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A Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Food Effect of RO6953958 in Healthy Participants

Primary Purpose

Autistic Disorder, Autism Spectrum Disorder, Child Development Disorders, Pervasive

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
RO6953958
Placebo
Midazolam
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autistic Disorder focused on measuring Autism Spectrum Disorder

Eligibility Criteria

18 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

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

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Arm Label

Part 1: SAD/FE

Part 1: SAD placebo

Part 2: MAD

Part 2: MAD placebo

Part 3: DDI

Arm Description

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.

Outcomes

Primary Outcome Measures

Parts 1, 2 and 3: Percentage of Participants with Adverse Events
Part 2: Change in suicide risk assessed using the Columbia Suicide Severity Rating Scale (C-SSRS)

Secondary Outcome Measures

Parts 1, 2 and 3: Maximum Observed Plasma Concentration (Cmax) of RO6953958 and its Metabolites RO7021594 and RO7045755
Parts 2 and 3: Average Plasma Concentration (Cavg) of RO6953958 and its Metabolites RO7021594 and RO7045755
Parts 1, 2 and 3: Time to Reach Maximum Observed Plasma Concentration (Tmax) of RO6953958 and its Metabolites RO7021594 and RO7045755
Part 1: Last Quantifiable Concentration (Clast) of RO6953958 and its Metabolites RO7021594 and RO7045755 in Fasted and Fed state
Part 1: Time To the Last Quantifiable Concentration (Tlast) of RO6953958 and its Metabolites RO7021594 and RO7045755
Parts 1, 2 and 3: Terminal Elimination Phase Half-Life (t1/2) of RO6953958 and its Metabolites RO7021594 and RO7045755
Parts 2 and 3: Area Under the Concentration-Time Curve (AUC(0-t)) of RO6953958 and its Metabolites RO7021594 and RO7045755
Part 1: Area Under the Plasma Concentration Versus Time Curve From Zero to 12h Postdose (AUC(0-12h)) of RO6953958 and its Metabolites RO7021594 and RO7045755
Part 1: Area Under the Plasma Concentration Versus Time Curve From Zero to the Last Measurable Concentration (AUC0-last) of RO6953958 and its Metabolites RO7021594 and RO7045755
Part 1: Area Under the Plasma Concentration Versus Time Curve Extrapolated to Infinity (AUC0-inf) of RO6953958 and its Metabolites RO7021594 and RO7045755
Parts 1, 2 and 3: Apparent Clearance (CL/F) of RO6953958
Parts 1, 2 and 3: Apparent Volume of Distribution (V/F) of RO6953958
Parts 1 and 2: Cumulative Amount of Unchanged Drug Excreted into the Urine (Ae) of RO6953958
Parts 1 and 2: Fraction of the Administered Drug Excreted into the Urine (Fe) of RO6953958
Parts 1 and 2: Renal Clearance of the Drug from Urine (CLR) of RO6953958
Parts 1, 2 and 3: Trough Plasma Concentration (Ctrough) of RO6953958 and its Metabolites RO7021594 and RO7045755
Parts 2 and 3: Accumulation Ratio based on AUC (RAUC) of RO6953958 and its Metabolites RO7021594 and RO7045755
Parts 2 and 3: Accumulation Ratio Based on Cmax (RCmax) of RO6953958 and its Metabolites RO7021594 and RO7045755
Parts 1, 2 and 3: Accumulation Ratio based on Ctrough (RCtrough) of RO6953958 and its Metabolites RO7021594 and RO7045755
Parts 1, 2 and 3: Molecular Weight Adjusted Metabolite-to-Parent Ratio for Cmax of RO6953958 and its Metabolites RO7021594 and RO7045755
Parts 1, 2 and 3: Molecular Weight Adjusted Metabolite-to-Parent Ratio for Area Under the Concentration-Time Curve (AUC(0-t)) of RO6953958 and its Metabolites RO7021594 and RO7045755
Part 3: Tmax of Midazolam
Part 3: Cmax of Midazolam
Part 3: T1/2 of Midazolam
Part 3: AUClast of Midazolam
Part 3: AUCinf of Midazolam
Part 3: VF of oral Midazolam
Part 3: RAUC of Midazolam
Part 3: RCmax of Midazolam
Part 3: CL: Total Plasma Clearance of IV Midazolam
Part 3: Fraction Absorbed (F) of Midazolam
Part 3: Volume of Distribution under Steady-state Conditions (Vss) of Midazolam

