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| ID | Type | Description | Link |
|---|---|---|---|
| 2019-000516-28 | EudraCT Number |
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To assess the relative bioavailability of ALXN1840 administered orally as a single enteric-coated (EC) tablet (reference, Treatment A) versus three EC tablets (test, Treatment B).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sequence 1 (AB) | Experimental | Participants received ALXN1840 once in each Period as a single oral dose under fasted conditions as follows: Period 1: ALXN1840 as a single EC tablet (Treatment A, reference). Period 2: ALXN1840 as three EC tablets (Treatment B, test). Participants were discharged following the 240-hour post-dose procedures (approximately 10 days after dosing in each period) unless it was medically necessary to extend the confinement. There was a washout period of at least 14 days between each ALXN1840 dosing. |
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| Sequence 2 (BA) | Experimental | Participants received ALXN1840 once in each Period as a single oral dose under fasted conditions as follows: Period 1: ALXN1840 as three EC tablets (Treatment B, test). Period 2: ALXN1840 as a single EC tablet (Treatment A, reference). Participants were discharged following the 240-hour post-dose procedures (approximately 10 days after dosing in each period) unless it was medically necessary to extend the confinement. There was a washout period of at least 14 days between each ALXN1840 dosing. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ALXN1840 | Drug | Participants received ALXN1840 at Hour 0 on Day 1 of the dosing period. |
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| Measure | Description | Time Frame |
|---|---|---|
| Maximum Observed (Plasma) Concentration (Cmax) of Total Molybdenum | The pharmacokinetic (PK) data of plasma total molybdenum were analyzed in the scope of this study as a surrogate measure for ALXN1840. Whole blood samples were collected for the measurement of plasma concentrations of total molybdenum via inductively coupled plasma-mass spectroscopy (ICP-MS). | Up to 240 hours postdose |
| Area Under The Plasma Concentration Versus Time Curve From Time 0 (Dosing) to the Last Quantifiable Concentration (AUCt) of Total Molybdenum | The PK data of plasma total molybdenum were analyzed in the scope of this study as a surrogate measure for ALXN1840. Whole blood samples were collected for the measurement of plasma concentrations of total molybdenum via ICP-MS. | Up to 240 hours postdose |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With a Treatment-Emergent Adverse Event (TEAEs) | An adverse event (AE) was any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAE was an AE that started during or after the first dose, or started prior to the first dose and increased in severity after the first dose. A related TEAE was defined as having a reasonable possibility the study intervention caused the AE as assessed by the investigator. Serious AEs (SAEs) were defined as any untoward medical occurrence that met at least 1 of the following serious criteria: resulted in death, was life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, other medically important serious event. A summary of all SAEs and Other AEs (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Trial Site | London | SE11YR | United Kingdom |
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Participants were randomized to 1 of 2 treatment sequences (A-B) or (B-A) in a crossover study design during 2 dosing periods. Participants were scheduled to receive either treatment A or B on Day 1 of each dosing period. There was a washout of at least 14 days between the dosing periods.
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| ID | Title | Description |
|---|---|---|
| FG000 | ALXN1840 Treatment Sequence A-B | Period 1: Participants received ALXN1840 reference formulation administered orally as 1 enteric-coated (EC) tablet at 15 milligrams (mg) on Day 1 (Treatment A). Period 2: Participants received ALXN1840 test formulation administered orally as 3 EC tablets at 5 mg (15 mg total) on Day 1 (Treatment B). There was a washout of at least 14 days between the dosing periods. |
| FG001 | ALXN1840 Treatment Sequence B-A | Period 1: Participants received ALXN1840 test formulation administered orally as 3 EC tablets at 5 mg (15 mg total) on Day 1 (Treatment B). Period 2: Participants received ALXN1840 reference formulation administered orally as 1 EC tablet at 15 mg on Day 1 (Treatment A). There was a washout of at least 14 days between the dosing periods. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Treatment Period 1 |
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| Treatment Period 2 |
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The Safety Population included all participants who received at least 1 dose of study drug.
