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The objective of the study was to investigate the effect of BIRT 2584 XX and its metabolite BI 610100 when BIRT 2584 XX is administered as a tablet to near steady state in estimated high therapeutic dose on the pharmacokinetics (PK) of midazolam, a probe substrate for CYP3A4. The PK of midazolam was measured before dosing of BIRT 2584 XX, after a single dose of BIRT 2584 XX and after repeated doses of BIRT 2584 XX for 3 and 12 days
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BIRT 2584 XX + Midazolam | Experimental | BIRT 2584 XX: Multiple doses for 12 days (bid on days 1 and 2, qd from days 3 to 12) Midazolam: Administration on days -2, 1, 3, and 12 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BIRT 2584 XX | Drug |
| ||
| Midazolam |
| Measure | Description | Time Frame |
|---|---|---|
| AUC0-∞ of midazolam (area under the concentration-time curve of midazolam in plasma over the time interval from 0 extrapolated to infinity) | up to 13 days | |
| Cmax of midazolam (maximum concentration of midazolam in plasma) | up to 13 days | |
| AUC0-∞ of 1'-hydroxymidazolam (area under the concentration-time curve of 1'-hydroxymidazolam in plasma over the time interval from 0 extrapolated to infinity) | up to 13 days | |
| Cmax of 1'-hydroxymidazolam (maximum concentration of 1'-hydroxymidazolam in plasma) | up to 13 days | |
| AUC0-∞ ratio of 1'-hydroxymidazolam to midazolam | up to 13 days |
| Measure | Description | Time Frame |
|---|---|---|
| AUC0-tz (area under the concentration-time curve of the analytes in plasma over the time interval from 0 to the time of the last quantifiable data point) | up to 13 days | |
| tmax (time from dosing to the maximum concentration of the analytes in plasma) | up to 13 days |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D008874 | Midazolam |
| ID | Term |
|---|---|
| D001569 | Benzodiazepines |
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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|
| λz (terminal rate constant of the analytes in plasma) | up to 13 days |
| t1/2 (terminal half-life of the analytes in plasma) | up to 13 days |
| MRTpo (mean residence time of the analytes in the body after po administration) | up to 13 days |
| CL/F (apparent clearance of the analytes in the plasma after extravascular administration) | up to 13 days |
| Vz/F (apparent volume of distribution during the terminal phase following an extravascular dose) | up to 13 days |
| Pre-dose levels of BIRT 2584 XX and BI 610100 | days 1, 3 and 12 |
| Number of subjects with abnormal findings in physical examination | up to 29 days |
| Number of subjects with abnormal changes in laboratory parameters | up to 29 days |
| Number of subjects with clinically significant changes in 12-lead ECG | up to 29 days |
| Number of subjects with clinically significant changes in vital signs | Pulse rate, systolic, and diastolic blood pressure | up to 29 days |
| Number of subjects with adverse events | up to 44 days |
| Assessment of tolerability by investigator on a 4-point scale | Day 29 |
| D006571 | Heterocyclic Compounds |