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| ID | Type | Description | Link |
|---|---|---|---|
| 2019-003156-36 | EudraCT Number |
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This is a single-center, randomized, double-blind for cenerimod, open-label for moxifloxacin, placebo- and moxifloxacin-controlled, parallel-group study to investigate the effect of cenerimod on the duration of the QT interval in healthy male and female participants.
Participants will be randomly assigned to one of the 4 treatments: placebo, cenerimod 0.5 mg, cenerimod 4 mg or moxifloxacin.
Participants randomized in one of the cenerimod or placebo groups will receive combined oral contraceptives on Day 1 (i.e., prior to cenerimod or placebo administration, Period 1) and on Day 42 (i.e., 36 days after the stat of cenerimod or placebo, Period 2).
Half of the participants randomized in one of the cenerimod or placebo groups will be enrolled in an accelerated elimination procedure part (Period 3).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Period 1: First administration of combined oral contraceptives | Other | Participants randomized to placebo or cenerimod will receive a single oral dose of levonorgestrel (100 μg) and ethinylestradiol (20 μg) in the morning on Day 1. |
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| Period 2: Second administration of Combined Oral Contraceptive | Other | Participants randomized to placebo or cenerimod will receive a single oral dose of levonorgestrel (100 μg) and ethinylestradiol (20 μg) in the morning on Day 42. |
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| Period 2: Cenerimod 0.5 mg | Experimental | Participants randomized to cenerimod 0.5 mg will receive a single oral dose in the morning from Day 7 to Day 56. |
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| Period 2: Cenerimod 4 mg | Experimental | Participants randomized to cenerimod 4 mg will receive a single oral dose in the morning from Day 7 to Day 56. |
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| Period 2: Moxifloxacin | Other | Participants randomized to moxifloxacin will receive a single oral 400 mg dose in the morning of Day 42. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Combined oral contraceptives (COC) | Drug | A commercially available COC consisting of 0.1mg levonorgestrel and 0.02 mg ethinylestradiol will be used and administered open-label. |
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| Measure | Description | Time Frame |
|---|---|---|
| Placebo-corrected, change-from-baseline QTcF (ΔΔQTcF) | ECG variables will be assessed from ECGs extracted in replicates at predefined time points from continuous 24 hour Holter ECG recordings. | Day 6, 7, 14, 21, 35, and 56. |
| Maximum plasma concentration (Cmax): levonorgestrel | Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points. | Day 1 to Day 3; Day 42 to Day 44 |
| Maximum plasma concentration (Cmax): ethinylestradiol | Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points. | Day 1 to Day 3; Day 42 to Day 44 |
| Time to reach Cmax (tmax): levonorgestrel | Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points. | Day 1 to Day 3; Day 42 to Day 44 |
| Time to reach Cmax (tmax): ethinylestradiol | Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points. | Day 1 to Day 3; Day 42 to Day 44 |
| The area under the plasma concentration-time curve (AUC) from zero to infinity (AUC0-inf): levonorgestrel | Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points. | Day 1 to Day 3; Day 42 to Day 44 |
| The area under the plasma concentration-time curve (AUC) from zero to t (AUC0-t): levonorgestrel |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in total lymphocyte count to each time point | Blood samples (fasting) collected at predefined time points as part of the normal hematology analysis. | Day 5, Day 7, Day 14, Day 21, Day 35, Day 56, Day 57, Day 58, Day 1, Day 64, and Day 67 |
| Maximum plasma concentration (Cmax): cenerimod |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trials | Viatris Innovation GmbH | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Site 1 | Rennes | 35042 | France |
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Period 1: Pharmacokinetic study, Period 2: Thorough-QT and Drug-drug-interaction study. Period 3: Accelerated elimination study.
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The Thorough QT/QTc prolongation (TQT) study is a double-blind parallel study. The accelerated elimination and the combined oral contraceptive pharmacokinetic drug-drug-interaction are open-label.
