Last reviewed · How we verify

NCT03808298

Study to Investigate the Effect of Balovaptan on the QTC Interval in Healthy Subjects

Completed Phase 1 Results posted Last updated 24 July 2020
What this trial tests

Phase 1 trial testing Balovaptan therapeutic dose Treatment A in Healthy Volunteers in 57 participants. Completed in 13 July 2019.

Timeline
7 February 2019
Primary endpoint
14 June 2019
13 July 2019

Quick facts

Lead sponsorHoffmann-La Roche
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingtriple
Primary purposetreatment
Enrollment57
Start date7 February 2019
Primary completion14 June 2019
Estimated completion13 July 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Hoffmann-La Roche — full company profile →

Who can join

Adults 18 to 60, any sex, with Healthy Volunteers. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change-From-Baseline QTcF at Dose Level B Measured on 12-Lead ECGs Extracted From Continuous Recordings Primary · Baseline (Predose Day 1), Day 14. (Each treatment period is 15 days.)

Change-from-baseline QTcF (ΔΔQTcF) at dose level B of balovaptan measured on 12-lead ECGs extracted from continuous recordings at the specified time points on Day 14.

Day 14 0.75 hours Pre-dose
GroupValue95% CI
Dose Level B of Balovaptan-0.1-1.89 – 1.64
Placebo-0.6-2.35 – 1.18
Day 14 0.5 hours Pre-dose
GroupValue95% CI
Dose Level B of Balovaptan-0.1-1.92 – 1.67
Placebo0.1-1.68 – 1.92
Day 14 0.25 hours Pre-dose
GroupValue95% CI
Dose Level B of Balovaptan0.2-1.64 – 2.01
Placebo-0.1-1.91 – 1.74
Day 14 0.5 hours Post-dose
GroupValue95% CI
Dose Level B of Balovaptan-3.3-5.15 – -1.52
Placebo-3.9-5.73 – -2.09
Day 14 1 hours Post-dose
GroupValue95% CI
Dose Level B of Balovaptan-2.5-4.27 – -0.67
Placebo-2.3-4.13 – -0.53
Day 14 2.5 hours Post-dose
GroupValue95% CI
Dose Level B of Balovaptan-1.9-3.71 – -0.10
Placebo-3.5-5.33 – -1.71
Day 14 4 hours Post-dose
GroupValue95% CI
Dose Level B of Balovaptan-1.0-2.96 – 0.98
Placebo-2.1-4.08 – -0.12
Day 14 8 hours Post-dose
GroupValue95% CI
Dose Level B of Balovaptan-9.8-11.90 – -7.65
Placebo-9.6-11.73 – -7.48
Change-From-Baseline QTcF at Dose Level B Measured on 12-Lead ECGs Extracted From Continuous Recordings Secondary · Baseline (Predose Day 1), Day 1. (Each treatment period is 15 days.)

Change-from-baseline QTcF (ΔΔQTcF) at dose level B of balovaptan measured on 12-lead ECGs extracted from continuous recordings at the specified time points on Day 1.

Day 1 0.5 hours Post-dose
GroupValue95% CI
Dose Level B of Balovaptan-2.3-3.36 – -1.22
Placebo-3.5-4.59 – -2.44
Day 1 1 hours Post-dose
GroupValue95% CI
Dose Level B of Balovaptan-1.8-2.78 – -0.89
Placebo-2.9-3.89 – -1.99
Day 1 2.5 hours Post-dose
GroupValue95% CI
Dose Level B of Balovaptan-0.2-1.39 – 1.04
Placebo-2.2-3.43 – -0.99
Day 1 4 hours Post-dose
GroupValue95% CI
Dose Level B of Balovaptan1.1-0.32 – 2.52
Placebo-1.4-2.88 – -0.02
Day 1 8 hours Post-dose
GroupValue95% CI
Dose Level B of Balovaptan-8.4-10.20 – -6.69
Placebo-11.0-12.72 – -9.20
Day 1 12 hours Post-dose
GroupValue95% CI
Dose Level B of Balovaptan-5.5-7.70 – -3.32
Placebo-6.9-9.12 – -4.75
Day 1 24 hours Post-dose
GroupValue95% CI
Dose Level B of Balovaptan-1.3-2.61 – -0.04
Placebo-3.0-4.26 – -1.67
Change-From-Baseline QTcF of Balovaptan at Dose Level A Measurred on 12-Lead ECGs Extracted From Continuous Recordings Secondary · Baseline (Predose Day 1), Day 1 and Day 14. (Each treatment period is 15 days.)

