search
Back to results

Open Label Study to Assess the Absolute Bioavailability of Tasimelteon (HETLIOZ™)

Primary Purpose

Non-24-Hour-Sleep-Wake Disorder

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
tasimelteon 20 mg capsule
tasimelteon 2 mg I.V.
Sponsored by
Vanda Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Non-24-Hour-Sleep-Wake Disorder focused on measuring Non-24, absolute bioavailability, tasimelteon, Hetlioz™

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Men and women ages 18 - 55 years, inclusive;
  2. Non-smokers [abstinence from smoking for at least 6 months before the screening visit] and test negative for cotinine at screening and baseline;
  3. Subjects with Body Mass Index (BMI) of ≥18 and ≤25 kg/m2 (BMI = weight (kg)/ [height (m)]2);
  4. Males, non-fecund females (i.e., surgically sterilized, if procedure was done 6 months before screening or subject is postmenopausal, without menses for 6 months before screening), or females of child-bearing potential using an acceptable method of birth control for a period of 35 days before the first dosing, and females must have a negative pregnancy test at the screening and baseline visits; Note 1: Acceptable methods of birth control include any one of the following: abstinence, vasectomized sexual partner, hormonal methods (i.e. pill, hormonal IUD, Depo-Provera, implants, patch, intravaginal device [NuvaRing]), intrauterine device (IUD [copper banded coils]), diaphragm, cervical cap, or condom with spermicidal jelly or foam
  5. Vital signs (after 3 minutes resting in a semi-supine position) which are within the ranges shown below:

    1. Body temperature between 35.0-37.5 °C;
    2. Systolic blood pressure between 90-150 mmHg;
    3. Diastolic blood pressure between 50-95 mmHg;
    4. Pulse rate between 50-100 bpm.
  6. Ability and acceptance to provide written informed consent;
  7. Willing and able to comply with study requirements and restrictions;
  8. Subjects must be in good health as determined by past medical history, physical examination, electrocardiogram, clinical laboratory tests and urinalysis;

Exclusion Criteria:

  1. History of recent (within six months) drug or alcohol abuse as defined in DSM-V, Diagnostic Criteria for Drug and Alcohol Abuse or evidence of such abuse as indicated by the laboratory assays conducted during the Screening Visit or at Baseline;
  2. Any major surgery within three months of the first Baseline visit or any minor surgery within one month;
  3. History or current evidence of cardiovascular, hepatic, hematopoietic, renal, gastrointestinal or metabolic dysfunction or psychiatric disease judged by the Investigator to be clinically significant;
  4. Subjects who are currently considered a suicide risk, any subject who has ever made a suicide attempt, or those who are currently demonstrating active (within the past 6 months) suicidal ideation as deemed by the Columbia Suicide Severity Rating Scale (C-SSRS);
  5. Any condition requiring the regular use of medication except those listed in Section 8.2;
  6. Exposure to any investigational drug, including placebo, within 30 days or 5 half-lives (whichever is longer) of baseline
  7. Exposure (within 2 weeks of Day -1) to any over-the-counter medications including melatonin, dietary supplements and/or herbal remedies, except those listed on Section 8.2;
  8. Treatment with any drug known to cause major organ system toxicity (e.g., chloramphenicol or tamoxifen) during the 60 days preceding the Screening visit;
  9. History of intolerance and/or hypersensitivity to tasimelteon, and/or drugs similar to tasimelteon including melatonin;
  10. Donation or loss of 400 mL or more of blood within one month prior to the Baseline Visit;
  11. Significant illness within the two weeks prior to Baseline;
  12. Pregnant or lactating females;
  13. History of porphyria or liver disease and/or positive for one or more of the following serological results:

    1. A positive hepatitis C antibody test (anti-HCV)
    2. A positive hepatitis B surface antigen (HBsAg)
    3. A positive HIV test result
  14. Use of any food or beverage containing grapefruit or grapefruit juice, apple or orange juice, vegetables from the mustard green family (e.g. kale, broccoli, watercress, collard greens, kohlrabi, Brussels sprouts, mustard greens) and charbroiled meats for at least 2 weeks before the Baseline Visit until the end of the study;
  15. Inability to be venipunctured and/or tolerate venous access;
  16. Previous participation in a BMS-214778, VEC-162, or tasimelteon study;
  17. Subjects who are unable to read or speak English;
  18. Any other sound medical reason as determined by the clinical Investigator.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Sequence A

