Trial Outcomes & Findings for Pharmacokinetic Study Comparing Blood Levels of Dasatinib in Healthy Participants Who Received the Tablet Formulation With Those Who Received Liquid and Tablet-dispersed Formulations (NCT NCT01392703)

NCT ID: NCT01392703

Last Updated: 2013-02-11

Results Overview

Single-dose pharmacokinetic parameters, including Cmax, were derived using noncompartmental methods from plasma dasatinib concentration-time data.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

141 participants

Primary outcome timeframe

Days 1-2, Days 5-6, and Days 9-10

Results posted on

2013-02-11

Participant Flow

A total of 141 participants were enrolled, of which 78 were randomized to and received treatment in 1 of 6 sequences(ABC, ACB, BCA, BAC, CAB, or CBA), administered over 3 1-day treatment periods (Days 1, 5, and 9), with treatment changing to next in the sequence at start of each new period. A 3-day washout period followed treatment periods 1 and 2.

Participant milestones

Participant milestones
Measure
Dasatinib, 100 mg as Tablets + Water
Treatment A: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets, plus 240 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Liquid + Water
Treatment B: Participants received a single oral dose of dasatinib, 100 mg, administered as 10 mL of reconstituted suspension of dasatinib powder for oral suspension (10 mg dasatinib/mL) with 230 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Tablets in Orange Juice + Water
Treatment C: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets dispersed in 30 mL of 100% orange juice, followed by 15 mL of orange juice as a rinsing solution plus 195 mL noncarbonated, nonrefrigerated water. All doses were administered in the fasted state.
Day 1
STARTED
26
26
26
Day 1
COMPLETED
26
26
26
Day 1
NOT COMPLETED
0
0
0
Day 5
STARTED
26
25
26
Day 5
COMPLETED
26
25
26
Day 5
NOT COMPLETED
0
0
0
Day 9
STARTED
26
26
25
Day 9
COMPLETED
26
26
25
Day 9
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pharmacokinetic Study Comparing Blood Levels of Dasatinib in Healthy Participants Who Received the Tablet Formulation With Those Who Received Liquid and Tablet-dispersed Formulations

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Treated
n=78 Participants
Age Continuous
36.5 years
STANDARD_DEVIATION 8.75 • n=99 Participants
Age, Customized
Younger than 65 years
78 Participants
n=99 Participants
Sex: Female, Male
Female
7 Participants
n=99 Participants
Sex: Female, Male
Male
71 Participants
n=99 Participants
Race/Ethnicity, Customized
Hispanic/Latino
39 Participants
n=99 Participants
Race/Ethnicity, Customized
Not Hispanic/Latino
39 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Days 1-2, Days 5-6, and Days 9-10

Population: All participants who received at least 1 dose of any study drug and had pharmacokinetic data available.

Single-dose pharmacokinetic parameters, including Cmax, were derived using noncompartmental methods from plasma dasatinib concentration-time data.

Outcome measures

Outcome measures
Measure
Dasatinib, 100 mg as Tablets + Water
n=78 Participants
Treatment A: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets, plus 240 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Liquid + Water
n=77 Participants
Treatment B: Participants received a single oral dose of dasatinib, 100 mg, administered as 10 mL of reconstituted suspension of dasatinib powder for oral suspension (10 mg dasatinib/mL) with 230 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Tablets in Orange Juice + Water
n=77 Participants
Treatment C: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets dispersed in 30 mL of 100% orange juice, followed by 15 mL of orange juice as a rinsing solution plus 195 mL noncarbonated, nonrefrigerated water. All doses were administered in the fasted state.
Maximum Observed Concentration (Cmax) of Dasatinib
114 ng/mL
Geometric Coefficient of Variation 51
106 ng/mL
Geometric Coefficient of Variation 53
110 ng/mL
Geometric Coefficient of Variation 50

PRIMARY outcome

Timeframe: Days 1-2, Days 5-6, and Days 9-10

Population: All participants who received at least 1 dose of any study drug and had pharmacokinetic data available.

Single-dose pharmacokinetic, such as AUC(0-T),parameters were derived using noncompartmental methods from plasma dasatinib concentration-time data.

