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Completed

NCT Number: NCT04475848

A Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Food Effect of RO6953958 in Healthy Participants

This study will evaluate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of single- and multiple-ascending doses (SAD (Part 1) and MAD (Part 2)) and food effect (FE) of RO6953958 following oral administration in healthy male participants. Part 3 (Drug-drug interaction (DDI)) will assess the safety, tolerability, and effect of RO6953958 on the PK of the cytochrome P450 (CYP) 3A substrate midazolam.

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Key information

Age range

18 year–55 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1

Primary location

Hammersmith Medicines Research; Central Middlesex Hospital

London, NW10 7EW, United Kingdom

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Body mass index (BMI) within 18 to 31 kg/m2
  • During treatment and for at least 14 days after the last dose to remain abstinent
  • Refrain from donating sperm for at least 14 days after last dose
  • Part 2 (MAD) only - Participants must be prepared to collect a sleep log and wear an actigraphy device the week before participation in the study. Participants must also have scored 5 or less on the Pittsburgh Sleep Quality Index (PSQI), less than 13 on the Epworth sleepiness scale (ESS), and not be considered an extreme morning or evening type according to the morningness-eveningness questionnaire (MEQ) at screening to be eligible.

Exclusion criteria

  • History or evidence of any medical condition potentially altering the absorption, metabolism, or elimination of drugs
  • History of any clinically significant gastrointestinal, renal, hepatic, bronchopulmonary, neurological, psychiatric, cardiovascular, endocrinological, hematological, or allergic disease, sleep disorders (Part 2 [MAD] only), unexplained syncope (within 12 months prior to screening), metabolic disorder, cancer, or cirrhosis
  • Use of any psychoactive medication, or medications known to have effects on central nervous system (CNS), or blood flow
  • History of convulsions
  • History of clinically significant hypersensitivity (e.g., drugs, excipients) or allergic reactions
  • Abnormal blood pressure (BP) and pulse rate
  • Presence of orthostatic hypotension
  • History or presence of clinically significant ECG abnormalities or cardiovascular disease
  • Current or chronic history of liver disease or known hepatic or biliary abnormalities
  • Known active or any major episode of infection within 4 weeks prior to the start of drug administration
  • Participants who test positive for acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
  • Have used or intend to use over-the-counter (OTC) or prescription medication including herbal medications within 30 days prior to dosing
  • Positive test for drugs, abuse of alcohol, human immunodeficiency virus (HIV), hepatitis B or hepatitis C virus (HCV), presence of hepatitis B surface antigen (HBsAg), or positive hepatitis C antibody test
  • Inability or unwillingness to fully consume standardized breakfast at Day 1
  • Part 2 (MAD) only - Participants who have issues sleeping or participants who have travelled across 2 or more time zones in the past month.
  • Part 2 (MAD) only - Participants who cannot produce sufficient saliva for study assessments
  • Participants who have donated more than 500 mL of blood or blood products or had significant blood loss within 3 months prior to screening
  • Have a history of clinically significant back pain, back pathology, and/or back injury that may predispose to complications from, or technical difficulty with, lumbar puncture
  • Complications that would lead to difficulty in obtaining a lumbar puncture
  • Part 3 (DDI) only - History of hypersensitivity to benzodiazepines (including midazolam) or its formulation ingredients

Treatment and study plan

RO6953958

Drug

Part 1: RO6953958 will be administered in an adaptive manner. The starting dose is planned to be 5 milligrams (mg).

Part 2: The starting dose is planned to be 45 mg.

Part 3: RO6953958 will be administered QD following a standardized breakfast on Day 3 to Day 14 at the maximum dose QD that was tested in the ongoing Part 2 (MAD).

Placebo

Drug

Part 1: A placebo will be administered in an adaptive manner. The starting dose is planned to be 5 mg.

Part 2: The starting dose is planned to be 45 mg.

midazolam

Drug

Midazolam will be administered as single intervenous (IV) bolus injection of 100 micrograms (ug) on Day 1 and Day 13, and as single oral dose of 300 ug on Day 2 and Day 14.

Primary outcomes

  1. Parts 1, 2 and 3: Percentage of Participants With Adverse Events

    Time frame: Part 1: From randomization up to 7 weeks (or up to 14 weeks if the participant is part of the food effect cohort). Parts 2 and 3: From randomization up to 8 weeks

    An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

  2. Part 2: Number of Participants With Post-baseline Suicide Risk, Assessed Using the Columbia Suicide Severity Rating Scale (C-SSRS)

    Time frame: From randomization up to 8 weeks

    The C-SSRS is a questionnaire that is used to assess a participant's suicidal ideation and behaviors. The categories in the questionnaire have binary responses (yes/no) and include: Wish to be Dead; Non-specific Active Suicidal Thoughts; Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act; Active Suicidal Ideation with Some Intent to Act, without Specific Plan; Active Suicidal Ideation with Specific Plan and Intent, Preparatory Acts and Behavior; Aborted Attempt; Interrupted Attempt; Actual Attempt (non-fatal); Completed Suicide. Suicidal ideation or behavior is indicated by a "yes" answer to any of the listed categories. A score of 0 is assigned if no suicide risk is present. Categories with non-zero values are reported here.

