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Healthy ParticipantsPhase 1NCT06092931

A Drug-Drug Interaction Study Evaluating the Perpetrator Potential of DC-806 on Cocktails of CYP450 Enzyme and Transporter Substrates in Healthy Participants

A Phase 1 study testing DC-806, Midazolam and Repaglinide in people with Healthy Participants, run by DICE Therapeutics, Inc., a wholly owned subsidiary of Eli Lilly and Company 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

The main objective of this study is to assess the effect of DC-806 on the pharmacokinetics (PK) of cytochrome 3A4 (CYP3A4) substrate, midazolam and its active metabolite, 1-hydroxymidazolam, cytochrome 2C8 (CYP2C8) substrate repaglinide, P-glycoprotein (P-gp) transporter substrate digoxin, and breast cancer resistant… Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Participants
What is being tested?
DC-806, Midazolam and Repaglinide
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
28 participants
Where
1 siteUnited States
Study dates
16 Oct 2023to 28 Nov 2023
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Sex: male or female; females must be of nonchildbearing potential, or postmenopausal.
  • Age: 18 to 55 years, inclusive, at screening.
  • Body mass index: 18.0 to 32.0 kg/m^2, inclusive, at screening.
  • Weight: ≥50 kg at screening.
  • Status: healthy participants.
  • At screening, females must be of nonchildbearing potential (defined as at least 12 consecutive months with no menses prior to screening, a serum follicle-stimulating hormone test to confirm postmenopausal status, or being surgically sterilized); nonpregnancy will be confirmed for all females by a serum pregnancy test conducted at screening, and by a urine pregnancy test at admission and at follow-up.
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  • Male participants, if not permanently surgically sterilized, must inform all sexual partners of their participation in a research study and agree to use a highly effective method of contraception and not donate sperm from admission to the clinical site until 30 days after the last study drug administration.
  • All prescribed medication must have been stopped at least 14 days prior to admission to the clinical site.
  • All over-the-counter medication, vitamin preparations and other food supplements, or herbal medications (e.g., St. John's wort) must have been stopped at least 7 days (or 5 half-lives for certain medications, whichever is longer) prior to admission to the clinical site. Occasional use of acetaminophen/paracetamol (e.g., up to 2 grams per day) is permitted during this period and throughout the study.
  • Ability and willingness to abstain from alcohol-, caffeine-, and methylxanthine- containing beverages or food (e.g., coffee, tea, cola, chocolate, energy drinks) from 48 hours (2 days) prior to admission to the clinical site and during confinement at the clinical site.
  • Willingness to abstain from any strenuous physical exercise from 96 hours (4 days) prior to admission and during confinement at the clinical site.
  • Good physical and mental health on the basis of medical history, physical examination, clinical laboratory assessments, 12-lead electrocardiograms, and vital signs, as judged by the Investigator.
  • Willing and able to sign the informed consent form.

Who cannot join

  • Employee of Contract Research Organization or the Sponsor.
  • History of relevant drug and/or food allergies, in the opinion of the Investigator.
  • Females who are currently breastfeeding.
  • Smoking more than 5 cigarettes, 1 cigar, or 1 pipe daily within 3 months prior to screening.
  • Unwilling or unable to abstain from tobacco products within the 48 hours (2 days) prior to admission and during confinement in the clinical site.
  • History of alcohol abuse or drug addiction (including soft drugs like cannabis products) within 1 year prior to screening.
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  • Positive drug and/or alcohol screen (opiates, methadone, cocaine, amphetamines [including ecstasy], cannabinoids, barbiturates, benzodiazepines, tricyclic antidepressants, and alcohol) at screening or admission to the clinical site.
  • History within the previous 12 months of alcohol consumption exceeding 2 standard drinks per day on average. Alcohol consumption will be prohibited 48 hours prior to admission to the clinical site and during confinement at the clinical site.
  • Positive screen for hepatitis B surface antigen, hepatitis C virus antibodies, or human immunodeficiency virus 1 and 2 antibodies.
  • Consumption of any nutrients known to modulate CYP450 enzymes activity (e.g., grapefruit or grapefruit juice, pomelo juice, star fruit, or Seville [blood] orange products) within 14 days prior to the first administration of study drug and during the study (including washout period/clinic furlough until after discharge in the last study period).
  • Participation in a drug study within 30 days prior to study drug administration in the current study. Participation in 4 or more other drug studies in the 12 months prior to study drug administration in the current study.
  • History of donation of more than 450 mL of blood within 60 days prior to dosing in the clinical site or planned donation before 30 days has elapsed since intake of study drug.
  • Plasma or platelet donation within 7 days of dosing and through follow-up.
  • Significant and/or acute illness within 5 days prior to study drug administration that may impact safety assessments, in the opinion of the Investigator.
  • Unsuitable veins for infusion or blood sampling as determined by the Investigator or study staff.
  • Any other condition or prior therapy that, in the Investigator's opinion, would confound or interfere with the evaluation of safety, tolerability, or PK of the study drug, interfere with study compliance, or preclude informed consent.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • ICON Phase 1 Clinic

