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Macitentan / tadalafil

Phase 1

Healthy Subjects | Small molecule | Other |Johnson & Johnson|Last Updated: Jun 22, 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
RandomizedCONTROLLEDBiomarker
Total Trials2
Total Enrollment58
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03359291Clinical Study to Investigate the Effect of Macitentan on the Concentrations of Rosuvastatin in the Blood of Healthy Male SubjectsPHASE1 COMPLETED 20Nov 3, 2017Dec 4, 2017Jun 22, 20251 Germany
NCT03215966A Study to Compare the Macitentan-tadalafil Fixed Dose Combination Tablet Relative to the Concomitant Administration of the Reference Tablets of Macitentan and Tadalafil in Healthy SubjectsPHASE1 COMPLETED 38Aug 7, 2017Sep 24, 2017Jun 22, 20251 Germany
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Study Endpoints
Primary Endpoints
AUC(0-inf) of rosuvastatin following administration of rosuvastatin alone (treatment A) and in combination with macitentan (treatment B)
From Day1 to Day17 (treatment A: from Day1-Day5 and treatment B: from Day10-Day17)

AUC(0-inf) is the area under the plasma concentration-time curves of rosuvastatin, calculated from time zero to the extrapolated infinite time

Cmax of rosuvastatin following administration of rosuvastatin alone (treatment A) and in combination with macitentan (treatment B)
From Day1 to Day17 (treatment A: from Day1-Day5 and treatment B: from Day10-Day17)

Cmax is the maximum observed plasma concentration and is directly derived from the individual plasma concentration time curves of rosuvastatin

Maximum plasma concentration (Cmax) of macitentan and tadalafil
Blood samples for pharmacokinetic evaluations are collected at selected time points from Baseline (pre-dose) to 216 hours post-dose of each study period

The measured individual plasma concentrations of macitentan and tadalafil are used to directly obtain Cmax

Area under the plasma concentration-time curve from 0 to time t [AUC(0-t)] of macitentan and tadalafil
Blood samples for pharmacokinetic evaluations are collected at selected time points from Baseline (pre-dose) to 216 hours post-dose of each study period

AUC(0-t) is the area calculated from the concentration-time profile of macitentan and tadalafil, from time 0 to to time t of the last measured concentration above the limit of quantification

Area under the plasma concentration-time curve to infinitiy [AUC(0-inf)] of macitentan and tadalafil
Blood samples for pharmacokinetic evaluations are collected at selected time points from Baseline (pre-dose) to 216 hours post-dose of each study period

AUC(0-inf) is the area calculated from the concentration-time profile of macitentan and tadalafil, from time 0 to extrapolated infinite time

Secondary Endpoints
tmax of rosuvastatin following administration of rosuvastatin alone (treatment A) and in combination with macitentan (treatment B)
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)
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)
From Day1 to Day17 (treatment A: from Day1-Day5 and treatment B: from Day10-Day17)
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeOTHER
Treatment Arms
ArmTypeDescription
Sequence ABEXPERIMENTALSubjects participate in two study periods: During the first period (treatment A), they receive a single oral dose of rosuvastatin on Day 1. During the second period (treatment B), they receive a single oral loading dose of macitentan on Day 5 and oral doses of macitentan from Day 6 to Day 16 (i.e., 11 doses). Subjects receive a single oral dose of 10 mg rosuvastatin concomitantly with macitentan in the morning of Day 10.
Sequence A/BEXPERIMENTALSubjects receive one tablet of macitentan / tadalafil FDC (fixed dose combination) during Period 1, then after a washout period of at least 7 days they receive one tablet of macitentan (Opsumit®) and two tablets of tadalafil (Adcirca®) during Period 2
Sequence B/AEXPERIMENTALSubjects receive one tablet of macitentan (Opsumit®) and two tablets of tadalafil (Adcirca®) during Period 1, then after a washout period of at least 7 days, they receive one tablet of macitentan / tadalafil FDC (fixed dose combination) during Period 2
Interventions
NameTypeDescription
RosuvastatinDRUGSingle oral dose of 10 mg rosuvastatin (film-coated tablet) on Day 1 and Day 10
MacitentanDRUGSingle oral dose of 30 mg macitentan (film-coated tablet) on Day 5 and 10 mg macitentan administered orally from Day 6 to Day 16
Macitentan / tadalafil FDCCOMBINATION_PRODUCTTablets for oral administration containing 10 mg of macitentan and 40 mg of tadalafil
Macitentan (Opsumit®)DRUGFilm-coated tablets for oral administration formulated at a strength of 10 mg
Tadalafil (Adcirca®)DRUGFilm-coated tablets for oral administration formulated at a strength of 20 mg
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Eligibility Criteria
Age Range18 Years — 55 Years
SexMALE
Healthy VolunteersYes
Study Sites1

Principal Inclusion Criteria: * Signed informed consent in the local language prior to any study-mandated procedure. * Healthy male subjects aged between 18 and 55 years (inclusive) at screening. * No clinically significant findings on the physical examination at screening. * Body mass index of 18....

Countries:Germany
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