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| ID | Type | Description | Link |
|---|---|---|---|
| 2016-003792-22 | EudraCT Number |
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Part 1
Part 2
Part 3
For Parts 1, 2 and 3, participants will attend the clinical unit for a screening visit up to 28 days before dosing. For each treatment period, eligible subjects will be admitted to the clinical unit on the evening before dosing (Day -1). Participants will receive each regimen in the morning of Day 1 and will remain on site until 48 h post-dose. There will be a minimum washout period of 7 days between administration of each regimen. Where interim decisions occur, the interval between periods will be sufficient to permit the decision process.
Arbaclofen Placarbil MR Prototype Tablets will be administered in Part 1 and one prototype will be selected for development in Part 2 where the release rate of modified release (MR) prototype formulations will be optimised using a design space concept (at a fixed low dose).
A selected MR prototype formulation from Part 2 may be administered in Part 3 at up to 4 different dose levels (low, mid-low, mid-high, high). The suggested doses in Part 3 may be modified based on emerging safety and PK data from Part 2 of the study.
In Parts 2 and 3, there will be an option to dose selected Arbaclofen Placarbil MR Prototype Tablets in the fed state.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: Regimen A | Experimental | One low dose Arbaclofen Placarbil MR Prototype A tablet taken under fasting conditions. Part 1 participants receive Regimens A, B, C, D and E in a sequential manner. |
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| Part 1: Regimen B | Experimental | One low dose Arbaclofen Placarbil MR Prototype B tablet taken under fasting conditions. Part 1 participants receive Regimens A, B, C, D and E in a sequential manner. |
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| Part 1: Regimen C | Active Comparator | One low dose Arbaclofen Placarbil SR tablet taken under fasting conditions as the reference product. Part 1 participants receive Regimens A, B, C, D and E in a sequential manner. |
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| Part 1: Regimen D | Experimental | One low dose tablet of the selected Arbaclofen Placarbil MR Prototype administered with 0.6 g/kg of beverage in orange juice. Part 1 participants receive Regimens A, B, C, D and E in a sequential manner. |
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| Part 1: Regimen E | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Arbaclofen Placarbil SR | Drug | One low dose oral tablet of Arbaclofen Placarbil sustained release (SR) in the fasted state. |
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| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Time to Maximum Concentration (Tmax) of Arbaclofen Placarbil (AP) and R-baclofen in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose up to 48 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Maximum Observed Concentration (Cmax) of Arbaclofen Placarbil (AP) and R-baclofen in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose up to 48 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Global Director, Clinical Development | Indivior Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Quotient Clinical | Ruddington | Nottingham | NG11 6JS | United Kingdom |
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The Clinical Trial Authorisation application for this study describes a flexible protocol design using the formulation design space concept to allow decision-making in response to interim PK observations
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An optional regimen of one low dose tablet of the selected Arbaclofen Placarbil MR Prototype administered with 0.6 g/kg of beverage in orange juice.
Part 1 participants receive Regimens A, B, C, D and E in a sequential manner.
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| Part 2: Regimen F | Experimental | One low dose Arbaclofen Placarbil MR prototype tablet (selected based on review of the data in Part 1) taken under fasting conditions. Part 2 participants receive Regimens F, G, H, I and J in a sequential manner. |
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| Part 2: Regimen G | Active Comparator | One low dose Arbaclofen Placarbil IR capsule taken under fasting conditions as the reference product. Part 2 participants receive Regimens F, G, H, I and J in a sequential manner. |
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| Part 2: Regimen H | Experimental | One low dose Arbaclofen Placarbil MR prototype tablet (selected based on review of the data in Part 1) taken under fasting conditions. Part 2 participants receive Regimens F, G, H, I and J in a sequential manner. |
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| Part 2: Regimen I | Experimental | One low dose Arbaclofen Placarbil MR prototype tablet (selected based on review of the data in Part 1) taken under fasting conditions. Part 2 participants receive Regimens F, G, H, I and J in a sequential manner. |
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| Part 2: Regimen J | Experimental | One low dose Arbaclofen Placarbil MR prototype tablet (selected based on review of the data in Part 1) taken under fasting conditions, or a previously dosed MR prototype in the fed state. Part 2 participants receive Regimens F, G, H, I and J in a sequential manner. |
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| Part 3: Regimen K | Experimental | One low dose selected Arbaclofen Placarbil MR prototype tablet (selected based on review of the data in Part 2) taken under fasting conditions. Part 3 participants receive Regimens K and L in a randomised crossover manner as the first two treatments, followed by Regimens M and N in a sequential manner. |
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| Part 3: Regimen L | Experimental | One low dose selected Arbaclofen Placarbil MR prototype tablet administered with 0.6 g/kg of beverage in orange juice or in the fed state, or one mid-low dose of the selected Arbaclofen Placarbil MR prototype tablet. Part 3 participants receive Regimens K and L in a randomised crossover manner as the first two treatments, followed by Regimens M and N in a sequential manner. |
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| Part 3: Regimen M | Experimental | An optional regimen of one mid-low dose of the selected Arbaclofen Placarbil MR prototype tablet (if not previously dosed in Regimen L) or one mid-high dose of the selected Arbaclofen Placarbil MR prototype tablet taken under fasting conditions. Part 3 participants receive Regimens K and L in a randomised crossover manner as the first two treatments, followed by Regimens M and N in a sequential manner. |
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| Part 3: Regimen N | Experimental | An optional regimen of one mid-high dose of the selected Arbaclofen Placarbil MR prototype tablet (if not previously dosed in Regimen M) or two mid-low dose of the selected Arbaclofen Placarbil MR prototype tablets. Part 3 participants receive Regimens K and L in a randomised crossover manner as the first two treatments, followed by Regimens M and N in a sequential manner. |
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| Arbaclofen Placarbil MR Prototype A | Drug | One low dose oral tablet pf Arbaclofen Placarbil modified release (MR) Prototype A in the fasted state; this formulation may also be tested with 0.6 g/kg beverage diluted in orange juice |
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| Arbaclofen Placarbil MR Prototype B | Drug | One low dose oral tablet of Arbaclofen Placarbil modified release (MR) Prototype B; this formulation may also be tested with 0.6 g/kg beverage diluted in orange juice |
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| Arbaclofen Placarbil IR | Drug | One low dose oral capsule of Arbaclofen Placarbil immediate release (IR) in the fasted state. |
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| Part 1: Concentrations at 12 Hours Post-dose (C12) of Arbaclofen Placarbil (AP) and R-baclofen in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose at 12 hours |
| Part 1: Concentrations at 24 Hours Post-dose (C24) of Arbaclofen Placarbil (AP) and R-baclofen in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose at 24 hours |
| Part 1: Area under the Concentration vs Time Curve From Time 0 to 12 Hours post-dose (AUC(0-12)) of Arbaclofen Placarbil (AP) and R-baclofen in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose up to 12 hours |
| Part 1: Area under the Concentration vs Time Curve From Time 0 to 24 Hours post-dose (AUC(0-24)) of Arbaclofen Placarbil (AP) and R-baclofen in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose up to 24 hours |
| Part 1: Area under the Concentration vs Time Curve From Time 0 to Last Measurable Concentration (AUC(0-last)) of Arbaclofen Placarbil (AP) and R-baclofen in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: Area under the Concentration vs Time Curve From Time 0 Extrapolated to Infinity (AUC(0-inf)) of Arbaclofen Placarbil (AP) and R-baclofen in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: Percentage of AUC(0-inf) Extrapolated Beyond Last Measured Time Point (AUC%extrap) of Arbaclofen Placarbil (AP) and R-baclofen in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: AP:R-baclofen AUC Ratios in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: AP:R-baclofen Cmax Ratios in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: The Slope of the Apparent Elimination Phase (lambda-z) in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: The Apparent Elimination Half-life (T1/2) in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: The Apparent Volume of Plasma Cleared of AP and R-baclofen per Unit Time Following Extravascular Dosing in Low Dose Arbaclofen Placarbil Modified Release (MR) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in low dose arbaclofen placarbil modified release (MR) prototypes A and B. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: Relative Bioavailability of AP and R-baclofen following administration of Arbaclofen Placarbil Modified Release (MR) Prototypes A + B Compared to Reference Arbaclofen Placarbil Sustained Release (SR) | The relative bioavailability of AP and R-baclofen following administration of arbaclofen placarbil modified release (MR) prototypes A + B compared to reference AP sustained release (SR), by calculation of Frel (relative bioavailability). | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: Time to Maximum Concentration (Tmax) of AP and R-baclofen in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: Maximum Observed Concentration (Cmax) of AP and R-baclofen in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: Concentrations at 12 Hours Post-dose (C12) of AP and R-baclofen in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose at 12 hours |
| Part 1: Concentrations at 24 Hours Post-dose (C24) of AP and R-baclofen in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose at 24 hours |
| Part 1: Area under the Concentration vs Time Curve From Time 0 to 12 Hours post-dose (AUC(0-12)) of AP and R-baclofen in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose up to 12 hours |
