A Study in Healthy People to Test How Combining BI 1467335 and Tyramine Affects Blood Pressure

Study Overview
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Brief Summary
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The main objective of the study is investigate the effect of escalating doses of oral tyramine on systolic blood pressure (SBP) at baseline and following an oral treatment with BI 1467335 up to 39 days at a low or high dose once daily compared to placebo and phenelzine (Nardil®) as positive control.

Official Title
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A Phase I Parallel Group Study in Healthy Subjects to Evaluate the Effect of Multiple Oral Doses of BI 1467335 and Phenelzine as Positive Control on Blood Pressure Response to Oral Tyramine (Double-blind, Randomised, Placebo-controlled Design for BI 1467335 Treatment Groups, Open Label for Phenelzine)

Conditions
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Healthy

Intervention / Treatment
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* Drug: BI 1467335
* Drug: Placebo
* Drug: Phenelzine sulfate
* Drug: Tyramine


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthy male or female subjects according to the assessment of the investigator, as based on a complete medical history including a physical examination, vital signs (Blood pressure (BP), Pulse rate (PR)), 12-lead Electrocardiogram (ECG), and clinical laboratory Age of 18 to 45 years (inclusive) Body mass index (BMI) of 18.5 to 29.9 kg/m2 (inclusive) Signed and dated written informed consent prior to admission to the study, in accordance with Good Clinical Practice (GCP) and local legislation Male subjects, or female subjects who meet any of the following criteria before the first administration of trial medication until 30 days after trial completion: Use of adequate contraception, e.g. any of the following methods plus condom: implants, injectables, combined oral or vaginal contraceptives, intrauterine device (in case of oral contraceptives start of contraception at least 30 days before administration of trial medication) Sexually abstinent A vasectomised sexual partner (vasectomy at least 1 year prior to enrolment) Surgically sterilised (including hysterectomy) Postmenopausal, defined as at least 1 year of spontaneous amenorrhea (in questionable cases a blood sample with levels of FSH above 33,4 U/L and estradiol below 71,6 pmol/L is confirmatory) Alternatively, true abstinence is acceptable when it is in line with the subject's preferred and usual lifestyle. If a subject is usually not sexually active but becomes active, with their partner, they must comply with the contraceptive requirements detailed above. Exclusion Criteria: Any finding in the medical examination (including Blood pressure (BP), Pulse rate (PR) or Electrocardiogram (ECG)) deviating from normal and assessed as clinically relevant by the investigator Repeated measurement of systolic blood pressure outside the range of 90 to 140 mmHg, diastolic blood pressure outside the range of 50 to 90 mmHg, or pulse rate outside the range of 45 to 90 bpm Any laboratory value outside the reference range that the investigator considers to be of clinical relevance Any evidence of a concomitant disease assessed as clinically relevant by the investigator Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders assessed as clinically relevant by the investigator Cholecystectomy or other surgery of the gastrointestinal tract that could interfere with the pharmacokinetics of the trial medication (except appendectomy or simple hernia repair) Diseases of the central nervous system (including but not limited to any kind of seizures or stroke), and other relevant neurological or psychiatric disorders History of relevant orthostatic hypotension, fainting spells, or blackouts Chronic or relevant acute infections History of relevant allergy or hypersensitivity (including allergy to the trial medication or its excipients) Use of drugs within 30 days of planned administration of trial medication that might reasonably influence the results of the trial (including drugs that cause QT/QTc interval prolongation) Intake of an investigational drug in another clinical trial within 60 days of planned administration of investigational drug in the current trial, or concurrent participation in another clinical trial in which investigational drug is administered Smoker (more than 10 cigarettes or 3 cigars or 3 pipes per day) Inability to refrain from smoking on specified trial days Alcohol abuse (consumption of more than 20 g per day for females and 30 g per day for males) Drug abuse or positive drug screening Blood donation of more than 100 mL within 30 days of planned administration of trial medication or intended blood donation during the trial Intention to perform excessive physical activities within one week prior to the administration of trial medication or during the trial Inability to comply with the dietary regimen of the trial site A marked baseline prolongation of QT/QTc interval (such as QTc intervals that are repeatedly greater than 450 ms in males or repeatedly greater than 470 ms in females) or any other relevant ECG finding at screening A history of additional risk factors for Torsade de Pointes (such as heart failure, hypokalaemia, or family history of Long QT Syndrome) Subject is assessed as unsuitable for inclusion by the investigator, for instance, because the subject is not considered able to understand and comply with study requirements, or has a condition that would not allow safe participation in the study Use of monoamine oxidase (MAO) inhibitors within 90 days before tyramine dosing Use of fluoxetine within 5 weeks before tyramine dosing Use of over-the-counter sympathomimetic or grapefruit products within 7 days before tyramine dosing Subject has a known intolerability to tyramine-containing foods At screening, no increase of systolic blood pressure > 30 mmHg during tyramine challenge at the highest tested dose of 700 mg tyramine Female subjects will not be allowed to participate, if any of the following apply: Positive pregnancy test, pregnancy, or plans to become pregnant within 30 days after study completion Lactation

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 10 mg BI 1467335/10 mg BI 1467335 + Tyramine<br> | Drug: BI 1467335<br>* Film-coated tablet<br>Drug: Tyramine<br>* Capsules<br>|
| Experimental: 15 mg BI 1467335/15 mg BI 1467335 + Tyramine<br> | Drug: BI 1467335<br>* Film-coated tablet<br>Drug: Tyramine<br>* Capsules<br>|
| Active Comparator: Phenelzine/Phenelzine + Tyramine<br> | Drug: Phenelzine sulfate<br>* Film-coated tablet<br>Drug: Tyramine<br>* Capsules<br>|
| Placebo Comparator: Placebo/Placebo + Tyramine<br> | Drug: Placebo<br>* Film-coated tablet<br>Drug: Tyramine<br>* Capsules<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tyramine Sensitivity Factor (TSF) | TSF was defined as ratio of the tyramine dose causing an increase of systolic blood pressure (SBP) ≥ 30 millimetre of mercury (mmHg) for at least 3 consecutive measurements (TYR30) at baseline and at steady state of BI 1467335, placebo or phenelzine. Geometric Mean is the Geometric Least Squares Mean and is extracted from the ANOVA model that includes all treatments. Standard error is the geometric standard error of the mean (gSE) and is extracted from the ANOVA model that includes all treatments. | At baseline (Day -11 up to Day-2) and at steady state (Day 29 up to Day 39 for the Placebo/Placebo + Tyramine and 10 mg BI 1467335/10 mg BI 1467335 + Tyramine arms, Day 8 up to Day 19 for the Phenelzine/ Phenelzine + Tyramine arm). |