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This study will evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of single and multiple oral doses of BIIB091 in healthy participants.This study will also determine the effect of food on the single oral dose pharmacokinetic (PK).
Initial protocol recruitment and follow up was completed by 10 Jan 2020 with an optional cohort intended for completion by April 2020. Subsequently, a decision was made not to progress this optional cohort in light of COVID-19 which has resulted in a delay in reporting the actual completion date.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Ascending Dose (SAD): Cohort 1A | Experimental | Participants will receive dose level 1 of BIIB091 or placebo, orally, while fasting on Day 1. |
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| (SAD): Cohort 2A | Experimental | Participants will receive dose level 2 of BIIB091 or placebo, orally, while fasting on Day 1. |
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| (SAD): Cohort 3A | Experimental | Participants will receive dose level 3 of BIIB091 or placebo, orally, while fasting on Day 1, then again following a 7 day washout and high-fat meal. |
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| (SAD): Cohort 4A | Experimental | Participants will receive dose level 4 of BIIB091 or placebo, orally, while fasting on Day 1. |
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| (SAD): Cohort 5A | Experimental | Participants will receive dose level 5 of BIIB091 or placebo, orally, while fasting on Day 1. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BIIB091 | Drug | Administered as specified in the treatment arm. |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) | An AE is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An SAE is any untoward medical occurrence that at any dose: results in death, in the view of the Investigator, places the participant at immediate risk of death (a life-threatening event), however, this does not include an event that, had it occurred in a more severe form, might have caused death; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; results in a congenital anomaly/birth defect or is a medically important event. | Baseline up to Day 9 for SAD Cohorts; Baseline up to Day 24 for MAD Cohorts |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Curve from Time 0 to the Time of the Last Measurable Concentration (AUClast) | Baseline and multiple timepoints up to Day 3 for SAD Cohorts; Baseline and multiple timepoints up to Day 16 for MAD Cohorts | |
| Area Under the Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUCinf) |
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Key Inclusion Criteria:
Key Exclusion Criteria:
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Biogen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Dallas | Texas | 75247 | United States |
In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on http://clinicalresearch.biogen.com/
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| ID | Term |
|---|---|
| C000722588 | BIIB091 |
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Blinded Study
| Multiple Ascending Dose (MAD): Cohort 1B | Experimental | Participants will receive dose level 1 of BIIB091 or placebo, orally, twice daily (BID) for 13 days, and a single dose on Day 14. |
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| (MAD): Cohort 2B | Experimental | Participants will receive dose level 2 of BIIB091 or placebo, orally, BID for 13 days, and a single dose on Day 14. |
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| (MAD): Cohort 3B | Experimental | Participants will receive dose level 3 of BIIB091 or placebo, orally, BID for 13 days, and a single dose on Day 14. |
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| Placebo | Drug | Administered as specified in the treatment arm. |
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| Baseline and multiple timepoints up to Day 3 |
| Maximum Observed Concentration (Cmax) | Baseline and multiple timepoints up to Day 3 for SAD Cohorts; Baseline and multiple timepoints up to Day 14 for MAD Cohorts |
| Time to Reach Maximum Observed Concentration (Tmax) | Baseline and multiple timepoints up to Day 3 for SAD Cohorts; Baseline and multiple timepoints up to Day 14 for MAD Cohorts |
| Elimination Half-Life (t½) | Baseline and multiple timepoints up to Day 3 for SAD Cohorts; Baseline and multiple timepoints up to Day 16 for MAD Cohorts |
| Apparent Total Body Clearance (CL/F) | Baseline and multiple timepoints up to Day 3 for SAD Cohorts; Baseline and multiple timepoints up to Day 16 for MAD Cohorts |
| Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) | Baseline and multiple timepoints up to Day 3 for SAD Cohorts; Baseline and multiple timepoints up to Day 16 for MAD Cohorts |
| Amount of BIIB091 Excreted in Urine per Sampling Interval (Aeu) | Baseline and multiple timepoints up to Day 3 |
| Percentage of BIIB091 Excreted in Urine per Sampling Interval (%Feu) | Baseline and multiple timepoints up to Day 3 |
| Renal clearance (CLr) | Baseline and multiple timepoints up to Day 3 |
| Area Under the Concentration-Time Curve Within a Dosing Interval (AUCtau) | Baseline and multiple timepoints up to Day 16 |
| Accumulation Ratio (R) | Baseline and multiple timepoints up to Day 16 |
| Trough concentration (Ctrough) | Baseline and multiple timepoints up to Day 16 |