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A Study to Investigate the Effect of Esomeprazole and the Effect of Food on the Pharmacokinetics of Balovaptan in Healthy Volunteers

Primary Purpose

Autism Spectrum Disorder

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Balovaptan
Esomeprazole
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autism Spectrum Disorder

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • No evidence of any active or chronic disease
  • Body mass index (BMI) between 18 and 32 kg/m2 inclusive, at screening
  • For women of childbearing potential: if engaging in heterosexual activity, agreement to use at least two adequate forms of contraception during the entire study and for 90 days following the last dose of study drug
  • For men: agreement to use contraceptive measures, and agreement to refrain from donating sperm

Exclusion Criteria:

  • Pregnancy or lactation (positive serum pregnancy test at screening or at admission)
  • Any condition or disease detected during the medical interview/physical examination that would render the subject unsuitable for the study, place the subject at undue risk or interfere with the ability of the subject to complete the study in the opinion of the Investigator
  • In the opinion of the Investigator, any major illness within 4 weeks prior to the screening examination or any febrile illness within 1 week prior to screening.
  • History of any clinically significant, as determined by the investigator, gastrointestinal, renal, hepatic, broncho-pulmonary, neurological, psychiatric, cardiovascular, endocrinological, hematological, lymphatic, musculoskeletal, genitourinary, immunological, dermatological, or connective tissue or allergic disease, metabolic disorder, or cancer
  • Signs and symptoms potentially indicative of peripheral neuropathy
  • History or evidence of any medical condition potentially altering the absorption, distribution, metabolism, or elimination of drugs
  • A history of clinically significant in the opinion of the Investigator hypersensitivity
  • History or presence of clinically significant ECG abnormalities before study drug administration
  • Clinically significant abnormalities in laboratory test results
  • History of coagulopathies, bleeding disorders, or blood dyscrasias
  • Current suicidal risk, in the opinion of the Investigator
  • Unexplained syncope during the 6 months prior to screening or with presyncopal and/or syncopal symptoms during orthostatic challenge testing
  • Current smoker or user of tobacco or nicotine-containing products or subjects who have smoked or used tobacco or nicotine-containing products within 3 months prior to first study drug administration
  • Suspicion of or presence of a clinically relevant history of or current alcohol and/or other substance abuse or addiction.
  • Alcohol consumption of >14 units per week for males and females
  • Positive urine alcohol test or urine drug screen at screening or Day -1 of any treatment period
  • Hormone replacement therapy if postmenopausal status cannot be ascertained from medical history or FSH levels
  • Clinically relevant deviation from normal in the physical examination including vital signs, as determined by the investigator
  • Positive result for HIV 1, HIV 2, hepatitis C virus antibody, or hepatitis B core (HBc) antibody.
  • Participation in an investigational drug or device study within 4 weeks or 5 times the elimination half-life, whichever is longer, prior to first dosing, or within 5 months prior to first administration of study drug in case of a study with a biological, as calculated from the day of Follow-up visit from the previous study
  • Donation of blood or plasma or significant blood loss within 3 months prior to screening
  • Dietary restrictions that would prohibit the consumption of standardized meals or the highfat, high-calorie meal planned for this study
  • Use of any prohibited medications or food before study start or subjects who do not agree to refrain from consuming prohibited medications or food during the study
  • Conditions requiring concomitant medication during the study (including for dental conditions).
  • Any prescribed systemic or topical medication within 4 weeks (or within 5 times the elimination half-life of the medication, whichever is longer) of the first administration of study drug
  • Used any nonprescribed systemic or topical medication or herbal remedies within 7 days before the first study drug administration
  • Received any medications known to chronically alter drug absorption or elimination processes within 4 weeks before the first administration of study drug
  • Use of any drugs or substances, including herbal treatments such as St John's wort, that are known to be substrates, inducers, or inhibitors of CYP3A4 within 4 weeks before the first administration of study drug
  • Use of any drugs or substances, including herbal treatments, such as fluoxetine, fluvoxamine, aspirin, norethisterone, rifampicin, etc that are known to be substrates, inducers, or inhibitors of CYP2C19 within 4 weeks before the first administration of study drug
  • Subjects under judicial supervision, guardianship, or curatorship
  • Poor venous access for blood sampling
  • Participants who are intolerant to sucrose
  • Previous exposure to balovaptan

Sites / Locations

  • PRA International Clinical Pharmacology Center (EDS US Clinic)