| Part 1: Area under the Concentration vs Time Curve From Time 0 to 24 Hours post-dose (AUC(0-24)) of AP and R-baclofen in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose up to 24 hours |
| Part 1: Area under the Concentration vs Time Curve From Time 0 to Last Measurable Concentration (AUC(0-last)) of AP and R-baclofen in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: Area under the Concentration vs Time Curve From Time 0 Extrapolated to Infinity (AUC(0-inf)) of AP and R-baclofen in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: Percentage of AUC(0-inf) Extrapolated Beyond Last Measured Time Point (AUC%extrap) of AP and R-baclofen in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: AP:R-baclofen AUC Ratios in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: AP:R-baclofen Cmax Ratios in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: The Slope of the Apparent Elimination Phase (lambda-z) in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: The Apparent Elimination Half-life (T1/2) in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: The Apparent Volume of Plasma Cleared of AP and R-baclofen per Unit Time Following Extravascular Dosing in Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected MR prototype formulation(s) in the presence of beverage compared to when dosed with water only. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 1: Relative Bioavailability of AP and R-baclofen Following Administration of Selected MR Prototype Formulation(s) When Taken with Beverage Compared to Taken With Water | Relative Bioavailability of AP and R-baclofen following administration of selected MR prototype formulation(s) when taken with beverage compared to taken with water, calculated by Frel. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: Time to Maximum Concentration (Tmax) of AP and R-baclofen in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low-dose MR prototype formulation(s). | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: Maximum Observed Concentration (Cmax) of Arbaclofen Placarbil (AP) and R-baclofen in in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototypes. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: Concentrations at 12 Hours Post-dose (C12) of Arbaclofen Placarbil (AP) and R-baclofen in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototypes. | Day 1 (pre-dose), post-dose at 12 hours |
| Part 2: Concentrations at 24 Hours Post-dose (C24) of Arbaclofen Placarbil (AP) and R-baclofen in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) Prototypes A + B | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototypes. | Day 1 (pre-dose), post-dose at 24 hours |
| Part 2: Area under the Concentration vs Time Curve From Time 0 to 12 Hours post-dose (AUC(0-12)) of Arbaclofen Placarbil (AP) and R-baclofen in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototypes. | Day 1 (pre-dose), post-dose up to 12 hours |
| Part 2: Area under the Concentration vs Time Curve From Time 0 to 24 Hours post-dose (AUC(0-24)) of Arbaclofen Placarbil (AP) and R-baclofen in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototypes. | Day 1 (pre-dose), post-dose up to 24 hours |
| Part 2: Area under the Concentration vs Time Curve From Time 0 to Last Measurable Concentration (AUC(0-last)) of Arbaclofen Placarbil (AP) and R-baclofen in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototypes. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: Area under the Concentration vs Time Curve From Time 0 Extrapolated to Infinity (AUC(0-inf)) of Arbaclofen Placarbil (AP) and R-baclofen in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototypes. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: Percentage of AUC(0-inf) Extrapolated Beyond Last Measured Time Point (AUC%extrap) of Arbaclofen Placarbil (AP) and R-baclofen in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototypes. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: AP:R-baclofen AUC Ratios in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototypes. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: AP:R-baclofen Cmax Ratios in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototypes. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: The Slope of the Apparent Elimination Phase (lambda-z) in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototypes. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: The Apparent Elimination Half-life (T1/2) in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototypes. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: The Apparent Volume of Plasma Cleared of AP and R-baclofen per Unit Time Following Extravascular Dosing in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype(s) | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototypes. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: Relative Bioavailability of AP and R-baclofen following administration of Selected Arbaclofen Placarbil Modified Release (MR) Prototypes Compared to Reference Arbaclofen Placarbil Immediate Release (IR) | The relative bioavailability of AP and R-baclofen following administration of selected arbaclofen placarbil modified release (MR) Prototypes A + B compared to reference AP immediate release (IR), by calculation of Frel (relative bioavailability). | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: Relative Bioavailability of AP and R-baclofen Following Administration of Selected Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | The relative bioavailability of AP and R-baclofen following administration of Arbaclofen Placarbil Modified Release (MR) Prototype in a fed state compared to a fasted state, by calculation of Frel (relative bioavailability). | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: Time to Maximum Concentration (Tmax) of AP and R-baclofen Following Administration of Selected Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: Maximum Observed Concentration (Cmax) of AP and R-baclofen Following Administration of Selected Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: Concentrations at 12 Hours Post-dose (C12) of AP and R-baclofen Following Administration of Selected Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose at 12 hours |
