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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-003502-41 | EudraCT Number |
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Both macitentan and riociguat are indicated in the treatment of pulmonary arterial hypertension (PAH) and may be administered concomitantly. The primary objective of this study is to evaluate the effect of macitentan administered for 11 days on the pharmacokinetics (PK) (i.e., amount and time of presence in the blood of riociguat) of a single dose of riociguat in healthy male subjects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment A-B | Experimental | All subjects will receive treatment A followed by treatment B. Treatment A consists of a single oral dose (1 mg) of riociguat (Adempas) on Day 1. Treatment B consists of a loading oral dose of 30 mg macitentan (Opsumit) (3 tablets of 10 mg) on Day 5, then 10 mg of macitentan once daily from Day 6 to Day 15, with a concomitant administration of riociguat (1 mg) on Day 10. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Riociguat (Adempas) | Drug | Riociguat film-coated tablets for oral administration at a strength of 1 mg |
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| Measure | Description | Time Frame |
|---|---|---|
| Area under the plasma concentration-time curve (AUC) from zero to infinity [AUC(0-inf)] of riociguat | AUC(0-inf) of riociguat will be assessed following administration of riociguat alone or concomitantly with macitentan. | Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose) |
| Maximum plasma concentration (Cmax) of riociguat | The maximum observed plasma concentration of riociguat will be assessed following administration of riociguat alone or concomitantly with macitentan. | Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose) |
| Measure | Description | Time Frame |
|---|---|---|
| Time to reach Cmax (tmax) of riociguat and its metabolite M1 | The maximum observed time to reach Cmax of riociguat and M1 will be assessed following administration of riociguat alone or concomitantly with macitentan. | Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose) |
| Elimination half life (t1/2) of riociguat and its metabolite M1 |
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Key Inclusion Criteria:
Key Exclusion Criteria:
Other protocol defined inclusion and exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Shirin Bruderer, PhD | Actelion | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CRS Clinical Research Services Mannheim | Mannheim | 68167 | Germany |
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| ID | Term |
|---|---|
| C542595 | riociguat |
| C533860 | macitentan |
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All the subjects included in the study will be included in a single group and will receive the drugs according to the same sequence
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| Macitentan (Opsumit) | Drug | Macitentan film-coated tablets for oral administration at a strength of 10 mg |
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t1/2 of riociguat and M1 will be assessed following administration of riociguat alone or concomitantly with macitentan. |
| Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose) |
| AUC(0-t) of riociguat and its metabolite M1 | AUC(0-t) is the area under the plasma concentration-time curve from zero to time t of the last measured concentration above the limit of quantification. It will be determined for both riociguat and its metabolite M1 following administration of riociguat alone or concomitantly with macitentan. | Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose) |
| AUC(0-inf) of riociguat metabolite M1 | AUC(0-inf) of M1 will be assessed following administration of riociguat alone or concomitantly with macitentan. | Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose) |
| Maximum plasma concentration (Cmax) of riociguat metabolite M1 | The maximum observed plasma concentration of M1 will be assessed following administration of riociguat alone or concomitantly with macitentan. | Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose) |
| Trough concentration (Ctrough) of macitentan and its metabolite ACT-132577 | Ctrough of macitentan and its metabolite ACT-132577 will be assessed during the treatment period with macitentan (Day 10 to Day 15) | Day 10 to Day 15 (before macitentan administration) and in the morning of Day 16 |