A Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Food Effect of RO6953958 in Healthy Participants
Autistic Disorder, Autism Spectrum Disorder, Child Development Disorders, Pervasive
About this trial
This is an interventional treatment trial for Autistic Disorder focused on measuring Autism Spectrum Disorder
Eligibility Criteria
Inclusion Criteria:
- Body mass index (BMI) within 18 to 31 kg/m2
- During treatment and for at least 14 days after the last dose to remain abstinent
- Refrain from donating sperm for at least 14 days after last dose
- Part 2 (MAD) only - Participants must be prepared to collect a sleep log and wear an actigraphy device the week before participation in the study. Participants must also have scored 5 or less on the Pittsburgh Sleep Quality Index (PSQI), less than 13 on the Epworth sleepiness scale (ESS), and not be considered an extreme morning or evening type according to the morningness-eveningness questionnaire (MEQ) at screening to be eligible.
Exclusion Criteria:
- History or evidence of any medical condition potentially altering the absorption, metabolism, or elimination of drugs
- History of any clinically significant gastrointestinal, renal, hepatic, bronchopulmonary, neurological, psychiatric, cardiovascular, endocrinological, hematological, or allergic disease, sleep disorders (Part 2 [MAD] only), unexplained syncope (within 12 months prior to screening), metabolic disorder, cancer, or cirrhosis
- Use of any psychoactive medication, or medications known to have effects on central nervous system (CNS), or blood flow
- History of convulsions
- History of clinically significant hypersensitivity (e.g., drugs, excipients) or allergic reactions
- Abnormal blood pressure (BP) and pulse rate
- Presence of orthostatic hypotension
- History or presence of clinically significant ECG abnormalities or cardiovascular disease
- Current or chronic history of liver disease or known hepatic or biliary abnormalities
- Known active or any major episode of infection within 4 weeks prior to the start of drug administration
- Participants who test positive for acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
- Have used or intend to use over-the-counter (OTC) or prescription medication including herbal medications within 30 days prior to dosing
- Positive test for drugs, abuse of alcohol, human immunodeficiency virus (HIV), hepatitis B or hepatitis C virus (HCV), presence of hepatitis B surface antigen (HBsAg), or positive hepatitis C antibody test
- Inability or unwillingness to fully consume standardized breakfast at Day 1
- Part 2 (MAD) only - Participants who have issues sleeping or participants who have travelled across 2 or more time zones in the past month.
- Part 2 (MAD) only - Participants who cannot produce sufficient saliva for study assessments
- Participants who have donated more than 500 mL of blood or blood products or had significant blood loss within 3 months prior to screening
- Have a history of clinically significant back pain, back pathology, and/or back injury that may predispose to complications from, or technical difficulty with, lumbar puncture
- Complications that would lead to difficulty in obtaining a lumbar puncture
- Part 3 (DDI) only - History of hypersensitivity to benzodiazepines (including midazolam) or its formulation ingredients
Sites / Locations
- Hammersmith Medicines Research; Central Middlesex Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Placebo Comparator
Experimental
Placebo Comparator
Experimental
Part 1: SAD/FE
Part 1: SAD placebo
Part 2: MAD
Part 2: MAD placebo
Part 3: DDI
There will be 7 cohorts in this study. In each cohort, participants will receive a single oral dose of RO6953958 while fasted. Participants in the fed (FE) cohort will return to receive the same single oral dose of RO6953958 repeated in the fed state.
There will be 7 cohorts in this study. In each cohort, participants will receive a single oral dose of a placebo while fasted/fed.
A maximum of 5 dose levels are anticipated. For each dose level, a minimum of 8 and a maximum of 16 participants will receive a multiple oral dose of RO6953958 once daily (QD) for 10 days.
A maximum of 5 dose levels are anticipated. For each dose level, a minimum of 8 and a maximum of 16 participants will receive a multiple oral dose of RO6953958 QD for 10 days.
RO6953958 will be administered at the maximum dose QD that was tested in the ongoing Part 2 (MAD). Participants will also be administered midazolam.