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NCT04156646

A Study to Investigate the Effect of Esomeprazole and the Effect of Food on the Pharmacokinetics of Balovaptan in Healthy Volunteers

Completed Phase 1 Results posted Last updated 16 March 2021
What this trial tests

Phase 1 trial testing Balovaptan in Autism Spectrum Disorder in 16 participants. Completed in 6 January 2020.

Timeline
19 November 2019
Primary endpoint
24 December 2019
6 January 2020

Quick facts

Lead sponsorHoffmann-La Roche
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposetreatment
Enrollment16
Start date19 November 2019
Primary completion24 December 2019
Estimated completion6 January 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Hoffmann-La Roche — full company profile →

Who can join

Adults 18 to 65, any sex, with Autism Spectrum Disorder. 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.

Maximum Plasma Concentration (Cmax) of Balovaptan Primary · Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Maximum plasma concentration of Balovaptan is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units

GroupValue95% CI
Balovaptan 20 mg Fed74.83± 42.6
Balovaptan 20 mg Fasted97.44± 44.6
Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted79.67± 38.3
Mean Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of Balovaptan Primary · Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Area under the plasma concentration-time curve (time 0 to infinity) of Balovaptan is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.

GroupValue95% CI
Balovaptan 20 mg Fed1736.7± 51.3
Balovaptan 20 mg Fasted1705.7± 55.9
Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted1820.0± 46.9
Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of Balovaptan Primary · Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post dose

Area under the plasma concentration-time curve of Balovaptan from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.

GroupValue95% CI
Balovaptan 20 mg Fed935.2± 31.7
Balovaptan 20 mg Fasted945.2± 30.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted965.0± 30.7
Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Balovaptan Primary · Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of Balovaptan is estimated using non-compartmental methods from the concentration-time profiles.

GroupValue95% CI
Balovaptan 20 mg Fed1671.0± 50.2
Balovaptan 20 mg Fasted1636.1± 53.3
Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted1650.9± 48.3
Time to Reach Cmax in Plasma (Tmax) of Balovaptan Primary · Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Time to maximum plasma concentration of Balovaptan is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.

GroupValue95% CI
Balovaptan 20 mg Fed4.500.50 – 8.00
Balovaptan 20 mg Fasted1.000.50 – 3.00
Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted1.751.00 – 4.00
Last Quantifiable Concentration (Clast) of Balovaptan Primary · Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.

GroupValue95% CI
Balovaptan 20 mg Fed1.693± 45.2
Balovaptan 20 mg Fasted1.745± 57.3
Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted2.253± 142.8
Time To the Last Quantifiable Concentration (Tlast) of Balovaptan Primary · Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Time to last quantifiable concentration is based on last detectable concentration in the time curve.

GroupValue95% CI
Balovaptan 20 mg Fed115.86± 33.4
Balovaptan 20 mg Fasted113.79± 35.0
Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted103.58± 41.0
Time Between Dosing and Time of First Balovaptan Plasma Concentration (Tlag) Primary · Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Time between dosing and time of first balovaptan plasma concentration is estimated using non-compartmental methods from the concentration-time profiles.

GroupValue95% CI
Balovaptan 20 mg Fed0.25000.0 – 1.5
Balovaptan 20 mg Fasted0.25000.0 – 0.5
Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted0.25000.0 – 0.5
Apparent Clearance (Cl/F) of Balovaptan Primary · Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Apparent clearance is estimated using non-compartmental methods from the concentration-time profiles.

GroupValue95% CI
Balovaptan 20 mg Fed11.51± 35.7
Balovaptan 20 mg Fasted11.73± 36.3
Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted11.26± 32.2
Apparent Volume of Distribution (Vd/F) of Balovaptan Primary · Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Apparent volume of distribution is estimated using non-compartmental methods from the concentration-time profiles.

GroupValue95% CI
Balovaptan 20 mg Fed422.7± 28.7
Balovaptan 20 mg Fasted422.5± 33.4
Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted429.4± 18.5
Terminal Elimination Phase Half-Life (T1/2) of Balovaptan Primary · Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.

GroupValue95% CI
Balovaptan 20 mg Fed25.44± 40.0
Balovaptan 20 mg Fasted24.98± 47.0
Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted27.26± 40.9
Maximum Plasma Concentration (Cmax) of M2 Metabolite Secondary · Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Maximum plasma concentration of M2 Metabolite is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units

GroupValue95% CI
Balovaptan 20 mg Fed11.27± 27.0
Balovaptan 20 mg Fasted11.44± 30.8
Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted11.68± 30.1

Adverse events — posted to ClinicalTrials.gov

Time frame: From baseline to end of study (up to approximately 7 weeks). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Balovaptan 20 mg Fed
Serious: 0/16 (0%)
Deaths: 0/16
Balovaptan 20 mg Fasted
Serious: 0/16 (0%)
Deaths: 0/16
Balovaptan 20 mg Fasted + Esomeprazole 40 mg Fasted
Serious: 0/16 (0%)
Deaths: 0/16
Other adverse events (4 terms — click to expand)

ReactionSystemBalovaptan 20 mg FedBalovaptan 20 mg FastedBalovaptan 20 mg Fasted + …
Eye PainEye disorders
GastroenteritisInfections and infestations
Tooth fractureInjury, poisoning and procedural complications
HeadacheNervous system disorders

Data from ClinicalTrials.gov NCT04156646 adverse events section.

Sponsor's own description

This study will investigate the effect of food and the effect of esomeprazole on the pharmacokinetics (PK) of a single dose of balovaptan in healthy volunteers.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other trials of Balovaptan

Trials testing the same drug.

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