Secondary outcomes

  1. Parts 1, 2 and 3: Maximum Observed Plasma Concentration (Cmax) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-14

  2. Parts 2 and 3: Average Plasma Concentration (Cavg) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-14

  3. Parts 1, 2 and 3: Time to Reach Maximum Observed Plasma Concentration (Tmax) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-14

  4. Part 1: Last Quantifiable Concentration (Clast) of RO6953958 and Its Metabolites RO7021594 and RO7045755 in Fasted and Fed State

    Time frame: Day 1-10

  5. Part 1: Time To the Last Quantifiable Concentration (Tlast) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-10

  6. Parts 1, 2 and 3: Terminal Elimination Phase Half-Life (t1/2) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-14

  7. Parts 2 and 3: Area Under the Concentration-Time Curve (AUC(0-t)) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-14

  8. Part 1: Area Under the Plasma Concentration Versus Time Curve From Zero to 24h Postdose (AUC(0-24h)) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-5

  9. Part 1: Area Under the Plasma Concentration Versus Time Curve From Zero to the Last Measurable Concentration (AUC0-last) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-10

  10. Part 1: Area Under the Plasma Concentration Versus Time Curve Extrapolated to Infinity (AUC0-inf) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-10

  11. Parts 1, 2 and 3: Apparent Clearance (CL/F) of RO6953958

    Time frame: Day 1-14

  12. Parts 1, 2 and 3: Apparent Volume of Distribution (V/F) of RO6953958

    Time frame: Day 1-14

  13. Parts 1 and 2: Cumulative Amount of Unchanged Drug Excreted Into the Urine (Ae) of RO6953958

    Time frame: Day 1 and 10

  14. Parts 1 and 2: Fraction of the Administered Drug Excreted Into the Urine (Fe) of RO6953958

    Time frame: Day 1 and 10

  15. Parts 1 and 2: Renal Clearance of the Drug From Urine (CLR) of RO6953958

    Time frame: Day 1 and 10

  16. Parts 2 and 3: Trough Plasma Concentration (Ctrough) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1, 3, 10, 12, 13

  17. Parts 2 and 3: Accumulation Ratio Based on AUC (RAUC) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-14

  18. Parts 2 and 3: Accumulation Ratio Based on Cmax (RCmax) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-14

  19. Parts 2 and 3: Accumulation Ratio Based on Ctrough (RCtrough) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-14

  20. Parts 1, 2 and 3: Molecular Weight Adjusted Metabolite-to-Parent Ratio for Cmax of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-14

  21. Parts 1, 2 and 3: Molecular Weight Adjusted Metabolite-to-Parent Ratio for Area Under the Concentration-Time Curve (AUC(0-t)) of RO6953958 and Its Metabolites RO7021594 and RO7045755

    Time frame: Day 1-14

  22. Part 3: Tmax of Midazolam

    Time frame: Day 1-14

    A single IV dose of 100 ug midazolam was administered on Day 1 and Day 13. A single oral dose 300 ug of midazolam was administered on Day 2 and Day 14. RO6953958 was administrated once daily at 210 mg from Day 3 up to Day 14 so concomitantly with IV dose of midazolam on Day 13 and with oral dose of midazolam on Day 14.

  23. Part 3: Cmax of Midazolam

    Time frame: Day 1-14

    A single IV dose of 100 ug midazolam was administered on Day 1 and Day 13. A single oral dose 300 ug of midazolam was administered on Day 2 and Day 14. RO6953958 was administrated once daily at 210 mg from Day 3 up to Day 14 so concomitantly with IV dose of midazolam on Day 13 and with oral dose of midazolam on Day 14.

  24. Part 3: T1/2 of Midazolam

    Time frame: Day 1-14

    A single IV dose of 100 ug midazolam was administered on Day 1 and Day 13. A single oral dose 300 ug of midazolam was administered on Day 2 and Day 14. RO6953958 was administrated once daily at 210 mg from Day 3 up to Day 14 so concomitantly with IV dose of midazolam on Day 13 and with oral dose of midazolam on Day 14.

  25. Part 3: AUClast of Midazolam

    Time frame: Day 1-14

    A single IV dose of 100 ug midazolam was administered on Day 1 and Day 13. A single oral dose 300 ug of midazolam was administered on Day 2 and Day 14. RO6953958 was administrated once daily at 210 mg from Day 3 up to Day 14 so concomitantly with IV dose of midazolam on Day 13 and with oral dose of midazolam on Day 14.

  26. Part 3: AUCinf of Midazolam

    Time frame: Day 1-14

    A single IV dose of 100 ug midazolam was administered on Day 1 and Day 13. A single oral dose 300 ug of midazolam was administered on Day 2 and Day 14. RO6953958 was administrated once daily at 210 mg from Day 3 up to Day 14 so concomitantly with IV dose of midazolam on Day 13 and with oral dose of midazolam on Day 14.

  27. Part 3: VF of Oral Midazolam

    Time frame: Day 2-14

  28. Part 3: RAUC of Midazolam

    Time frame: Days 13 and 14

  29. Part 3: RCmax of Midazolam

    Time frame: Days 13 and 14

  30. Part 3: CL: Total Plasma Clearance of IV Midazolam

    Time frame: Days 1 and 13

  31. Part 3: Fraction Absorbed (F) of Midazolam

    Time frame: Days 2 and 14

    F is stated as a fraction of 1.

  32. Part 3: Volume of Distribution Under Steady-state Conditions (Vss) of Midazolam

    Time frame: Days 3 and 14

Sponsors and collaborators

Lead sponsor

Hoffmann-La Roche

Industry

Registry information

Official study title

A Randomized, Investigator- /Subject-blind, Single- and Multiple-ascending Dose, Placebo-controlled Study to Investigate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Food Effect of RO6953958 (Including RO6953958 Effect on Midazolam) Following Oral Administration in Healthy Male Participants

Important dates

Study start
2020
Primary completion
2022
Study completion
2022
First posted
Jul 17, 2020
Registry last updated
Jul 10, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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