    Salt Lake City, Utah, 84124

Other trials in United States

About this study

Official title: A Phase 1, Single-Center, Open-Label, Fixed-Sequence Study to Evaluate the Effect of DC-806 on the Single Dose Pharmacokinetics of CYP450 Enzyme and Transporter Substrates in Healthy Participants

The main objective of this study is to assess the effect of DC-806 on the pharmacokinetics (PK) of cytochrome 3A4 (CYP3A4) substrate, midazolam and its active metabolite, 1-hydroxymidazolam, cytochrome 2C8 (CYP2C8) substrate repaglinide, P-glycoprotein (P-gp) transporter substrate digoxin, and breast cancer resistant protein (BCRP)/ organic anion transporter protein-1B1 (OATP1B1) transporter substrate rosuvastatin in healthy participants.

Being tested
DC-806, Midazolam, Repaglinide, Digoxin, Rosuvastatin
Keywords
DC-806, Drug-drug interaction, Midazolam, Repaglinide, Digoxin, Rosuvastatin

What participants receive

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

  • DC-806Drug

    Oral tablets

  • MidazolamDrug

    Oral syrup

  • RepaglinideDrug

    Oral tablets

  • DigoxinDrug

    Oral tablets

  • RosuvastatinDrug

    Oral tablets

Study groups in NCT06092931
Study groupRoleWhat they receive
Cohort 1: DC-806 / Midazolam (CYP3A4 Substrate) + Repaglinide (CYP2C8 Substrate)Experimental* Participants were administered a single oral dose of the 2-probe CYP substrate cocktail consisting of 2 milligram (mg) midazolam and 0.5 mg repaglinide under fasted conditions in the morning on Day 1. * From Days 4 through 8, participants received oral doses of 800 mg DC-806 twice daily. A single oral dose of 2-probe CYP substrate cocktail consisting of 2 mg midazolam and 0.5 mg repaglinide was co-administered under fasted conditions 1.5 hours after DC-806 dosing in the morning of Day 7.
Receives: Drug: DC-806; Drug: Midazolam; Drug: Repaglinide
Cohort 2: DC-806 / Digoxin (P-gp Substrate) + Rosuvastatin (BCRP/OATP1B1 Substrate)Experimental* Participants were administered a single oral dose of the 2-probe transporter substrate cocktail consisting of 0.25 mg digoxin and 5 mg rosuvastatin under fasted conditions in the morning on Day 1. * From Days 5 through 9, participants received oral doses of 800 mg of DC-806 twice daily. A single oral dose of the 2-probe transporter substrate cocktail consisting of 0.25 mg digoxin and 5 mg rosuvastatin was co-administered under fasted conditions 1.5 hours after DC-806 dosing in the morning of Day 8.
Receives: Drug: DC-806; Drug: Digoxin; Drug: Rosuvastatin

What is being measured

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

  1. Cohort 1: Maximum Observed Plasma Concentration (Cmax) of Midazolam

    The timepoints mentioned in the timeframe were relative to the administration of the 2-probe CYP substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48 hours postdose on Days 1 and 7

  2. Cohort 1: Area Under the Plasma Concentration-time Curve (AUC) From Time Zero to Time t, Where t is the Last Point With Concentrations Above the Lower Limit of Quantification (AUC0-t) of Midazolam

    Cohort 1: AUC0-t of Midazolam. The timepoints mentioned in the timeframe were relative to the administration of the 2-probe CYP substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48 hours postdose on Days 1 and 7

