinity)

    calculated by linear-log trapezoidal summation and extrapolated to infinity by addition of the last quantifiable plasma concentration divided by the elimination rate constant

    Time frame: Days 1, 2, 3, 6, 7, 8, 11, 12, 13

  5. Apparent terminal disposition rate constant/terminal rate constant yz

    determined by linear regression of the terminal points of the log-linear plasma concentration-time curve

    Time frame: Days 1, 2, 3, 6, 7, 8, 11, 12, 13

  6. Apparent terminal elimination half-life (t1/2)

    Time frame: Days 1, 2, 3, 6, 7, 8, 11, 12, 13

  7. Apparent volume of distribution after oral administration (Vd/F)

    Time frame: Days 1, 2, 3, 6, 7, 8, 11, 12, 13

  8. Apparent total clearance of the drug from plasma after oral administration (cLF)

    Time frame: Days 1, 2, 3, 6, 7, 8, 11, 12, 13

  9. Area under the plasma concentration time curve from time zero to 24 hours only for DDI cohort

    Time frame: Days 1, 2, 15, 16

  10. The last concentration before the next study drug administration at steady state for DDI cohort

    Time frame: Days 1, 2, 15, 16

  11. Maximum (peak) observed plasma drug concentration at steady state for DDI cohort

    Time frame: Days 1, 2, 15, 16

  12. Time to reach maximum (peak) observed plasma concentration following drug administration at steady state for DDI cohort

    Time frame: Days 1, 2, 15, 16

  13. Minimum observed plasma concentration at steady state, taken as the lowest plasma concentration during dosing interval for DDI cohort

    Time frame: Days 1, 2, 15, 16

  14. Accumulation ratio for DDI cohort

    Time frame: Days 1, 2, 15, 16

Secondary outcomes

  1. Occurrence of Adverse Events (AEs)

    Time frame: from baseline until the end of study (16 days)

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Study locations

1 site
  • Cambridge Ipsen US
    Cambridge, Massachusetts 02142, United States
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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2019 to primary completion in Mar 2019, 2 months.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 1, 2021
First posted
Apr 2, 2021
StartActual
Jan 3, 2019
Primary completionActual
Mar 29, 2019
CompletionActual
Mar 29, 2019
Last update
Apr 2, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 2, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04829773
Responsible party
Sponsor
First posted
Apr 2, 2021
Start date
Jan 3, 2019
Primary completion
Mar 29, 2019
Completion
Mar 29, 2019
Last update
Apr 2, 2021

Study contacts

Ipsen Medical Director
study director · Ipsen

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Palovarotene

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