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Pulmonary Arterial HypertensionPhase 1NCT04994860

Effect of BIA 5-1058 400 mg on the Steady State Pharmacokinetics of Sildenafil

A Phase 1 study testing BIA 5-1058 and Sildenafil in people with Pulmonary Arterial Hypertension, run by Bial - Portela C S.A. at 1 site in Germany.

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 purpose of this study is: To assess the effect of BIA 5 1058 400 mg on the pharmacokinetics (PK) of sildenafil. To assess the effect of sildenafil on the PK of BIA 5-1058. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Pulmonary Arterial Hypertension
What is being tested?
BIA 5-1058 and Sildenafil
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteGermany
Study dates
22 Mar 2018to 7 Jun 2018
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 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Provided signed and dated informed consent before any study specific procedures were conducted.
  • Male and female subjects aged 18 to 45 years (both inclusive) at the Screening Visit.
  • Healthy as determined by the Principal Investigator on the basis of medical history, physical examination, clinical laboratory test results, vital signs and digital 12 lead electrocardiogram (ECG). If a vital sign or ECG assessment was outside of the reference range at the Screening Visit or baseline, the assessment could have been repeated once as soon as possible and in any cases before enrollment to rule out any error.
  • Non-smoker or ex-smoker for at least 3 months prior to the Screening Visit.
  • Body mass index (BMI) between 18.5 and 29.9 kg/m2 (both inclusive) at the Screening Visit and on admission to each treatment period.
  • Negative test results for hepatitis B surface antigen (HBsAg), hepatitis B core antibody (anti HBc), immunoglobulin M (IgM) antibody to anti-HBc (IgM anti-HBc), hepatitis C virus antibody (anti HCV) and human immunodeficiency virus (HIV) (Types 1 and 2) antibodies at the Screening Visit.
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  • Negative screen for alcohol and drugs of abuse at the Screening Visit and on admission to each treatment period.
  • The subject had to be willing and able to be confined to the clinical unit and had to adhere to the study and lifestyle restrictions.
  • Contraception requirements:
  • Male subjects had to use together with his female partner/spouse a highly effective contraception form of birth control in combination with a barrier method throughout the clinical study period and agreed not to father a child or to donate sperm starting at the Screening Visit and throughout the clinical study.
  • Female subjects had to either be of non childbearing potential or had to use highly effective methods of contraception from at least 3 months before the Screening Visit and throughout the clinical study in combination with a barrier method.
  • Subjects who met the following criteria were considered eligible to participate/continue in the study:
  • Provided signed and dated informed consent before any study specific procedures were conducted.
  • Male and female subjects aged 18 to 45 years (both inclusive) at the Screening Visit.
  • Healthy as determined by the Principal Investigator on the basis of medical history, physical examination, clinical laboratory test results, vital signs and digital 12 lead electrocardiogram (ECG). If a vital sign or ECG assessment was outside of the reference range at the Screening Visit or baseline, the assessment could have been repeated once as soon as possible and in any cases before enrollment to rule out any error.
  • Non-smoker or ex-smoker for at least 3 months prior to the Screening Visit.
  • Body mass index (BMI) between 18.5 and 29.9 kg/m2 (both inclusive) at the Screening Visit and on admission to each treatment period.
  • Negative test results for hepatitis B surface antigen (HBsAg), hepatitis B core antibody (anti HBc), immunoglobulin M (IgM) antibody to anti-HBc (IgM anti-HBc), hepatitis C virus antibody (anti HCV) and human immunodeficiency virus (HIV) (Types 1 and 2) antibodies at the Screening Visit.
  • Negative screen for alcohol and drugs of abuse at the Screening Visit and on admission to each treatment period.
  • The subject had to be willing and able to be confined to the clinical unit and had to adhere to the study and lifestyle restrictions.
  • Contraception requirements:
  • Male subjects had to use together with his female partner/spouse a highly effective contraception form of birth control in combination with a barrier method throughout the clinical study period and agreed not to father a child or to donate sperm starting at the Screening Visit and throughout the clinical study.
  • Female subjects had to either be of non childbearing potential or had to use highly effective methods of contraception from at least 3 months before the Screening Visit and throughout the clinical study in combination with a barrier method.

