A Study to Evaluate Pharmacokinetics (PK) of Etrumadenant Tablet and Capsule Formulations in Healthy Adult Participants

Sponsor
Arcus Biosciences, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT05277012
Collaborator
(none)
24
1
3
1.6
14.9

Study Details

Study Description

Brief Summary

This study will compare the pharmacokinetics (PK) effect of single-dose etrumadenant tablet and capsule formulations in fasted conditions. The effect of food on single-dose PK of tablet formulation will also be assessed.

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
24 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Intervention Model Description:
The study participants will receive 3 treatments (Treatment A, B and C) sequentially during the Treatment Period 1, 2, and 3. Treatment A: etrumadenant capsule in fasted state Treatment B: etrumadenant tablet in fasted state Treatment C: etrumadenant tablet in fed state Each treatment will be separated by a washout period of 7 days.The study participants will receive 3 treatments (Treatment A, B and C) sequentially during the Treatment Period 1, 2, and 3. Treatment A: etrumadenant capsule in fasted state Treatment B: etrumadenant tablet in fasted state Treatment C: etrumadenant tablet in fed state Each treatment will be separated by a washout period of 7 days.
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1, Open-label, Randomized, Single-dose, Three-treatment, Three-way Crossover Pharmacokinetic Study to Evaluate the Relative Bioavailability of Etrumadenant (AB928) Tablet and Capsule Formulations and Food Effect on the Pharmacokinetics of the Tablet Formulation in Healthy Adult Participants
Actual Study Start Date :
Feb 10, 2022
Actual Primary Completion Date :
Mar 31, 2022
Actual Study Completion Date :
Mar 31, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: Treatment sequence ABC

Participants will be sequentially administered with Treatment A, B then C (Treatment A: etrumadenant capsule in fasted state; Treatment B: etrumadenant tablet in fasted state; Treatment C: etrumadenant tablet in fed state). Each treatment will be separated by a washout period of 7 days.

Drug: Etrumadenant
Etrumadenant capsule and tablet formulations
Other Names:
  • AB928
  • Experimental: Treatment sequence BCA

    Participants will be sequentially administered with Treatment B, C then A. Each treatment will be separated by a washout period of 7 days.

    Drug: Etrumadenant
    Etrumadenant capsule and tablet formulations
    Other Names:
  • AB928
  • Experimental: Treatment sequence CAB

    Participants will be sequentially administered with Treatment C, A then B. Each treatment will be separated by a washout period of 7 days.

    Drug: Etrumadenant
    Etrumadenant capsule and tablet formulations
    Other Names:
  • AB928
  • Outcome Measures

    Primary Outcome Measures

    1. Maximum Observed Plasma Concentration (Cmax) of Etrumadenant [Multiple timepoint evaluations from pre-dose to 24 hours post-dose at Days 1, 2, 3, 4, 5, and 6 during Treatment Period 1, 2 and 3]

    2. Area Under the Plasma Concentration-time Curve From 0 to Last Observed Non-zero Concentration [AUC(0-t)] of Etrumadenant [Multiple timepoint evaluations from pre-dose to 24 hours post-dose at Days 1, 2, 3, 4, 5, and 6 during Treatment Period 1, 2 and 3]

    3. Area Under the Plasma Concentration Time Curve From Time '0' Extrapolated to Infinity [AUC(0-inf)] of Etrumadenant [Multiple timepoint evaluations from pre-dose to 24 hours post-dose at Days 1, 2, 3, 4, 5, and 6 during Treatment Period 1, 2 and 3]

    4. Time to Cmax (Tmax) of Etrumadenant [Multiple timepoint evaluations from pre-dose to 24 hours post-dose at Days 1, 2, 3, 4, 5, and 6 during Treatment Period 1, 2 and 3]

    5. Apparent First-order Terminal Elimination Rate Constant (Kel) of Etrumadenant [Multiple timepoint evaluations from pre-dose to 24 hours post-dose at Days 1, 2, 3, 4, 5, and 6 during Treatment Period 1, 2 and 3]

    6. Percentage of AUC(0-inf) Extrapolation (AUC%extrap) of Etrumadenant [Multiple timepoint evaluations from pre-dose to 24 hours post-dose at Days 1, 2, 3, 4, 5, and 6 during Treatment Period 1, 2 and 3]

    7. Apparent First Order Terminal Elimination Half-life (t1/2) of Etrumadenant [Multiple timepoint evaluations from pre-dose to 24 hours post-dose at Days 1, 2, 3, 4, 5, and 6 during Treatment Period 1, 2 and 3]

    8. Apparent Total Plasma Clearance (CL/F) of Etrumadenant [Multiple timepoint evaluations from pre-dose to 24 hours post-dose at Days 1, 2, 3, 4, 5, and 6 during Treatment Period 1, 2 and 3]

    9. Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of Etrumadenant [Multiple timepoint evaluations from pre-dose to 24 hours post-dose at Days 1, 2, 3, 4, 5, and 6 during Treatment Period 1, 2 and 3]

    10. Ratio of Etrumadenant metabolites to Etrumadenant [Multiple timepoint evaluations from pre-dose to 24 hours post-dose at Days 1, 2, 3, 4, 5, and 6 during Treatment Period 1, 2 and 3]

    11. Ratio of Etrumadenant metabolites to Total Metabolite Concentration [Multiple timepoint evaluations from pre-dose to 24 hours post-dose at Days 1, 2, 3, 4, 5, and 6 during Treatment Period 1, 2 and 3]

    Secondary Outcome Measures

    1. Number of Participants with Treatment Emergent Adverse Events (TEAEs) [Up to 4 months]

      Safety will be assessed by monitoring adverse events and clinically significant changes in 12 lead Electrocardiogram, vital signs, and clinical laboratory tests results.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    19 Years to 55 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Healthy, adult, male or female (non-childbearing potential), 19-55 years of age, inclusive, at the screening visit.

    • Body mass index (BMI) between 18.0 and 32.0 kilograms/m^2 inclusive, at screening.

    • Healthy as determined by medical history, physical examination, vital signs, and ECG assessed at the screening visit.

    • Clinical laboratory test results clinically acceptable at screening and check in.

    • Non-smokers or ex-smokers [must have ceased smoking and stopped using nicotine containing products greater than (>) 3 months prior to the first dosing] based on participant self-reporting.

    • Able to swallow multiple capsules or tablets.

    Exclusion Criteria:
    • Participants who have a clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, hematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, rheumatological, dermatological, endocrine, connective tissue diseases or disorders, in the opinion of the PI or designee.

    • Have a clinically relevant surgical history, in the opinion of the PI or designee.

    • History of relevant atopy or hypersensitivity to etrumadenant or related compounds.

    • History or presence of alcohol or drug abuse within the past 2 years prior to the first dosing.

    • History (within 3 months of screening visit) of alcohol consumption exceeding 2 standard drinks per day on average (1 standard drink = 10 g of alcohol [equivalent to approximately 8 oz of beer (5.5% alcohol); 1 oz of 45% alcohol; or 3.5 oz of wine (12% alcohol)] based on self-reporting.

    • Have a significant infection or known inflammatory process upon screening or check in, in the opinion of the PI or designee.

    • Have acute gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea, heartburn) at the time of screening or check in.

    • Female participants of childbearing potential.

    • Positive results for hepatitis B, C, HIV-1 or HIV-2.

    • Clinically significant hypokalemia in the opinion of the PI or designee.

    • Have been on a diet incompatible with the on study diet, in the opinion of the PI or designee, within the 30 days prior to the first dosing.

    • Donation of blood or significant blood loss within 56 days prior to the first dosing.

    • Plasma donation within 7 days prior to the first dosing.

    • Participation in another clinical study within 30 days prior to the first dosing.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Investigational Site Lincoln Nebraska United States 68502

    Sponsors and Collaborators

    • Arcus Biosciences, Inc.

    Investigators

    • Study Director: Medical Director, Arcus Biosciences

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Arcus Biosciences, Inc.
    ClinicalTrials.gov Identifier:
    NCT05277012
    Other Study ID Numbers:
    • ARC-23
    First Posted:
    Mar 14, 2022
    Last Update Posted:
    May 3, 2022
    Last Verified:
    May 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Arcus Biosciences, Inc.

    Study Results

    No Results Posted as of May 3, 2022