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HealthyPhase 1NCT03882255

A Study of Ponesimod in Healthy Adult Participants Receiving Propranolol at Steady State

A Phase 1 study testing Ponesimod dose range (2 - 20 mg) and Propranolol 80 mg in people with Healthy, run by Janssen Pharmaceutica N.V., Belgium at 1 site in Belgium.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary purpose of this study is to evaluate the effect of the up-titration regimen of ponesimod on heart rate (HR) and other electrocardiogram (ECG) parameters when administrated to healthy adult participants receiving propranolol at steady state. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Ponesimod dose range (2 - 20 mg) and Propranolol 80 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
52 participants
Where
1 siteBelgium
Study dates
20 Mar 2019to 26 Aug 2019
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Systolic blood pressure (SBP) 90 to 140 millimeters of mercury (mmHg) and diastolic blood pressure (DBP) 50 to 90 mmHg measured on the right arm in supine position after at least 5 minutes rest in the supine position at screening, on Day 1 of the Treatment Period 1, and on Day -2 of Treatment Period 2
  • Body mass index (BMI) between 18.0 and 30.0 kilogram per meter square (kg/m^2 ) (inclusive) at screening and body weight not less than 50.0 kg
  • 12-lead safety electrocardiogram (ECG) without clinically relevant abnormalities at screening, on Day 1 of the Treatment Period 1, and on Day-2 of Treatment Period 2, including:
  • QT interval corrected for heart rate using the Fridericia correction (QTcF) of less than or equal to (=<) 450 millisecond (ms) for male participants and =< 470 ms for female participants
  • Heart rate (HR) 55 to 100 Beats per minute (bpm) (inclusive)
  • QRS interval less than (<) 120 ms
Show all 10Show fewer
  • PR interval =< 200 ms
  • ECG morphology consistent with healthy cardiac conduction and function
  • Female participant must have a negative highly sensitive serum (beta human chorionic gonadotropin [beta- hCG]) pregnancy test at screening and a negative urine pregnancy test on Day 1 of Treatment Period 1 and Day 2 of Treatment Period 2
  • Negative results from urine drug screen at screening, on Day -1 of Treatment Period 1, and on Day -2 of Treatment Period 2

Who cannot join

  • Any cardiac condition or illness (including ECG abnormalities) with a potential to increase the cardiac risk of the participant based on medical history, physical examination, 12-lead safety ECG, or 24-hour Holter ECG at screening, including:
  • 24-hour Holter ECG with clinically relevant abnormalities
  • History or evidence of Atrioventricular (AV) block second degree or higher
  • Any cardiac condition or illness (including ECG abnormalities based on standard 12-lead safety ECG or d- 24-hour Holter ECG) with a potential to increase the cardiac risk of the participant
  • Family history of sick-sinus syndrome
  • Hepatitis A antibody immunoglobulin M (IgM) positive, positive hepatitis B surface antigen (HBsAg) or hepatitis C antibody (anti-hepatitis C virus [anti-HCV]) tests, or other clinically active liver disease at screening
  • Known hypersensitivity to any excipients of the ponesimod drug formulation (lactose, microcrystalline cellulose, povidone, sodium lauryl sulfate, croscarmellose sodium, colloidal anhydrous silica, magnesium stearate, opadry II brown), or lactose
  • History of significant propranolol side effects or known hypersensitivity to propranolol or to any of its excipients

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • SGS Clinical Pharmacology Unit (located in ZNA Stuivenberg)

    Antwerp, 2060

Other trials in Belgium

About this study

Official title: A Randomized, Double-blind, Parallel-group, 2-period, Placebo-controlled, Phase 1 Study to Investigate the Effects on Heart Rate, Blood Pressure, and Pharmacokinetic Interactions of the Up-titration Regimen of Ponesimod in Healthy Adult Subjects Receiving Propranolol at Steady State

The primary purpose of this study is to evaluate the effect of the up-titration regimen of ponesimod on heart rate (HR) and other electrocardiogram (ECG) parameters when administrated to healthy adult participants receiving propranolol at steady state.