Full Information

First Posted
July 13, 2020
Last Updated
February 15, 2022
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT04475848
Brief Title
A Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Food Effect of RO6953958 in Healthy Participants
Official Title
A Randomized, Investigator- /Subject-blind, Single- and Multiple-ascending Dose, Placebo-controlled Study to Investigate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Food Effect of RO6953958 (Including RO6953958 Effect on Midazolam) Following Oral Administration in Healthy Male Participants
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
July 15, 2020 (Actual)
Primary Completion Date
February 6, 2022 (Actual)
Study Completion Date
February 6, 2022 (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
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will evaluate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of single- and multiple-ascending doses (SAD (Part 1) and MAD (Part 2)) and food effect (FE) of RO6953958 following oral administration in healthy male participants. Part 3 (Drug-drug interaction (DDI)) will assess the safety, tolerability, and effect of RO6953958 on the PK of the cytochrome P450 (CYP) 3A substrate midazolam.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Autistic Disorder, Autism Spectrum Disorder, Child Development Disorders, Pervasive, Mental Disorders, Neurodevelopmental Disorders
Keywords
Autism Spectrum Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
88 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part 1: SAD/FE
Arm Type
Experimental
Arm Description
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.
Arm Title
Part 1: SAD placebo
Arm Type
Placebo Comparator
Arm Description
There will be 7 cohorts in this study. In each cohort, participants will receive a single oral dose of a placebo while fasted/fed.
Arm Title
Part 2: MAD
Arm Type
Experimental
Arm Description
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.
Arm Title
Part 2: MAD placebo
Arm Type
Placebo Comparator
Arm Description
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.
Arm Title
Part 3: DDI
Arm Type
Experimental
Arm Description
RO6953958 will be administered at the maximum dose QD that was tested in the ongoing Part 2 (MAD). Participants will also be administered midazolam.
Intervention Type
Drug
Intervention Name(s)
RO6953958
Intervention Description
Part 1: RO6953958 will be administered in an adaptive manner. The starting dose is planned to be 5 milligrams (mg). Part 2: The starting dose is planned to be 45 mg. Part 3: RO6953958 will be administered QD following a standardized breakfast on Day 3 to Day 14 at the maximum dose QD that was tested in the ongoing Part 2 (MAD).
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Part 1: A placebo will be administered in an adaptive manner. The starting dose is planned to be 5 mg. Part 2: The starting dose is planned to be 45 mg.
Intervention Type
Drug
Intervention Name(s)
Midazolam
Intervention Description
Midazolam will be administered as single intervenous (IV) bolus injection of 100 micrograms (ug) on Day 1 and Day 13, and as single oral dose of 300 ug on Day 2 and Day 14.
Primary Outcome Measure Information:
Title
Parts 1, 2 and 3: Percentage of Participants with Adverse Events
Time Frame
Part 1: From randomization up to 7 weeks (or up to 14 weeks if the participant is part of the food effect cohort). Parts 2 and 3: From randomization up to 8 weeks
Title
Part 2: Change in suicide risk assessed using the Columbia Suicide Severity Rating Scale (C-SSRS)
Time Frame
From randomization up to 8 weeks
Secondary Outcome Measure Information:
Title
Parts 1, 2 and 3: Maximum Observed Plasma Concentration (Cmax) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-14
Title
Parts 2 and 3: Average Plasma Concentration (Cavg) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-14
Title
