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This clinical study is designed to study the effect of a single dose of varegacestat on cardiac repolarization in healthy adult participants.
This is a double-blind (with respect to varegacestat and placebo only), single-dose, randomized, placebo- and positive- controlled, 3-way crossover study.
On Day 1 of each period, participants will receive one of 3 treatments: a single dose of varegacestat (Treatment A), a single dose of varegacestat matching placebo (Treatment B), or a single dose of moxifloxacin (Treatment C). In each period, cardiodynamic ECGs will be collected predose and for 24 hours postdose. PK samples will be collected predose and up to 168 hours post-dose for assessments of varegacestat and AL102 MTB, and up to 24 hours post-dose for assessment of moxifloxacin.
There will be a washout of at least 14 days between doses. Safety will be monitored throughout the study by repeated clinical and laboratory evaluations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Varegacestat | Experimental |
| |
| Placebo | Placebo Comparator |
| |
| Moxifloxacin | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| varegacestat | Drug | Single oral dose of varegacestat |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Placebo-corrected change from baseline QTc and varegacestat and its metabolite, AL102 MTB, plasma concentrations | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline, placebo-corrected, and categorical outliers of the ECG parameter HR from a single oral dose of varegacestat. | 24 hours | |
| Change from baseline and placebo-corrected ECG parameter QT from a single oral dose of varegacestat. | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Celerion | Tempe | Arizona | 85289 | United States |
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| ID | Term |
|---|---|
| D000077266 | Moxifloxacin |
| ID | Term |
|---|---|
| D024841 | Fluoroquinolones |
| D042462 | 4-Quinolones |
| D015363 | Quinolones |
| D011804 | Quinolines |
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Double (Participant, Investigator) This is a double-blind study (with respect to varegacestat and placebo only; moxifloxacin will be open label).
| Drug |
Single oral dose of placebo |
|
| Moxifloxacin 400 mg | Drug | Single oral dose of moxifloxacin |
|
| Change from baseline, placebo-corrected, and categorical outliers of the ECG parameter QTcF from a single oral dose of varegacestat. | 24 hours |
| The AUC from time 0 extrapolated to infinity, calculated as the sum of AUC0-t plus the ratio of the last measurable plasma concentration to the elimination rate constant of varegacesatat and AL102-MTB (varegacestat metabolite). | 7 days |
| Maximum observed concentration (Cmax) of varegacesatat and AL102-MTB (varegacestat metabolite). | 7 days |
| Apparent first-order terminal elimination half-life (t1/2) will be calculated as 0.693/Kel of varegacesatat and AL102-MTB (varegacestat metabolite). | 7 days |
| Safety and tolerability of a single oral dose of varegacestat by incidences of treatment-emergent adverse events. | Approximately 56 days |
| Assay sensitivity of the study to detect a small QTc effect using moxifloxacin as a positive control. | 24 hours |
| D006574 |
| Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |