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ACT-246475

Phase 1

Healthy | Small molecule | Other |Viatris Inc.|Last Updated: Jul 3, 2025

Success Probability

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment77

FDA Designations

No designations recorded

Clinical trial landscape

ACT-246475 · 3 trials · 3 indications

Phase 1 3
NCT03814200A Study to Investigate the Effect of Rifampicin on the Uptake and Breakdown of ACT-246475 in Healthy SubjectsHealthy Subject
COMPLETED14 Analytics
NCT03593278A Study to Evaluate ACT-246475 Fate in Healthy Male SubjectsHealthy Subjects
COMPLETED6 Analytics
NCT03430661A Study to Investigate the Interaction Between ACT-246475 and Clopidogrel, Prasugrel, and Ticagrelor in Healthy SubjectsHealthy
COMPLETED77 Analytics
PHASE1COMPLETED
A Study to Investigate the Effect of Rifampicin on the Uptake and Breakdown of ACT-246475 in Healthy Subjects
Healthy SubjectUnlock trial analytics
PHASE1COMPLETED
A Study to Evaluate ACT-246475 Fate in Healthy Male Subjects
Healthy SubjectsUnlock trial analytics
PHASE1COMPLETED
A Study to Investigate the Interaction Between ACT-246475 and Clopidogrel, Prasugrel, and Ticagrelor in Healthy Subjects
HealthyUnlock trial analytics

Study Endpoints

Primary Endpoints

Area under the plasma concentration-time curve (AUC) from time zero to time t of the last measured concentration above the limit of quantification (AUC0-t)
Up to 36 hours after treatment administration

The plasma PK parameters of ACT-246475 will be derived by non-compartmental analysis of the plasma concentration-time profiles

AUC from zero to infinity (AUC0-inf)
Up to 36 hours after treatment administration

The plasma PK parameters of ACT-246475 will be derived by non-compartmental analysis of the plasma concentration-time profiles

The maximum plasma concentration (Cmax)
Up to 36 hours after treatment administration

The plasma PK parameters of ACT-246475 will be derived by non-compartmental analysis of the plasma concentration-time profiles

The time to reach Cmax (tmax)
Up to 36 hours after treatment administration

The plasma PK parameters of ACT-246475 will be derived by non-compartmental analysis of the plasma concentration-time profiles

Terminal half-life (t½)
Up to 36 hours after treatment administration

The plasma PK parameters of ACT-246475 will be derived by non-compartmental analysis of the plasma concentration-time profiles

Cumulative excretion of total 14C-radioactivity in urine and feces
Up to 54 days

Cumulative amount of total 14C-radioactivity excreted in urine and feces will be calculated by summing up the amount of total 14C-radioactivity of the samples excreted in each collection interval

Time-matched comparisons of IPA% (MPA) between treatments (i.e., Treatment A1 vs A2, Treatment B1 vs B2, and treatment C1 vs C2, treatments are defined below) following administration of ACT-246475 and its matching placebo.
From baseline up to 48 hours

\- IPA%\[MPA\] will be calculated as mean change in percentage from baseline for each time point.

Time-matched comparisons of IPA %(PRU) between treatments (i.e., Treatment A1 vs A2, Treatment B1 vs B2, and treatment C1 vs C2) following administration of ACT-246475 and its matching placebo.
From baseline up to 48 hours

\- IPA%\[PRU\] will be calculated as mean change in percentage from baseline for each time point. Treatment A1: single s.c. dose administration of ACT-246475-matching placebo followed by a single oral dose of clopidogrel (600 mg). Treatment A2: single s.c. dose administration (16 mg) of ACT-246475 followed by a single oral dose of clopidogrel (300 mg). Treatment B1: single s.c. dose administration of ACT-246475-matching placebo followed by a single oral dose of prasugrel (60 mg). Treatment B2: single s.c. dose administration (16 mg) of ACT-246475 followed by a single oral dose of prasugrel (60 mg). Treatment C1: single s.c. dose administration of ACT-246475-matching placebo followed by a single oral dose of ticagrelor (180 mg). Treatment B2: single s.c. dose administration (16 mg) of ACT-246475 followed by a single oral dose of ticagrelor (180 mg).