  3. Cohort 1: AUC From Time 0 to Infinity (AUC0-inf) of Midazolam

    The timepoints mentioned in the timeframe were relative to the administration of the 2-probe CYP substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48 hours postdose on Days 1 and 7

  4. Cohort 1: Cmax of 1-hydroxymidazolam

    Cohort 1: Cmax of 1-hydroxymidazolam, an active metabolite of midazolam. The timepoints mentioned in the timeframe were relative to the administration of the 2-probe CYP substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48 hours postdose on Days 1 and 7

  5. Cohort 1: AUC0-t of 1-hydroxymidazolam

    Cohort 1: AUC0-t of 1-hydroxymidazolam, an active metabolite of midazolam. The timepoints mentioned in the timeframe were relative to the administration of the 2-probe CYP substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48 hours postdose on Days 1 and 7

  6. Cohort 1: AUC0-inf of 1-hydroxymidazolam

    Cohort 1: AUC0-inf of 1-hydroxymidazolam, an active metabolite of midazolam. The timepoints mentioned in the timeframe were relative to the administration of the 2-probe CYP substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48 hours postdose on Days 1 and 7

  7. Cohort 1: Cmax of Repaglinide

    The timepoints mentioned in the timeframe were relative to the administration of the 2-probe CYP substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24 hours postdose on Days 1 and 7

  8. Cohort 1: AUC0-t of Repaglinide

    The timepoints mentioned in the timeframe were relative to the administration of the 2-probe CYP substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24 hours postdose on Days 1 and 7

  9. Cohort 1: AUC0-inf of Repaglinide

    The timepoints mentioned in the timeframe were relative to the administration of the 2-probe CYP substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24 hours postdose on Days 1 and 7

  10. Cohort 2: Cmax of Digoxin

    The timepoints mentioned in the timeframe were relative to the administration of the 2-probe transporter substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96 hours postdose on Days 1 and 8

  11. Cohort 2: AUC0-t of Digoxin

    The timepoints mentioned in the timeframe were relative to the administration of the 2-probe transporter substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96 hours postdose on Days 1 and 8

  12. Cohort 2: AUC0-inf of Digoxin

    The timepoints mentioned in the timeframe were relative to the administration of the 2-probe transporter substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96 hours postdose on Days 1 and 8

  13. Cohort 2: Cmax of Rosuvastatin

    The timepoints mentioned in the timeframe were relative to the administration of the 2-probe transporter substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96 hours postdose on Days 1 and 8

  14. Cohort 2: AUC0-t of Rosuvastatin

    The timepoints mentioned in the timeframe were relative to the administration of the 2-probe transporter substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96 hours postdose on Days 1 and 8

  15. Cohort 2: AUC0-inf of Rosuvastatin

    The timepoints mentioned in the timeframe were relative to the administration of the 2-probe transporter substrate cocktail.

    Measured: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96 hours postdose on Days 1 and 8

Secondary outcomes (1)
  1. Cohorts 1 and 2: Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    A TEAE was defined as any adverse event that began on or after the first dose of study drug or began before the first dose of study drug and worsened on or after the first dose of study drug.

    Measured: Cohort 1: Day 1 up to Day 16; Cohort 2: Day 1 up to Day 22

Timeline

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

  1. First posted23 Oct 2023
  2. Study start16 Oct 2023
  3. Primary completion28 Nov 2023
  4. Study completion28 Nov 2023

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
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06092931
Sponsor's protocol ID
DCE806104
Other IDs
J5B-MC-FHAE
Status last verified
Jul 2026
First submitted
16 Oct 2023
Last updated
19 Oct 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing DC-806, Midazolam and Repaglinide in people with Healthy Participants, run by DICE Therapeutics, Inc., a wholly owned subsidiary of Eli Lilly and Company 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 13 inclusion and 16 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 19 Oct 2026. 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?

Yes. Results are posted in the registry (first posted 19 Oct 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Cohort 1: Maximum Observed Plasma Concentration (Cmax) of Midazolam (time frame: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48 hours postdose on Days 1 and 7). The study lists 15 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 19 Oct 2026; AzTrials last refreshed its copy on 5 Nov 2026.

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