The aim of this Phase 1 trial is to study a potential drug-drug interaction between macitentan and rosuvastatin, a model substrate of various transporter proteins (e.g. in the gut).
Rosuvastatin is a substrate of various transporter proteins including breast cancer resistance protein (BCRP) and organic anion-transporting polypeptides (OATP). It is unknown to which extent macitentan has an effect, if any, on BCRP transporters, especially intestinal BCRP. The primary purpose of this Phase 1 study is to investigate the effect of macitentan on the pharmacokinetics of rosuvastatin, a model BCRP substrate.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
20
Single oral dose of 10 mg rosuvastatin (film-coated tablet) on Day 1 and Day 10
Single oral dose of 30 mg macitentan (film-coated tablet) on Day 5 and 10 mg macitentan administered orally from Day 6 to Day 16
CRS Clinical Research Services Mannheim
Mannheim, Germany
AUC(0-inf) of rosuvastatin following administration of rosuvastatin alone (treatment A) and in combination with macitentan (treatment B)
AUC(0-inf) is the area under the plasma concentration-time curves of rosuvastatin, calculated from time zero to the extrapolated infinite time
Time frame: From Day1 to Day17 (treatment A: from Day1-Day5 and treatment B: from Day10-Day17)
Cmax of rosuvastatin following administration of rosuvastatin alone (treatment A) and in combination with macitentan (treatment B)
Cmax is the maximum observed plasma concentration and is directly derived from the individual plasma concentration time curves of rosuvastatin
Time frame: From Day1 to Day17 (treatment A: from Day1-Day5 and treatment B: from Day10-Day17)
tmax of rosuvastatin following administration of rosuvastatin alone (treatment A) and in combination with macitentan (treatment B)
The time to reach maximum plasma concentration (tmax) of rosuvastatin
Time frame: From Day1 to Day17 (treatment A: from Day1-Day5 and treatment B: from Day10-Day17)
t½ of rosuvastatin following administration of rosuvastatin alone (treatment A) and in combination with macitentan (treatment B)
t½ is the terminal half-life of rosuvastatin and corresponds to the period of time required for the concentration levels of rosuvastatin to be reduced by one-half
Time frame: From Day1 to Day17 (treatment A: from Day1-Day5 and treatment B: from Day10-Day17)
AUC(0-t) of rosuvastatin following administration of rosuvastatin alone (treatment A) and in combination with macitentan (treatment B)
AUC(0-t) is the area under the plasma concentration-time curve from time zero to time t of the last measured concentration above the limit of quantification of rosuvastatin
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Time frame: From Day1 to Day17 (treatment A: from Day1-Day5 and treatment B: from Day10-Day17)
Trough plasma concentrations of macitentan and its metabolite ACT-132577
Trough concentrations of macitentan and ACT-132577 are measured before oral administration of macitentan
Time frame: From Day5 to Day17
Change from baseline in supine blood pressure
Change from baseline to each time point of measurement during study period
Time frame: From Day1 to end-of-study visit (Day 26-28)
Change from baseline in pulse rate
Change from baseline to each time point of measurement during study period
Time frame: From Day1 to end-of-study visit (Day 26-28)
Change from baseline in heart rate (HR)
Change from baseline to each time point of measurement during study period
Time frame: From Day1 to end-of-study visit (Day 26-28)
Change from baseline in ECG variables
Change from baseline to each time point of measurement during study period in ECG variables: PR, QRS, QT, RR, and QT corrected for Bazett's and Fridericia's formulae (QTcB and QTcF, respectively)
Time frame: From Day1 to end-of-study visit (Day 26-28)
Change from baseline to end-of-study (EOS) in body weight
Change in body weight measured in kg during study period
Time frame: From Day1 to end-of-study visit (Day 26-28)
Change from baseline in clinical laboratory tests
Change from baseline to each time point of measurement during study period for clinical laboratory tests (hematology, clinical chemistry, serology)
Time frame: From Day1 to end-of-study visit (Day 26-28)
Incidence rate of treatment-emergent treatment-emergent adverse events (AEs) and serious adverse events (SAEs)
Incidence rates of treatment-emergent AEs including abnormalities in ECG variables during each treatment as well as AEs leading to the discontinuation of study treatment. A treatment-emergent AE is any AE temporally associated with the use of a study treatment, whether or not considered related to the study treatment.
Time frame: From Day1 to follow-up period (Day46-48)