Trial Outcomes & Findings for A Study to Investigate the Relative Bioavailability of Entrectinib Capsule Formulations F1 and F06 Under Fed Conditions in Healthy Participants (NCT NCT03796260)

NCT ID: NCT03796260

Last Updated: 2020-02-26

Results Overview

The area under the concentration-time curve extrapolated to infinity is calculated using the formula: AUC0-inf = AUC0-t + (Ct/λz) where Ct is the last measurable concentration and λz is the apparent terminal elimination rate constant. The presented values in the table are based on all 14 participants receiving the F1 formulation in a 2-way crossover pattern.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

14 participants

Primary outcome timeframe

At pre-defined intervals from study Day 1 through Day 5 of each Period (Periods 1 and 2 = 6 days)

Results posted on

2020-02-26

Participant Flow

Participant milestones

Participant milestones
Measure
F1 to F06 Crossover
Participants first randomized to F1/F06 arm and received a single oral dose of entrectinib F1 (test formulation) on Day 1 of Period 1 after a standardized meal. This dose was followed by a minimum 14-day washout period, after which participants received a single oral dose of entrectinib F06 (reference formulation) under fed conditions on Day 1 of Period 2 (Periods 1 and 2 = 6 days).
F06 to F1 Crossover
Participants first randomized to this arm received a single oral dose of entrectinib F06 (reference formulation) on Day 1 of Period 1 after a standardized meal. This dose was followed by a minimum 14-day washout period, after which participants received a single oral dose of entrectinib F1 (test formulation) under fed conditions on Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Period 1
STARTED
7
7
Period 1
COMPLETED
7
7
Period 1
NOT COMPLETED
0
0
Period 2
STARTED
7
7
Period 2
COMPLETED
7
7
Period 2
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Investigate the Relative Bioavailability of Entrectinib Capsule Formulations F1 and F06 Under Fed Conditions in Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
F1 to F06 Crossover
n=7 Participants
Participants first randomized to F1/F06 arm and received a single oral dose of entrectinib F1 (test formulation) on Day 1 of Period 1 after a standardized meal. This dose was followed by a minimum 14-day washout period, after which participants received a single oral dose of entrectinib F06 (reference formulation) under fed conditions on Day 1 of Period 2 (Periods 1 and 2 = 6 days).
F06 to F1 Crossover
n=7 Participants
Participants first randomized to this arm received a single oral dose of entrectinib F06 (reference formulation) on Day 1 of Period 1 after a standardized meal. This dose was followed by a minimum 14-day washout period, after which participants received a single oral dose of entrectinib F1 (test formulation) under fed conditions on Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Total
n=14 Participants
Total of all reporting groups
Age, Continuous
37.3 Years
STANDARD_DEVIATION 11.7 • n=99 Participants
33.3 Years
STANDARD_DEVIATION 10.5 • n=107 Participants
36 Years
STANDARD_DEVIATION 11.6 • n=206 Participants
Sex: Female, Male
Female
4 Participants
n=99 Participants
3 Participants
n=107 Participants
7 Participants
n=206 Participants
Sex: Female, Male
Male
3 Participants
n=99 Participants
4 Participants
n=107 Participants
7 Participants
n=206 Participants
Race/Ethnicity, Customized
White
5 Participants
n=99 Participants
7 Participants
n=107 Participants
12 Participants
n=206 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race/Ethnicity, Customized
Multiple
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race/Ethnicity, Customized
Hispanic or Latino
4 Participants
n=99 Participants
6 Participants
n=107 Participants
10 Participants
n=206 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
3 Participants
n=99 Participants
1 Participants
n=107 Participants
4 Participants
n=206 Participants

PRIMARY outcome

Timeframe: At pre-defined intervals from study Day 1 through Day 5 of each Period (Periods 1 and 2 = 6 days)

Population: The PK Population included all participants who received at least 1 dose of study drug and had at least 1 evaluable postdose pharmacokinetic (PK) sample.

The area under the concentration-time curve extrapolated to infinity is calculated using the formula: AUC0-inf = AUC0-t + (Ct/λz) where Ct is the last measurable concentration and λz is the apparent terminal elimination rate constant. The presented values in the table are based on all 14 participants receiving the F1 formulation in a 2-way crossover pattern.

Outcome measures

Outcome measures
Measure
F1 Test Formulation
n=14 Participants
Participants who received a single oral dose of entrectinib F1 (test formulation) on Day 1 of Period 1 and Day 1 of Period 2 after a standardized meal (Periods 1 and 2 = 6 days).
F06 Reference Formulation
n=14 Participants
Participants who received a single oral dose of entrectinib F06 (reference formulation) on Day 1 of Period 1 and Day 1 of Period 2 after a standardized meal (Periods 1 and 2 = 6 days).
Area Under the Concentration-Time Curve Extrapolated to Infinity (AUC0-inf) of Entrectinib and M5 Metabolite
Entrectinib
44000 nmol*h/L
Geometric Coefficient of Variation 52.0
44900 nmol*h/L
Geometric Coefficient of Variation 50.1
Area Under the Concentration-Time Curve Extrapolated to Infinity (AUC0-inf) of Entrectinib and M5 Metabolite
M5 Metabolite
14400 nmol*h/L
Geometric Coefficient of Variation 51.09
15000 nmol*h/L
Geometric Coefficient of Variation 50.8

PRIMARY outcome

Timeframe: At pre-defined intervals from study Day 1 through Day 5 of each Period (Periods 1 and 2 = 6 days)

Population: The PK Population included all participants who received at least 1 dose of study drug and had at least 1 evaluable postdose PK sample.

