A Drug Interaction Study of ACH-0145228

NCT ID: NCT04709081

Last Updated: 2021-01-14

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

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-22

Study Completion Date

2020-04-16

Brief Summary

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This was a 2-part study (Part 1 and Part 2), with each part being an open-label, fixed sequence, 2-period study in healthy adult participants.

Detailed Description

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Conditions

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Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Part 1 and Part 2 could be conducted concurrently or separately.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Part 1: ACH-0145228, Midazolam, and Digoxin

Period 1: Participants received single doses of midazolam and digoxin.

Period 2: Participants received ACH-0145228 twice daily, in addition to coadministration with single doses of midazolam and digoxin.

Scheduled pharmacokinetics (PK) blood and urine samples were collected, with a washout period of at least 7 days between collection of the last PK blood sample in Period 1 and the first dose of ACH-0145228 in Period 2.

Group Type EXPERIMENTAL

ACH-0145228

Intervention Type DRUG

ACH-0145228 was dosed as 2 x 60 milligram (mg) (Part 1) or 1 x 40 mg (Part 2) powder in capsules.

Midazolam

Intervention Type DRUG

Midazolam was dosed at 2 mg (1 milliliter \[mL\] of a 2 mg/mL syrup).

Digoxin

Intervention Type DRUG

Digoxin was dosed as Lanoxin (or generic equivalent) at 1 x 0.25 mg tablet.

Part 2: ACH-0145228 and Itraconazole

Period 1: Participants received a single dose of ACH-0145228.

Period 2: Participants received itraconazole once daily, in addition to coadministration with a single dose of ACH-0145228.

Scheduled PK blood samples were collected, with a washout period of at least 2 days between collection of the last PK blood sample in Period 1 and the first dose of itraconazole in Period 2.

Group Type EXPERIMENTAL

ACH-0145228

Intervention Type DRUG

ACH-0145228 was dosed as 2 x 60 milligram (mg) (Part 1) or 1 x 40 mg (Part 2) powder in capsules.

Itraconazole

Intervention Type DRUG

Itraconazole was dosed as Sporanox (or generic equivalent) at 200 mg (20 mL of a 10 mg/mL oral solution).

Interventions

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ACH-0145228

ACH-0145228 was dosed as 2 x 60 milligram (mg) (Part 1) or 1 x 40 mg (Part 2) powder in capsules.

Intervention Type DRUG

Midazolam

Midazolam was dosed at 2 mg (1 milliliter \[mL\] of a 2 mg/mL syrup).

Intervention Type DRUG

Digoxin

Digoxin was dosed as Lanoxin (or generic equivalent) at 1 x 0.25 mg tablet.

Intervention Type DRUG

Itraconazole

Itraconazole was dosed as Sporanox (or generic equivalent) at 200 mg (20 mL of a 10 mg/mL oral solution).

Intervention Type DRUG

Other Intervention Names

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ALXN2050 Midazolam HCl Lanoxin Sporanox

Eligibility Criteria

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Inclusion Criteria

1. Body mass index in the range of 18.0 to 32.0 kilograms (kg)/meter squared, inclusive, with a minimum body weight of 50.0 kg at screening.
2. No clinically significant history or presence of electrocardiogram abnormalities at screening and prior to first dosing in Period 1.
3. Non-sterile male participants must agree to abstinence or use a highly effective method of contraception.
4. Female participants must be of non-childbearing potential and need not employ a method of contraception.

Exclusion Criteria

1. Clinically significant laboratory abnormalities.
2. History of any medical or psychiatric condition or disease that might limit the participant's ability to complete or participate in this clinical study, confound the results of the study, or pose an additional risk to the participant by their participation in the study.
3. History or presence of drug or alcohol abuse within previous 2 years, current tobacco/nicotine user, or positive for alcohol and/or drug screen at screening or Day -1 of Period 1.
4. History or presence of clinically significant seizures, head injury, or head trauma.
5. History of procedures that could alter absorption or excretion of orally administered drugs.
6. A history of significant multiple and/or severe allergies or has had an anaphylactic reaction or significant intolerability to prescription or non-prescription drugs.
7. Body temperature ≥ 38.0°Celsius at screening or prior to first dosing in Period 1.
8. Donation of whole blood from 3 months prior to first dosing, or of plasma from 30 days before first dosing, or receipt of blood products within 6 months prior to first dosing.
9. Participation in any other investigational study drug trial in which receipt of an investigational study drug occurred within 5 half-lives (if known) or 30 days before first dosing, whichever is longer.
10. History or presence of any risk factors for Torsades de Pointes.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Achillion, a wholly owned subsidiary of Alexion

INDUSTRY

Sponsor Role collaborator

Celerion

INDUSTRY

Sponsor Role collaborator

Alexion Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Clinical Study Site

Tempe, Arizona, United States

Site Status

Countries

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United States

Other Identifiers

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CA28776

Identifier Type: OTHER

Identifier Source: secondary_id

ACH228-003

Identifier Type: -

Identifier Source: org_study_id

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