Skip to main content
OpenTrials
Completed

NCT Number: NCT03389321

Clinical Study to Investigate Effect of Macitentan on Riociguat Pharmacokinetics

Both macitentan and riociguat are indicated in the treatment of pulmonary arterial hypertension (PAH) and may be administered concomitantly. The primary objective of this study is to evaluate the effect of macitentan administered for 11 days on the pharmacokinetics (PK) (i.e., amount and time of presence in the blood of riociguat) of a single dose of riociguat in healthy male subjects.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Age range

18 year–45 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1

Primary location

CRS Clinical Research Services Mannheim

Mannheim, 68167, Germany

Who can participate

Healthy volunteers accepted: Yes

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

Key Inclusion Criteria:

  • Male subjects aged between 18 and 45 years (inclusive) at screening who signed informed consent prior to any study-mandated procedure;
  • Healthy on the basis of physical examination, cardiac evaluations (12-lead ECG) and laboratory tests performed at screening;
  • Body mass index of 18 to 30 Kg/m2 (inclusive) at screening;
  • Systolic blood pressure 100-145 mmHg, diastolic blood pressure 50-90 mmHg, and pulse rate 50-90 beats per minute (inclusive).

Key Exclusion Criteria:

  • Known allergic reactions or hypersensitivity to macitentan, riociguat, any drug of the same classes, or any of their excipients;
  • Any contraindication for riociguat treatment;
  • Known hypersensitivity or allergy to natural rubber latex;
  • Previous history of fainting, collapse, syncope, orthostatic hypotension, or vasovagal reactions;
  • History or clinical evidence of any disease and/or existence of any surgical or medical condition, which might interfere with the absorption, distribution, metabolism, or excretion of the study treatments;
  • Previous treatment with any prescribed medications (including vaccines) or over the counter (OTC) medications (including herbal medicines such as St John's Wort, homeopathic preparations, vitamins, and minerals) within 3 weeks prior to first study treatment administration;
  • Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol.

Other protocol defined inclusion and exclusion criteria may apply.

Treatment and study plan

Riociguat (Adempas)

Drug

Riociguat film-coated tablets for oral administration at a strength of 1 mg

Macitentan (Opsumit)

Drug

Macitentan film-coated tablets for oral administration at a strength of 10 mg

Other names: ACT-064992

Primary outcomes

  1. Area under the plasma concentration-time curve (AUC) from zero to infinity [AUC(0-inf)] of riociguat

    Time frame: Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose)

    AUC(0-inf) of riociguat will be assessed following administration of riociguat alone or concomitantly with macitentan.

  2. Maximum plasma concentration (Cmax) of riociguat

    Time frame: Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose)

    The maximum observed plasma concentration of riociguat will be assessed following administration of riociguat alone or concomitantly with macitentan.

Secondary outcomes

  1. Time to reach Cmax (tmax) of riociguat and its metabolite M1

    Time frame: Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose)

    The maximum observed time to reach Cmax of riociguat and M1 will be assessed following administration of riociguat alone or concomitantly with macitentan.

  2. Elimination half life (t1/2) of riociguat and its metabolite M1

    Time frame: Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose)

    t1/2 of riociguat and M1 will be assessed following administration of riociguat alone or concomitantly with macitentan.

  3. AUC(0-t) of riociguat and its metabolite M1

    Time frame: Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose)

    AUC(0-t) is the area under the plasma concentration-time curve from zero to time t of the last measured concentration above the limit of quantification. It will be determined for both riociguat and its metabolite M1 following administration of riociguat alone or concomitantly with macitentan.

  4. AUC(0-inf) of riociguat metabolite M1

    Time frame: Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose)

    AUC(0-inf) of M1 will be assessed following administration of riociguat alone or concomitantly with macitentan.

  5. Maximum plasma concentration (Cmax) of riociguat metabolite M1

    Time frame: Day 1 (pre-dose to 96 hours post-dose ), Day 10 (pre-dose to 144 hours post-dose)

    The maximum observed plasma concentration of M1 will be assessed following administration of riociguat alone or concomitantly with macitentan.

  6. Trough concentration (Ctrough) of macitentan and its metabolite ACT-132577

    Time frame: Day 10 to Day 15 (before macitentan administration) and in the morning of Day 16

    Ctrough of macitentan and its metabolite ACT-132577 will be assessed during the treatment period with macitentan (Day 10 to Day 15)

Sponsors and collaborators

Lead sponsor

Actelion

Industry

Registry information

Official study title

A Single-center, Open-label, One-sequence, Two-treatment Study to Investigate the Effect of Macitentan at Steady State on the Pharmacokinetics of Riociguat in Healthy Male Subjects

Important dates

Study start
2018
Primary completion
2018
Study completion
2018
First posted
Jan 3, 2018
Registry last updated
Feb 8, 2018

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.

Published trials that share one or more normalized conditions with this study.