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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposeOTHER

Treatment Arms

ArmTypeDescription
Treatment period AEXPERIMENTALTreatment A1: saline 0.9% followed by Treatment A2: ACT-246475
Treatment period BEXPERIMENTALTreatment B1: rifampicin followed by Treatment B2: ACT-246475
Treatment and observation periodEXPERIMENTALOn Day 1, the subjects will receive a single s.c. dose of 16 mg 14C-radiolabeled ACT-246475 in the fasted state. Subjects will be followed by an observation period of 3 days (72 h) during which blood, urine, and feces samples will be collected.
Part A: Group 1EXPERIMENTALClopidogrel will be administered 0.5 h after ACT-246475 or placebo, i.e., at the time of tmax
Part A: Group 2EXPERIMENTALClopidogrel will be administered 12 h after ACT-246475 or placebo
Part A: Group 3EXPERIMENTALAny time interval up to 24 h between the administration of ACT-246475 or placebo and clopidogrel may be studied
Part B: Group 1EXPERIMENTALPrasugrel will be administered 12 h after ACT-246475 or placebo
Part B: Group 2EXPERIMENTALAny time interval up to 24 h between the administration of ACT-246475 or placebo and prasugrel may be studied
Part B: Group 3EXPERIMENTALAny time interval up to 24 h between the administration of ACT-246475 or placebo and prasugrel may be studied
Part C: Group 1EXPERIMENTALTicagrelor will be administered 0.5 h after ACT-246475 or placebo, i.e., at the time of tmax
Part C: Group 2EXPERIMENTALAny time interval up to 24 h between the administration of ACT-246475 or placebo and ticagrelor may be studied
Part C: Group 3EXPERIMENTALAny time interval up to 24 h between the administration of ACT-246475 or placebo and ticagrelor may be studied

Interventions

NameTypeDescription
SalineDRUGSingle i.v. infusion of 100 mL saline 0.9% for 30 min
ACT-246475DRUGSingle s.c. dose of 4 mg ACT-246475 in the thigh under fasting conditions
RifampicinDRUGSingle i.v. infusion of 600 mg rifampicin (100 mL) for 30 min
ClopidogrelDRUGTablet for oral administration (300 or 600 mg)
PrasugrelDRUGTablet for oral administration (60 mg)
PlaceboDRUGMatching ACT-246475 placebo will consist of sterile 0.9% w/v sodium chloride solution
TicagrelorDRUGTablet for oral administration (180 mg)
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Signed informed consent in a language understandable to the subject prior to any study-mandated procedure * Healthy male and female subjects aged between 18 and 65 years (inclusive) at Screening * Body mass index of 18.0 to 30.0 kg/m2 (inclusive) at Screening * Systolic blood ...

Countries:NetherlandsGermanyUnited States
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Frequently asked questions about ACT-246475

What is ACT-246475 used for?

ACT-246475 is an investigational small molecule being studied in healthy volunteers. It is not approved for any disease and is in Phase 1 clinical development. The completed trials evaluated its interactions with other drugs, its fate in the body, and the effect of rifampicin on its uptake and breakdown.

Who makes ACT-246475?

ACT-246475 is being developed by Viatris Inc. (NASDAQ: VTRS). The company is conducting Phase 1 clinical trials to evaluate the drug's safety and pharmacokinetics in healthy subjects.

What phase is ACT-246475 in?

ACT-246475 is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. All three clinical trials listed for ACT-246475 are Phase 1 studies that have been completed.

What clinical trials is ACT-246475 in?

ACT-246475 has completed three Phase 1 trials: NCT03430661, a study of its interaction with clopidogrel, prasugrel, and ticagrelor in healthy subjects; NCT03593278, a study of its fate in healthy male subjects; and NCT03814200, a study of the effect of rifampicin on its uptake and breakdown.

Is ACT-246475 the same as any other drug?

No alternative names for ACT-246475 have been reported. The drug is identified solely by its code name ACT-246475 in clinical trial records.