Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This is an open-label, cross-over, fixed-sequence study. All subjects will receive the same treatment in two study periods. The study is designed to test whether DS-1971a has any effect on the activity of various enzymes involved in the metabolism of medicines, using test medications. These will be given without and then with DS-1971a to see if DS-1971a has any effect on the blood levels of the test medicines.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Period 1 | Experimental | Period 1 Day 1: single oral dose of 2.5 mg midazolam hydrochloride Day 2: single oral cocktail dose of 20 mg omeprazole, 15 mg pioglitazone hydrochloride, 500 mg tolbutamide and 150 mg bupropion |
|
| Period 2 | Experimental | Period 2 Days 1 through 12 repeated doses of 400 mg DS-1971a administered orally bid . On the days listed below, each probe substrate(s) will be coadministered with the morning dose of DS 1971a: Day 8: single oral dose of 2.5 mg midazolam hydrochloride Day 9: single oral cocktail dose of 20 mg omeprazole, 15 mg pioglitazone hydrochloride, 500 mg tolbutamide and 150 mg bupropion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DS-1971a | Drug | 200mg tablet |
| |
| midazolam hydrochloride |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic profile for bupropion | Pharmacokinetic parameters (Cmax, tmax , AUC) for bupropion when administered without or with DS-1971a | Days 2-6 of Period 1 and Day 9-13 of Period 2 |
| Pharmacokinetic profile for pioglitazone | Pharmacokinetic parameters (Cmax, tmax , AUC) for pioglitazone when administered without or with DS-1971a | Days 2-4 of Period 1 and Days 9-11 of Period 2 |
| Pharmacokinetic profile for tolbutamide | Pharmacokinetic parameters (Cmax, tmax , AUC) for tolbutamide when administered without or with DS-1971a | Days 2-4 of Period 1 and Days 9-11 of Period 2 |
| Pharmacokinetic profile for omeprazole | Pharmacokinetic parameters (Cmax, tmax , AUC) for omeprazole when administered without or with DS-1971a | Day 2 of Period 1 and Day 9 of Period 2 |
| Pharmacokinetic profile for midazolam | Pharmacokinetic parameters (Cmax, tmax , AUC) for midazolam when administered without or with DS-1971a | Day 1 of Period 1 and Day 8 of Period 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic profile of DS-1971a | PK parameters (Cmax , Ctrough , Cavg , tmax , AUC) of DS 1971a and its metabolites | Day 1, 3, 6, 8, 9, and 12 |
| Pharmacokinetic profile of metabolites of substrates |
Not provided
Inclusion Criteria:
Must be postmenopausal (the last menstrual period was at least 12 months before Screening, and a follicle stimulating hormone [FSH] test at Screening confirms postmenopausal status); or Must be surgically sterile having undergone hysterectomy, bilateral oophorectomy, bilateral salpingectomy and/or bilateral tubal ligation.
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| London | NW10 7EW | United Kingdom |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Drug |
2.5mg oromucosal liquid |
|
| Omeprazole | Drug | 20mg gastro-resistant capsule |
|
| Pioglitazone hydrochloride | Drug | 15mg tablet |
|
| Buproprion | Drug | 150mg Prolonged release tablet |
|
| Tolbutamide | Drug | 500mg tablet |
|
PK parameters (Cmax , tmax , AUC, metabolite/parent ratio) of metabolites of bupropion, omeprazole, tolbutamide, and midazolam
| Days 1-6 of Period 1 and Days 8-13 of Period 2 |
| number and severity of Adverse Events | The number, severity, and percentage of subjects reporting Treatment Emergent Adverse Events (TEAEs) will be tabulated. | Day 0 - Week 9 |
| ID | Term |
|---|---|
| C000712258 | DS-1971a |
| D008874 | Midazolam |
| D009853 | Omeprazole |
| D000077205 | Pioglitazone |
| D014044 | Tolbutamide |
| ID | Term |
|---|---|
| D001569 | Benzodiazepines |
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D053799 | 2-Pyridinylmethylsulfinylbenzimidazoles |
| D013454 | Sulfoxides |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D001562 | Benzimidazoles |
| D045162 | Thiazolidinediones |
| D013844 | Thiazoles |
| D001393 | Azoles |
| D000096926 | Benzenesulfonamides |
| D013449 | Sulfonamides |
| D000577 | Amides |
| D013453 | Sulfonylurea Compounds |
| D014508 | Urea |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D013450 | Sulfones |
Not provided
Not provided