    Sequence B

    Arm Description

    Single oral dose of tasimelteon 20 mg on Day 1 Single I.V. dose of tasimelteon 2 mg on Day 6

    Single I.V. dose of tasimelteon 2 mg on Day 1 Single oral dose of tasimelteon 20 mg on Day 6

    Outcomes

    Primary Outcome Measures

    Absolute Bioavailability After a Single Oral Dose of Hetlioz™(Tasimelteon) 20mg
    The absolute bioavailability (F) of tasimelteon will be estimated from the dose-corrected AUC(inf) after oral and I.V. administration using an analysis of variance (ANOVA) model with treatment, period, sequence, and subject within sequence as the classification variables, using natural log-transformed data. The geometric mean ratio (GMR), oral-to-I.V., and its associated 90% confidence interval (CI) will be used as the estimate of F and its variability.

    Secondary Outcome Measures

    Cmax of Tasimelteon After a Single 20 mg Oral Dose and After a Single 2 mg I.V. Administration.
    Cmax of tasimelteon will be compared when given orally or administered as an I.V.
    AUC (Inf) of Tasimelteon After a Single 20 mg Oral Dose and After a Single 2 mg I.V. Administration.
    AUC (inf) of Tasimelteon will be compared when given orally or administered as an I.V.
    T1/2 of Tasimelteon After a Single 20 mg Oral Dose and After a Single 2 mg I.V. Administration.
    T1/2 of tasimelteon will be compared when given orally or administered as an I.V.
    Total Clearance of Tasimelteon After a Single 20 mg Oral Dose and After a Single 2 mg I.V. Administration.
    CL of tasimelteon will be compared when given orally or administered as an I.V.
    Cmax of Tasimelteon's Metabolites After an Oral and I.V. Dose of Tasimelteon
    The mean +/- SD for the Cmax of tasimelteon's metabolites after a single 20 mg oral dose of tasimelteon and after a single 2 mg I.V. administration of tasimelteon
    AUC(Inf) of Tasimelteon's Metabolites After a Single Oral and I.V. Dose
    The mean +/- SD for the AUC(inf) of tasimelteon's metabolites after a single 20 mg oral dose of tasimelteon and after a single 2 mg I.V. administration of tasimelteon
    Metabolite-to-parent AUC(Inf) Ratios After Oral Administration of a Single 20 mg Dose and IV Administration of a Single 2 mg Dose of Tasimelteon
    Comparison of the metabolite-to-parent AUC(inf) ratios for the oral and IV routes.
    Number of Participants With Adverse Events
    Number of participants with treatment-emergent adverse event per treatment arm and overall.

    Full Information

    First Posted
    May 1, 2014
    Last Updated
    July 21, 2016
    Sponsor
    Vanda Pharmaceuticals
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT02130999
    Brief Title
    Open Label Study to Assess the Absolute Bioavailability of Tasimelteon (HETLIOZ™)
    Official Title
    A Single Dose, Open-Label, Randomized Two-Period Crossover Study in Healthy Young Subjects to Assess the Absolute Bioavailability of Tasimelteon (HETLIOZ™)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    May 2014 (undefined)
    Primary Completion Date
    May 2014 (Actual)
    Study Completion Date
    May 2014 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Vanda Pharmaceuticals

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Hetlioz™ (tasimelteon) is used in the treatment of Non-24-Hour-Sleep-Wake Disorder (Non-24). Non-24 is very common in people who are totally blind because light can not reset their body clock. This causes the internal sleep-wake cycle to be out of sync with the 24-hour day-night. Non-24 is a serious, chronic circadian rhythm disorder in the blind that causes nighttime sleep problems and a wide range of daytime difficulties, including an overwhelming urge to nap. Tasimelteon will be given in two ways; orally (by mouth) as a 20 mg capsule and intravenously (I.V.) by infusion through a catheter (not an injection) into a vein. The oral administration is approved by the FDA. The I.V. administration is considered investigational as it has not been approved by the FDA. This will be the first time tasimelteon will be given to humans by intravenous (I.V.) injection. The purposes of this research study are to: assess how quickly a single 20 mg oral dose of tasimelteon is absorbed into the body; evaluate the single-dose pharmacokinetics of tasimelteon after a single 20 mg oral dose and after a single 2 mg I.V. dose; evaluate the single-dose pharmacokinetics of tasimelteon metabolites after a single 20 mg oral dose and after a single 2 mg I.V. dose; evaluate the safety and tolerability of a single 20 mg oral dose of tasimelteon; and evaluate the safety and tolerability of a single 2 mg I.V. dose of tasimelteon. Pharmacokinetics (PK) is the study of how a drug is absorbed, distributed, metabolized, and eventually eliminated by the body. Pharmacokinetics is what the body does to the drug. Blood samples will be taken throughout the study for PK analysis.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Non-24-Hour-Sleep-Wake Disorder
    Keywords
    Non-24, absolute bioavailability, tasimelteon, Hetlioz™

