Healthy VolunteerPhase 1NCT06574828
A Study to Find Out How Multiple Doses of BIIB091 Affect the Electrical Activity of the Heart in Healthy Participants
A Phase 1 study testing BIIB091 and Moxifloxacin in people with Healthy Volunteer, run by Biogen at 1 site in United States.
Trial summary
In this study, researchers will learn how the heart reacts to multiple doses of BIIB091 in healthy participants. In previous studies looking at BIIB091, researchers have found that a certain range of doses can cause changes in the electrical activity of the heart. Read more about this study
- Who is it for?
- Ages 18 to 55 yearsHealthy volunteers can take part
- Conditions the study is for
- Healthy Volunteer
- What is being tested?
- BIIB091 and Moxifloxacin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 69 participants
- Where
- 1 siteUnited States
- Study dates
- 29 Aug 2024to 22 Mar 2025
- 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
- Have a body mass index between 18 and 32 kilograms per meter square (kg/m^2), inclusive, and a total body weight > 50 kg, at screening and Day -2.
- Must be in good health as determined by the Investigator, based on medical history and Screening evaluations.
- Negative polymerase chain reaction (PCR) test result for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) at check-in (Day -2).
Who cannot join
- History of any clinically significant cardiac, endocrine, gastrointestinal, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, or renal disease, or other major disease, as determined by the Investigator.
- Clinically significant 12-lead ECG findings at screening and prior to first dose, including confirmed demonstration of QTcF > 430 milliseconds (ms), QRS > 120 ms, PR > 220 ms, or heart rate < 45 beats per minutes (bpm) based on the average of triplicate measurements, early repolarization, or any other clinically significant 12-lead ECG abnormalities as determined by the Investigator.
- History of torsades de pointes or additional risk factors for torsades de pointes.
- History of, or positive test result at Screening for, human immunodeficiency virus, hepatitis B virus, or hepatitis C virus infection.
- Use of any prescription or over-the-counter medication (including herbal supplements) that are known to prolong QT/QTc interval or induce torsades de pointes.
- Chronic, recurrent, or serious infection (e.g., pneumonia, septicemia), as determined by the Investigator, within 90 days prior to Screening or between Screening and Check-in.
- NOTE: Other protocol-defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Randomized, Double-Blind, Placebo- and Positive-Controlled (Moxifloxacin), Parallel Study With a Nested Crossover to Assess the Effect of Multiple Oral Therapeutic and Supratherapeutic Doses of BIIB091 on Cardiac Repolarization in Healthy Participants
In this study, researchers will learn how the heart reacts to multiple doses of BIIB091 in healthy participants. In previous studies looking at BIIB091, researchers have found that a certain range of doses can cause changes in the electrical activity of the heart. In this study, researchers want to learn more about that activity after participants take BIIB091 at lower and higher doses for 5 days. The main objective of this study is to learn how the heart's electrical activity changes after taking BIIB091. To measure this, researchers will look at something called the QT interval corrected for heartbeat, also known as "QTc". This represents the time it takes for the heart to contract and relax. A QT interval that is too long means that the heart's electrical system is taking longer than normal to recharge between heartbeats. This could increase the risk of abnormal heartbeats that may lead to sudden death.
The main questions researchers want to answer are:
Read more
- What is the change in the participants' QTc after taking BIIB091?
Researchers will also learn more about:
- Any changes in other measures of the heart's electrical activity
- How the body processes BIIB091, as well as something called "M23", which is made in the body when BIIB091 is broken down
- Any medical problems the participants have during the study
- Any changes in the participants' overall health during the study
This study will be done as follows:
- Participants will be screened to check if they can join the study. The screening period will be up to 29 days, after which participants will check into their study research center.
- Participants will be randomly assigned to be in 1 of 2 groups:
- Group 1: Participants will take a low dose of BIIB091 for 5 days followed by a high dose of BIIB091 for 5 days.
- Group 2: Participants will take a single dose of moxifloxacin. Moxifloxacin is an antibiotic used to treat bacterial infections. Researchers are using it in this study to compare to BIIB091, because it is known to cause abnormal changes to the heart's electrical activity.
- Participants in both Group 1 and Group 2 will also take a placebo while at the study research center. A placebo looks like the study drug or moxifloxacin, but does not have any real medicine in it.
- Participants will remain at their study research center for 15 days. Afterwards, there will be a follow-up visit 11 to 14 days after each participant's last dose. Each participant will be in the study for up to 57 days.
