Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
JNJ-53718678 · 8 trials · 2 indications
Area under the RSV VL-time curve (AUC) was determined as log10 copies\*hour per milliliter (Log10 copies\*hr/mL) by quantitative reverse transcription polymerase chain reaction (qRT-PCR) assay of mid turbine nasal swabs.
Area under the RSV VL-time curve (AUC) was determined as Log10 copies\*hr/mL by qRT-PCR assay of mid turbine nasal swabs.
Area under the RSV VL-time curve (AUC) was determined as Log10 copies\*hr/mL by qRT-PCR assay of mid turbine nasal swabs.
Area under the RSV VL-time curve (AUC) was determined as Log10 copies\*hr/mL by qRT-PCR assay of mid turbine nasal swabs.
Change from baseline in RSV viral load at Day 3 was measured as Log10 copies/mL by qRT-PCR assay in the mid-turbinate nasal swab specimens.
Change from baseline in RSV viral load at Day 5 was measured as Log10 copies/mL by qRT-PCR assay in the mid-turbinate nasal swab specimens.
Change from baseline in RSV viral load at Day 8 was measured as Log10 copies/mL by qRT-PCR assay in the mid-turbinate nasal swab specimens.
Change from baseline in RSV viral load at Day 14 was measured as Log10 copies/mL by qRT-PCR assay in the mid-turbinate nasal swab specimens.
Change from baseline in RSV viral load oat Day 21 was measured as Log10 copies/mL by qRT-PCR assay in the mid-turbinate nasal swab specimens.
RSV viral load was measured as log10 copies/mL by qRT-PCR assay in the mid-turbinate nasal swab specimens.
RSV viral load was measured as log10 copies/mL by qRT-PCR assay in the mid-turbinate nasal swab specimens.
RSV viral load was measured as log10 copies/mL by qRT-PCR assay in the mid-turbinate nasal swab specimens.
RSV viral load was measured as log10 copies/mL by qRT-PCR assay in the mid-turbinate nasal swab specimens.
RSV viral load was measured as log10 copies/mL by qRT-PCR assay in the mid-turbinate nasal swab specimens.
RSV viral load was measured as log10 copies/mL by qRT-PCR assay in the mid-turbinate nasal swab specimens.
The time to undetectable nasal RSV RNA viral load was defined as the time in days from initiation of study treatment until first post-baseline time point at which RSV RNA was undetectable and after which time there were no more detectable virus assessments.
Percentage of participants with undetectable RSV viral load at Day 3 were reported.
Percentage of participants with undetectable RSV viral load at Day 5 were reported.
Percentage of participants with undetectable RSV viral load at Day 8 were reported.
Percentage of participants with undetectable RSV viral load at Day 14 were reported.
Percentage of participants with undetectable RSV viral load at Day 21 were reported.
VL AUC for RSV-A Memphis 37b will be determined by quantitative reverse transcriptase -polymerase chain reaction (qRT-PCR) assay of nasal wash. The VL AUC will be calculated based on the viral load values measured 2 times per day, starting with the last value prior to first dosing, and ending with the last available value before discharge.
Ctrough is defined as observed plasma analyte concentration just prior to the beginning of a dosing interval.
Ctrough is defined as observed plasma analyte concentration just prior to the beginning of a dosing interval.
Cmax is defined as maximum observed plasma analyte concentration.
Cmax is defined as maximum observed plasma analyte concentration.
AUC24h is defined as AUC from time 0 to 24 hours postdose.
AUC24h is defined as AUC from time 0 to 24 hours postdose.
Placebo-corrected change from baseline in QT interval corrected for heart rate (QTc) will be determined. The mean change from baseline in QTc in placebo treatment will be subtracted from the mean change from baseline in JNJ-53718678 treatment at the same time point to generate placebo-corrected change from baseline in QTc, which will be presented.
Total mass balance calculated by D(dose) urine, total (percent \[%\]) + D feces, total (%) + D duodenal, total (%) where D urine, total is the total percentage of the dose excreted into urine, calculated as 100 \* (Ae total \[total amount excreted into urine, calculated by adding the amounts of the individual intervals together\] /Dose); D feces,total is the total percentage of the dose excreted into feces, calculated as 100 \* (Ae total \[total amount excreted into feces, calculated by adding the amounts of the individual stools together\]/Dose) and D duodenal, total is defined as total percentage of the dose collected in all duodenal samples collectively, calculated as % of dose.
Metabolite profiling will be performed with radio high-performance liquid chromatography.
The Cmax is the maximum observed plasma concentration.