    7. Study Design

    Primary Purpose
    Basic Science
    Study Phase
    Phase 4
    Interventional Study Model
    Crossover Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    14 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Sequence A
    Arm Type
    Experimental
    Arm Description
    Single oral dose of tasimelteon 20 mg on Day 1 Single I.V. dose of tasimelteon 2 mg on Day 6
    Arm Title
    Sequence B
    Arm Type
    Experimental
    Arm Description
    Single I.V. dose of tasimelteon 2 mg on Day 1 Single oral dose of tasimelteon 20 mg on Day 6
    Intervention Type
    Drug
    Intervention Name(s)
    tasimelteon 20 mg capsule
    Other Intervention Name(s)
    Hetlioz™ 20 mg
    Intervention Type
    Drug
    Intervention Name(s)
    tasimelteon 2 mg I.V.
    Primary Outcome Measure Information:
    Title
    Absolute Bioavailability After a Single Oral Dose of Hetlioz™(Tasimelteon) 20mg
    Description
    The absolute bioavailability (F) of tasimelteon will be estimated from the dose-corrected AUC(inf) after oral and I.V. administration using an analysis of variance (ANOVA) model with treatment, period, sequence, and subject within sequence as the classification variables, using natural log-transformed data. The geometric mean ratio (GMR), oral-to-I.V., and its associated 90% confidence interval (CI) will be used as the estimate of F and its variability.
    Time Frame
    pre-dose, -0.125, 0, 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose
    Secondary Outcome Measure Information:
    Title
    Cmax of Tasimelteon After a Single 20 mg Oral Dose and After a Single 2 mg I.V. Administration.
    Description
    Cmax of tasimelteon will be compared when given orally or administered as an I.V.
    Time Frame
    pre-dose, -0.125, 0, 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose
    Title
    AUC (Inf) of Tasimelteon After a Single 20 mg Oral Dose and After a Single 2 mg I.V. Administration.
    Description
    AUC (inf) of Tasimelteon will be compared when given orally or administered as an I.V.
    Time Frame
    pre-dose, -0.125, 0, 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose
    Title
    T1/2 of Tasimelteon After a Single 20 mg Oral Dose and After a Single 2 mg I.V. Administration.
    Description
    T1/2 of tasimelteon will be compared when given orally or administered as an I.V.
    Time Frame
    pre-dose, -0.125, 0, 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours pos-dose
    Title
    Total Clearance of Tasimelteon After a Single 20 mg Oral Dose and After a Single 2 mg I.V. Administration.
    Description
    CL of tasimelteon will be compared when given orally or administered as an I.V.
    Time Frame
    pre-dose, -0.125, 0, 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose
    Title
    Cmax of Tasimelteon's Metabolites After an Oral and I.V. Dose of Tasimelteon
    Description
    The mean +/- SD for the Cmax of tasimelteon's metabolites after a single 20 mg oral dose of tasimelteon and after a single 2 mg I.V. administration of tasimelteon
    Time Frame
    pre-dose, -0.125, 0, 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose
    Title
    AUC(Inf) of Tasimelteon's Metabolites After a Single Oral and I.V. Dose
    Description
    The mean +/- SD for the AUC(inf) of tasimelteon's metabolites after a single 20 mg oral dose of tasimelteon and after a single 2 mg I.V. administration of tasimelteon
    Time Frame
    pre-dose, -0.125, 0, 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose
    Title
    Metabolite-to-parent AUC(Inf) Ratios After Oral Administration of a Single 20 mg Dose and IV Administration of a Single 2 mg Dose of Tasimelteon
    Description
    Comparison of the metabolite-to-parent AUC(inf) ratios for the oral and IV routes.
    Time Frame
    pre-dose, -0.125, 0, 0.083, 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose
    Title
    Number of Participants With Adverse Events
    Description
    Number of participants with treatment-emergent adverse event per treatment arm and overall.
    Time Frame
    From Baseline to End of Study; Day 5 (± 2 days).
    Other Pre-specified Outcome Measures:
    Title
    Number of Participants That Reported Suicidal Ideation, Suicidal Behavior, or Suicide Attempts.
    Description
    Number of Participants that reported suicidal ideation, suicidal behavior, or suicide attempts per treatment arm and overall.
    Time Frame
    Baseline to End of Study Day 5 (± 2 days).