Who cannot join

  • Subjects who met any of the following criteria were not considered eligible to participate/continue in the study:
  • Clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, hematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, connective tissue disease or disorders within 5 years before the first investigational medicinal product (IMP) administration.
  • Documented coronary artery disease (any of prior myocardial infarction, positive stress test, positive nuclear perfusion study, prior coronary artery bypass graft [CABG] surgery or percutaneous coronary intervention, angiogram showing at least 75% stenosis in a major coronary artery), acute coronary syndrome or current symptoms of myocardial ischemia and angina.
  • Clinically relevant surgical history involving the stomach and/or intestinal system, potentially affecting absorption of IMPs.
  • Any clinically relevant findings in the laboratory tests, particularly any abnormality in the coagulation tests or the liver function tests, as judged by the Principal Investigator, at the Screening Visit and on admission to each treatment period. If a laboratory assessment was outside of the reference range at the local laboratory at the Screening Visit or baseline, the assessment could have been repeated once as soon as possible and in any cases before enrolment to rule out laboratory error.
  • Subjects with alanine aminotransferase (ALT) > 1.0 x the upper limit of normal (ULN) and/or aspartate aminotransferase (AST) > 1.0 x ULN and/or total bilirubin > 1.0 x ULN (isolated bilirubin > 1.0 x ULN and 1.5 x ULN was acceptable if bilirubin was fractionated and direct bilirubin < 35%), as confirmed by subsequent repeat assessment, at the Screening Visit and on admission to each treatment period.
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  • History of relevant atopy or drug hypersensitivity.
  • History of alcoholism or drug abuse.
  • History of drinking > 24 g (males) and > 12 g (females) of pure alcohol per day (10 g pure alcohol = 250 mL of beer [5%] or 35 mL of spirits [35%] or 100 mL of wine [12%]) within 3 months before first admission to the clinical unit.
  • Use of alcohol within 72 hours before the Screening Visit and from 48 hours before dosing until completion of the Follow-up Visit.
  • Significant infection or known inflammatory process at the Screening Visit or upon admission to all treatment periods, as judged by the Principal Investigator.
  • Acute gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea, heartburn) at the time of the Screening Visit or upon admission to all treatment periods.
  • Subjects with supine blood pressure (BP) measurements (mean of triplicate) outside the ranges, at the Screening Visit or admission to the first treatment period:
  • Systolic BP (SBP) < 100 mmHg or > 140 mmHg Diastolic BP (DBP) < 60 mmHg or > 90 mmHg
  • Symptomatic orthostatic hypotension (drop of > 20 mmHg in SBP and/or > 10 mmHg in DBP when moving from supine to standing position), together with other symptoms, e.g., dizziness, at the Screening Visit or admission to the first treatment period.
  • Abnormal fundoscopy.
  • Electrocardiogram (mean of triplicate) with QTcF > 450 ms at the Screening Visit or admission to the first treatment period.
  • Having an estimated glomerular filtration rate (eGFR) < 90 mL/min, based on creatinine clearance calculation by the Cockcroft Gault formula and normalized to an average surface area of 1.73 m2.
  • Previous use of BIA 5-1058.
  • Use of any investigational drug or participation in any study within 60 days or 5 half-life times, whichever was longer, before first administration of IMP.
  • Having received IMP in more than 3 studies within 12 months before the Screening Visit.
  • Donated or received blood within 56 days before first administration of IMP.
  • Donated or received plasma within 30 days before first administration of IMP.
  • History of any significant bleeding within the last 56 days prior to first administration of IMP.
  • Vegetarians, vegans or other medical dietary restrictions.
  • Not able to communicate reliably with the Principal Investigator.
  • Unlikely to comply with the requirements of the study.
  • Use of over the counter (OTC) medications (including oral natural health products, vitamin, and herbal supplements) within 7 days before the first IMP administration until the Follow up Visit.
  • Use of prescription medications that could have affected the safety or other study assessments, in the Principal Investigator's opinion, within 14 days before the first IMP administration until the Follow-up Visit. By exception, acetaminophen/paracetamol1000 mg/day was permitted.
  • CYP2B6, CYP2C8, CYP2D6, CYP3A4 (BIA 5-1058 metabolism) and CYP2C9, CYP3A4 (sildenafil metabolism): Use of inhibitors taken within 7 days before the first IMP administration and inducers taken within 28 days before first IMP administration.
  • Any known allergy or contra-indication to any of the IMPs or their content.
  • The subject was an employee or the close relative of an employee of the Sponsor or the Contract Research Organization (CRO) involved in the clinical study.
  • Vulnerable subjects, e.g., subjects kept in detention, protected adults under guardianship, trusteeship and soldiers or subjects committed to an institution by governmental or juridical order.
  • If female:
  • Pregnant or breast-feeding.