The AUC (0-last) is the area under the plasma concentration time curve from time 0 to the time of the last measurable non-below quantification limit concentration, calculated by liner-linear trapezoidal summation.
The AUC (0-infinity) is the area under the plasma concentration time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z); wherein AUC(last) is area under the plasma concentration time curve from time zero to last quantifiable time, C(last) is the last observed quantifiable concentration, and lambda(z) is elimination rate constant.
The relative bioavailability based on Cmax, AUC(0last), and AUC(0-inf) will be estimated as 100\*Test/Reference, where Test is defined as the pharmacokinetic parameters of oral JNJ-53718678 and Reference is defined as currently existing oral solution G024.
The effect of food will be evaluated by comparing the pharmacokinetics of JNJ-53718678 under fed conditions with the currently existing oral solution under fasted conditions.
The Cmax is the maximum observed analyte concentration after the JNJ-53718678 doses on Day 1, Day 4 (Panel 2 only) and Day 9.
The (AUC \[0-last\]) is the area under the analyte concentration-time curve from time 0 to time of the last quantifiable concentration after the JNJ-53718678 doses on Day 1 and Day 9.
The AUC (0-infinity) is the area under the Analyte concentration-time curve from time 0 to infinite time after the JNJ-53718678 doses on Day 1 and Day 9, calculated as the sum of AUC(0-last) and C(0-last)/lambda(z), wherein AUC(0-last) is the area under the analyte concentration-time curve from time 0 to time of the last quantifiable concentrations; C(0-last) is the last observed quantifiable concentration; and lambda(z) is elimination rate constant.
The AUC24h is the area under the analyte concentration-time curve from time 0 to 24h after dosing on Day 1 and Day 4 (Panel 2 only).
Ratio Cmax, test/reference is the ratio of individual Cmax values between test (JNJ-53718678 with itraconazole, on Day 9, or JNJ-53718678 with rifampicin, on Day 4 and Day 9) and reference (without itraconazole or rifampicin, on Day 1) treatments.
Ratio AUC24h, test/reference is the ratio of individual AUC24h values between test (JNJ-53718678 with rifampicin, on Day 4) and reference (without rifampicin, on Day 1) treatments.
Ratio AUClast, test/reference is the ratio of individual AUClast values between test (JNJ-53718678 with itraconazole or rifampicin, on Day 9) and reference (without itraconazole or rifampicin, on Day 1) treatments.
Ratio AUC(infinity), test/reference is the ratio of individual AUC(infinity) values between test (JNJ-53718678 with itraconazole or rifampicin, on Day 9) and reference (without itraconazole or rifampicin, on Day 1) treatments.
The Cmax is the maximum observed plasma concentration.
The Tmax is defined as actual sampling time to reach maximum observed JNJ 53718678 concentration.
The Tlast is the time to last observed quantifiable plasma concentration.
The AUC (0-last) is the area under the plasma concentration-time curve from time zero to last quantifiable time.
The AUC (0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z); wherein AUC(last) is area under the plasma concentration-time curve from time zero to last quantifiable time, C(last) is the last observed quantifiable concentration, and lambda(z) is elimination rate constant.
Apparent initial elimination rate constant, determined by linear regression of the data points within the first elimination phase of the ln-linear plasma concentration-time curve.
Lambda(z) is first-order elimination rate constant associated with the terminal portion of the curve, determined as the negative slope of the terminal log-linear phase of the drug concentration-time curve.
Apparent initial elimination half-life is calculated as 0.693/lambda(alpha).
The elimination half-life (t1/2) is the time measured for the plasma concentration to decrease by 1 half to its original concentration. It is associated with the terminal slope of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z).
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.
Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after subcutaneous dose (Vd/F) is influenced by the fraction absorbed.
An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.