Change-from-baseline QTcF (ΔΔQTcF) at dose level A of balovaptan measured on 12-lead ECGs extracted from continuous recordings at the specified time points on Days 1 and 14.

Day 1 0.5 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-2.7-3.75 – -1.68
Placebo-3.5-4.59 – -2.44
Day 1 1 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-1.6-2.51 – -0.68
Placebo-2.9-3.89 – -1.99
Day 1 2.5 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-0.6-1.74 – 0.62
Placebo-2.2-3.43 – -0.99
Day 1 4 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-0.2-1.55 – 1.22
Placebo-1.4-2.88 – -0.02
Day 1 8 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-8.7-10.40 – -6.97
Placebo-11.0-12.72 – -9.20
Day 1 12 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-6.2-8.37 – -4.12
Placebo-6.9-9.12 – -4.75
Day 1 24 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-2.6-3.85 – -1.33
Placebo-3.0-4.26 – -1.67
Day 14 0.75 hours Pre-dose
GroupValue95% CI
Dose Level A of Balovaptan-1.1-2.84 – 0.62
Placebo-0.6-2.35 – 1.18
Change-From-Baseline Heart Rate Measured on 12-Lead ECGs Extracted From Continuous Recordings Secondary · Baseline (Predose Day 1), Day 1 and Day 14. (Each treatment period is 15 days.)

Change-from-baseline heart rate at dose level A and dose level B of balovaptan measured on 12-Lead ECGs extracted from continuous recordings on Days 1 and 14.

Day 1 0.5 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan0.2-0.54 – 0.91
Dose Level B of Balovaptan0.5-0.24 – 1.25
Placebo0.4-0.34 – 1.17
Day 1 1 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan0.1-0.64 – 0.87
Dose Level B of Balovaptan0.0-0.78 – 0.78
Placebo0.2-0.61 – 0.97
Day 1 2.5 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-0.4-1.29 – 0.54
Dose Level B of Balovaptan-0.3-1.28 – 0.60
Placebo0.1-0.85 – 1.04
Day 1 4 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-0.4-1.35 – 0.47
Dose Level B of Balovaptan0.3-0.64 – 1.24
Placebo0.1-0.83 – 1.05
Day 1 8 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan4.83.52 – 6.00
Dose Level B of Balovaptan4.73.43 – 5.97
Placebo5.44.17 – 6.72
Day 1 12 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan7.46.02 – 8.80
Dose Level B of Balovaptan7.96.45 – 9.31
Placebo8.16.69 – 9.54
Day 1 24 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan2.21.24 – 3.24
Dose Level B of Balovaptan0.5-0.49 – 1.55
Placebo2.81.75 – 3.80
Day 14 0.75 hours Pre-dose
GroupValue95% CI
Dose Level A of Balovaptan-0.6-1.81 – 0.64
Dose Level B of Balovaptan0.9-0.34 – 2.16
Placebo1.60.35 – 2.86
Change-From-Baseline PR Interval Measured on 12-Lead ECGs Extracted From Continuous Recordings Secondary · Baseline (Predose Day 1), Day 1 and Day 14. (Each treatment period is 15 days.)

Change-from-baseline PR interval at dose level A and dose level B of balovaptan measured on 12-Lead ECGs extracted from continuous recordings on Day 1 and 14.