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Treatment sequence ABC

Treatment sequence BAC

Arm Description

In Period 1 participants will receive 1 tablet of balovaptan after high-fat, high-calorie meal. In Period 2, after 12 to 21 days wash-out, participants will receive 1 tablet of balovaptan after 10-hour fast. In Period 3 participants will receive esomeprazole administered once daily for 6 days and with a single oral dose of balovaptan in the fasted state 1 hour after the fifth esomeprazole dose

In Period 1 participants will receive 1 tablet of balovaptan after 10-hour fast. In Period 2, after 12 to 21 days wash-out, participants will receive 1 tablet of balovaptan after high-fat, high-calorie meal. In Period 3 participants will receive esomeprazole administered once daily for 6 days and with a single oral dose of balovaptan in the fasted state 1 hour after the fifth esomeprazole dose

Outcomes

Primary Outcome Measures

Maximum Plasma Concentration (Cmax) of Balovaptan
Maximum plasma concentration of Balovaptan is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units
Mean Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of Balovaptan
Area under the plasma concentration-time curve (time 0 to infinity) of Balovaptan is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.
Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of Balovaptan
Area under the plasma concentration-time curve of Balovaptan from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.
Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Balovaptan
Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of Balovaptan is estimated using non-compartmental methods from the concentration-time profiles.
Time to Reach Cmax in Plasma (Tmax) of Balovaptan
Time to maximum plasma concentration of Balovaptan is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.
Last Quantifiable Concentration (Clast) of Balovaptan
Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.
Time To the Last Quantifiable Concentration (Tlast) of Balovaptan
Time to last quantifiable concentration is based on last detectable concentration in the time curve.
Time Between Dosing and Time of First Balovaptan Plasma Concentration (Tlag)
Time between dosing and time of first balovaptan plasma concentration is estimated using non-compartmental methods from the concentration-time profiles.
Apparent Clearance (Cl/F) of Balovaptan
Apparent clearance is estimated using non-compartmental methods from the concentration-time profiles.
Apparent Volume of Distribution (Vd/F) of Balovaptan
Apparent volume of distribution is estimated using non-compartmental methods from the concentration-time profiles.
Terminal Elimination Phase Half-Life (T1/2) of Balovaptan
Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Terminal Phase Rate Constant (λz) of Balovaptan
Terminal phase rate constant is estimated using non-compartmental methods from the concentration-time profiles.
Plasma Concentrations of Balovaptan
Amount of Balovaptan in a given volume of plasma.

Secondary Outcome Measures

Maximum Plasma Concentration (Cmax) of M2 Metabolite
Maximum plasma concentration of M2 Metabolite is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units
Maximum Plasma Concentration (Cmax) of M3 Metabolite
Maximum plasma concentration of M3 Metabolite is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units
Maximum Plasma Concentration (Cmax) of Esomeprazole
Maximum plasma concentration of Esomeprazole is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units
Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M2 Metabolite
Area under the plasma concentration-time curve (time 0 to infinity) of M2 Metabolite is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.
Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M3 Metabolite
Area under the plasma concentration-time curve (time 0 to infinity) of M3 Metabolite is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.
Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of Esomeprazole
Area under the plasma concentration-time curve (time 0 to infinity) of Esomeprazole is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.
Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M2 Metabolite
Area under the plasma concentration-time curve of M2 Metabolite from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.
Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M3 Metabolite
Area under the plasma concentration-time curve of M3 Metabolite from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.
Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M2 Metabolite
Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of M2 Metabolite is estimated using non-compartmental methods from the concentration-time profiles.
Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M3 Metabolite
Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of M3 Metabolite is estimated using non-compartmental methods from the concentration-time profiles.
Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Esomeprazole
Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of Esomeprazole is estimated using non-compartmental methods from the concentration-time profiles.
Time to Reach Cmax in Plasma (Tmax) of M2 Metabolite
Time to maximum plasma concentration of M2 Metabolite is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.
Time to Reach Cmax in Plasma (Tmax) of M3 Metabolite
Time to maximum plasma concentration of M3 Metabolite is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.
Time to Reach Cmax in Plasma (Tmax) of Esomeprazole
Time to maximum plasma concentration of Esomeprazole is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.
Last Quantifiable Concentration (Clast) of M2 Metabolite
Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.
Last Quantifiable Concentration (Clast) of M3 Metabolite
Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.
Last Quantifiable Concentration (Clast) of Esomeprazole
Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.
Time To the Last Quantifiable Concentration (Tlast) of M2 Metabolite
Time to last quantifiable concentration is based on last detectable concentration in the time curve.
Time To the Last Quantifiable Concentration (Tlast) of M3 Metabolite
Time to last quantifiable concentration is based on last detectable concentration in the time curve.
Time To the Last Quantifiable Concentration (Tlast) of Esomeprazole
Time to last quantifiable concentration is based on last detectable concentration in the time curve.
Terminal Elimination Phase Half-Life (T1/2) of M2 Metabolite
Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Terminal Elimination Phase Half-Life (T1/2) of M3 Metabolite
Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Terminal Elimination Phase Half-Life (T1/2) of Esomeprazole
Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Percentage of Patricipants With Adverse Events (AEs)
Terminal Phase Rate Constant (λz) of M2 Metabolite
Terminal phase rate constant is estimated using non-compartmental methods from the concentration-time profiles.
Terminal Phase Rate Constant (λz) of M3 Metabolite
Terminal phase rate constant is estimated using non-compartmental methods from the concentration-time profiles.
Terminal Phase Rate Constant (λz) of Esomeprazole
Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Plasma Concentrations of M2 Analyte
Amount of M2 Analyte in a given volume of plasma.
Plasma Concentrations of M3 Analyte
Amount of M3 Analyte in a given volume of plasma.
Plasma Concentrations of Esomeprazole
Amount of Esomeprazole in a given volume of plasma.