| Arm | Type | Description |
|---|---|---|
| Treatment A: JNJ-53718678 500 mg | EXPERIMENTAL | Participants will receive 500 mg dose of JNJ-53718678 once daily for 7 days. |
| Treatment B: JNJ-53718678 80 mg + Placebo | EXPERIMENTAL | Participants will receive 80 mg dose of JNJ-53718678 along with the matching placebo to the same total volume as for the 500 mg dose once daily for 7 days. |
| Treatment C: Placebo | PLACEBO_COMPARATOR | Participants will receive matching placebo to the same total volume as for the 500 mg dose once daily for 7 days. |
| Cohort 1 | EXPERIMENTAL | Participants will receive placebo or JNJ-53718678 500 milligram (mg) or 200 mg once daily for 7 days. |
| Cohort 2 | EXPERIMENTAL | Participants will receive placebo or JNJ-53718678; dosing regimen in Cohort 2 will be decided based on Cohort 1 results. |
| Cohort 3 | EXPERIMENTAL | Participants will receive placebo or JNJ-53718678, 75 mg once daily for 7 days. |
| Treatment Sequence 1: Treatment ABC | EXPERIMENTAL | Participants will receive Treatment A (JNJ-53718678 once daily for 7 days) in Treatment Period 1, followed by Treatment B (JNJ-64417184 once daily for 7 days) in Treatment Period 2, followed by Treatment C (JNJ-53718678 once daily + JNJ-64417184 once daily for 7 days) in Treatment Period 3. There will be a washout period of at least 7 days between the treatment periods. |
| Treatment Sequence 2: Treatment BCA | EXPERIMENTAL | Participants will receive Treatment B in Treatment Period 1, followed by Treatment C in Treatment Period 2, followed by Treatment A in Treatment Period 3. There will be a washout period of at least 7 days between the treatment periods. |
| Treatment Sequence 3: Treatment CAB | EXPERIMENTAL | Participants will receive Treatment C in Treatment Period 1, followed by Treatment A in Treatment Period 2, followed by Treatment B in Treatment Period 3. There will be a washout period of at least 7 days between the treatment periods. |
| Treatment Sequence 4: Treatment ACB | EXPERIMENTAL | Participants will receive Treatment A in Treatment Period 1, followed by Treatment C in Treatment Period 2, followed by Treatment B in Treatment Period 3. There will be a washout period of at least 7 days between the treatment periods. |
| Treatment Sequence 5: Treatment BAC | EXPERIMENTAL | Participants will receive Treatment B in Treatment Period 1, followed by Treatment A in Treatment Period 2, followed by Treatment C in Treatment Period 3. There will be a washout period of at least 7 days between the treatment periods. |
| Treatment Sequence 6: Treatment CBA | EXPERIMENTAL | Participants will receive Treatment C in Treatment Period 1, followed by Treatment B in Treatment Period 2, followed by Treatment A in Treatment Period 3. There will be a washout period of at least 7 days between the treatment periods. |
| Part 1 (Dose Escalation): Panel 1 | EXPERIMENTAL | Participants will receive single oral dose of JNJ-53718678, 2000 milligram (mg) suspension or matching placebo on Day 1, under fasted conditions. |
| Part 1 (Dose Escalation): Panel 2 | EXPERIMENTAL | Participants will receive single oral dose of JNJ-53718678, of maximum 3000 mg suspension or matching placebo on Day 1, under fasted conditions. |
| Part 1 (Dose escalation): Panel 3 | EXPERIMENTAL | Participants will receive single oral dose of JNJ-53718678 4500 mg suspension (this dose may be used in Part 2, Treatment F) or matching placebo on Day 1, under fasted condition. |
| Part 1 (Dose Escalation): Panel 4 (Optional) | EXPERIMENTAL | Participants will receive single oral dose of JNJ-53718678 (dose to be decided \[this dose may be used in Part 2, Treatment F\]) suspension or matching placebo on Day 1, under fasted condition, if 4500 mg dose in Panel 3 is considered safe and tolerable and if pharmacokinetic data require further dose escalation to reach the target exposure. |
| Part 2 Group 1: Treatment Sequence EHFG | EXPERIMENTAL | Participants will receive single oral dose of JNJ-53718678, 500 mg suspension with single oral dose of moxifloxacin placebo and JNJ 53718678 placebo (Treatment E) in Period 1, then participants will receive single oral dose of moxifloxacin 400 mg with single oral dose of JNJ-53718678 placebo (Treatment H) in Period 2 then will receive single oral dose of JNJ-53718678, 4500 mg (dose will be based on review of safety, tolerability, and PK data obtained in Part 1 \[either from Panel 3 or 4\], this dose may be lower/higher) suspension with single oral dose of moxifloxacin placebo (Treatment F) in Period 3 followed by single oral dose of JNJ-53718678 placebo with single oral dose of moxifloxacin placebo (Treatment G) in Period 4, on Day 1 of each treatment period. There will be a washout period of at least 7 days between study drug intake in subsequent treatment periods. |