Day 1 0.5 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-1.4-2.43 – -0.43
Dose Level B of Balovaptan-0.9-1.88 – 0.18
Placebo-0.2-1.28 – 0.80
Day 1 1 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-0.3-1.45 – 0.84
Dose Level B of Balovaptan-0.4-1.55 – 0.80
Placebo-0.3-1.46 – 0.92
Day 1 2.5 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-1.6-2.79 – -0.40
Dose Level B of Balovaptan-2.0-3.22 – -0.74
Placebo-2.0-3.26 – -0.79
Day 1 4 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-1.5-2.76 – -0.33
Dose Level B of Balovaptan-1.9-3.12 – -0.62
Placebo-1.2-2.44 – 0.07
Day 1 8 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-6.3-7.80 – -4.72
Dose Level B of Balovaptan-6.5-8.08 – -4.91
Placebo-7.4-9.02 – -5.84
Day 1 12 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-3.9-5.75 – -2.09
Dose Level B of Balovaptan-5.5-7.39 – -3.60
Placebo-4.2-6.10 – -2.32
Day 1 24 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-1.4-2.76 – -0.01
Dose Level B of Balovaptan-0.3-1.73 – 1.07
Placebo-0.3-1.70 – 1.11
Day 14 0.75 hours Pre-dose
GroupValue95% CI
Dose Level A of Balovaptan3.81.84 – 5.69
Dose Level B of Balovaptan4.52.56 – 6.49
Placebo3.11.17 – 5.10
Change-From-Baseline QRS Interval Measured on 12-Lead ECGs Extracted From Continuous Recordings Secondary · Baseline (Predose Day 1), Day 1 and Day 14. (Each treatment period is 15 days.)

Change-from-baseline QRS interval at dose level A and dose level B of balovapton measured on 12-Lead ECGs extracted from continuous recordings on Days 1 and 14.

Day 1 0.5 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-0.1-0.25 – 0.01
Dose Level B of Balovaptan-0.1-0.22 – 0.05
Placebo0.0-0.15 – 0.12
Day 1 1 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan0.1-0.06 – 0.20
Dose Level B of Balovaptan0.1-0.05 – 0.22
Placebo-0.1-0.22 – 0.05
Day 1 2.5 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan0.00-0.13 – 0.17
Dose Level B of Balovaptan0.00-0.17 – 0.14
Placebo0.1-0.05 – 0.26
Day 1 4 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan0.0-0.17 – 0.14
Dose Level B of Balovaptan0.1-0.02 – 0.31
Placebo0.0-0.14 – 0.19
Day 1 8 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-0.5-0.83 – -0.16
Dose Level B of Balovaptan-0.3-0.66 – 0.03
Placebo-0.4-0.74 – -0.05
Day 1 12 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan-0.2-0.58 – 0.26
Dose Level B of Balovaptan0.2-0.25 – 0.63
Placebo-0.1-0.55 – 0.32
Day 1 24 hours Post-dose
GroupValue95% CI
Dose Level A of Balovaptan0.0-0.22 – 0.15
Dose Level B of Balovaptan0.1-0.04 – 0.33
Placebo-0.2-0.37 – 0.01
Day 14 0.75 hours Pre-dose
GroupValue95% CI
Dose Level A of Balovaptan0.40.03 – 0.79
Dose Level B of Balovaptan0.60.18 – 0.95
Placebo0.2-0.18 – 0.60
Number of Categorical Outliers for QTcF Secondary · Up to approximately 20 weeks

The number (percentage) of categorical outliers were participants who had increases in absolute QTcF values \> 450 and ≤ 480 ms, \> 480 and ≤ 500 ms, or \> 500 ms.

QTcF>450 and <=480 ms
GroupValue95% CI
Dose Level A of Balovaptan0
Dose Level B of Balovaptan1
Placebo0
QTcF>480 and <=500 ms
GroupValue95% CI
Dose Level A of Balovaptan0
Dose Level B of Balovaptan0
Placebo00
QTcF>500 ms
GroupValue95% CI
Dose Level A of Balovaptan0
Dose Level B of Balovaptan0
Placebo0
Number of Categorical Outliers for HR Secondary · Up to approximately 20 weeks

Number (percentage) of categorical outliers were participants with a decrease in HR from pre-dose baseline \> 25% to a HR \< 50 bpm; and increase in HR from pre-dose baseline \> 25% to a HR \> 100 bpm.