Outcome measures

Outcome measures
Measure
Dasatinib, 100 mg as Tablets + Water
n=78 Participants
Treatment A: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets, plus 240 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Liquid + Water
n=77 Participants
Treatment B: Participants received a single oral dose of dasatinib, 100 mg, administered as 10 mL of reconstituted suspension of dasatinib powder for oral suspension (10 mg dasatinib/mL) with 230 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Tablets in Orange Juice + Water
n=77 Participants
Treatment C: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets dispersed in 30 mL of 100% orange juice, followed by 15 mL of orange juice as a rinsing solution plus 195 mL noncarbonated, nonrefrigerated water. All doses were administered in the fasted state.
Area Under the Plasma Concentration-time Curve From Zero to the Last Time of the Last Quantifiable Concentration (AUC[0-T])of Dasatinib
374 ng*h/mL
Geometric Coefficient of Variation 45
327 ng*h/mL
Geometric Coefficient of Variation 44
342 ng*h/mL
Geometric Coefficient of Variation 42

PRIMARY outcome

Timeframe: Days 1-2, Days 5-6, and Days 9-10

Population: All participants who received at least 1 dose of any study drug and had pharmacokinetic data available.

Single-dose pharmacokinetic parameters, such as AUC(0-INF) were derived using noncompartmental methods from plasma dasatinib concentration-time data.

Outcome measures

Outcome measures
Measure
Dasatinib, 100 mg as Tablets + Water
n=75 Participants
Treatment A: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets, plus 240 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Liquid + Water
n=77 Participants
Treatment B: Participants received a single oral dose of dasatinib, 100 mg, administered as 10 mL of reconstituted suspension of dasatinib powder for oral suspension (10 mg dasatinib/mL) with 230 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Tablets in Orange Juice + Water
n=77 Participants
Treatment C: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets dispersed in 30 mL of 100% orange juice, followed by 15 mL of orange juice as a rinsing solution plus 195 mL noncarbonated, nonrefrigerated water. All doses were administered in the fasted state.
Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC[0-INF]) of Dasatinib
429 ng*h/mL
Geometric Coefficient of Variation 39
338 ng*h/mL
Geometric Coefficient of Variation 43
353 ng*h/mL
Geometric Coefficient of Variation 41

SECONDARY outcome

Timeframe: Days 1-2, Days 5-6, and Days 9-10

Population: All participants who received at least 1 dose of any study drug and had pharmacokinetic data available.

Single-dose pharmacokinetic parameters, such as Tmax, were derived using noncompartmental methods from plasma dasatinib concentration-time data.

Outcome measures

Outcome measures
Measure
Dasatinib, 100 mg as Tablets + Water
n=78 Participants
Treatment A: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets, plus 240 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Liquid + Water
n=77 Participants
Treatment B: Participants received a single oral dose of dasatinib, 100 mg, administered as 10 mL of reconstituted suspension of dasatinib powder for oral suspension (10 mg dasatinib/mL) with 230 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Tablets in Orange Juice + Water
n=77 Participants
Treatment C: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets dispersed in 30 mL of 100% orange juice, followed by 15 mL of orange juice as a rinsing solution plus 195 mL noncarbonated, nonrefrigerated water. All doses were administered in the fasted state.
Time of Maximum Observed Plasma Concentration (Tmax) of Dasatinib
1.00 Hours
Interval 0.25 to 3.0
0.53 Hours
Interval 0.5 to 3.0
0.50 Hours
Interval 0.5 to 4.0

SECONDARY outcome

Timeframe: Days 1-2, Days 5-6, and Days 9-10

Population: All participants who received at least 1 dose of any study drug and had pharmacokinetic data available.

Outcome measures

Outcome measures
Measure
Dasatinib, 100 mg as Tablets + Water
n=75 Participants
Treatment A: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets, plus 240 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Liquid + Water
n=77 Participants
Treatment B: Participants received a single oral dose of dasatinib, 100 mg, administered as 10 mL of reconstituted suspension of dasatinib powder for oral suspension (10 mg dasatinib/mL) with 230 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Tablets in Orange Juice + Water
n=77 Participants
Treatment C: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets dispersed in 30 mL of 100% orange juice, followed by 15 mL of orange juice as a rinsing solution plus 195 mL noncarbonated, nonrefrigerated water. All doses were administered in the fasted state.
Half-life of Dasatinib
4.96 Hours
Standard Deviation 1.31
4.82 Hours
Standard Deviation 1.17
4.91 Hours
Standard Deviation 1.25

SECONDARY outcome

Timeframe: Continually from enrollment through Day 9 and at study discharge on Day 10

Population: All participants who received at least 1 dose of any study drug.