| Part 2 Group 2: Treatment Sequence FEGH | EXPERIMENTAL | Participants will receive Treatment F in Period 1, then Treatment E in Period 2, then Treatment G in Period 3 followed by Treatment H in Period 4 on Day 1 of each treatment period. |
| Part 2 Group 3: Treatment Sequence GFHE | EXPERIMENTAL | Participants will receive Treatment G in Period 1, then Treatment F in Period 2, then Treatment H in Period 3 followed by Treatment E in Period 4 on Day 1 of each treatment period. |
| Part 2 Group 4: Treatment Sequence HGEF | EXPERIMENTAL | Participants will receive Treatment H in Period 1, then Treatment G in Period 2, then Treatment E in Period 3 followed by Treatment F in Period 4 on Day 1 of each treatment period. |
| JNJ-53718678 | EXPERIMENTAL | - |
| JNJ-53718678: PART 1 | EXPERIMENTAL | Participants will receive a single dose of JNJ-53718678 500 mg under fasted conditions on day 1 for treatment A (solution) and B (novel concept formulation 1), and under fed condition for treatment C (novel concept formulation 1). |
| JNJ-53718678: PART 2 | EXPERIMENTAL | Participants will receive a single dose of JNJ-53718678 500 mg under fasted conditions on day 1 for treatment A (solution) and D (novel concept formulation 2), and under fed condition for treatment E (novel concept formulation 2). Part 2 of the study is optional and might be performed depending on the availability of concept formulations and the result of previous part. |
| JNJ-53718678: PART 3 | EXPERIMENTAL | Participants will receive a single dose of JNJ-53718678 500 mg under fasted conditions on day 1 for treatment A (solution) and F (novel concept formulation 3), and under fed condition for treatment G (novel concept formulation 3). Part 3 of the study is optional and might be performed depending on the availability of concept formulations and the result of previous part. |
| JNJ-53718678: PART 4 | EXPERIMENTAL | Participants will receive a single dose of JNJ-53718678 500 mg under fasted conditions on day 1 for treatment A (solution) and H (novel concept formulation 4), and under fed condition for treatment I (novel concept formulation 4). Part 4 of the study is optional and might be performed depending on the availability of concept formulations and the result of previous part. |
| JNJ-53718678: PART 5 | EXPERIMENTAL | Participants will receive a single dose of JNJ-53718678 500 mg under fasted conditions on day 1 for treatment A (solution) and J (novel concept formulation 5), and under fed condition for treatment K (novel concept formulation 5). Part 5 of the study is optional and might be performed depending on the availability of concept formulations and the result of previous part. |
| JNJ-53718678: PART 6 | EXPERIMENTAL | Participants will receive a single dose of JNJ-53718678 500 mg under fasted conditions on day 1 for treatment A (solution) and L (novel concept formulation 6), and under fed condition for treatment M (novel concept formulation 6). Part 6 of the study is optional and might be performed depending on the availability of concept formulations and the result of previous part. |
| JNJ-53718678: PART 7 | EXPERIMENTAL | Participants will receive a single dose of JNJ-53718678 500 mg under fasted conditions on day 1 for treatment A (solution) and N (novel concept formulation 7), and under fed condition for treatment O (novel concept formulation 7). Part 7 of the study is optional and might be performed depending on the availability of concept formulations and the result of previous part. |
| JNJ-53718678: PART 8 | EXPERIMENTAL | Participants will receive a single dose of JNJ-53718678, 500 mg oral solution under fasted or fed conditions on day 1 for treatment A and P (oral concept formulation 1, 2, 3, 4, 5, 6 or 7) and under fed conditions for treatment Q (oral concept formulation 1, 2, 3, 4, 5, 6 or 7). Part 8 of the study is optional, might be performed, depending on the interim results of prior parts. One of the concept formulations might be re-evaluated under different feeding conditions. |
| Panel 1 | EXPERIMENTAL | Participants will receive a single 250 milligram (mg) dose of JNJ-53718678 on Day 1 and 200 mg itraconazole once a day on Days 4 to 11 along with a single 250-mg dose of JNJ-53718678 on Day 9. |
| Panel 2 | EXPERIMENTAL | Participants will receive a single 500-mg dose of JNJ-53718678 on Day 1; a single 600-mg dose of rifampicin along with a single 500-mg dose of JNJ-53718678 on Day 4 and 600 mg rifampicin once daily on Days 5 to 11 along with a single 500-mg dose of JNJ-53718678 on Day 9. |
| JNJ 53718678 250 milligram (mg) | EXPERIMENTAL | Participants will receive either single oral dose of 250 mg of JNJ 53718678 or matching placebo on Day 1. |
