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Combined contraceptives

Phase 1

Healthy Subjects | Small molecule | Other |Viatris Inc.|Last Updated: Sep 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
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment97
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04255277To Study the Effect of Cenerimod on the Electrical Activity of the Heart, in Men and Women. To Study the Effect of Cenerimod on the Use of Oral Contraceptives in Women. To Study the Effect That Charcoal Has on the Elimination of Cenerimod From the Body, in Women and Men.PHASE1 COMPLETED 97Jan 31, 2020Oct 18, 2021Sep 22, 20251 France
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Study Endpoints
Primary Endpoints
Placebo-corrected, change-from-baseline QTcF (ΔΔQTcF)
Day 6, 7, 14, 21, 35, and 56.

ECG variables will be assessed from ECGs extracted in replicates at predefined time points from continuous 24 hour Holter ECG recordings.

Maximum plasma concentration (Cmax): levonorgestrel
Day 1 to Day 3; Day 42 to Day 44

Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points.

Maximum plasma concentration (Cmax): ethinylestradiol
Day 1 to Day 3; Day 42 to Day 44

Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points.

Time to reach Cmax (tmax): levonorgestrel
Day 1 to Day 3; Day 42 to Day 44

Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points.

Time to reach Cmax (tmax): ethinylestradiol
Day 1 to Day 3; Day 42 to Day 44

Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points.

The area under the plasma concentration-time curve (AUC) from zero to infinity (AUC0-inf): levonorgestrel
Day 1 to Day 3; Day 42 to Day 44

Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points.

The area under the plasma concentration-time curve (AUC) from zero to t (AUC0-t): levonorgestrel
Day 1 to Day 3; Day 42 to Day 44

Blood samples for determination of PK parameters will be collected at predefined

The area under the plasma concentration-time curve (AUC) from zero to infinity (AUC0-inf): ethinylestradiol
Day 1 to Day 3; Day 42 to Day 44

Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points.

The area under the plasma concentration-time curve (AUC) from zero to t (AUC0-t): ethinylestradiol
Day 1 to Day 3; Day 42 to Day 44

Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points.

Terminal elimination half-life (t1/2): levonorgestrel
Day 56 to Day 68

Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points.

Terminal elimination half-life (t1/2): ethinylestradiol
Day 56 to Day 68

Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points.

Terminal elimination half-life (t1/2): cenerimod
Day 56 to Day 68

Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points.

Area under the plasma concentration-time curve (AUC) from Day 56 to infinity (AUC56-inf) for cenerimod
Day 56 to Day 68

Blood samples for determination of pharmacokinetic parameters will be collected at multiple predefined time points.

Secondary Endpoints
Change from baseline in total lymphocyte count to each time point
Day 5, Day 7, Day 14, Day 21, Day 35, Day 56, Day 57, Day 58, Day 1, Day 64, and Day 67
Maximum plasma concentration (Cmax): cenerimod
Day 7, Day 14, Day 21, Day 35, and Day 56
Time to reach Cmax (tmax): cenerimod
Day 7, Day 14, Day 21, Day 35, and Day 56
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeOTHER
Treatment Arms
ArmTypeDescription
Period 1: First administration of combined oral contraceptivesOTHERParticipants randomized to placebo or cenerimod will receive a single oral dose of levonorgestrel (100 μg) and ethinylestradiol (20 μg) in the morning on Day 1.
Period 2: Second administration of Combined Oral ContraceptiveOTHERParticipants randomized to placebo or cenerimod will receive a single oral dose of levonorgestrel (100 μg) and ethinylestradiol (20 μg) in the morning on Day 42.
Period 2: Cenerimod 0.5 mgEXPERIMENTALParticipants randomized to cenerimod 0.5 mg will receive a single oral dose in the morning from Day 7 to Day 56.
Period 2: Cenerimod 4 mgEXPERIMENTALParticipants randomized to cenerimod 4 mg will receive a single oral dose in the morning from Day 7 to Day 56.
Period 2: MoxifloxacinOTHERParticipants randomized to moxifloxacin will receive a single oral 400 mg dose in the morning of Day 42.
Period 2: PlaceboPLACEBO_COMPARATORParticipants randomized to placebo will receive a single oral dose of placebo in the morning from Day 7 to Day 56.
Period 3: Cenerimod 0.5 mg and charcoalEXPERIMENTALParticipants randomized to cenerimod 0.5 mg in Period 2 will receive 50 g of activated charcoal every 12 hours from Day 57 to Day 67.
Period 3: Cenerimod 4 mg and charcoalEXPERIMENTALParticipants randomized to cenerimod 4 mg in Period 2 will receive 50 g of activated charcoal every 12 hours from Day 57 to Day 67.
Period 3: Cenerimod elimination periodNO_INTERVENTIONParticipants randomized to cenerimod 0.5 mg or 4 mg in Period 2 will receive no treatment (i.e., activated charcoal from Day 57 to Day 67) but will have blood samples taken.
Interventions
NameTypeDescription
Combined oral contraceptives (COC)DRUGA commercially available COC consisting of 0.1mg levonorgestrel and 0.02 mg ethinylestradiol will be used and administered open-label.
Moxifloxacin 400mgDRUGA commercially available formulation of moxifloxacin 400 mg will be used and administered open-label. All tablets will be from the same batch.
Cenerimod 0.5 mgDRUGThis will be administered orally as a film-coated tablet in the morning.
Cenerimod 4 mgDRUGThis will be administered orally as a film-coated tablet in the morning.
Charcoal, activatedOTHERGranules for oral suspension will be used and administered open-label.
Matching PlaceboDRUGCenerimod matching placebo tablets will be administered once daily orally in the morning.
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Signed informed consent in a language understandable to the participant prior to any study-mandated procedure. * Body mass index of 18.0 to 29.9 kg/m\^2 (inclusive) at the screening. * No clinically relevant findings on the physical examination at screening. * Systolic blood p...

Countries:France
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