An AE is any new untoward medical occurrence or worsening of a preexisting medical condition in a patient or clinical investigation participant who has received an investigational (medicinal) product that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of investigational product, whether or not considered related to the investigational product. An SAE is an untoward medical event that at any dose results in death, persistent or significant disability/incapacity; is life-threatening or a congenital anomaly/birth defect; or requires or prolongs hospitalization; is an important medical event that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention.

Outcome measures

Outcome measures
Measure
Dasatinib, 100 mg as Tablets + Water
n=78 Participants
Treatment A: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets, plus 240 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Liquid + Water
n=77 Participants
Treatment B: Participants received a single oral dose of dasatinib, 100 mg, administered as 10 mL of reconstituted suspension of dasatinib powder for oral suspension (10 mg dasatinib/mL) with 230 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Tablets in Orange Juice + Water
n=77 Participants
Treatment C: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets dispersed in 30 mL of 100% orange juice, followed by 15 mL of orange juice as a rinsing solution plus 195 mL noncarbonated, nonrefrigerated water. All doses were administered in the fasted state.
Number of Participants With at Least 1 Adverse Event (AE), With at Least 1 Treatment-related AE, Who Discontinued Due to AEs, and With at Least 1 Serious Adverse Event (SAE)
At least 1 AE
42 Participants
44 Participants
35 Participants
Number of Participants With at Least 1 Adverse Event (AE), With at Least 1 Treatment-related AE, Who Discontinued Due to AEs, and With at Least 1 Serious Adverse Event (SAE)
At least 1 treatment-related AE
39 Participants
43 Participants
34 Participants
Number of Participants With at Least 1 Adverse Event (AE), With at Least 1 Treatment-related AE, Who Discontinued Due to AEs, and With at Least 1 Serious Adverse Event (SAE)
Discontinuation due to AEs
0 Participants
0 Participants
0 Participants
Number of Participants With at Least 1 Adverse Event (AE), With at Least 1 Treatment-related AE, Who Discontinued Due to AEs, and With at Least 1 Serious Adverse Event (SAE)
At least 1 SAE
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Day -1, Screening, and Days 1, 5, 9 and 10 (at study discharge)

Population: All participants who received at least 1 dose of any study drug.

Blood pressure and heart rate were measured after the participant had been seated quietly for at least 5 minutes. ECG findings were recorded after the participant had been supine for at least 5 minutes. Clinically significant as reported by principal investigator.

Outcome measures

Outcome measures
Measure
Dasatinib, 100 mg as Tablets + Water
n=78 Participants
Treatment A: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets, plus 240 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Liquid + Water
Treatment B: Participants received a single oral dose of dasatinib, 100 mg, administered as 10 mL of reconstituted suspension of dasatinib powder for oral suspension (10 mg dasatinib/mL) with 230 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Tablets in Orange Juice + Water
Treatment C: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets dispersed in 30 mL of 100% orange juice, followed by 15 mL of orange juice as a rinsing solution plus 195 mL noncarbonated, nonrefrigerated water. All doses were administered in the fasted state.
Number of Participants With Clinically Significant Changes in Vital Signs or Electrocardiogram (ECG) Findings
QRS and PR intervals
0 Participants
Number of Participants With Clinically Significant Changes in Vital Signs or Electrocardiogram (ECG) Findings
Respiratory rate
0 Participants
Number of Participants With Clinically Significant Changes in Vital Signs or Electrocardiogram (ECG) Findings
Temperature
0 Participants
Number of Participants With Clinically Significant Changes in Vital Signs or Electrocardiogram (ECG) Findings
Systolic blood pressure
0 Participants
Number of Participants With Clinically Significant Changes in Vital Signs or Electrocardiogram (ECG) Findings
Diastolic blood pressure
0 Participants
Number of Participants With Clinically Significant Changes in Vital Signs or Electrocardiogram (ECG) Findings
Heart rate
0 Participants
Number of Participants With Clinically Significant Changes in Vital Signs or Electrocardiogram (ECG) Findings
QT and QTc Intervals
0 Participants

SECONDARY outcome

Timeframe: Day -1, Screening, and Day 9 of current treatment regimen

Population: All participants who received at least 1 dose of any study drug.