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| ID | Title | Description |
|---|---|---|
| BG000 | ALXN1840 Treatment Sequence A-B | Period 1: Participants received ALXN1840 reference formulation administered orally as 1 EC tablet at 15 mg on Day 1 (Treatment A). Period 2: Participants received ALXN1840 test formulation administered orally as 3 EC tablets at 5 mg (15 mg total) on Day 1 (Treatment B). There was a washout of at least 14 days between the dosing periods. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Maximum Observed (Plasma) Concentration (Cmax) of Total Molybdenum | The pharmacokinetic (PK) data of plasma total molybdenum were analyzed in the scope of this study as a surrogate measure for ALXN1840. Whole blood samples were collected for the measurement of plasma concentrations of total molybdenum via inductively coupled plasma-mass spectroscopy (ICP-MS). | The Pharmacokinetic Population included all participants who had sufficient plasma samples to enable the calculation of PK parameters of at least the area under the plasma concentration versus time curve (AUC) for at least 1 Treatment Period. Participants were grouped by period for each treatment for this analysis. | Posted | Mean | Standard Deviation | nanograms (ng)/milliliter (mL) | Up to 240 hours postdose |
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Baseline up to Day 43
The Safety Population included all participants who received at least 1 dose of study drug. Participants were analyzed as randomized.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Period 1: ALXN1840 Treatment A | Participants received ALXN1840 reference formulation administered orally as 1 EC tablet at 15 mg on Day 1. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Lymphadenopathy | Blood and lymphatic system disorders | MedDRA 22.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Alexion Pharmaceuticals, Inc. | Alexion Pharmaceuticals, Inc. | +1.855.752.2356 | clinicaltrials@alexion.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 9, 2019 | Sep 15, 2022 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 11, 2019 | Sep 15, 2022 | SAP_001.pdf |
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| ID | Term |
|---|---|
| C020809 | tetrathiomolybdate |
| D020742 | rhoA GTP-Binding Protein |
| ID | Term |
|---|---|
| D020741 | rho GTP-Binding Proteins |
| D020559 | Monomeric GTP-Binding Proteins |
| D019204 | GTP-Binding Proteins |
| D020558 | GTP Phosphohydrolases |
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| Baseline up to Day 43 |
| COMPLETED |
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| NOT COMPLETED |
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| BG001 | ALXN1840 Treatment Sequence B-A | Period 1: Participants received ALXN1840 test formulation administered orally as 3 EC tablets at 5 mg (15 mg total) on Day 1 (Treatment B). Period 2: Participants received ALXN1840 reference formulation administered orally as 1 EC tablet at 15 mg on Day 1 (Treatment A). There was a washout of at least 14 days between the dosing periods. |
| BG002 | Total | Total of all reporting groups |
| years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| OG001 | ALXN1840 Treatment B | Participants received ALXN1840 test formulation administered orally as 3 EC tablets at 5 mg (15 mg total) on Day 1. |
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| Primary | Area Under The Plasma Concentration Versus Time Curve From Time 0 (Dosing) to the Last Quantifiable Concentration (AUCt) of Total Molybdenum | The PK data of plasma total molybdenum were analyzed in the scope of this study as a surrogate measure for ALXN1840. Whole blood samples were collected for the measurement of plasma concentrations of total molybdenum via ICP-MS. | The Pharmacokinetic Population included all participants who had sufficient plasma samples to enable the calculation of PK parameters of at least the AUC for at least 1 Treatment Period. Participants were grouped by period for each treatment for this analysis. | Posted | Mean | Standard Deviation | hours*ng/mL | Up to 240 hours postdose |
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|
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| Secondary | Number of Participants With a Treatment-Emergent Adverse Event (TEAEs) | An adverse event (AE) was any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAE was an AE that started during or after the first dose, or started prior to the first dose and increased in severity after the first dose. A related TEAE was defined as having a reasonable possibility the study intervention caused the AE as assessed by the investigator. Serious AEs (SAEs) were defined as any untoward medical occurrence that met at least 1 of the following serious criteria: resulted in death, was life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, other medically important serious event. A summary of all SAEs and Other AEs (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section. | The Safety Population included all participants who received at least 1 dose of study drug. Participants were analyzed as randomized. | Posted | Count of Participants | Participants | Baseline up to Day 43 |
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|
|
| 0 |
| 25 |
| 0 |
| 25 |
| 7 |
| 25 |
| EG001 | Period 1: ALXN1840 Treatment B | Participants received ALXN1840 test formulation administered orally as 3 EC tablets at 5 mg (15 mg total) on Day 1. | 0 | 23 | 0 | 23 | 5 | 23 |
| EG002 | Period 2: ALXN1840 Treatment A | Participants received ALXN1840 reference formulation administered orally as 1 EC tablet at 15 mg on Day 1. | 0 | 23 | 0 | 23 | 4 | 23 |
| EG003 | Period 2: ALXN1840 Treatment B | Participants received ALXN1840 test formulation administered orally as 3 EC tablets at 5 mg (15 mg total) on Day 1. | 0 | 25 | 0 | 25 | 8 | 25 |
| Eye pruritus | Eye disorders | MedDRA 22.1 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 22.1 | Systematic Assessment |
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| Toothache | Gastrointestinal disorders | MedDRA 22.1 | Systematic Assessment |
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| Catheter site pain | General disorders | MedDRA 22.1 | Systematic Assessment |
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| Medical device site reaction | General disorders | MedDRA 22.1 | Systematic Assessment |
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| Viral upper respiratory tract infection | Infections and infestations | MedDRA 22.1 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 22.1 | Systematic Assessment |
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| Viral infection | Infections and infestations | MedDRA 22.1 | Systematic Assessment |
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| Candida infection | Infections and infestations | MedDRA 22.1 | Systematic Assessment |
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| Viral labyrinthitis | Infections and infestations | MedDRA 22.1 | Systematic Assessment |
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| Muscle twitching | Musculoskeletal and connective tissue disorders | MedDRA 22.1 | Systematic Assessment |
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| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 22.1 | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA 22.1 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 22.1 | Systematic Assessment |
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| Presyncope | Nervous system disorders | MedDRA 22.1 | Systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA 22.1 | Systematic Assessment |
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| Butterfly rash | Skin and subcutaneous tissue disorders | MedDRA 22.1 | Systematic Assessment |
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| Dry skin | Skin and subcutaneous tissue disorders | MedDRA 22.1 | Systematic Assessment |
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| D017766 | Acid Anhydride Hydrolases |
| D006867 | Hydrolases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |
| D002352 | Carrier Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D047908 | Intracellular Signaling Peptides and Proteins |
| Any serious TEAE (SAE) |
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| Any TEAE leading to death |
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| Any related TEAE |
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