Read the detailed description
The primary objective of this study is to evaluate the effect of BIIB091 and its metabolite M23 following multiple therapeutic and supratherapeutic doses of BIIB091 on QTc intervals in healthy participants. The secondary objectives of this study are: to evaluate the effect of BIIB091 and its metabolite M23 following multiple therapeutic and supratherapeutic doses of BIIB091 on other electrocardiogram (ECG) parameters (heart rate [HR], pulse rate [PR] and QRS intervals, and ECG morphology); to demonstrate assay sensitivity of the study to detect a QTc effect using moxifloxacin as a positive control; to assess the pharmacokinetics (PK) of BIIB091 and its metabolite M23, following multiple oral dose administrations in healthy participants; to evaluate the safety and tolerability of BIIB091 in healthy participants.
- Conditions
- Healthy Volunteer
- Being tested
- BIIB091, Moxifloxacin, BIIB091-matched Placebo, Moxifloxacin-matched Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BIIB091Drug
Administered as specified in the treatment arm.
MoxifloxacinDrug
Administered as specified in the treatment arm.
BIIB091-matched PlaceboDrug
Administered as specified in the treatment arm.
Moxifloxacin-matched PlaceboDrug
Administered as specified in the treatment arm.
| Study group | Role | What they receive |
|---|---|---|
| BIIB091, BIIB091-matched placebo, Moxifloxacin-matched placebo | Experimental | Participants will receive BIIB091, BIIB091-matched placebo, and moxifloxacin-matched placebo orally during the inpatient period (Days -1 to 13). Receives: Drug: BIIB091; Drug: BIIB091-matched Placebo; Drug: Moxifloxacin-matched Placebo |
| Moxifloxacin, Moxifloxacin-matched placebo, BIIB091-matched placebo | Active comparator | Participants will receive moxifloxacin, moxifloxacin-matched placebo, and BIIB091-matched placebo orally during the inpatient period (Days -1 to 13). Receives: Drug: Moxifloxacin; Drug: BIIB091-matched Placebo; Drug: Moxifloxacin-matched Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in QT Interval Corrected for Heart Rate (QTc) for BIIB091
Measured: Baseline (Day -1) up to Day 14
Change From Baseline in QT Interval Corrected for Heart Rate (QTc) for Metabolite 23 (M23)
Measured: Baseline (Day -1) up to Day 14
Secondary outcomes (13)
Change From Baseline in Heart Rate (ΔHR) for BIIB091 and M23
Measured: Baseline (Day -1) up to Day 14
Change From Baseline in Pulse Rate Interval (ΔPR) for BIIB091 and M23
Measured: Baseline (Day -1) up to Day 14
Change From Baseline in QRS Interval (ΔQRS) for BIIB091 and M23
Measured: Baseline (Day -1) up to Day 14
Number of Participants With Categorical Outliers for QT Interval Corrected Formula for Heart Rate (QTcF), HR, PR, and QRS for BIIB091 and M23
Measured: From Day -1 up to Day 14
Number of Participants With Treatment-Emergent Changes in ECG Morphology for BIIB091 and M23
Measured: From Day -1 up to Day 14
Time to Maximum Measured Plasma Concentration (Tmax) of BIIB091 and M23
Measured: Pre-dose and at multiple timepoints up to Day 14
Maximum Measured Plasma Concentration (Cmax) of BIIB091 and M23
Measured: Pre-dose and at multiple timepoints up to Day 14
Area Under the Plasma Concentration Versus Time Curve to 24 Hours (AUC0-24) of BIIB091 and M23
Measured: Pre-dose and at multiple timepoints up to Day 14
Area Under the Plasma Concentration Versus Time Curve to the Last Measurable Concentration (AUC0-t) of BIIB091 and M23
Measured: Pre-dose and at multiple timepoints up to Day 14
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Measured: From Day -1 up to end of study follow-up (up to 28 days)
Number of Participants With Clinically Significant Vital Signs Abnormalities
Measured: From Day -1 up to end of study follow-up (up to 28 days)
Number of Participants With ECG Abnormalities
Measured: From Day 1 up to Day 14
Number of Participants With Clinically Significant Laboratory Assessment Abnormalities
Measured: At Days 4, 14 and follow-up (up to 28 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Aug 2024
- Study start29 Aug 2024
- Primary completion22 Mar 2025
- Study completion22 Mar 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Healthy VolunteerStudies of the same condition, open and under way.