Full Information

First Posted
November 6, 2019
Last Updated
February 23, 2021
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT04156646
Brief Title
A Study to Investigate the Effect of Esomeprazole and the Effect of Food on the Pharmacokinetics of Balovaptan in Healthy Volunteers
Official Title
A Single-Center, Part-Randomized, Open-Label, Single-Dose, Three-Period, Crossover Study to Investigate the Effect of Esomeprazole and The Effect of Food on the Pharmacokinetics of Balovaptan in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Completed
Study Start Date
November 19, 2019 (Actual)
Primary Completion Date
December 24, 2019 (Actual)
Study Completion Date
January 6, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will investigate the effect of food and the effect of esomeprazole on the pharmacokinetics (PK) of a single dose of balovaptan in healthy volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Autism Spectrum Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment sequence ABC
Arm Type
Experimental
Arm Description
In Period 1 participants will receive 1 tablet of balovaptan after high-fat, high-calorie meal. In Period 2, after 12 to 21 days wash-out, participants will receive 1 tablet of balovaptan after 10-hour fast. In Period 3 participants will receive esomeprazole administered once daily for 6 days and with a single oral dose of balovaptan in the fasted state 1 hour after the fifth esomeprazole dose
Arm Title
Treatment sequence BAC
Arm Type
Experimental
Arm Description
In Period 1 participants will receive 1 tablet of balovaptan after 10-hour fast. In Period 2, after 12 to 21 days wash-out, participants will receive 1 tablet of balovaptan after high-fat, high-calorie meal. In Period 3 participants will receive esomeprazole administered once daily for 6 days and with a single oral dose of balovaptan in the fasted state 1 hour after the fifth esomeprazole dose
Intervention Type
Drug
Intervention Name(s)
Balovaptan
Intervention Description
Balovaptan will be administered after a high-fat, high-calorie meal (Treatment A), after a 10-hour fast (Treatment B), and after a 10-hour fast with esomeprazole 40 mg (Treatment C)
Intervention Type
Drug
Intervention Name(s)
Esomeprazole
Intervention Description
Esomeprazole will be administered once daily for 6 days and with a single dose of balovaptan 1 hour after the fifth esomeprazole dose
Primary Outcome Measure Information:
Title
Maximum Plasma Concentration (Cmax) of Balovaptan
Description
Maximum plasma concentration of Balovaptan is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Mean Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of Balovaptan
Description
Area under the plasma concentration-time curve (time 0 to infinity) of Balovaptan is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of Balovaptan
Description
Area under the plasma concentration-time curve of Balovaptan from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post dose
Title
Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Balovaptan
Description
Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of Balovaptan is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Time to Reach Cmax in Plasma (Tmax) of Balovaptan
Description
Time to maximum plasma concentration of Balovaptan is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Last Quantifiable Concentration (Clast) of Balovaptan
Description
Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Time To the Last Quantifiable Concentration (Tlast) of Balovaptan
Description
Time to last quantifiable concentration is based on last detectable concentration in the time curve.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Time Between Dosing and Time of First Balovaptan Plasma Concentration (Tlag)
Description
Time between dosing and time of first balovaptan plasma concentration is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Apparent Clearance (Cl/F) of Balovaptan
Description
Apparent clearance is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Apparent Volume of Distribution (Vd/F) of Balovaptan
Description
Apparent volume of distribution is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Terminal Elimination Phase Half-Life (T1/2) of Balovaptan
Description
Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Terminal Phase Rate Constant (λz) of Balovaptan
Description
Terminal phase rate constant is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Plasma Concentrations of Balovaptan
Description
Amount of Balovaptan in a given volume of plasma.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Secondary Outcome Measure Information:
Title
Maximum Plasma Concentration (Cmax) of M2 Metabolite
Description
Maximum plasma concentration of M2 Metabolite is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Maximum Plasma Concentration (Cmax) of M3 Metabolite
Description
Maximum plasma concentration of M3 Metabolite is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Maximum Plasma Concentration (Cmax) of Esomeprazole
Description
Maximum plasma concentration of Esomeprazole is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units
Time Frame
Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose
Title
Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M2 Metabolite
Description
Area under the plasma concentration-time curve (time 0 to infinity) of M2 Metabolite is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of M3 Metabolite
Description
Area under the plasma concentration-time curve (time 0 to infinity) of M3 Metabolite is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of Esomeprazole
Description
Area under the plasma concentration-time curve (time 0 to infinity) of Esomeprazole is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.
Time Frame
Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose
Title
Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M2 Metabolite
Description
Area under the plasma concentration-time curve of M2 Metabolite from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post dose
Title
Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of M3 Metabolite
Description
Area under the plasma concentration-time curve of M3 Metabolite from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post dose
Title
Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M2 Metabolite
Description
Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of M2 Metabolite is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of M3 Metabolite
Description
Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of M3 Metabolite is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Esomeprazole
Description
Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of Esomeprazole is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose
Title
Time to Reach Cmax in Plasma (Tmax) of M2 Metabolite
Description
Time to maximum plasma concentration of M2 Metabolite is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Time to Reach Cmax in Plasma (Tmax) of M3 Metabolite
Description
Time to maximum plasma concentration of M3 Metabolite is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Time to Reach Cmax in Plasma (Tmax) of Esomeprazole
Description
Time to maximum plasma concentration of Esomeprazole is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose
Title
Last Quantifiable Concentration (Clast) of M2 Metabolite
Description
Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Last Quantifiable Concentration (Clast) of M3 Metabolite
Description
Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Last Quantifiable Concentration (Clast) of Esomeprazole
Description
Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose
Title
Time To the Last Quantifiable Concentration (Tlast) of M2 Metabolite
Description
Time to last quantifiable concentration is based on last detectable concentration in the time curve.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Time To the Last Quantifiable Concentration (Tlast) of M3 Metabolite
Description
Time to last quantifiable concentration is based on last detectable concentration in the time curve.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Time To the Last Quantifiable Concentration (Tlast) of Esomeprazole
Description
Time to last quantifiable concentration is based on last detectable concentration in the time curve.
Time Frame
Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose
Title
Terminal Elimination Phase Half-Life (T1/2) of M2 Metabolite
Description
Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Terminal Elimination Phase Half-Life (T1/2) of M3 Metabolite
Description
Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Terminal Elimination Phase Half-Life (T1/2) of Esomeprazole
Description
Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose
Title
Percentage of Patricipants With Adverse Events (AEs)
Time Frame
Randomization to end of study (up to approximately 7 weeks)
Title
Terminal Phase Rate Constant (λz) of M2 Metabolite
Description
Terminal phase rate constant is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Terminal Phase Rate Constant (λz) of M3 Metabolite
Description
Terminal phase rate constant is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Terminal Phase Rate Constant (λz) of Esomeprazole
Description
Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.
Time Frame
Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose
Title
Plasma Concentrations of M2 Analyte
Description
Amount of M2 Analyte in a given volume of plasma.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Plasma Concentrations of M3 Analyte
Description
Amount of M3 Analyte in a given volume of plasma.
Time Frame
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose
Title
Plasma Concentrations of Esomeprazole
Description
Amount of Esomeprazole in a given volume of plasma.
Time Frame