Parts 1, 2 and 3: Time to Reach Maximum Observed Plasma Concentration (Tmax) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-14
Title
Part 1: Last Quantifiable Concentration (Clast) of RO6953958 and its Metabolites RO7021594 and RO7045755 in Fasted and Fed state
Time Frame
Day 1-5
Title
Part 1: Time To the Last Quantifiable Concentration (Tlast) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-5
Title
Parts 1, 2 and 3: Terminal Elimination Phase Half-Life (t1/2) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-14
Title
Parts 2 and 3: Area Under the Concentration-Time Curve (AUC(0-t)) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-14
Title
Part 1: Area Under the Plasma Concentration Versus Time Curve From Zero to 12h Postdose (AUC(0-12h)) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-5
Title
Part 1: Area Under the Plasma Concentration Versus Time Curve From Zero to the Last Measurable Concentration (AUC0-last) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-5
Title
Part 1: Area Under the Plasma Concentration Versus Time Curve Extrapolated to Infinity (AUC0-inf) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-5
Title
Parts 1, 2 and 3: Apparent Clearance (CL/F) of RO6953958
Time Frame
Day 1-14
Title
Parts 1, 2 and 3: Apparent Volume of Distribution (V/F) of RO6953958
Time Frame
Day 1-14
Title
Parts 1 and 2: Cumulative Amount of Unchanged Drug Excreted into the Urine (Ae) of RO6953958
Time Frame
Day 1-14
Title
Parts 1 and 2: Fraction of the Administered Drug Excreted into the Urine (Fe) of RO6953958
Time Frame
Day 1-14
Title
Parts 1 and 2: Renal Clearance of the Drug from Urine (CLR) of RO6953958
Time Frame
Day 1-14
Title
Parts 1, 2 and 3: Trough Plasma Concentration (Ctrough) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-14
Title
Parts 2 and 3: Accumulation Ratio based on AUC (RAUC) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-14
Title
Parts 2 and 3: Accumulation Ratio Based on Cmax (RCmax) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-14
Title
Parts 1, 2 and 3: Accumulation Ratio based on Ctrough (RCtrough) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-14
Title
Parts 1, 2 and 3: Molecular Weight Adjusted Metabolite-to-Parent Ratio for Cmax of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-14
Title
Parts 1, 2 and 3: Molecular Weight Adjusted Metabolite-to-Parent Ratio for Area Under the Concentration-Time Curve (AUC(0-t)) of RO6953958 and its Metabolites RO7021594 and RO7045755
Time Frame
Day 1-14
Title
Part 3: Tmax of Midazolam
Time Frame
Day 1-14
Title
Part 3: Cmax of Midazolam
Time Frame
Day 1-14
Title
Part 3: T1/2 of Midazolam
Time Frame
Day 1-14
Title
Part 3: AUClast of Midazolam
Time Frame
Day 1-14
Title
Part 3: AUCinf of Midazolam
Time Frame
Day 1-14
Title
Part 3: VF of oral Midazolam
Time Frame
Day 1-14
Title
Part 3: RAUC of Midazolam
Time Frame
Days 13 and 14
Title
Part 3: RCmax of Midazolam
Time Frame
Days 13 and 14
Title
Part 3: CL: Total Plasma Clearance of IV Midazolam
Time Frame
Days 1 and 13
Title
Part 3: Fraction Absorbed (F) of Midazolam
Time Frame
Day 1-14
Title
Part 3: Volume of Distribution under Steady-state Conditions (Vss) of Midazolam
Time Frame
Days 1 and 13

10. Eligibility

Sex
Male
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
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
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
Hammersmith Medicines Research; Central Middlesex Hospital
City
London
ZIP/Postal Code
NW10 7EW
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/members/ourmembers/). For further details on Roche's Global Policy on the Sharing of Clinical 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).

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A Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Food Effect of RO6953958 in Healthy Participants

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