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A Drug Interaction Study Between Danicopan and Midazolam, Fexofenadine, and Mycophenolate Mofetil in Healthy Participants

NCT03108274 — Phase 1, Completed, 35 participants, Alexion Pharmaceuticals, Inc.

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A Three-Part Phase 1 Study to Determine the Potential Drug Interaction Between ACH-0144471 and Midazolam, Fexofenadine and Mycophenolate Mofetil in Healthy Subjects

RegistryNCT03108274
StatusCompleted
PhasePhase 1
Study typeInterventional; non randomized, parallel, masking: none, basic science
Enrollment35 (Actual)
SponsorAlexion Pharmaceuticals, Inc. (Industry); collaborators: Achillion, a wholly owned subsidiary of Alexion
ConditionsHealthy
InterventionsDanicopan, Midazolam, Fexofenadine, Mycophenolate Mofetil (Drug)
Datesstart 2017-04-18, primary completion 2017-06-02, completion 2017-06-16, first posted 2017-04-11, last updated 2021-06-24
Locations1 site in New Zealand

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-Summary

The purpose of this study was to determine the potential drug interaction between danicopan (ACH-0144471) and midazolam, fexofenadine, and mycophenolate mofetil. This was a 3-part study, with each part being an open-label, fixed-sequence, 2-treatment study in healthy adult participants.

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+Arms and interventions

ArmTypeInterventionsDescription
Part 1: Danicopan and MidazolamExperimentalDrug: Danicopan; Drug: MidazolamPeriod 1: Participants received a single dose of midazolam. Period 2: Participants received multiple doses of danicopan, in addition to coadministration with a single dose of midazolam. Scheduled pharmacokinetics (PK) blood samples were collected, with a washout period of at least 3 days between the dose in Period 1 and the first dose in Period 2.
Part 2: Danicopan and FexofenadineExperimentalDrug: Danicopan; Drug: FexofenadinePeriod 1: Participants received a single dose of fexofenadine. Period 2: Participants received multiple doses of danicopan, in addition to coadministration with a single dose of fexofenadine. Scheduled PK blood samples were collected, with a washout period of at least 3 days between the dose in Period 1 and the first dose in Period 2.
Part 3: Danicopan and MMFExperimentalDrug: Danicopan; Drug: Mycophenolate MofetilPeriod 1: Participants received a single dose of MMF. Period 2: Participants received multiple doses of danicopan, in addition to coadministration with a single dose of MMF. Scheduled PK blood samples were collected, with a washout period of at least 3 days between the dose in Period 1 and the first dose in Period 2.
  • Danicopan (Drug), also known as ALXN2040, ACH-0144471 (formerly): Oral tablet.
  • Midazolam (Drug), also known as Midazolam HCl: Oral syrup.
  • Fexofenadine (Drug): Oral tablet.
  • Mycophenolate Mofetil (Drug): Oral tablet.

+Outcome measures

Primary outcomes

  • Part 1: Midazolam Area Under The Plasma Concentration-time Curve From Time 0 To The Time Of The Last Observed Non-zero Concentration (AUC0-t) Following Single-dose Midazolam Alone Versus In The Presence of Steady-state Danicopan [Up to 24 hours postdose]
  • Part 1: Midazolam Area Under The Plasma Concentration-time Curve From Time 0 Extrapolated To Infinity (AUC0-inf) Following Single-dose Midazolam Alone Versus In The Presence of Steady-state Danicopan [Up to 24 hours postdose]
  • Part 1: Midazolam Maximum Observed Plasma Concentration (Cmax) Following Single-dose Midazolam Alone Versus In The Presence of Steady-state Danicopan [Up to 24 hours postdose]
  • Part 1: Midazolam Time To Reach Maximum Observed Plasma Concentration (Tmax) Following Single-dose Midazolam Alone Versus In The Presence of Steady-state Danicopan [Up to 24 hours postdose]
  • Part 2: Fexofenadine AUC0-t Following Single-dose Fexofenadine Alone Versus In The Presence of Steady-state Danicopan [Up to 72 hours postdose]
  • Part 2: Fexofenadine AUC0-inf Following Single-dose Fexofenadine Alone Versus In The Presence of Steady-state Danicopan [Up to 72 hours postdose]
  • Part 2: Fexofenadine Cmax Following Single-dose Fexofenadine Alone Versus In The Presence of Steady-state Danicopan [Up to 72 hours postdose]
  • Part 2: Fexofenadine Tmax Following Single-dose Fexofenadine Alone Versus In The Presence of Steady-state Danicopan [Up to 72 hours postdose]
  • Part 3: Mycophenolic Acid (MPA) and Mycophenolic Acid Glucuronide (MPAG) AUC0-t Following Single-dose Mycophenolate Mofetil (MMF) Alone Versus In The Presence of Steady-state Danicopan [Up to 72 hours postdose]
  • Part 3: MPA and MPAG AUC0-inf Following Single-dose MMF Alone Versus In The Presence of Steady-state Danicopan [Up to 72 hours postdose]
  • Part 3: MPA and MPAG Cmax Following Single-dose MMF Alone Versus In The Presence of Steady-state Danicopan [Up to 72 hours postdose]
  • Part 3: MPA and MPAG Tmax Following Single-dose MMF Alone Versus In The Presence of Steady-state Danicopan [Up to 72 hours postdose]

Secondary outcomes

  • Parts 1-3: Participants Experiencing Treatment-emergent Adverse Events [7 (±1) days following the last dose in Period 2]

+Eligibility

Sex: All, ages: 18 Years to 60 Years, accepts healthy volunteers

Key Inclusion Criteria:

* Healthy was defined as having no clinically relevant abnormalities identified by a detailed medical history, physical examination, blood pressure and heart rate measurements, 12-lead electrocardiogram, and clinical laboratory tests.
* Body mass index of 18.5 to 32 kilograms (kg)/square meter with a minimum body weight of 50 kg.

Key Exclusion Criteria:

* Mentally or legally incapacitated or significant emotional problems.
* Any condition that might interfere with drug absorption.
* History of sensitivity to study medication or other drug allergies.
* Body temperature greater than or equal to 38°Celsius on Day -1 or Day 1 predose; history of febrile illness within 14 days of the first dose.
* Positive urine drug test; current tobacco/nicotine users and smokers; consumption of alcohol within 72 hours of study drug administration.
* Participated in another clinical study within 28 days prior to the first dose.
* Significant laboratory abnormalities.
* Blood donation of more than 500 milliliters within 3 months of the first dose; received a blood transfusion or blood products within 6 months to the first dose.

+Locations (1)

FacilityCityCountryStatus
Clinical Trial SiteAucklandNew Zealand

My Notes