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Healthy VolunteersPhase 1NCT04867980

A Study to Evaluate the Effect of ACP-196 on the Heart Rate-corrected QT Interval in Healthy Adult Participants

A Phase 1 study testing ACP-196 and Moxifloxacin 400 mg in people with Healthy Volunteers, run by Acerta Pharma BV at 1 site in United States.

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

This study is to evaluate the effects of single therapeutic and supratherapeutic oral doses of ACP-196 on the heart rate-corrected QT interval using Fridericia's formula (QTcF). Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers
What is being tested?
ACP-196 and Moxifloxacin 400 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
48 participants
Where
1 siteUnited States
Study dates
1 Apr 2016to 9 May 2016
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

  • Continuous non-smoker participant who has not used nicotine-containing products for >= 3 months before the first dose
  • Have body mass index of >= 18.0 and <= 32.0 kg/m^2 at screening
  • Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs, or electrocardiograms (ECGs), as deemed by the principal investigator (PI)
  • No clinically significant history or presence of ECG findings as judged by the PI or qualified designee at screening and each check-in, including each criterion as: 1) Normal sinus rhythm (heart rate between 50 and 100 beats per minute [bpm]), 2) QTcF interval ≤ 450 milliseconds (msec), 3) QRS interval ≤ 110 msec, and 4) PR interval ≤ 220 msec
  • Women participants must be of non-childbearing status
  • Women participants must have negative serum pregnancy test
  • ability to swallow multiple capsules and/or tablets using size 0 blank capsules (up to a maximum of 5 capsules per participant)
  • Male participants must be willing to use protocol specified contraception methods

Who cannot join

  • Participant is mentally or legally incapacitated or has significant emotional problems at the time of the screening visit or expected during the conduct of the study
  • History of any illness that, in the opinion of the PI, might confound the results of the study or poses an additional risk to the subject by their participation in the study
  • Presence of any clinically significant, ongoing systemic bacterial, fungal, or viral infections (including upper respiratory tract infections, but excluding localized cutaneous fungal infections), in the opinion of the PI
  • History of any major surgical procedure within 30 days before the first dose of study drug
  • History or presence of alcoholism or drug abuse within the past 2 years before screening
  • Any clinically significant condition that may affect ACP-196 absorption in the opinion of the PI, including gastric restrictions and bariatric surgery (eg, gastric bypass).
Show all 15Show fewer
  • Allergy to band-aids, adhesive dressing, or medical tape
  • History or presence of clinically significant thyroid disease
  • Prior exposure to Bruton's tyrosine kinase inhibitors (eg, ACP-196, ibrutinib) within 3 months before the first dose of study drug
  • Positive urine cotinine at screening
  • Positive urine drug or alcohol results at screening or each check-in
  • Positive for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV) at screening
  • Seated blood pressure is less than 90/40 mmHg or greater than 140/90 mmHg at screening
  • Seated heart rate is lower than 50 bpm or higher than 99 bpm at screening
  • Unable to refrain from or anticipates the use of protocol defined medications for 28 days before the first dose of study drug and throughout the study

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Celerion

    Tempe, Arizona, 85283

Other trials in United States

About this study

Official title: Randomized, Double-Blind, Double-Dummy, Placebo- and Positive Controlled, 4-Way Crossover Study to Assess the Effect of Single-Dose ACP-196 on the QTc Interval in Healthy Adult Subjects

This study is to evaluate the effects of single therapeutic and supratherapeutic oral doses of ACP-196 on the heart rate-corrected QT interval using Fridericia's formula (QTcF).

Read the detailed description

This is a single-dose, randomized, double-blind, double-dummy, placebo- and positive-controlled, 4-period, balanced crossover study under fasting conditions. Participants will be randomized to 1 of 4 treatment sequences: ABCD, BDAC, CADB, or DCBA. On 4 different occasions (4 periods), each participant will receive Treatment A (a single therapeutic oral dose of 100 mg ACP-196), Treatment B (a single supratherapeutic oral dose of 400 mg ACP-196), Treatment C (a single oral dose of 400 mg moxifloxacin) or Treatment D (a single oral dose of ACP-196 and moxifloxacin matching placebos) according to a randomization scheme. The washout period will be >= 5 days between each dose. The clinic attempted to contact participants using their standard procedures approximately 14 days after the last study drug (or placebo) administration to determine if any adverse events (AEs) had occurred since the last dose of study drug(s). An adverse event is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.

Being tested
ACP-196, Moxifloxacin 400 mg, Placebo
Keywords
ACE-HV-005, ACP-196, Healthy participants, Volunteers, Adults, QTc Interval, Pharmacokinetics, PK

What participants receive

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

  • ACP-196Drug

    Also called Acalabrutinib

    Participants will receive a single oral dose of 100 mg ACP-196 (1 x 100 mg capsule) on Day 1 (Treatment A) and 400 mg ACP-196 (4 x 100 mg capsules) on Day 1 (Treatment B) according to the randomization scheme.