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • PAREXEL International - Early Phase Clinical Unit - Berlin

    Berlin, 14050

Other trials in Germany

About this study

Official title: An Open-Label, Three Period, Fixed Sequence Study to Assess the Effect of a Single Dose of BIA 5-1058 400 mg on the Steady State Pharmacokinetics of Sildenafil in Healthy Subjects Under Fasting Conditions

The purpose of this study is:

  • To assess the effect of BIA 5 1058 400 mg on the pharmacokinetics (PK) of sildenafil.
  • To assess the effect of sildenafil on the PK of BIA 5-1058.
Read the detailed description

This study was an open label, three period, fixed sequence study in healthy male and female subjects performed under fasting conditions at a single study center.

The study comprised:

  • Screening during Days -28 to -2 (both inclusive).
  • Three treatment periods separated by a washout period of at least 10 days.

Duration of Treatment:

The duration of participation for each subject was approximately 2 months and 3 weeks (including the screening period).

Being tested
BIA 5-1058, Sildenafil
Medical subject headings
Pulmonary Arterial Hypertension

What participants receive

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

  • BIA 5-1058Drug

    Also called Zamicastat

    Oral BIA 5-1058 (Zamicastat) 100 mg tablets

  • SildenafilDrug

    Also called Revatio

    Oral Sildenafil ( Revatio) 20 mg film coated tablets

Study groups in NCT04994860
Study groupRoleWhat they receive
BIA 5-1058ExperimentalTreatment Period 1: Subjects were admitted to the clinical unit on Day 1. Subjects received a single oral dose of BIA 5 1058 400 mg (4 x 100 mg tablets) on Day 1 after an overnight fast of at least 8 hours and remained fasted for at least 4 hours post-dose. Subjects were discharged from the clinical unit on Day 4 (approximately 72 hours after dosing) barring any medical reasons for an extended clinical stay.
Receives: Drug: BIA 5-1058
SildenafilActive comparatorTreatment Period 2: Subjects were admitted to the clinical unit on Day 1. Subjects received multiple three times a day (t.i.d.) oral doses of sildenafil (Revatio® 1 x 20 mg film coated tablet) approximately 2 hours before or after each meal (breakfast, lunch and dinner) from Days 1 to 5. On Day 6 after an overnight fast of at least 8 hours, subjects received a single morning dose of sildenafil (Revatio® 1 x 20 mg film coated tablet) and remained fasted for at least 2 hours post-dose. Subjects were discharged from the clinical unit on Day 9 (approximately 72 hours after last dosing) barring any medical reasons for an extended clinical stay.
Receives: Drug: Sildenafil
BIA 5-1058 and SildenafilExperimentalTreatment Period 3: Subjects were admitted to the clinical unit on Day 1. Subjects received multiple t.i.d. oral doses of sildenafil (Revatio® 1 x 20 mg film coated tablet) approximately 2 hours before or after each meal (breakfast, lunch and dinner) from Days 1 to 5. On Day 6 after an overnight fast of at least 8 hours, subjects received a single concomitant dose of BIA 5-1058 400 mg (4 x 100 mg tablets) and sildenafil (Revatio® 1 x 20 mg film coated tablet) and remained fasted for at least 4 hours post-dose. Subjects were discharged from the clinical unit on Day 9 (approximately 72 hours after last dosing) barring any medical reasons for an extended clinical stay.
Receives: Drug: BIA 5-1058; Drug: Sildenafil