Conditions
Healthy
Being tested
Ponesimod dose range (2 - 20 mg), Placebo Propranolol, Propranolol 80 mg

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ponesimod dose range (2 - 20 mg)Drug

    Participants will receive ponesimod oral tablet at a dose of 2 mg in Treatment period 1 and as an up-titrating regimen (dose range: 2mg-20mg) in Treatments period 2.

  • Placebo PropranololDrug

    Participants will be administered placebo propranolol oral capsule from Day 1 to Day 19 in Treatment A of Treatment period 2.

  • Propranolol 80 mgDrug

    Participants will receive propranolol 80 mg long acting oral capsule from Day 1 to Day 19 in Treatment B of Treatment period 2.

Study groups in NCT03882255
Study groupRoleWhat they receive
Treatment Period 1: Ponesimod (2 mg)ExperimentalParticipants will receive a single dose ponesimod 2 milligram (mg) oral tablet under fed conditions on Day 1. Participants not fulfilling discontinuation criteria can continue to Treatment Period 2 after a washout period of at least 7 days and a maximum of 14 days.
Receives: Drug: Ponesimod dose range (2 - 20 mg)
Treatment Period 2:Ponesimod, Propranolol, Placebo PropranololExperimentalParticipants who do not fulfill any of discontinuation criteria will be randomized to 1 of 2 Treatments (Treatment A or B) on Day 1. Treatment A: up-titration regimen of ponesimod (2mg-20mg) once daily from Day 5 to Day 19 plus placebo propranolol once daily from Day 1 to Day 19; Treatment B: up-titration regimen of ponesimod (2mg-20mg) once daily from Day 5 to Day 19 plus 80 mg propranolol once daily from Day 1 to Day 19.
Receives: Drug: Ponesimod dose range (2 - 20 mg); Drug: Placebo Propranolol; Drug: Propranolol 80 mg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximum Decrease from Baseline in Mean Hourly Heart Rate (HR) (Emax HR) on Day 5

    Emax HR is defined as the maximum decrease from baseline in mean hourly HR.

    Measured: Baseline and Day 5

  2. Maximum Decrease from Baseline in Mean Hourly Heart Rate (HR) (Emax HR) on Day 19

    Emax HR is defined as the maximum decrease from baseline in mean hourly HR.

    Measured: Baseline and Day 19

  3. Minimum of the Mean Hourly HR for each day (HR nadir) on Day 5

    HR nadir will be defined as the minimum of the mean hourly HR for each day and will be summarized by descriptive statistics.

    Measured: Day 5

  4. Minimum of the Mean Hourly HR for each day (HR nadir) on Day 19

    HR nadir will be defined as the minimum of the mean hourly HR for each day and will be summarized by descriptive statistics.

    Measured: Day 19

Secondary outcomes (15)
  1. Maximum Decrease from Baseline in Mean Hourly Heart Rate (HR) (Emax HR) on Days 4,16, and 19

    Emax HR is defined as the maximum decrease from baseline in mean hourly HR.

    Measured: Baseline, Days 4, 16, and 19

  2. Minimum of the Mean Arterial Blood Pressure

    Minimum of the Mean arterial blood pressure (MAP) will be assessed. The MAP will be derived from the systolic blood pressure (SBP) and diastolic blood pressure (DBP) for each participant at the same time point as follows: MAP = 1/3 SBP + 2/3 DBP.

    Measured: Days 4, 5, 16, and 19

  3. Change from Baseline in Average Heart Rate

    Change from baseline in average heart rate on Days 4, 5, 16 and 19 will be assessed in Treatment Period 2.

    Measured: Baseline, Days 4, 5, 16, and 19

  4. Change from Baseline in Average PR Interval

    Change from baseline in PR interval on Days 4, 5, 16 and 19 will be assessed in Treatment Period 2. PR intervals will be derived from 12-lead safety electrocardiogram (ECG).