| JNJ 53718678 500 mg | EXPERIMENTAL | Participants will receive either single oral dose of 500 mg of JNJ 53718678 or matching placebo on Day 1. |
| JNJ 53718678 1000 mg | EXPERIMENTAL | Participants will receive either single oral dose of 1000 mg of JNJ 53718678 or matching placebo on Day 1. |
| Name | Type | Description |
|---|---|---|
| JNJ-53718678 500 mg | DRUG | Participants will receive 500 mg dose of JNJ-53718678 oral solution once daily for 7 days. |
| JNJ-53718678 80 mg | DRUG | Participants will receive 80 mg dose of JNJ-53718678 oral solution along with the matching placebo to the same total volume as for the 500 mg dose once daily for 7 days. |
| Placebo | DRUG | In treatment B, participants will receive matching placebo along with JNJ-53718678 to maintain the same total volume as for the 500 mg dose once daily for 7 days. In treatment C, participants will receive matching placebo to the same total volume as for the 500 mg dose once daily for 7 days. |
| JNJ-53718678 | DRUG | Participants will receive JNJ-53718678 as 20 milliliter (mL) (200 mg) or 50 mL (500 mg) oral solution (containing 10 mg JNJ-53718678 per mL) in Cohort 1. JNJ-53718678 dose in Cohort 2 will be decided based on Cohort 1 results. JNJ-53718678 as 7.5 mL (75 mg) oral solution (containing 10 mg JNJ-53718678 per mL) in Cohort 3. |
| JNJ-64417184 | DRUG | JNJ-64417184 tablet will be administered orally as per assigned treatment sequence. |
| JNJ-53718678, 2000 mg | DRUG | Participants will be administered JNJ-53718678, 2000 mg as oral suspension in Part 1 (Panel 1). |
| JNJ-53718678, 3000 mg | DRUG | Participants will be administered JNJ- 53718678, 3000 mg as oral suspension in Part 1 (Panel 2). |
| JNJ-53718678, 4500 mg or Dose to be decided | DRUG | Participants will be administered JNJ-53718678, 4500 mg as oral suspension in Part 1 (Panel 3). If this dose is considered safe and tolerable and if pharmacokinetic data require further dose escalation, then participants will receive JNJ-53718678 (Dose to be decided) in Part 1 (Panel 4). This dose (either from Panel 3 or Panel 4 ) will be used in Part 2 (Dose may be lower/higher based on review of safety, tolerability, and PK data obtained in Part 1). |
| JNJ-53718678 Placebo | DRUG | Participants will be administered JNJ-53718678 matching placebo in Part 1 and 2. |
| Moxifloxacin 400 mg | DRUG | Participants will be administered moxifloxacin 400 mg as capsule in Part 2. |
| Moxifloxacin Placebo | DRUG | Participants will be administered moxifloxacin matching placebo in Part 2. |
| Itraconazole | DRUG | Participants will receive itraconazole 200 mg (2 capsules of 100 mg) from Day 4-11. |
| Rifampicin | DRUG | Participants will receive 600 mg rifampicin (2 capsules of 300 mg) from Day 4-11. |
| JNJ 53718678 | DRUG | JNJ 53718678 will be orally administered once in a dose of 250, 500 or 1000 mg on Day 1. |
Inclusion Criteria: * Participants must have an acute respiratory illness with signs and symptoms consistent with a viral infection (example, fever, cough, nasal congestion, runny nose, sore throat, myalgia, lethargy, shortness of breath, or wheezing) with onset less than or equal to 5 days from th...
JNJ-53718678 is an investigational small molecule being studied for respiratory syncytial virus (RSV) infections and in healthy volunteers. It is in Phase 1 clinical development and is not approved by the FDA. The drug is being evaluated for its safety, tolerability, and pharmacokinetics in early-stage trials.
JNJ-53718678 is being developed by Johnson & Johnson, which trades under the ticker JNJ. The company is conducting Phase 1 clinical trials to evaluate the drug's pharmacokinetics and drug interactions in healthy participants. All six completed trials were sponsored by Johnson & Johnson.
JNJ-53718678 is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities. The drug has completed six Phase 1 trials, with no active trials currently ongoing. These trials focused on healthy volunteers to assess safety and how the drug is processed by the body.
JNJ-53718678 has completed six Phase 1 trials, including NCT02729467, NCT02945007, NCT03002779, and NCT04090086. These studies assessed drug interactions, bioavailability, food effects, and metabolism in healthy adults. The trials were conducted in the United States, Belgium, and the Netherlands, with a total enrollment of 213 participants.
No, JNJ-53718678 is not the same as JNJ-64417184. They are separate investigational drugs. A completed clinical trial, NCT04090086, studied the interaction between JNJ-64417184 and JNJ-53718678 after single and multiple dosing in healthy participants, indicating they are distinct compounds being evaluated together.