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The primary purpose of this phase 1 study is to investigate the absolute bio-availability of a single oral dose of selexipag, i.e., to assess the amount of selexipag which reaches the blood when administered as an oral tablet (ACT-293987) compared to an intravenous administration in healthy subjects.
A pilot phase was conducted in 3 male subjects before the main phase for assessment of absolute bio-availability conducted in 16 other male subjects. The pilot phase aimed to determine the intravenous dose to be used in the main phase based on safety data and pharmacokinetics data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intravenous selexipag (Pilot phase) | Experimental | Subjects received a 20-minute intravenous (i.v.) infusion of 50 µg selexipag |
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| Sequence A-B (Main phase) | Experimental | Subjects received a 80-minute i.v. infusion of 200 µg selexipag during Period 1, and 2 tablets of oral selexipag (total dose of 400 µg) as a single administration during Period 2. A washout period of 7 to 10 days separated the i.v. infusion from the oral administration. |
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| Sequence B-A (Main phase) | Experimental | Subjects received 2 tablets of oral selexipag (total dose of 400 µg) as a single administration during Period 1, and a 80-minute i.v. infusion of 200 µg selexipag during Period 2. A washout period of 7 to 10 days separated the oral administration from the i.v. infusion. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Selexipag for intravenous use | Drug | Selexipag was reconstituted in sterile 0.9% w/v NaCl before infusion via an infusion pump at a rate of 2.5 µg/min. |
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| Measure | Description | Time Frame |
|---|---|---|
| Absolute bioavailability (F) of selexipag | F was calculated using the areas under the plasma concentrations curves extrapolated to infinity [AUC(0-inf)] after oral (po) and intravenous (iv) doses, obtained during the main phase, and using the following formula: AUC(0-inf)po * iv dose / AUC(0-inf)iv * oral dose | From pre-dose to 72 hours post-dose |
| Area under the plasma concentration-time curve from time 0 to infinity [AUC(0-inf)] of selexipag | AUC(0-inf) was calculated from the concentration-time profile of selexipag after both oral and intravenous administration during the main phase | From pre-dose to 72 hours post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| Areas under the plasma concentration-time curve from time 0 to time t [AUC(0-t)] of selexipag and its active metabolite | AUC from time 0 to time t of the last measured concentration above the limit of quantification [AUC(0-t)] were calculated for selexipag and its active metabolite, from their respective concentration-time profiles, after both intravenous (pilot phase and main phase) and oral administration (main phase) of selexipag |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Priska Kaufmann, PhD | Actelion | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27885399 | Result | Kaufmann P, Hurst N, Astruc B, Dingemanse J. Absolute oral bioavailability of selexipag, a novel oral prostacyclin IP receptor agonist. Eur J Clin Pharmacol. 2017 Feb;73(2):151-156. doi: 10.1007/s00228-016-2164-4. Epub 2016 Nov 24. |
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| ID | Term |
|---|---|
| C523468 | selexipag |
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| Selexipag for oral use | Drug | Tablet containing 200 µg of selexipag |
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| From pre-dose to 72 hours post-dose |
| Maximum plasma concentration (Cmax) of selexipag and its active metabolite | Cmax of selexipag and its active metabolite were directly obtained from the plasma concentration-time curves after both intravenous (pilot phase and main phase) and oral administration (main phase) of selexipag | From pre-dose to 72 hours post-dose |
| time to reach maximum plasma concentration (tmax) of selexipag and its active metabolite | tmax of selexipag and its active metabolite were directly obtained from the plasma concentration-time curves after both intravenous (pilot phase and main phase) and oral administration (main phase) of selexipag | From pre-dose to 72 hours post-dose |
| Terminal half-life [t(1/2)] of selexipag and its active metabolite | t(1/2) of selexipag and its active metabolite were calculated after both intravenous (pilot phase and main phase) and oral administration (main phase) of selexipag from the concentration-time profiles | From pre-dose to 72 hours post-dose |
| Number of participants experiencing Adverse Events (AEs) and Serious Adverse Events (SAEs) | 4 days |