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Loperamide

Phase 1

Healthy Participants | Small molecule | Other |Johnson & Johnson|Last Updated: Mar 30, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials1
Total Enrollment66
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04225078A Study to Evaluate the Effects of Loperamide (JNJ-289679) on Electrocardiogram Intervals in Healthy Adult ParticipantsPHASE1 COMPLETED 66Jan 17, 2020Jan 12, 2022Mar 30, 20251 Belgium
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Study Endpoints
Primary Endpoints
Change from Baseline in QT Interval Corrected for Heart Rate (QTc) Intervals for Loperamide
Baseline up to 9 weeks

Change from baseline in QTc intervals for loperamide at therapeutic and supratherapeutic doses will be reported.

Percentage of Participants with Change from Baseline in T-wave Morphology
Up to 9 weeks

The percentage of participants in each treatment having T-wave morphology changes from baseline that represent the appearance or worsening of the morphological abnormality will be reported.

Percentage of Participants with Occurrence of Abnormal U-wave Morphology
Up to 9 weeks

The percentage of participants with the occurrence of abnormal U-waves morphology that represent the appearance or worsening of the morphological abnormality will be reported.

Secondary Endpoints
Maximum Observed Plasma Concentration (Cmax) of Loperamide and its M1 Metabolite
Up to 9 weeks
Time to Reach the Maximum Observed Plasma Concentration (Tmax) of Loperamide and its M1 Metabolite
Up to 9 weeks
Area Under the Plasma Concentration-Time Curve from the Time of Dosing to the Last Measurable Plasma Concentration AUC (0-last) of Loperamide and its M1 Metabolite
Up to 9 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposeDIAGNOSTIC
Treatment Arms
ArmTypeDescription
Treatment Sequence 1: Treatment ADBCEXPERIMENTALParticipants will receive treatment A (Loperamide therapeutic dose) on Day 1 on treatment period 1, followed by Treatment D (Moxifloxacin) on Day 1 of treatment period 2 followed by Treatment B (Loperamide supratherapeutic dose) on Day 1 of treatment period 3 followed by Treatment C (placebo) on Day 1 of treatment period 4. Each treatment period will be separated by a minimum of 7-day washout period and no more than 21-day.
Treatment Sequence 2: Treatment BACDEXPERIMENTALParticipants will receive Treatment B on Day 1 of treatment period 1 followed by Treatment A on Day 1 of treatment period 2 then Treatment C on Day 1 of treatment period 3 and then Treatment D on Day 1 of treatment period 4. Each treatment period will be separated by a minimum of 7-day washout period and no more than 21-day.
Treatment Sequence 3: Treatment CBDAEXPERIMENTALParticipants will receive Treatment C on Day 1 of treatment period 1 followed by Treatment B on Day 1 of treatment period 2 then Treatment D on Day 1 of treatment period 3 and then Treatment A on Day 1 of treatment period 4. Each treatment period will be separated by a minimum of 7-day washout period and no more than 21-day.
Treatment Sequence 1: Treatment DCABEXPERIMENTALParticipants will receive Treatment D on Day 1 of treatment period 1 followed by Treatment C on Day 1 of treatment period 2 then Treatment A on Day 1 of treatment period 3 and then Treatment B on Day 1 of treatment period 4. Each treatment period will be separated by a minimum of 7-day washout period and no more than 21-day.
Interventions
NameTypeDescription
LoperamideDRUGLoperamide will be administered as a single oral dose at the expected therapeutic or supratherapeutic doses respectively.
PlaceboOTHERMatching loperamide placebo capsules will be administered orally.
MoxifloxacinDRUGMoxifloxacin tablets will be administered orally.
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * All female participants, except if postmenopausal, must have a negative serum beta-human chorionic gonadotropin (beta hCG) pregnancy test at screening and a negative urine pregnancy test on Day 1 of each treatment period * A female participant must agree not to donate eggs (ov...

Countries:Belgium
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