The area under the concentration-time curve calculated from Hour 0 to the last measurable concentration, calculated using the linear trapezoidal rule for increasing concentrations and the logarithmic rule for decreasing concentrations. The presented values in the table are based on all 14 participants receiving the F1 formulation in a 2-way crossover pattern.

Outcome measures

Outcome measures
Measure
F1 Test Formulation
n=14 Participants
Participants who received a single oral dose of entrectinib F1 (test formulation) on Day 1 of Period 1 and Day 1 of Period 2 after a standardized meal (Periods 1 and 2 = 6 days).
F06 Reference Formulation
n=14 Participants
Participants who received a single oral dose of entrectinib F06 (reference formulation) on Day 1 of Period 1 and Day 1 of Period 2 after a standardized meal (Periods 1 and 2 = 6 days).
Area Under the Concentration-Time Curve (AUC0-t) of Entrectinib and M5 Metabolite
Entrectinib
41200 nmol*h/L
Geometric Coefficient of Variation 50.9
42100 nmol*h/L
Geometric Coefficient of Variation 48.5
Area Under the Concentration-Time Curve (AUC0-t) of Entrectinib and M5 Metabolite
M5 Metabolite
11600 nmol*h/L
Geometric Coefficient of Variation 49.4
12600 nmol*h/L
Geometric Coefficient of Variation 48.2

PRIMARY outcome

Timeframe: At pre-defined intervals from study Day 1 through Day 5 of each Period (Periods 1 and 2 = 6 days)

Population: The PK Population included all participants who received at least 1 dose of study drug and had at least 1 evaluable postdose PK sample.

The presented values in the table are based on all 14 participants receiving the F1 formulation in a 2-way crossover pattern.

Outcome measures

Outcome measures
Measure
F1 Test Formulation
n=14 Participants
Participants who received a single oral dose of entrectinib F1 (test formulation) on Day 1 of Period 1 and Day 1 of Period 2 after a standardized meal (Periods 1 and 2 = 6 days).
F06 Reference Formulation
n=14 Participants
Participants who received a single oral dose of entrectinib F06 (reference formulation) on Day 1 of Period 1 and Day 1 of Period 2 after a standardized meal (Periods 1 and 2 = 6 days).
Maximum Observed Concentration (Cmax) of Entrectinib and M5 Metabolite
Entrectinib
1870 nmol/L
Geometric Coefficient of Variation 49.4
2000 nmol/L
Geometric Coefficient of Variation 37.6
Maximum Observed Concentration (Cmax) of Entrectinib and M5 Metabolite
M5 Metabolite
427 nmol/L
Geometric Coefficient of Variation 60.8
487 nmol/L
Geometric Coefficient of Variation 50.6

SECONDARY outcome

Timeframe: Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])

Population: The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.

An adverse event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.

Outcome measures

Outcome measures
Measure
F1 Test Formulation
n=14 Participants
Participants who received a single oral dose of entrectinib F1 (test formulation) on Day 1 of Period 1 and Day 1 of Period 2 after a standardized meal (Periods 1 and 2 = 6 days).
F06 Reference Formulation
n=14 Participants
Participants who received a single oral dose of entrectinib F06 (reference formulation) on Day 1 of Period 1 and Day 1 of Period 2 after a standardized meal (Periods 1 and 2 = 6 days).
Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)
28.6 Percentage of Participants
21.4 Percentage of Participants

Adverse Events

F1 Test Formulation

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

F06 Reference Formulation

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
F1 Test Formulation
n=14 participants at risk
Participants who received a single oral dose of entrectinib F1 (test formulation) on Day 1 of Period 1 and Day 1 of Period 2 after a standardized meal (Periods 1 and 2 = 6 days).
F06 Reference Formulation
n=14 participants at risk
Participants who received a single oral dose of entrectinib F06 (reference formulation) on Day 1 of Period 1 and Day 1 of Period 2 after a standardized meal (Periods 1 and 2 = 6 days).
Nervous system disorders
Headache
7.1%
1/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
7.1%
1/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
Nervous system disorders
Paraesthesia
7.1%
1/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
7.1%
1/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
Nervous system disorders
Cognitive disorder
0.00%
0/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
7.1%
1/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
Nervous system disorders
Parosmia
7.1%
1/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
0.00%
0/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
Gastrointestinal disorders
Paraesthesia oral
14.3%
2/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
0.00%
0/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
Gastrointestinal disorders
Dyspepsia
0.00%
0/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
7.1%
1/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
Gastrointestinal disorders
Nausea
7.1%
1/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
0.00%
0/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
General disorders
Fatigue
7.1%
1/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
0.00%
0/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
Metabolism and nutrition disorders
Decreased appetite
7.1%
1/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
0.00%
0/14 • Baseline through the end of study (up to clinical cut-off date 04 Feb 2019 [27 days])
The Safety Population included all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.

Additional Information

Medical Communications

Hoffmann-La Roche

Phone: 800 821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER