A Study to Evaluate the Absorption, Metabolism, and Excretion and Absolute Bioavailability of Xevinapant in Healthy Male Participants

Sponsor
Debiopharm International SA (Industry)
Overall Status
Completed
CT.gov ID
NCT04962724
Collaborator
(none)
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Study Details

Study Description

Brief Summary

The purpose of the study is to determine absorption, metabolism, and excretion of a single oral dose of [14C]-xevinapant. This information will enable assessment of absorption and clearance mechanisms of [14C]-xevinapant as well as identify metabolites. In addition, the study will allow to determine absolute bioavailability of xevinapant and understand its intravenous pharmacokinetics.

Condition or Disease Intervention/Treatment Phase
  • Drug: Radiolabelled Xevinapant 200 mg (Oral Solution)
  • Drug: Radiolabelled Xevinapant 100 μg (IV Solution)
  • Drug: Xevinapant 200 mg (Oral Solution)
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
12 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Basic Science
Official Title:
A Phase 1, Open-label, 2-part, Single-dose Study of the Absorption, Metabolism, and Excretion of Oral [14C]-Xevinapant, and Absolute Oral Bioavailability of Xevinapant in Healthy Male Subjects
Actual Study Start Date :
Aug 2, 2021
Actual Primary Completion Date :
Nov 9, 2021
Actual Study Completion Date :
Nov 9, 2021

Arms and Interventions

Arm Intervention/Treatment
Experimental: Radiolabeled Xevinapant Oral Solution

Participants will receive: • single oral dose of [14C]-xevinapant, as an oral solution

Drug: Radiolabelled Xevinapant 200 mg (Oral Solution)
[14C]-Xevinapant 200 mg administered as an oral solution on Day 1 of Part 1, containing approximately 100 microcurie (μCi) [3.7 megabecquerel (MBq)] in fasted conditions.

Experimental: Radiolabeled Xevinapant Intravenous Solution + Xevinapant Oral Solution

Participants will receive: • single oral dose of xevinapant, as an oral solution followed by an IV bolus of [14C]-xevinapant, solution for infusion

Drug: Radiolabelled Xevinapant 100 μg (IV Solution)
100 μg [14C]-xevinapant single dose administered as an IV bolus on Day 1, containing approximately 0.2 μCi [7.4 kilobecquerel (kBq)].

Drug: Xevinapant 200 mg (Oral Solution)
Xevinapant 200 mg administered as an oral solution on Day 1 of Part 2 in fasted conditions

Outcome Measures

Primary Outcome Measures

  1. Mass Balance Recovery Measured Through Total Radioactivity Excreted in Expired Air, Urine and Feces [Up to Day 29]

  2. Area Under Concentration-Time Curve From Time Zero to Infinity (AUC0-infinity); Time 0 to 24 Hours (AUC0-24); Time 0 to Last Quantifiable Concentration (AUC0-last) of Total Radioactivity in Blood and Plasma, and of Xevinapant and Metabolite in Plasma [Up to Day 29]

  3. Maximum Observed Concentration (Cmax) of Total Radioactivity in Blood and Plasma, and of Xevinapant and Metabolite in Plasma [Up to Day 29]

  4. Time to Maximum Observed Concentration (Tmax) of Total Radioactivity in Blood and Plasma, and of Xevinapant and Metabolite in Plasma [Up to Day 29]

  5. Apparent Terminal Elimination Half-life (T1/2) of Total Radioactivity in Blood and Plasma, and of Xevinapant and Metabolite in Plasma [Up to Day 29]

  6. Apparent Volume of Distribution During Terminal Phase (Vz/F) of Total Radioactivity in Blood and Plasma, and of Xevinapant and Metabolite in Plasma [Up to Day 29]

  7. Apparent Total Clearance (CL/F) of Total Radioactivity in Blood and Plasma and of Xevinapant and Metabolite in Plasma [Up to Day 29]

  8. Renal Clearance (CLr) of Total Radioactivity, Xevinapant and Metabolite [Up to Day 29]

  9. Xevinapant Metabolite Concentrations in Urine, Feces, Blood and Plasma [Up to Day 8]

  10. Absolute Bioavailability (F) of Xevinapant in Plasma [Up to Day 5]

    Absolute Bioavailability (F) = (AUC0-infinity [oral]/ dose [oral]) /(AUC0-infinity [IV]/ dose [IV])

Secondary Outcome Measures

  1. Blood to Plasma Ratio of Xevinapant and Metabolite [Up to Day 8]

  2. Plasma Protein Binding Expressed as Fraction unbound, fu of Xevinapant [Up to Day 8]

  3. Safety and Tolerability as Measured by Number of Participants With Treatment-Emergent Adverse Events [Up to Day 29]

  4. Safety and Tolerability as Measured by Number of Participants With Clinically significant Laboratory Abnormalities [Up to Day 29]

  5. Safety and Tolerability as Measured by Number of Participants With Clinically significant 12-lead ECG Parameters Abnormalities [Up to Day 29]

  6. Safety and Tolerability as Measured by Number of Participants With Clinically significant Vital Signs Abnormalities [Up to Day 29]

  7. Safety and Tolerability as Measured by Number of Participants With Clinically significant Physical Examination Abnormalities [Up to Day 29]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 65 Years
Sexes Eligible for Study:
Male
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Part 1: Males of any race, between 35 and 65 years of age, inclusive. Part 2: Males of any race, between 18 and 65 years of age, inclusive

  • Body mass index between 18.0 and 30.0 kilograms per meter square (kg/m^2), inclusive

  • Weight between 50 kilograms (kg) and 110 kg, inclusive

  • History of a minimum of 1 bowel movement per day.

  • Willing to adhere to the prohibitions and restrictions specified in the study protocol

Exclusion Criteria:
  • Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder, as determined by the Investigator (or designee)

  • History of alcohol consumption of >21 units per week. One unit of alcohol equals 12 ounce (oz) [360 millilitre (mL)] beer, 1½ oz (45 mL) liquor, or 5 oz (150 mL) wine.

  • Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the past 90 days prior to dosing, or less than 5 times the half-life, whichever is longer, prior to administration of study drug

  • Poor peripheral venous access

  • Have participated in any clinical study involving a radiolabeled investigational product within 12 months prior to check-in.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Labcorp Clinical Research Unit Leeds United Kingdom LS2 9LH

Sponsors and Collaborators

  • Debiopharm International SA

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Debiopharm International SA
ClinicalTrials.gov Identifier:
NCT04962724
Other Study ID Numbers:
  • Debio 1143-108
First Posted:
Jul 15, 2021
Last Update Posted:
Dec 27, 2021
Last Verified:
Dec 1, 2021
Individual Participant Data (IPD) Sharing Statement:
Undecided
Plan to Share IPD:
Undecided
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Product Manufactured in and Exported from the U.S.:
No
Keywords provided by Debiopharm International SA
Additional relevant MeSH terms:

Study Results

No Results Posted as of Dec 27, 2021