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| Period 2: Placebo | Placebo Comparator | Participants randomized to placebo will receive a single oral dose of placebo in the morning from Day 7 to Day 56. |
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| Period 3: Cenerimod 0.5 mg and charcoal | Experimental | Participants randomized to cenerimod 0.5 mg in Period 2 will receive 50 g of activated charcoal every 12 hours from Day 57 to Day 67. |
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| Period 3: Cenerimod 4 mg and charcoal | Experimental | Participants randomized to cenerimod 4 mg in Period 2 will receive 50 g of activated charcoal every 12 hours from Day 57 to Day 67. |
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| Period 3: Cenerimod elimination period | No Intervention | Participants randomized to cenerimod 0.5 mg or 4 mg in Period 2 will receive no treatment (i.e., activated charcoal from Day 57 to Day 67) but will have blood samples taken. |
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| Moxifloxacin 400mg | Drug | A commercially available formulation of moxifloxacin 400 mg will be used and administered open-label. All tablets will be from the same batch. |
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| Cenerimod 0.5 mg | Drug | This will be administered orally as a film-coated tablet in the morning. |
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| Cenerimod 4 mg | Drug | This will be administered orally as a film-coated tablet in the morning. |
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| Charcoal, activated | Other | Granules for oral suspension will be used and administered open-label. |
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| Matching Placebo | Drug | Cenerimod matching placebo tablets will be administered once daily orally in the morning. |
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Blood samples for determination of PK parameters will be collected at predefined |
| Day 1 to Day 3; Day 42 to Day 44 |
| The area under the plasma concentration-time curve (AUC) from zero to infinity (AUC0-inf): ethinylestradiol | Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points. | Day 1 to Day 3; Day 42 to Day 44 |
| The area under the plasma concentration-time curve (AUC) from zero to t (AUC0-t): ethinylestradiol | Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points. | Day 1 to Day 3; Day 42 to Day 44 |
| Terminal elimination half-life (t1/2): levonorgestrel | Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points. | Day 56 to Day 68 |
| Terminal elimination half-life (t1/2): ethinylestradiol | Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points. | Day 56 to Day 68 |
| Terminal elimination half-life (t1/2): cenerimod | Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points. | Day 56 to Day 68 |
| Area under the plasma concentration-time curve (AUC) from Day 56 to infinity (AUC56-inf) for cenerimod | Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points. | Day 56 to Day 68 |
Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points. |
| Day 7, Day 14, Day 21, Day 35, and Day 56 |
| Time to reach Cmax (tmax): cenerimod | Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points. | Day 7, Day 14, Day 21, Day 35, and Day 56 |
| ID | Term |
|---|---|
| D003277 | Contraceptives, Oral, Combined |
| D016912 | Levonorgestrel |
| D004997 | Ethinyl Estradiol |
| D000077266 | Moxifloxacin |
| C000709569 | cenerimod |
| D002606 | Charcoal |
| ID | Term |
|---|---|
| D004338 | Drug Combinations |
| D004364 | Pharmaceutical Preparations |
| D003276 | Contraceptives, Oral |
| D003271 | Contraceptive Agents, Female |
| D003270 | Contraceptive Agents |
| D012102 | Reproductive Control Agents |
| D045505 | Physiological Effects of Drugs |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D045506 | Therapeutic Uses |
| D009644 | Norgestrel |
| D009652 | Norpregnenes |
| D009650 | Norpregnanes |
| D009654 | Norsteroids |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D009651 | Norpregnatrienes |
| D042782 | Estrogenic Steroids, Alkylated |
| D045166 | Estradiol Congeners |
| D012739 | Gonadal Steroid Hormones |
| D042341 | Gonadal Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D024841 | Fluoroquinolones |
| D042462 | 4-Quinolones |
| D015363 | Quinolones |
| D011804 | Quinolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D002244 | Carbon |
| D004602 | Elements |
| D007287 | Inorganic Chemicals |
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