- More trials run by BiogenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 69 participants (actual)
Sponsor and investigators
- Lead sponsor
- Biogen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Biogen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06574828
- Sponsor's protocol ID
- 257HV109
- Status last verified
- Mar 2025
- First submitted
- 26 Aug 2024
- Last updated
- 28 Mar 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/
Study at a glance
From the registry record, last updated by the sponsor on 28 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo- and Positive-Controlled (Moxifloxacin), Parallel Study With a Nested Crossover to Assess the Effect of Multiple Oral Therapeutic and Supratherapeutic Doses of BIIB091 on Cardiac Repolarization in Healthy Participants
- ClinicalTrials.gov ID
- NCT06574828
- Acronym / sponsor ID
- 257HV109
- Conditions
- Healthy Volunteer
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 69 participants (actual)
- Lead sponsor
- BiogenIndustry (pharma, biotech, devices)
- Study start
- 29 Aug 2024 (actual)
- Primary completion
- 22 Mar 2025 (actual)
- Study completion
- 22 Mar 2025 (actual)
- First posted
- 28 Aug 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In this study, researchers will learn how the heart reacts to multiple doses of BIIB091 in healthy participants. In previous studies looking at BIIB091, researchers have found that a certain range of doses can cause changes in the electrical activity of the heart. In this study, researchers want to learn more about that activity after participants take BIIB091 at lower and higher doses for 5 days. The main objective of this study is to learn how the heart's electrical activity changes after taking BIIB091. To measure this, researchers will look at something called the QT interval corrected for heartbeat, also known as "QTc". This represents the time it takes for the heart to contract and relax. A QT interval that is too long means that the heart's electrical system is taking longer than normal to recharge between heartbeats. This could increase the risk of abnormal heartbeats that may lead to sudden death.
The main questions researchers want to answer are:
- What is the change in the participants' QTc after taking BIIB091?
Researchers will also learn more about:
- Any changes in other measures of the heart's electrical activity
- How the body processes BIIB091, as well as something called "M23", which is made in the body when BIIB091 is broken down
- Any medical problems the participants have during the study
- Any changes in the participants' overall health during the study
This study will be done as follows:
- Participants will be screened to check if they can join the study. The screening period will be up to 29 days, after which participants will check into their study research center.
- Participants will be randomly assigned to be in 1 of 2 groups:
- Group 1: Participants will take a low dose of BIIB091 for 5 days followed by a high dose of BIIB091 for 5 days.
- Group 2: Participants will take a single dose of moxifloxacin. Moxifloxacin is an antibiotic used to treat bacterial infections. Researchers are using it in this study to compare to BIIB091, because it is known to cause abnormal changes to the heart's electrical activity.
- Participants in both Group 1 and Group 2 will also take a placebo while at the study research center. A placebo looks like the study drug or moxifloxacin, but does not have any real medicine in it.
- Participants will remain at their study research center for 15 days. Afterwards, there will be a follow-up visit 11 to 14 days after each participant's last dose. Each participant will be in the study for up to 57 days.
Detailed description
The primary objective of this study is to evaluate the effect of BIIB091 and its metabolite M23 following multiple therapeutic and supratherapeutic doses of BIIB091 on QTc intervals in healthy participants. The secondary objectives of this study are: to evaluate the effect of BIIB091 and its metabolite M23 following multiple therapeutic and supratherapeutic doses of BIIB091 on other electrocardiogram (ECG) parameters (heart rate [HR], pulse rate [PR] and QRS intervals, and ECG morphology); to demonstrate assay sensitivity of the study to detect a QTc effect using moxifloxacin as a positive control; to assess the pharmacokinetics (PK) of BIIB091 and its metabolite M23, following multiple oral dose administrations in healthy participants; to evaluate the safety and tolerability of BIIB091 in healthy participants.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| BIIB091, BIIB091-matched placebo, Moxifloxacin-matched placebo | Experimental | Drug: BIIB091, Drug: BIIB091-matched Placebo, Drug: Moxifloxacin-matched PlaceboParticipants will receive BIIB091, BIIB091-matched placebo, and moxifloxacin-matched placebo orally during the inpatient period (Days -1 to 13). |
| Moxifloxacin, Moxifloxacin-matched placebo, BIIB091-matched placebo | Active comparator | Drug: Moxifloxacin, Drug: BIIB091-matched Placebo, Drug: Moxifloxacin-matched PlaceboParticipants will receive moxifloxacin, moxifloxacin-matched placebo, and BIIB091-matched placebo orally during the inpatient period (Days -1 to 13). |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Have a body mass index between 18 and 32 kilograms per meter square (kg/m^2), inclusive, and a total body weight > 50 kg, at screening and Day -2.
