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Healthy SubjectPhase 1NCT03814200

A Study to Investigate the Effect of Rifampicin on the Uptake and Breakdown of ACT-246475 in Healthy Subjects

A Phase 1 study testing Saline, ACT-246475 and Rifampicin in people with Healthy Subject, run by Viatris Innovation GmbH at 1 site in Netherlands.

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 study will investigate the effect of rifampicin on the uptake and breakdown of ACT-246475 in healthy subjects Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Subject
What is being tested?
Saline, ACT-246475 and Rifampicin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
14 participants
Where
1 siteNetherlands
Study dates
3 Jan 2019to 19 Feb 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 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Signed informed consent in a language understandable to the subject prior to any study-mandated procedure
  • Healthy male and female subjects aged between 18 and 65 years (inclusive) at Screening
  • Body mass index of 18.0 to 30.0 kg/m2 (inclusive) at Screening
  • Systolic blood pressure 100-145 mmHg, diastolic blood pressure 50-90 mmHg, and pulse rate 45-90 bpm (inclusive), measured on the same arm, after 5 min in the supine position at screening and on Day -1 of the first period
  • Hematology and coagulation test results not deviating from the normal range to a clinically relevant extent at Screening and on Day -1 of the first period
  • Women of childbearing potential must have a negative serum pregnancy test at Screening and a negative urine pregnancy test on Day- 1 of the first treatment period and must agree to consistently and correctly use a highly effective method of contraception

Who cannot join

  • Previous exposure to ACT-246475.
  • Previous exposure to rifampicin within 3 months prior to Screening.
  • Known hypersensitivity to P2Y12 receptor antagonists or rifampicin, or to any of the rifamycins, or any of their excipients
  • Loss of 250 mL or more of blood within 3 months prior to Screening
  • Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol
  • Family or personal history of prolonged bleeding (e.g., after surgical intervention) or bleeding disorders (e.g., thrombocytopenia, clotting disturbances), intracranial vascular diseases, stroke, reasonable suspicion of vascular malformations, or peptic ulcers
  • Known platelet disorders (e.g., Glanzmann thromboasthenia, von Willebrand disease, platelet release defect)

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • QPS Netherlands B.V.

    Groningen, 9700

Other trials in Netherlands

About this study

Official title: A Single-center, Randomized, Double-blind, Two-period Cross-over Study to Investigate the Effect of a Single Intravenous Dose of Rifampicin on the Pharmacokinetics of ACT-246475 in Healthy Subjects

The study will investigate the effect of rifampicin on the uptake and breakdown of ACT-246475 in healthy subjects

Conditions
Healthy Subject
Being tested
Saline, ACT-246475, Rifampicin

What participants receive

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

  • SalineDrug

    Single i.v. infusion of 100 mL saline 0.9% for 30 min

  • ACT-246475Drug

    Also called Selatogrel

    Single s.c. dose of 4 mg ACT-246475 in the thigh under fasting conditions

  • RifampicinDrug

    Single i.v. infusion of 600 mg rifampicin (100 mL) for 30 min

Study groups in NCT03814200
Study groupRoleWhat they receive
Treatment period AExperimentalTreatment A1: saline 0.9% followed by Treatment A2: ACT-246475
Receives: Drug: Saline; Drug: ACT-246475
Treatment period BExperimentalTreatment B1: rifampicin followed by Treatment B2: ACT-246475
Receives: Drug: ACT-246475; Drug: Rifampicin

What is being measured

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

  1. Area under the plasma concentration-time curve (AUC) from time zero to time t of the last measured concentration above the limit of quantification (AUC0-t)

    The plasma PK parameters of ACT-246475 will be derived by non-compartmental analysis of the plasma concentration-time profiles

    Measured: Up to 36 hours after treatment administration

  2. AUC from zero to infinity (AUC0-inf)

    The plasma PK parameters of ACT-246475 will be derived by non-compartmental analysis of the plasma concentration-time profiles

    Measured: Up to 36 hours after treatment administration

  3. The maximum plasma concentration (Cmax)

    The plasma PK parameters of ACT-246475 will be derived by non-compartmental analysis of the plasma concentration-time profiles

    Measured: Up to 36 hours after treatment administration

  4. The time to reach Cmax (tmax)

    The plasma PK parameters of ACT-246475 will be derived by non-compartmental analysis of the plasma concentration-time profiles

    Measured: Up to 36 hours after treatment administration

  5. Terminal half-life (t½)

    The plasma PK parameters of ACT-246475 will be derived by non-compartmental analysis of the plasma concentration-time profiles

    Measured: Up to 36 hours after treatment administration

Timeline

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

  1. First posted23 Jan 2019
  2. Study start3 Jan 2019
  3. Primary completion12 Feb 2019
  4. Study completion19 Feb 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
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
14 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03814200
Sponsor's protocol ID
ID-076-106
Other IDs
2018-004226-28, 2018
Status last verified
Nov 2022
First submitted
21 Jan 2019
Last updated
3 Jul 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Schilling U, Dingemanse J, Voors-Pette C, Romeijn C, Dogterom P, Ufer M. Effect of Rifampin-Mediated OATP1B1 and OATP1B3 Transporter Inhibition on the Pharmacokinetics of the P2Y12 Receptor Antagonist Selatogrel. Clin Transl Sci. 2020 Sep;13(5):886-890. doi: 10.1111/cts.12774. Epub 2020 Mar 31.

    PubMed 32166864

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Saline, ACT-246475 and Rifampicin in people with Healthy Subject, run by Viatris Innovation GmbH at 1 site in Netherlands.

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 6 inclusion and 7 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 3 Jul 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 Netherlands. 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?

Area under the plasma concentration-time curve (AUC) from time zero to time t of the last measured concentration above the limit of quantification (AUC0-t) (time frame: Up to 36 hours after treatment administration). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03814200, which also lists 1 linked publication.

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 3 Jul 2025.

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