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    55 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Men and women ages 18 - 55 years, inclusive; Non-smokers [abstinence from smoking for at least 6 months before the screening visit] and test negative for cotinine at screening and baseline; Subjects with Body Mass Index (BMI) of ≥18 and ≤25 kg/m2 (BMI = weight (kg)/ [height (m)]2); Males, non-fecund females (i.e., surgically sterilized, if procedure was done 6 months before screening or subject is postmenopausal, without menses for 6 months before screening), or females of child-bearing potential using an acceptable method of birth control for a period of 35 days before the first dosing, and females must have a negative pregnancy test at the screening and baseline visits; Note 1: Acceptable methods of birth control include any one of the following: abstinence, vasectomized sexual partner, hormonal methods (i.e. pill, hormonal IUD, Depo-Provera, implants, patch, intravaginal device [NuvaRing]), intrauterine device (IUD [copper banded coils]), diaphragm, cervical cap, or condom with spermicidal jelly or foam Vital signs (after 3 minutes resting in a semi-supine position) which are within the ranges shown below: Body temperature between 35.0-37.5 °C; Systolic blood pressure between 90-150 mmHg; Diastolic blood pressure between 50-95 mmHg; Pulse rate between 50-100 bpm. Ability and acceptance to provide written informed consent; Willing and able to comply with study requirements and restrictions; Subjects must be in good health as determined by past medical history, physical examination, electrocardiogram, clinical laboratory tests and urinalysis; Exclusion Criteria: History of recent (within six months) drug or alcohol abuse as defined in DSM-V, Diagnostic Criteria for Drug and Alcohol Abuse or evidence of such abuse as indicated by the laboratory assays conducted during the Screening Visit or at Baseline; Any major surgery within three months of the first Baseline visit or any minor surgery within one month; History or current evidence of cardiovascular, hepatic, hematopoietic, renal, gastrointestinal or metabolic dysfunction or psychiatric disease judged by the Investigator to be clinically significant; Subjects who are currently considered a suicide risk, any subject who has ever made a suicide attempt, or those who are currently demonstrating active (within the past 6 months) suicidal ideation as deemed by the Columbia Suicide Severity Rating Scale (C-SSRS); Any condition requiring the regular use of medication except those listed in Section 8.2; Exposure to any investigational drug, including placebo, within 30 days or 5 half-lives (whichever is longer) of baseline Exposure (within 2 weeks of Day -1) to any over-the-counter medications including melatonin, dietary supplements and/or herbal remedies, except those listed on Section 8.2; Treatment with any drug known to cause major organ system toxicity (e.g., chloramphenicol or tamoxifen) during the 60 days preceding the Screening visit; History of intolerance and/or hypersensitivity to tasimelteon, and/or drugs similar to tasimelteon including melatonin; Donation or loss of 400 mL or more of blood within one month prior to the Baseline Visit; Significant illness within the two weeks prior to Baseline; Pregnant or lactating females; History of porphyria or liver disease and/or positive for one or more of the following serological results: A positive hepatitis C antibody test (anti-HCV) A positive hepatitis B surface antigen (HBsAg) A positive HIV test result Use of any food or beverage containing grapefruit or grapefruit juice, apple or orange juice, vegetables from the mustard green family (e.g. kale, broccoli, watercress, collard greens, kohlrabi, Brussels sprouts, mustard greens) and charbroiled meats for at least 2 weeks before the Baseline Visit until the end of the study; Inability to be venipunctured and/or tolerate venous access; Previous participation in a BMS-214778, VEC-162, or tasimelteon study; Subjects who are unable to read or speak English; Any other sound medical reason as determined by the clinical Investigator.

    12. IPD Sharing Statement

    Learn more about this trial

    Open Label Study to Assess the Absolute Bioavailability of Tasimelteon (HETLIOZ™)

    We'll reach out to this number within 24 hrs