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| ID | Type | Description | Link |
|---|---|---|---|
| UG3DA050308 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Drug Abuse (NIDA) | NIH |
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The purpose of this study is to investigate the potential for cytochrome P450 (CYP) 3A4 induction after dosing with INDV-2000 via use of midazolam as a probe.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| INDV-2000 BID + Midazolam | Experimental | Participants will receive a single oral dose of 5 mg midazolam on Day 1. Participants will receive a dose of INDV-2000 twice a day (BID) from Days 2 to 15. On Day 15 participants will also receive a single oral dose of 5 mg midazolam co-administered with the INDV-2000 morning dose. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| INDV-2000 | Drug | Capsules administered orally twice a day |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Observed Plasma Concentration (Cmax) of Midazolam and 1-hydroxymidazolam | Day 1 and Day 15 | |
| Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-∞) of Midazolam and 1-hydroxymidazolam | Day 1 and Day 15 | |
| Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) of Midazolam and 1-hydroxymidazolam | Day 1 and Day 15 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) | TEAEs will be defined as adverse events that start on or after the first dose of study drug. | From first dose of study drug to Day 22 |
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Inclusion Criteria:
Participant must be 18 to 55 years of age inclusive, at the time of signing the informed consent.
Body weight of a minimum of 50.0 kg at the screening visit and body mass index within the range 18.0 - 32.0 kg/m^2 (inclusive).
Male or female who is healthy as determined by medical evaluation.
Females will be of non-childbearing potential. Females of non-childbearing potential are considered women who:
Male participants agree to follow contraception guidelines specified in the Protocol.
Continuous non-smoker who has not used nicotine- and tobacco-containing products for at least 3 months prior to the first dosing based on participant self-reporting.
Capable of giving signed informed consent.
Exclusion Criteria:
Have an ongoing medical history of clinically significant neurological, cardiovascular, renal, hepatic, chronic respiratory or gastrointestinal (GI) disease, psychiatric or other disorder as judged by an Investigator that could potentially affect the study outcomes or compromise participant safety.
Have clinically significant abnormal biochemistry, hematology or urinalysis results as judged by an Investigator.
Have a history of narcolepsy or sleep apnea.
Have disorders that may interfere with drug absorption, distribution, metabolism and excretion processes.
Current active hepatic or biliary disease.
Participants with cholecystectomy < 90 days prior to screening.
Positive test results for human immunodeficiency virus (HIV)-1/HIV-2 antibodies, Hepatitis B surface antigen (HBsAg) or Hepatitis C antibodies.
Have a blood pressure reading outside of the following range: Systolic < 86 or > 149 mmHg; Diastolic < 50 or > 94 mmHg
Serious cardiac illness or other medical condition including, but not limited to:
History of suicidal ideation within 30 days prior to providing written informed consent as evidenced by answering "yes' to questions 4 or 5 on the suicidal ideation portion of the C-SSRS completed at the screening visit or history of a suicide attempt (per the C-SSRS) in the 6 months prior to informed consent.
Healthy participants who are taking, or have taken, any prescribed or over-the-counter drugs (other than 2 grams of acetaminophen per 24-hour period as of Day 1, hormone replacement therapy, or thyroid hormone replacement therapy) or herbal remedies in the 14 days or 5 half-lives (whichever is longer) prior to first dose of study drug.
Treatment with any known drugs that are moderate or strong inhibitors/inducers of CYP3A4 or CYP2C19, including St. John's Wort, within 30 days prior to first dose of study drug.
Any consumption of food or drink containing poppy seeds, grapefruit or Seville oranges within 14 days prior to the first dose of study drug.
Regular alcohol consumption in males > 21 units per week and females > 14 units per week (1 unit = ½ pint beer, 25 mL of 40% spirit or a 125 mL glass of wine).
Positive test result for alcohol and/or drugs of abuse at screening or at check-in.
Female participant with a positive pregnancy test at the screening visit or at first check-in or who are lactating.
Concurrent treatment or treatment with an investigational drug or device within 30 days or 5 half-lives (whichever is longer) prior to the first dose of study drug.
Blood donation of approximately 500 mL or more within 56 days or plasma donation within 7 days of screening.
Known hypersensitivity to INDV-2000 or any other ingredient in the INDV-2000 formulation.
Known hypersensitivity to midazolam or any other ingredient in midazolam HCl syrup.
Site staff and/or participants who have a financial interest in, or an immediate family member of either the site staff and/or Indivior employees, directly involved in the study.
Major surgical procedure (as defined by the Investigator) within 90 days prior to the first dose of study drug or still recovering from prior surgery.
Concurrent enrollment in another clinical study, unless it is an observational study.
