A Study to Assess the Effect of Single Doses of Daridorexant on Electrocardiogram Parameters in Healthy Subjects

NCT ID: NCT04250506

Last Updated: 2020-09-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-28

Study Completion Date

2020-07-22

Brief Summary

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A study to assess the effect of single doses of daridorexant on electrocardiogram parameters in healthy subjects

Detailed Description

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Conditions

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Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Single-center, randomized, double-blind, placebo- and moxifloxacin-controlled, Phase 1 study
Primary Study Purpose

OTHER

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Treatment A: Daridorexant 50 mg

Daridorexant (ACT-541468) administered as film-coated tablets for oral use.

Group Type EXPERIMENTAL

Daridorexant

Intervention Type DRUG

Daridorexant (ACT-541468) administered as film-coated tablets for oral use.

Treatment B: Daridorexant 200 mg

Daridorexant (ACT-541468) administered as film-coated tablets (4 x 50 mg) for oral use.

Group Type EXPERIMENTAL

Daridorexant

Intervention Type DRUG

Daridorexant (ACT-541468) administered as film-coated tablets for oral use.

Treatment C: Placebo

Placebo administered as tablets (4 x 50 mg) for oral use.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo administered as tablets for oral use.

Treatment D: Moxifloxacin 400 mg

Moxifloxacin administered as film-coated tablets for oral use.

Group Type ACTIVE_COMPARATOR

Moxifloxacin

Intervention Type DRUG

Moxifloxacin administered as film-coated tablets for oral use.

Interventions

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Daridorexant

Daridorexant (ACT-541468) administered as film-coated tablets for oral use.

Intervention Type DRUG

Placebo

Placebo administered as tablets for oral use.

Intervention Type DRUG

Moxifloxacin

Moxifloxacin administered as film-coated tablets for oral use.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent in the local language prior to any study-mandated procedure.
* Czech citizen with the ability to communicate well with the investigator, in a language understandable to the subject, and to understand and comply with the requirements of the study.
* Healthy male and female subjects aged 18 to 55 years (inclusive) at Screening.
* 12-lead safety ECG: QTcF \< 450 ms for male subjects and \< 470 ms for female subjects, QRS \< 110 ms, and PR \< 220 ms, and resting HR \> 50 bpm and \< 90 bpm with no clinically relevant abnormalities on 12-lead ECG after 5 min in the supine position at Screening and on Day 1 pre-dose of Period 1.
* Healthy on the basis of medical history, physical examination, cardiovascular assessments, and clinical laboratory tests.
* Women of childbearing potential are eligible only if the following applies:

1. Negative serum pregnancy test at Screening.
2. Negative serum pregnancy test on Day 1 of the first period.
3. Agreement to consistently and correctly use a highly effective method of contraception with a failure rate of \< 1% per year, be sexually inactive, or have a vasectomized partner from Screening up to at least 30 days after last study treatment administration in the last period with wash-out periods included. If a hormonal contraceptive is used, it must be initiated at least 1 month before first treatment administration.
* Women of non-childbearing potential must meet at least one of the following criteria:

1. Previous bilateral salpingectomy, salpingo-oophorectomy, or hysterectomy.
2. Premature ovarian failure confirmed by a specialist gynecologist.
3. Post-menopausal, defined as 12 consecutive months with amenorrhea prior to Screening without alternative medical cause and confirmed with follicle-stimulating hormone (FSH) test.
4. XY genotype.
5. Turner syndrome.
6. Uterine agenesis.

Exclusion Criteria

* Pregnant or lactating women.
* Previous exposure to daridorexant.
* Known hypersensitivity to moxifloxacin or any of the drug product excipients or to other fluoroquinolone antibiotics.
* Any contraindication to moxifloxacin treatment.
* History of major medical or surgical disorders which, in the opinion of the investigator, are likely to interfere with the absorption, distribution, metabolism, or excretion of the study treatments (appendectomy and herniotomy allowed, cholecystectomy not allowed).
* Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol.
* History or presence of rhythm disorders (e.g., sinoatrial heart block, sick-sinus syndrome, second- or third-degree atrioventricular block, long QT syndrome, symptomatic bradycardia, atrial flutter, or atrial fibrillation) or electrolyte disturbances, particularly hypokalemia.
* Any sleep-disorder including self-reported insomnia disorder, breathing-related sleep disorders, restless legs syndrome, nightmare disorder, non-rapid eye movement sleep arousal disorders (sleep terror disorder or sleepwalking disorder), rapid eye movement sleep behavior disorder, circadian rhythm sleep-wake disorders.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Idorsia Pharmaceuticals Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Idorsia Pharmaceuticals Ltd.

Locations

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CEPHA s.r.o.

Pilsen, , Czechia

Site Status

Countries

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Czechia

References

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Schilling U, Henrich A, Muehlan C, Krause A, Dingemanse J, Ufer M. Impact of Daridorexant, a Dual Orexin Receptor Antagonist, on Cardiac Repolarization Following Bedtime Dosing: Results from a Thorough QT Study Using Concentration-QT Analysis. Clin Drug Investig. 2021 Aug;41(8):711-721. doi: 10.1007/s40261-021-01062-1. Epub 2021 Jul 31.

Reference Type DERIVED
PMID: 34331678 (View on PubMed)

Other Identifiers

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2019-003843-31

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ID-078-117

Identifier Type: -

Identifier Source: org_study_id

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