| Part 2: Concentrations at 24 Hours Post-dose (C24) of AP and R-baclofen Following Administration of Selected Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose at 24 hours |
| Part 2: Area under the Concentration vs Time Curve From Time 0 to 12 Hours post-dose (AUC(0-12)) of AP and R-baclofen Following Administration of Selected Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose up to 12 hours |
| Part 2: Area under the Concentration vs Time Curve From Time 0 to 24 Hours post-dose (AUC(0-24)) of AP and R-baclofen Following Administration of Selected Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose up to 24 hours |
| Part 2: Area under the Concentration vs Time Curve From Time 0 to Last Measurable Concentration (AUC(0-last)) of AP and R-baclofen Following Administration of Selected Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: Area under the Concentration vs Time Curve From Time 0 Extrapolated to Infinity (AUC(0-inf)) of AP and R-baclofen Following Administration of Selected Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: Percentage of AUC(0-inf) Extrapolated Beyond Last Measured Time Point (AUC%extrap) of AP and R-baclofen Following Administration of Selected Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: AP:R-baclofen AUC Ratios in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | The relative bioavailability of AP and R-baclofen following administration of Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: AP:R-baclofen Cmax Ratios in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: The Slope of the Apparent Elimination Phase (lambda-z) in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: The Apparent Elimination Half-life (T1/2) in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 2: The Apparent Volume of Plasma Cleared of AP and R-baclofen per Unit Time Following Extravascular Dosing in Selected Low Dose Arbaclofen Placarbil Modified Release (MR) Prototype in Both a Fed and Fasted State | Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in selected low dose arbaclofen placarbil modified release (MR) prototype administered in a fed state compared to a fasted state. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 3: Relative Bioavailability of AP and R-baclofen in a Selected MR Prototype Formulation in the Fed State Compared to Fasted State | An optional outcome dependent upon decision-making in response to interim PK observations. This outcome reports the relative bioavailability of AP and R-baclofen in a selected MR prototype formulation in the fed state compared to fasted, by calculation of Frel. An alternative is to compare the bioavailability of AP and R-baclofen when taken with beverage compared to taken with water, calculated by Frel. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 3: Time to Maximum Concentration (Tmax) of AP and R-baclofen in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 3: Maximum Observed Concentration (Cmax) of AP and R-baclofen in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 3: Concentrations at 12 Hours Post-dose (C12) of AP and R-baclofen in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose at 12 hours |
| Part 3: Concentrations at 24 Hours Post-dose (C24) of AP and R-baclofen in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose at 24 hours |
| Part 3: Area under the Concentration vs Time Curve From Time 0 to 12 Hours post-dose (AUC(0-12)) of AP and R-baclofen in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose up to 12 hours |
| Part 3: Area under the Concentration vs Time Curve From Time 0 to 24 Hours post-dose (AUC(0-24)) of AP and R-baclofen in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose up to 24 hours |
| Part 3: Area under the Concentration vs Time Curve From Time 0 to Last Measurable Concentration (AUC(0-last)) of AP and R-baclofen in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 3: Area under the Concentration vs Time Curve From Time 0 Extrapolated to Infinity (AUC(0-inf)) of AP and R-baclofen in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 3: Percentage of AUC(0-inf) Extrapolated Beyond Last Measured Time Point (AUC%extrap) of AP and R-baclofen in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 3: AP:R-baclofen AUC Ratios in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 3: AP:R-baclofen Cmax Ratios in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 3: The Slope of the Apparent Elimination Phase (lambda-z) in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 3: The Apparent Elimination Half-life (T1/2) in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose up to 48 hours |
| Part 3: The Apparent Volume of Plasma Cleared of AP and R-baclofen per Unit Time Following Extravascular Dosing in a Selected MR Prototype Formulation at Different Dose Levels | An optional outcome dependent upon decision-making in response to interim PK observations. Part of the pharmacokinetic profile of arbaclofen placarbil (AP) and R-baclofen in a selected MR prototype formulation at different dose levels. | Day 1 (pre-dose), post-dose up to 48 hours |
| Parts 1, 2 and 3: Participants with Adverse Events | The number of participants in categories of treatment-emergent adverse events. | Days 1-2 of each regimen |