  • Moxifloxacin 400 mgDrug

    Participants will receive a single oral dose of 400 mg moxifloxacin (1 x 400 mg tablet) on Day 1 (Treatment C) according to the randomization scheme.

  • PlaceboDrug

    Participants will receive a single oral dose of ACP-196 matching placebo (4 x 100 mg matching placebo capsules) and moxifloxacin matching placebo (1 x 400 mg matching placebo tablet) on Day 1 (Treatment D) according to the randomization scheme.

Study groups in NCT04867980
Study groupRoleWhat they receive
ABCDExperimentalParticipant will receive a single oral dose of 4 study treatments with the sequences of ABCD. The washout period will be >= 5 days between each dose.
Receives: Drug: ACP-196; Drug: Moxifloxacin 400 mg; Drug: Placebo
BDACExperimentalParticipant will receive a single oral dose of 4 study treatments with the sequences of BDAC. The washout period will be >= 5 days between each dose.
Receives: Drug: ACP-196; Drug: Moxifloxacin 400 mg; Drug: Placebo
CADBExperimentalParticipant will receive a single oral dose of 4 study treatments with the sequences of CADB. The washout period will be >= 5 days between each dose.
Receives: Drug: ACP-196; Drug: Moxifloxacin 400 mg; Drug: Placebo
DCBAExperimentalParticipant will receive a single oral dose of 4 study treatments with the sequences of DCBA. The washout period will be >= 5 days between each dose.
Receives: Drug: ACP-196; Drug: Moxifloxacin 400 mg; Drug: Placebo

What is being measured

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

  1. The QTcF Change From Baseline at Postdose Timepoints (dQTcF)

    Measured: 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

Secondary outcomes (20)
  1. Change in Time-matched QTcF Interval Following Moxifloxicin Administration Compared With Matching Placebo

    Measured: 1, 2, 3, and 4 hour post moxifloxicin dose in each period

  2. Change From Baseline in Heart Rate at Postdose Time Points

    Measured: 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  3. Change From Baseline in PR Interval at Postdose Time Points

    Measured: 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  4. Change From Baseline in RR Interval at Postdose Time Points

    Measured: 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  5. Change From Baseline in QRS Interval at Postdose Time Points

    Measured: 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  6. Change From Baseline in QT Interval at Postdose Time Points

    Measured: 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  7. Number of Participants With Nonspecific T Waves Abnormality at Postdose Time Points

    Measured: 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  8. Number of Participants With Nonspecific U Waves Abnormality at Postdose Time Points

    Measured: 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  9. Area Under the Plasma Concentration-time Curve From Time 0 to Time of Last Measurable Concentration (AUC0-last) of ACP-196

    Measured: -0.5, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  10. Area Under the Plasma Concentration-time Curve From Time 0 to Infinity (AUC0-inf) of ACP-196

    Measured: -0.5, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  11. Percent of AUC0-inf Extrapolated (AUC%extrap) of ACP-196

    Measured: -0.5, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  12. Maximum Measured Plasma Concentration (Cmax) of ACP-196

    Measured: -0.5, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  13. Time of the Maximum Measured Plasma Concentration (Tmax) of ACP-196

    Measured: -0.5, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  14. Apparent Terminal Elimination Rate Constant (λz) of ACP-196

    Measured: -0.5, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  15. Apparent Terminal Elimination Half-life ( t½) of ACP-196

    Measured: -0.5, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  16. Apparent Total Plasma Clearance (CL/F) of ACP-196

    Measured: -0.5, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period

  17. Incidence of Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious AEs (TESAEs)

    Measured: From Day 1 through 14 days after the last dose of study drug of the last period (approximately 1 month and 8 days)

  18. Incidence of Abnormal Clinical Laboratory Parameters Reported as TEAEs

    Measured: From Day 1 through 24 hours after the last dose of study drug of the last period (approximately 1 month and 8 days)

  19. Incidence of Abnormal Vital Signs and Physical Examinations Reported as TEAEs

    Measured: From Day 1 through 24 hours after the last dose of study drug of the last period (approximately 1 month and 8 days)

  20. Incidence of Abnormal ECGs Reported as TEAEs

    Measured: From Day 1 through 24 hours after the last dose of study drug of the last period (approximately 1 month and 8 days)

Timeline

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

  1. First posted30 Apr 2021
  2. Study start1 Apr 2016
  3. Primary completion9 May 2016
  4. Study completion9 May 2016

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
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04867980
Sponsor's protocol ID
ACE-HV-005
Status last verified
Apr 2021
First submitted
28 Apr 2021
Last updated
30 Apr 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ACP-196 and Moxifloxacin 400 mg in people with Healthy Volunteers, run by Acerta Pharma BV at 1 site in United States.

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 8 inclusion and 15 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 30 Apr 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 United States. 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?

The QTcF Change From Baseline at Postdose Timepoints (dQTcF) (time frame: 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in each period). 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 30 Apr 2021.

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