Samples at predose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 hours post dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: No evidence of any active or chronic disease Body mass index (BMI) between 18 and 32 kg/m2 inclusive, at screening For women of childbearing potential: if engaging in heterosexual activity, agreement to use at least two adequate forms of contraception during the entire study and for 90 days following the last dose of study drug For men: agreement to use contraceptive measures, and agreement to refrain from donating sperm Exclusion Criteria: Pregnancy or lactation (positive serum pregnancy test at screening or at admission) Any condition or disease detected during the medical interview/physical examination that would render the subject unsuitable for the study, place the subject at undue risk or interfere with the ability of the subject to complete the study in the opinion of the Investigator In the opinion of the Investigator, any major illness within 4 weeks prior to the screening examination or any febrile illness within 1 week prior to screening. History of any clinically significant, as determined by the investigator, gastrointestinal, renal, hepatic, broncho-pulmonary, neurological, psychiatric, cardiovascular, endocrinological, hematological, lymphatic, musculoskeletal, genitourinary, immunological, dermatological, or connective tissue or allergic disease, metabolic disorder, or cancer Signs and symptoms potentially indicative of peripheral neuropathy History or evidence of any medical condition potentially altering the absorption, distribution, metabolism, or elimination of drugs A history of clinically significant in the opinion of the Investigator hypersensitivity History or presence of clinically significant ECG abnormalities before study drug administration Clinically significant abnormalities in laboratory test results History of coagulopathies, bleeding disorders, or blood dyscrasias Current suicidal risk, in the opinion of the Investigator Unexplained syncope during the 6 months prior to screening or with presyncopal and/or syncopal symptoms during orthostatic challenge testing Current smoker or user of tobacco or nicotine-containing products or subjects who have smoked or used tobacco or nicotine-containing products within 3 months prior to first study drug administration Suspicion of or presence of a clinically relevant history of or current alcohol and/or other substance abuse or addiction. Alcohol consumption of >14 units per week for males and females Positive urine alcohol test or urine drug screen at screening or Day -1 of any treatment period Hormone replacement therapy if postmenopausal status cannot be ascertained from medical history or FSH levels Clinically relevant deviation from normal in the physical examination including vital signs, as determined by the investigator Positive result for HIV 1, HIV 2, hepatitis C virus antibody, or hepatitis B core (HBc) antibody. Participation in an investigational drug or device study within 4 weeks or 5 times the elimination half-life, whichever is longer, prior to first dosing, or within 5 months prior to first administration of study drug in case of a study with a biological, as calculated from the day of Follow-up visit from the previous study Donation of blood or plasma or significant blood loss within 3 months prior to screening Dietary restrictions that would prohibit the consumption of standardized meals or the highfat, high-calorie meal planned for this study Use of any prohibited medications or food before study start or subjects who do not agree to refrain from consuming prohibited medications or food during the study Conditions requiring concomitant medication during the study (including for dental conditions). Any prescribed systemic or topical medication within 4 weeks (or within 5 times the elimination half-life of the medication, whichever is longer) of the first administration of study drug Used any nonprescribed systemic or topical medication or herbal remedies within 7 days before the first study drug administration Received any medications known to chronically alter drug absorption or elimination processes within 4 weeks before the first administration of study drug Use of any drugs or substances, including herbal treatments such as St John's wort, that are known to be substrates, inducers, or inhibitors of CYP3A4 within 4 weeks before the first administration of study drug Use of any drugs or substances, including herbal treatments, such as fluoxetine, fluvoxamine, aspirin, norethisterone, rifampicin, etc that are known to be substrates, inducers, or inhibitors of CYP2C19 within 4 weeks before the first administration of study drug Subjects under judicial supervision, guardianship, or curatorship Poor venous access for blood sampling Participants who are intolerant to sucrose Previous exposure to balovaptan
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
Facility Name
PRA International Clinical Pharmacology Center (EDS US Clinic)
City
Lenexa
State/Province
Kansas
ZIP/Postal Code
66219
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.clinicalstudydatarequest.com). Further details on Roche's criteria for eligible studies are available here (https://clinicalstudydatarequest.com/Study-Sponsors/Study-Sponsors-Roche.aspx). For further details on Roche's Global Policy on Sharing of Clinical Study Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).

Learn more about this trial

A Study to Investigate the Effect of Esomeprazole and the Effect of Food on the Pharmacokinetics of Balovaptan in Healthy Volunteers

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