- Must be in good health as determined by the Investigator, based on medical history and Screening evaluations.
- Negative polymerase chain reaction (PCR) test result for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) at check-in (Day -2).
Key exclusion criteria (7 listed)
- History of any clinically significant cardiac, endocrine, gastrointestinal, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, or renal disease, or other major disease, as determined by the Investigator.
- Clinically significant 12-lead ECG findings at screening and prior to first dose, including confirmed demonstration of QTcF > 430 milliseconds (ms), QRS > 120 ms, PR > 220 ms, or heart rate < 45 beats per minutes (bpm) based on the average of triplicate measurements, early repolarization, or any other clinically significant 12-lead ECG abnormalities as determined by the Investigator.
- History of torsades de pointes or additional risk factors for torsades de pointes.
- History of, or positive test result at Screening for, human immunodeficiency virus, hepatitis B virus, or hepatitis C virus infection.
- Use of any prescription or over-the-counter medication (including herbal supplements) that are known to prolong QT/QTc interval or induce torsades de pointes.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BIIB091Administered as specified in the treatment arm. | Drug | BIIB091, BIIB091-matched placebo, Moxifloxacin-matched placebo |
| MoxifloxacinAdministered as specified in the treatment arm. | Drug | Moxifloxacin, Moxifloxacin-matched placebo, BIIB091-matched placebo |
| BIIB091-matched PlaceboAdministered as specified in the treatment arm. | Drug | BIIB091, BIIB091-matched placebo, Moxifloxacin-matched placebo, Moxifloxacin, Moxifloxacin-matched placebo, BIIB091-matched placebo |
| Moxifloxacin-matched PlaceboAdministered as specified in the treatment arm. | Drug | BIIB091, BIIB091-matched placebo, Moxifloxacin-matched placebo, Moxifloxacin, Moxifloxacin-matched placebo, BIIB091-matched placebo |
Primary outcome
Change From Baseline in QT Interval Corrected for Heart Rate (QTc) for BIIB091
Time frame: Baseline (Day -1) up to Day 14
Change From Baseline in QT Interval Corrected for Heart Rate (QTc) for Metabolite 23 (M23)
Time frame: Baseline (Day -1) up to Day 14
13 secondary outcomes
Change From Baseline in Heart Rate (ΔHR) for BIIB091 and M23
Time frame: Baseline (Day -1) up to Day 14
Change From Baseline in Pulse Rate Interval (ΔPR) for BIIB091 and M23
Time frame: Baseline (Day -1) up to Day 14
Change From Baseline in QRS Interval (ΔQRS) for BIIB091 and M23
Time frame: Baseline (Day -1) up to Day 14
Number of Participants With Categorical Outliers for QT Interval Corrected Formula for Heart Rate (QTcF), HR, PR, and QRS for BIIB091 and M23
Time frame: From Day -1 up to Day 14
Number of Participants With Treatment-Emergent Changes in ECG Morphology for BIIB091 and M23
Time frame: From Day -1 up to Day 14
Time to Maximum Measured Plasma Concentration (Tmax) of BIIB091 and M23
Time frame: Pre-dose and at multiple timepoints up to Day 14
Maximum Measured Plasma Concentration (Cmax) of BIIB091 and M23
Time frame: Pre-dose and at multiple timepoints up to Day 14
Area Under the Plasma Concentration Versus Time Curve to 24 Hours (AUC0-24) of BIIB091 and M23
Time frame: Pre-dose and at multiple timepoints up to Day 14
Area Under the Plasma Concentration Versus Time Curve to the Last Measurable Concentration (AUC0-t) of BIIB091 and M23
Time frame: Pre-dose and at multiple timepoints up to Day 14
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: From Day -1 up to end of study follow-up (up to 28 days)
Number of Participants With Clinically Significant Vital Signs Abnormalities
Time frame: From Day -1 up to end of study follow-up (up to 28 days)
Number of Participants With ECG Abnormalities
Time frame: From Day 1 up to Day 14
Number of Participants With Clinically Significant Laboratory Assessment Abnormalities
Time frame: At Days 4, 14 and follow-up (up to 28 days)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Mar 2025.
- Individual participant dataSharing planned: Yes. In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Biogen
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing BIIB091 and Moxifloxacin in people with Healthy Volunteer, run by Biogen 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 3 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 28 Mar 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 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?
Change From Baseline in QT Interval Corrected for Heart Rate (QTc) for BIIB091 (time frame: Baseline (Day -1) up to Day 14). The study lists 2 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 28 Mar 2025.