The objective of this study is to assess the safety and tolerability of Risdiplam (RO7034067) in healthy people. The study will assess what the body does to Risdiplam (RO7034067) and what Risdiplam (RO7034067) does to the body. Risdiplam (RO7034067) will be given by mouth in gradually increasing doses. The data from this study will help to define the dose to further explore Risdiplam (RO7034067) in patients with Spinal Muscular Atrophy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
33
Itraconazole will be administered as an oral 200 mg dose twice daily from Day 1 to Day 8 in Part 3.
In Part 1 of the study matching oral placebo will be administered once on Day 1.
Single ascending oral doses of Risdiplam will be administered on Day 1 of Part 1. In Part 2 a single dose of Risdiplam will be once administered under fasted and once under fed conditions. In Part 3 a single dose of Risdiplam will be once administered alone (Period 1) and once concomitantly to itraconazole (Period 2).
Pra International Group B.V
Groningen, Netherlands
Percentage of Participants with Adverse Events (AEs)
Time frame: Parts 1 and 2: Up to 21 days after last dose of study drug. Part 3: Up to 28 days after last dose of study drug.
Percentage of Participants with Laboratory Test Abnormalities
Time frame: Parts 1 and 2: Up to 21 days after last dose of study drug. Part 3: Up to 28 days after last dose of study drug.
Percentage of Participants with Clinically Significant Changes in Safety Measurements, Including Vital Signs and Electrocardiograms (ECGs)
Time frame: Parts 1 and 2: Up to 21 days after last dose of study drug. Part 3: Up to 28 days after last dose of study drug.
Percentage of Participants with Clinically Significant Changes in Ophthalmological Assessments
Time frame: Part 1: Up to 26 weeks; Part 2 (Treatment Period [TP] 1 and 2): Up to 29 weeks; Part 3 (TP 1, 2): Up to 30 weeks
Maximum Observed Plasma Concentration (Cmax)
Time frame: Parts 1 and 2: Up to Day 21; Part 3: Up to Day 28
Time to Maximum Plasma Concentration (Tmax)
Time frame: Parts 1 and 2: Up to Day 21; Part 3: Up to Day 28
Area Under the Plasma Concentration-Time Curve up to the Last Measurable Concentration (AUClast)
Time frame: Parts 1 and 2: Up to Day 21; Part 3: Up to Day 28
Area Under the Plasma Concentration-Time Curve Extrapolated to Infinity (AUC0-inf)
Time frame: Parts 1 and 2: Up to Day 21; Part 3: Up to Day 28
Area Under the Plasma Concentration-Time Curve up to Time t (AUC0-t)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Parts 1 and 2: Up to Day 21; Part 3: Up to Day 28
Apparent Terminal Half-Life (t1/2)
Time frame: Parts 1 and 2: Up to Day 21; Part 3: Up to Day 28
Apparent Oral Clearance (CL/F)
Time frame: Parts 1 and 2: Up to Day 21; Part 3: Up to Day 28
Apparent Oral Volume of Distribution (Vz/F)
Time frame: Parts 1 and 2: Up to Day 21; Part 3: Up to Day 28
Cumulative Amount Excreted Unchanged into Urine (Ae)
Time frame: Part 1: Day 1, 2, 3, 4
Renal Clearance (CLR)
Time frame: Part 1: Day 1, 2, 3, 4
Fraction of Dose Excreted Unchanged Renally (Fe)
Time frame: Part 1: Day 1, 2, 3, 4
Metabolite-to-Parent Ratio (AUCm/AUCp) Corrected for Molecular Weight for AUCInf, AUClast or AUC0-t
Time frame: Parts 1 and 2: Up to Day 21; Part 3: Up to Day 28
Change from In Vivo Baseline in Splicing Modifications of SMN mRNAs, Including SMN1, SMN2 FL, and SMNdelta7 mRNA in Blood Ex Vivo
Time frame: Part 1: Day 1
Change from Baseline in SMN Protein Levels in Blood
Time frame: Part 1: Day -1, 1, 2, 3, 4, 5, 7
Metabolite-to-Parent Ratio (Cmax_m/Cmax_p) for Cmax, Corrected for Molecular Weight
Time frame: Parts 1 and 2: Up to Day 21; Part 3: Up to Day 28
Predose Trough Plasma Concentration (Ctrough) of Itraconazole
Time frame: Parts 1 and 2: Up to Day 21; Part 3: Up to Day 28
Change from Baseline in Splicing Modifications of Survival of Motor Neuron (SMN) Messenger Ribonucleic Acids (mRNAs), Including SMN1, SMN2 FL, and SMNdelta7 mRNA in Blood In Vivo
Time frame: Part 1: Day -1, 1, 2, 3, 4, 5