    Measured: Baseline, Days 4, 5, 16, and 19

  5. Maximum Observed Plasma Analyte Concentration (Cmax) of Ponesimod

    Cmax is defined as maximum observed plasma analyte concentration.

    Measured: Days 5, 9 (Predose; 1, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hours postdose)

  6. Maximum Observed Plasma Analyte Concentration (Tmax) of Ponesimod

    Tmax is defined as maximum observed plasma analyte concentration.

    Measured: Days 5, 19 (Predose; 1, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hours postdose)

  7. Area Under the Plasma Analyte Concentration-Time Curve (AUC [0-24]) of Ponesimod

    (AUC [0-24]) is defined as area under the plasma analyte concentration-time curve (AUC) from time 0 to 24 hours postdose, calculated by linear-linear trapezoidal summation.

    Measured: Day 5 (Predose; 1, 2, 3, 4, 5, 6, 8, 10, 12 and 24 Hours postdose)

  8. Trough Plasma Analyte Concentration (Ctrough) of Ponesimod

    (Ctrough) is defined as observed analyte concentration just prior to the beginning of a dosing interval.

    Measured: Day 19 (Predose; 1, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hours postdose)

  9. Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau)

    The AUCtau is the measure of the plasma analyte concentration from time zero to end of dosing interval. AUC during a dosing interval (τ) at steady state, calculated by linear-linear trapezoidal summation.

    Measured: Day 19 (Predose; 1, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hours postdose)

  10. Maximum Observed Plasma Analyte Concentration (Cmax) of Propranolol and 4 hydroxypropranolol

    Cmax is defined as maximum observed plasma analyte concentration.

    Measured: Days 4, 5, and 19 (Predose; 1, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hours postdose)

  11. Maximum Observed Plasma Analyte Concentration (Tmax) of Propranolol and 4 hydroxypropranolol

    Tmax is defined as maximum observed plasma analyte concentration.

    Measured: Days 4, 5, and 19 (Predose; 1, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hours postdose)

  12. Trough Plasma Analyte Concentration (Ctrough) of Propranolol and 4 hydroxypropranolol

    (Ctrough) is defined as observed analyte concentration just prior to the beginning of a dosing interval.

    Measured: Days 4, 5, and 19 (Predose; 1, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hours postdose)

  13. Area Under the Curve from Time Zero to End of Dosing Interval (AUCtau) of Propranolol and 4 hydroxypropranolol

    The AUCtau is the measure of the plasma analyte concentration from time zero to end of dosing interval. AUC during a dosing interval (τ) at steady state, calculated by linear-linear trapezoidal summation.

    Measured: Days 4, 5, and 19 (Predose; 1, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hours postdose)

  14. Total apparent Oral Clearance of Propranolol

    Total apparent clearance is defined as total apparent oral clearance at steady state, calculated as dose/AUC (tau).

    Measured: Days 4, 5, and 19 (Predose; 1, 2, 3, 4, 5, 6, 8, 10, 12 and 24 hours postdose)

  15. Number of Participants with Adverse Events as a Measure of Safety and Tolerability

    An adverse event is any adverse change, that is, any unfavorable and unintended sign, including an abnormal laboratory finding, symptom, or disease, that occurs in a participant during the course of the study, whether or not considered related to the study treatment.

    Measured: Approximately 2.5 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Mar 2019
  2. Study start20 Mar 2019
  3. Primary completion26 Aug 2019
  4. Study completion26 Aug 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
52 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03882255
Sponsor's protocol ID
CR108589
Other IDs
2018-003550-24, AC-058-117, 2018
Status last verified
Apr 2025
First submitted
18 Mar 2019
Last updated
27 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale open Data Access (YODA) Project site at yoda.yale.edu

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Ponesimod dose range (2 - 20 mg) and Propranolol 80 mg in people with Healthy, run by Janssen Pharmaceutica N.V., Belgium at 1 site in Belgium.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum Decrease from Baseline in Mean Hourly Heart Rate (HR) (Emax HR) on Day 5 (time frame: Baseline and Day 5). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Apr 2025.

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