What is being measured

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

  1. Cmax - Maximum observed concentration (for BIA 5-1058)

    PK parameters were determined for BIA 5-1058 and its metabolites in plasma following single dose administration in Treatment Period 1 and Treatment Period 3. Samples for PK assessments of BIA 5 1058 and metabolites were collected at pre-dose (Treatment Period 1, Day 1) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours (15 samples); and at pre-dose (Treatment Period 3, Day 6) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours (15 samples)

    Measured: Up to 2 months and 3 weeks

  2. Tmax - Time corresponding to occurrence of Cmax (for BIA 5-1058)

    PK parameters were determined for BIA 5-1058 and its metabolites in plasma following single dose administration in Treatment Period 1 and Treatment Period 3. Samples for PK assessments of BIA 5 1058 and metabolites were collected at pre-dose (Treatment Period 1, Day 1) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours (15 samples); and at pre-dose (Treatment Period 3, Day 6) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours (15 samples)

    Measured: Up to 2 months and 3 weeks

  3. T½ - Apparent terminal elimination half life (for BIA 5-1058)

    PK parameters were determined for BIA 5-1058 and its metabolites in plasma following single dose administration in Treatment Period 1 and Treatment Period 3. Samples for PK assessments of BIA 5 1058 and metabolites were collected at pre-dose (Treatment Period 1, Day 1) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours (15 samples); and at pre-dose (Treatment Period 3, Day 6) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours (15 samples)

    Measured: Up to 2 months and 3 weeks

  4. Cmax,ss - Maximum observed concentration at steady state (for sildenafi)

    PK parameters were determined for sildenafi and metabolites in plasma following multiple dose administration in Treatment Period 2 and Treatment Period 3.

    Samples for PK assessments of sildenafil and metabolites were collected at pre-last dose (Treatment Period 2, Day 6 and Treatment Period 3, Day 6) and post-last dose at 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours (15 samples)

    Measured: Up to 2 months and 3 weeks

  5. Tmax,ss - Time corresponding to occurrence of Cmax,ss at steady state (for sildenafi)

    PK parameters were determined for sildenafi and metabolites in plasma following multiple dose administration in Treatment Period 2 and Treatment Period 3.

    Samples for PK assessments of sildenafil and metabolites were collected at pre-last dose (Treatment Period 2, Day 6 and Treatment Period 3, Day 6) and post-last dose at 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours (15 samples)

    Measured: Up to 2 months and 3 weeks

  6. T½,ss - Apparent terminal elimination half-life at steady state (for sildenafi)

    PK parameters were determined for sildenafi and metabolites in plasma following multiple dose administration in Treatment Period 2 and Treatment Period 3.

    Samples for PK assessments of sildenafil and metabolites were collected at pre-last dose (Treatment Period 2, Day 6 and Treatment Period 3, Day 6) and post-last dose at 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60 and 72 hours (15 samples)

    Measured: Up to 2 months and 3 weeks

Timeline

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

  1. First posted6 Aug 2021
  2. Study start22 Mar 2018
  3. Primary completion7 Jun 2018
  4. Study completion7 Jun 2018

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
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04994860
Sponsor's protocol ID
BIA-51058-108
Other IDs
2017-000224-99, 2017
Status last verified
Jul 2021
First submitted
29 Jul 2021
Last updated
6 Aug 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BIA 5-1058 and Sildenafil in people with Pulmonary Arterial Hypertension, run by Bial - Portela C S.A. at 1 site in Germany.

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 23 inclusion and 35 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 6 Aug 2021. 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 Germany. 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?

Cmax - Maximum observed concentration (for BIA 5-1058) (time frame: Up to 2 months and 3 weeks). The study lists 6 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 6 Aug 2021.

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