Participants who are unable, in the opinion of the Investigator, to comply fully with the study requirements.
Any condition that, in the opinion of the Investigator or Indivior, would interfere with evaluation of the study drug or interpretation of participant safety or study results.
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| Name | Affiliation | Role |
|---|---|---|
| Danielle Armas, MD | Celerion | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Celerion | Tempe | Arizona | 85283 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | INDV-2000 BID + Midazolam | Participants received a single oral dose of 5 mg midazolam on Day 1. Participants received a dose of INDV-2000 twice a day (BID) from Days 2 to 15. On Day 15 participants also received a single oral dose of 5 mg midazolam co-administered with the INDV-2000 morning dose. INDV-2000: Capsules administered orally twice a day Midazolam: Midazolam syrup administered orally on Days 1 and 15 |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | INDV-2000 BID + Midazolam | Participants received a single oral dose of 5 mg midazolam on Day 1. Participants received a dose of INDV-2000 twice a day (BID) from Days 2 to 15. On Day 15 participants also received a single oral dose of 5 mg midazolam co-administered with the INDV-2000 morning dose. INDV-2000: Capsules administered orally twice a day Midazolam: Midazolam syrup administered orally on Days 1 and 15 |
| Units | Counts |
|---|---|
| Participants |
|
| 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 Midazolam and 1-hydroxymidazolam | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Day 1 and Day 15 |
|
|
22 days
All AEs and SAEs were collected from informed consent form signature until the end of study (EOS) Visit on Day 22 (±2 days) or at early termination. Any ongoing AEs at the time of the EOS Visit (ie, Day 22 [±2 days]) or at early termination were appropriately followed-up until resolution or 14 days after the EOS Visit or early termination.
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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 | Midazolam | Midazolam alone | 0 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| SOMNOLENCE | Nervous system disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Director Clinical Development | Indivior Inc. | (804) 594-4488 | trialdisclosure@indivior.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 10, 2023 | Apr 12, 2024 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 22, 2023 | Apr 12, 2024 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D008874 | Midazolam |
| ID | Term |
|---|---|
| D001569 | Benzodiazepines |
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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| Midazolam | Drug | Midazolam syrup administered orally on Days 1 and 15 |
|
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
|
|
|
| Primary | Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-∞) of Midazolam and 1-hydroxymidazolam | Posted | Geometric Mean | Geometric Coefficient of Variation | hour*ng/mL | Day 1 and Day 15 |
|
|
|
|
| Primary | Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) of Midazolam and 1-hydroxymidazolam | Posted | Geometric Mean | Geometric Coefficient of Variation | hour*ng/mL | Day 1 and Day 15 |
|
|
|
|
| Secondary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) | TEAEs will be defined as adverse events that start on or after the first dose of study drug. | Posted | Count of Participants | Participants | From first dose of study drug to Day 22 |
|
|
|
| 20 |
| 0 |
| 20 |
| 7 |
| 20 |
| EG001 | INDV-2000 | INDV-2000 alone | 0 | 20 | 0 | 20 | 12 | 20 |
| EG002 | Midazolam + INDV-2000 | INDV-2000 co-administered with midazolam | 0 | 20 | 0 | 20 | 3 | 20 |
| HEADACHE | Nervous system disorders | Systematic Assessment |
|
| DIZZINESS | Nervous system disorders | Systematic Assessment |
|
| DRY MOUTH | Gastrointestinal disorders | Systematic Assessment |
|
| DRY SKIN | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| FATIGUE | General disorders | Systematic Assessment |
|
| NAUSEA | Gastrointestinal disorders | Systematic Assessment |
|
| PAIN IN EXTREMITY | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
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| D006571 | Heterocyclic Compounds |
| Title | Measurements |
|---|---|
|
| 1-Hydroxymidazolam Day 15 |
|
The comparison is between 1-hydroxymidazolam on Day 15 and 1-hydroxymidazolam on Day 1. |
A random effects model was used to calculate the confidence interval. |
| Geometric Mean Ratio |
| 0.81 |
| 2-Sided |
| 90 |
| 0.74 |
| 0.89 |
Day 15/Day 1 |
| Other |
Descriptive only. |
| Title | Measurements |
|---|---|
|
| 1-Hydroxymidazolam Day 15 |
|
The comparison is between 1-hydroxymidazolam on Day 15 and 1-hydroxymidazolam on Day 1. |
A random effects model was used to calculate the confidence interval. |
| Geometric Mean Ratio |
| 0.87 |
| 2-Sided |
| 90 |
| 0.78 |
| 0.97 |
Day 15/Day 1 |
| Other |
Descriptive only. |