Criteria for normal: bilirubin (0.2 to 1.3 mg/dL); lactate dehydrogenase (101 to 227 U/L); eosinophils (0.06 to 0.87\*103 c/μL); erythrocytes (4.2 to 5.8\*10\^6 c/μL). Participants were required to fast for a minimum of 4 hours prior to the collection of specimens for clinical laboratory tests at screening and for at least 8 hours prior to collection on Day -1. Marked abnormalities were reported for the treatment regiment that participants received just prior to clinical laboratory testing.

Outcome measures

Outcome measures
Measure
Dasatinib, 100 mg as Tablets + Water
n=78 Participants
Treatment A: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets, plus 240 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Liquid + Water
n=77 Participants
Treatment B: Participants received a single oral dose of dasatinib, 100 mg, administered as 10 mL of reconstituted suspension of dasatinib powder for oral suspension (10 mg dasatinib/mL) with 230 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Tablets in Orange Juice + Water
n=77 Participants
Treatment C: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets dispersed in 30 mL of 100% orange juice, followed by 15 mL of orange juice as a rinsing solution plus 195 mL noncarbonated, nonrefrigerated water. All doses were administered in the fasted state.
Number of Participants With Marked Abnormalities in Results of Clinical Laboratory Tests
Blood in urine (2+)
1 Participants
0 Participants
0 Participants
Number of Participants With Marked Abnormalities in Results of Clinical Laboratory Tests
Elevated eosinophils
0 Participants
0 Participants
1 Participants
Number of Participants With Marked Abnormalities in Results of Clinical Laboratory Tests
Low erythrocytes
1 Participants
0 Participants
0 Participants
Number of Participants With Marked Abnormalities in Results of Clinical Laboratory Tests
Elevated bilirubin
0 Participants
0 Participants
1 Participants
Number of Participants With Marked Abnormalities in Results of Clinical Laboratory Tests
Elevated lactate dehydrogenase
0 Participants
1 Participants
0 Participants

Adverse Events

Dasatinib, 100 mg as Tablets + Water

Serious events: 0 serious events
Other events: 42 other events
Deaths: 0 deaths

Dasatinib, 100 mg as Liquid + Water

Serious events: 0 serious events
Other events: 44 other events
Deaths: 0 deaths

Dasatinib, 100 mg as Tablets in Orange Juice + Water

Serious events: 0 serious events
Other events: 35 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Dasatinib, 100 mg as Tablets + Water
n=78 participants at risk
Treatment A: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets, plus 240 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Liquid + Water
n=77 participants at risk
Treatment B: Participants received a single oral dose of dasatinib, 100 mg, administered as 10 mL of reconstituted suspension of dasatinib powder for oral suspension (10 mg dasatinib/mL) with 230 mL of noncarbonated, nonrefrigerated water. All doses were administered in the fasted state. A 3-day washout period followed the treatment period.
Dasatinib, 100 mg as Tablets in Orange Juice + Water
n=77 participants at risk
Treatment C: Participants received a single oral dose of dasatinib, 100 mg, administered as 2 50-mg tablets dispersed in 30 mL of 100% orange juice, followed by 15 mL of orange juice as a rinsing solution plus 195 mL noncarbonated, nonrefrigerated water. All doses were administered in the fasted state.
Gastrointestinal disorders
Nausea
2.6%
2/78
1.3%
1/77
5.2%
4/77
Nervous system disorders
Headache
51.3%
40/78
55.8%
43/77
45.5%
35/77

Additional Information

BMS Study Director

Bristol-Myers Squibb

Results disclosure agreements

  • Principal investigator is a sponsor employee Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
  • Publication restrictions are in place

Restriction type: OTHER