HR < 50 (bpm) with a decrease in ΔHR > 25%
GroupValue95% CI
Placebo0
Dose Level A of Balovaptan0
Dose Level B of Balovaptan0
HR > 100 (bpm) with an increase in ΔHR > 25%
GroupValue95% CI
Placebo0
Dose Level A of Balovaptan0
Dose Level B of Balovaptan0
Number of Categorical Outliers for PR Secondary · Up to approximately 20 weeks

PR outliers criteria is as an increase of PR from baseline \>25% resulting in PR \>200 ms.

GroupValue95% CI
Dose Level A of Balovaptan0
Dose Level B of Balovaptan0
Placebo0
Number of Categorical Outliers for QRS Secondary · Up to approximately 20 weeks

QRS outlier criteria is an increase of QRS from baseline \>25% resulting in QRS \>120 ms.

GroupValue95% CI
Dose Level A of Balovaptan0
Dose Level B of Balovaptan0
Placebo0
Number of Treatment Emergent Changes of T-Wave Morphology Secondary · Up to approximately 20 weeks

Number (%) of participants falling into each of the T-wave categories: Normal (+), Flat, Notched (+), Biphasic, Normal (-), Notched (-).

Flat T-wave
GroupValue95% CI
Dose Level A of Balovaptan0
Dose Level B of Balovaptan1
Placebo1
Notched T-wave (+)
GroupValue95% CI
Dose Level A of Balovaptan0
Dose Level B of Balovaptan0
Placebo0
Biphasic T-wave
GroupValue95% CI
Dose Level A of Balovaptan0
Dose Level B of Balovaptan1
Placebo0
Normal T-wave (-)
GroupValue95% CI
Dose Level A of Balovaptan0
Dose Level B of Balovaptan0
Placebo0
Notched T-wave (-)
GroupValue95% CI
Dose Level A of Balovaptan0
Dose Level B of Balovaptan0
Placebo0
Number of Treatment Emergent Changes of U-Wave Presence Secondary · Up to approximately 20 weeks

Number (percentage) of participants with treatment emergent changes of U-wave presence.

GroupValue95% CI
Dose Level A of Balovaptan0
Dose Level B of Balovaptan0
Placebo0

Adverse events — posted to ClinicalTrials.gov

Time frame: From the first study drug to the data cutoff date: 13 July 2019 (up to 20 weeks). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment A Dose Level A
Serious: 0/55 (0%)
Deaths: 0/55
Treatment B Dose Level B
Serious: 0/52 (0%)
Deaths: 0/52
Treatment C Placebo + Moxifloxacin 400 mg Day 2
Serious: 0/26 (0%)
Deaths: 0/26
Treatment D Placebo + Moxifloxacin 400 mg Day 15
Serious: 0/26 (0%)
Deaths: 0/26
All Participants
Serious: 0/57 (0%)
Deaths: 0/57
Other adverse events (2 terms — click to expand)

ReactionSystemTreatment A Dose Level ATreatment B Dose Level BTreatment C Placebo + Moxi…Treatment D Placebo + Moxi…All Participants
HeadacheNervous system disorders
ConstipationGastrointestinal disorders

Data from ClinicalTrials.gov NCT03808298 adverse events section.

Sponsor's own description

This was a single-center, multiple-dose, randomized, double-blind, placebo-controlled, positive-controlled, twelve sequence, 3-period cross-over study to investigate the effect of balovaptan on the QTc interval in healthy subjects.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A population pharmacokinetics model of balovaptan to support dose selection in adult and pediatric populations.
    Schaedeli Stark F, Chavanne C, Derks M, Jolling K, et al · · 2024 · cited 1× · PMID 38308741 · DOI 10.1007/s10928-023-09898-0

Verify or expand the search:

Other recruiting trials for Healthy Volunteers

Currently open trials in the same condition.

Other Hoffmann-La Roche trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03808298.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing