Trial Outcomes & Findings for Human Absorption, Distribution and Metabolism Study (hAME) [14C]-KD025 (NCT NCT03907540)

NCT ID: NCT03907540

Last Updated: 2022-05-26

Results Overview

Apparent terminal elimination half-life (t\[1/2\] for Part 1: (Treatment A) KD025 200 mg tablet, fed (Day 1). then 1.75 hours later (Treatment B) \[14C\]-KD025 solution for infusion 20 microgm/mL (100 microgm in 5 mL) containing \<= 37 kilobecquerel as 15 min IV infusion 100 microgm, fed

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

5 participants

Primary outcome timeframe

Plasma samples belumosudil relative to oral dosing: 0,0.5,1,1.5,2,3,4,5,6,8,10,12,24,36, and 48 hours post-dosing. Plasma samples [14C]-KD025 relative to end infusion:-0.25,-0.16,-0.08,0,0.08,0.16,0.25,0.5,0.75,1,1.5,2,3,4,5,6,8,10,12,22,34, and 46 h

Results posted on

2022-05-26

Participant Flow

Participant milestones

Participant milestones
Measure
All Subjects (Part 1 and Part 2)
Part 1: (Treatment A) KD025 200 mg tablet, fed (Day 1). then 1.75 hours later (Treatment B) \[14C\]-KD025 solution for infusion, 20 μg/mL (100 μg in 5 mL), containing not more than 37 kBq (1000 nCi) \[14C\], as a 15 min IV infusion, 100 μg, fed Part 2: (Treatment C) Single \[14C\]-KD025 capsule 200 mg containing \<= 9.8 megabecquerel 14C, fed
Overall Study
STARTED
5
Overall Study
Completed Part 1
5
Overall Study
Completed Part 2
5
Overall Study
COMPLETED
5
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Human Absorption, Distribution and Metabolism Study (hAME) [14C]-KD025

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Subjects
n=5 Participants
All subjects who received a single dose \[14C\]-KD025 and oral belumosudil tablet
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=39 Participants
Body Mass Index (kg/m^2)
27.86 kg/m^2
STANDARD_DEVIATION 3.06 • n=39 Participants
Age, Continuous
53.0 Years
STANDARD_DEVIATION 8.7 • n=39 Participants
Sex: Female, Male
Female
0 Participants
n=39 Participants
Sex: Female, Male
Male
5 Participants
n=39 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=39 Participants
Race (NIH/OMB)
White
4 Participants
n=39 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants

PRIMARY outcome

Timeframe: Plasma samples belumosudil relative to oral dosing: 0,0.5,1,1.5,2,3,4,5,6,8,10,12,24,36, and 48 hours post-dosing. Plasma samples [14C]-KD025 relative to end infusion:-0.25,-0.16,-0.08,0,0.08,0.16,0.25,0.5,0.75,1,1.5,2,3,4,5,6,8,10,12,22,34, and 46 h

Population: All subjects

Apparent terminal elimination half-life (t\[1/2\] for Part 1: (Treatment A) KD025 200 mg tablet, fed (Day 1). then 1.75 hours later (Treatment B) \[14C\]-KD025 solution for infusion 20 microgm/mL (100 microgm in 5 mL) containing \<= 37 kilobecquerel as 15 min IV infusion 100 microgm, fed

Outcome measures

Outcome measures
Measure
Part 1: Treatment A
n=5 Participants
Belumosudil 200 mg Tablet
Part 1: Treatment B
n=5 Participants
\[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV (20 μg per mL)
Cumulative Total Ae (%)
Percentage of \[14C\]-KD025 200 mg oral capsule excreted overall
Part 1 Pharmacokinetics: t(1/2) for Belumosudil Tablet and [14C]-KD025 IV
5.298 Hours
Geometric Coefficient of Variation 66.7
5.857 Hours
Geometric Coefficient of Variation 35.8

SECONDARY outcome

Timeframe: Plasma samples belumosudil relative oral dosing: 0,0.5,1,1.5,2,3,4,5,6,7,8,10,12,24,36, and 48 hours post-dosing. Plasma samples [14C]-KD025 relative to end infusion:-0.25,-0.16,-0.08,0,0.08,0.16,0.25,0.5,0.75,1, 1.5,2,3,4,5,6,8,10,12,22,34,and 46 h

Part 1: Time of maximum plasma concentration (Tmax) for belumosudil 200 mg oral tablet and \[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV

Outcome measures

Outcome measures
Measure
Part 1: Treatment A
n=5 Participants
Belumosudil 200 mg Tablet
Part 1: Treatment B
n=5 Participants
\[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV (20 μg per mL)
Cumulative Total Ae (%)
Percentage of \[14C\]-KD025 200 mg oral capsule excreted overall
Part 1 Pharmacokinetics: Tmax for Belumosudil Tablet and [14C]-KD025
2.000 Hours
Interval 1.0 to 4.0
0.248 Hours
Interval 0.24 to 0.25

SECONDARY outcome

Timeframe: Plasma samples belumosudil relative to oral dosing: 0,0.5,1,1.5,2,3,4,5,6,7,8,10,12,24,36, and 48 hours post-dosing.

The maximum concentration (Cmax) of belumosudil 200 mg tablets

Outcome measures

Outcome measures
Measure
Part 1: Treatment A
n=5 Participants
Belumosudil 200 mg Tablet
Part 1: Treatment B
\[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV (20 μg per mL)
Cumulative Total Ae (%)
Percentage of \[14C\]-KD025 200 mg oral capsule excreted overall
Part 1 Pharmacokinetics: Cmax of Belumosudil Tablets
1870 ng/mL
Geometric Coefficient of Variation 36.7

SECONDARY outcome

Timeframe: Plasma samples for [14C]-KD025 relative to end of infusion:-0.25,-0.16,-0.08,0,0.08,0.16,0.25,0.5,0.75,1, 1.5,2,3,4,5,6,8,10,12,22,34,46 hours post-dose

The maximum concentration (Cmax) of belumosudil \[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV

Outcome measures

Outcome measures
Measure
Part 1: Treatment A
n=5 Participants
Belumosudil 200 mg Tablet
Part 1: Treatment B
\[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV (20 μg per mL)
Cumulative Total Ae (%)
Percentage of \[14C\]-KD025 200 mg oral capsule excreted overall
Part 1 Pharmacokinetics: Cmax of [14C]-KD025 IV
4480 (pg/mL)/(ng equiv/mL)
Geometric Coefficient of Variation 18.0

SECONDARY outcome

Timeframe: Plasma samples for belumosudil relative to oral dosing: 0,0.5,1,1.5,2,3,4,5,6,7,8,10,12,24,36, and 48 hours post-dosing.

The area under the concentration-time curve from zero extrapolated to infinity (AUC\[0-inf\]) of belumosudil 200 mg tablets

Outcome measures

Outcome measures
Measure
Part 1: Treatment A
n=5 Participants
Belumosudil 200 mg Tablet
Part 1: Treatment B
\[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV (20 μg per mL)
Cumulative Total Ae (%)
Percentage of \[14C\]-KD025 200 mg oral capsule excreted overall
Part 1 Pharmacokinetics: AUC(0-inf) of Belumosudil Tablets
8300 (ng*h)/mL
Geometric Coefficient of Variation 40.2

SECONDARY outcome

Timeframe: Plasma samples for [14C]-KD025 relative to end of infusion:-0.25,-0.16,-0.08,0,0.08,0.16,0.25,0.5,0.75,1, 1.5,2,3,4,5,6,8,10,12,22,34,and 46 hours post-dose

The area under the concentration-time curve from zero extrapolated to infinity (AUC\[0-inf\]) of \[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV

Outcome measures

Outcome measures
Measure
Part 1: Treatment A
n=5 Participants
Belumosudil 200 mg Tablet
Part 1: Treatment B
\[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV (20 μg per mL)
Cumulative Total Ae (%)
Percentage of \[14C\]-KD025 200 mg oral capsule excreted overall
Part 1 Pharmacokinetics: AUC(0-inf) of [14C]-KD025 IV
6480 ((ng*h)/mL)/(ng equiv*h/mL)
Geometric Coefficient of Variation 29.3

SECONDARY outcome

Timeframe: Plasma samples for belumosudil relative to oral dosing: 0,0.5,1,1.5,2,3,4,5,6,7,8,10,12,24,36, and 48 hours post-dosing.

The absolute bioavailability following oral administration of belumosudil 200 mg tablet, based on the area under the concentration-time curve from zero dosing extrapolated to infinity (AUC\[0-inf\])

Outcome measures

Outcome measures
Measure
Part 1: Treatment A
n=5 Participants
Belumosudil 200 mg Tablet
Part 1: Treatment B
\[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV (20 μg per mL)
Cumulative Total Ae (%)
Percentage of \[14C\]-KD025 200 mg oral capsule excreted overall
Part 1: Absolute Bioavailability of Belumosudil 200 mg Tablet
64 Percentage

SECONDARY outcome

Timeframe: Cumulative sample collection time frame 0-6 hours, 0-12 hours, 0-24 hours, 0-48 hours, 0-72 hours, 0-96 hours, 0-120 hours, 0-144 hours, 0-168 hours, 0-192 hours, 0-216 hours post-dose

Cumulative amount of total radioactivity excreted and recovered in urine, feces and total excreta (urine and feces combined) following dosing with \[14C\]-KD025 200 mg oral capsule.

Outcome measures

Outcome measures
Measure
Part 1: Treatment A
n=5 Participants
Belumosudil 200 mg Tablet
Part 1: Treatment B
n=5 Participants
\[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV (20 μg per mL)
Cumulative Total Ae (%)
n=5 Participants
Percentage of \[14C\]-KD025 200 mg oral capsule excreted overall
Part 2: Mass Balance Recovery Following 200 mg Oral Dose of [14C]-KD025 Capsule
0-24 (hours)
3.773 Percentage
27.431 Percentage
31.203 Percentage
Part 2: Mass Balance Recovery Following 200 mg Oral Dose of [14C]-KD025 Capsule
0-48 (hours)
3.933 Percentage
75.499 Percentage
79.432 Percentage
Part 2: Mass Balance Recovery Following 200 mg Oral Dose of [14C]-KD025 Capsule
0-72 (hours)
3.958 Percentage
81.597 Percentage
85.555 Percentage
Part 2: Mass Balance Recovery Following 200 mg Oral Dose of [14C]-KD025 Capsule
0-96 (hours)
3.966 Percentage
83.044 Percentage
87.010 Percentage
Part 2: Mass Balance Recovery Following 200 mg Oral Dose of [14C]-KD025 Capsule
0-216 (hours)
3.980 Percentage
84.553 Percentage
88.533 Percentage
Part 2: Mass Balance Recovery Following 200 mg Oral Dose of [14C]-KD025 Capsule
0-6 (hours)
2.194 Percentage
NA Percentage
Feces sample only collected once per day and reported in the 0-24 hour period.
NA Percentage
Feces sample only collected once per day and reported in the 0-24 hour period.
Part 2: Mass Balance Recovery Following 200 mg Oral Dose of [14C]-KD025 Capsule
0-12 (hours)
3.343 Percentage
NA Percentage
Feces sample only collected once per day and reported in the 0-24 hour period.
NA Percentage
Feces sample only collected once per day and reported in the 0-24 hour period.
Part 2: Mass Balance Recovery Following 200 mg Oral Dose of [14C]-KD025 Capsule
0-120 (hours)
3.972 Percentage
84.070 Percentage
88.042 Percentage
Part 2: Mass Balance Recovery Following 200 mg Oral Dose of [14C]-KD025 Capsule
0-144 (hours)
3.976 Percentage
84.340 Percentage
88.315 Percentage
Part 2: Mass Balance Recovery Following 200 mg Oral Dose of [14C]-KD025 Capsule
0-168 (hours)
3.977 Percentage
84.436 Percentage
88.413 Percentage
Part 2: Mass Balance Recovery Following 200 mg Oral Dose of [14C]-KD025 Capsule
0-192 (hours)
3.979 Percentage
84.493 Percentage
84.472 Percentage

SECONDARY outcome

Timeframe: Time Relative to Belumosudil Dosing: 0,0.5,1,1.5,2,3,4,5,6,8,10,12,24,36,48,72,96,120,144, and 168 hours post-dose

Time of maximum concentration (Tmax) following a single oral dose of 200 mg \[14C\]-KD025 capsule

Outcome measures

Outcome measures
Measure
Part 1: Treatment A
n=5 Participants
Belumosudil 200 mg Tablet
Part 1: Treatment B
\[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV (20 μg per mL)
Cumulative Total Ae (%)
Percentage of \[14C\]-KD025 200 mg oral capsule excreted overall
Part 2 Pharmacokinetics: Tmax of 200 mg [14C]-KD025
2.000 Hours
Interval 1.5 to 2.05

SECONDARY outcome

Timeframe: Time Relative to Belumosudil Dosing: 0,0.5,1,1.5,2,3,4,5,6,8,10,12,24,36,48,72,96,120,144, and 168 hours post-dose

Apparent terminal elimination half-life (t\[1/2\]) following a single oral dose of 200 mg \[14C\]-KD025 capsule

Outcome measures

Outcome measures
Measure
Part 1: Treatment A
n=5 Participants
Belumosudil 200 mg Tablet
Part 1: Treatment B
\[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV (20 μg per mL)
Cumulative Total Ae (%)
Percentage of \[14C\]-KD025 200 mg oral capsule excreted overall
Part 2 Pharmacokinetics: t(1/2) of 200 mg [14C]-KD025
5.109 Hours
Geometric Coefficient of Variation 37.9

SECONDARY outcome

Timeframe: Time Relative to Belumosudil Dosing: 0,0.5,1,1.5,2,3,4,5,6,8,10,12,24,36,48,72,96,120,144, and 168 hours post-dose

Maximum concentration following a single oral dose of 200 mg \[14C\]-KD025 capsule

Outcome measures

Outcome measures
Measure
Part 1: Treatment A
n=5 Participants
Belumosudil 200 mg Tablet
Part 1: Treatment B
\[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV (20 μg per mL)
Cumulative Total Ae (%)
Percentage of \[14C\]-KD025 200 mg oral capsule excreted overall
Part 2 Pharmacokinetics: Cmax of 200 mg [14C]-KD025
1680 ng/mL
Geometric Coefficient of Variation 32.1

SECONDARY outcome

Timeframe: Time Relative to Belumosudil Dosing: 0,0.5,1,1.5,2,3,4,5,6,8,10,12,24,36,48,72,96,120,144, and 168 hours post-dose

Area under the concentration-time curve from zero dosing extrapolated to infinity following a single oral dose of 200 mg \[14C\]-KD025 capsule

Outcome measures

Outcome measures
Measure
Part 1: Treatment A
n=5 Participants
Belumosudil 200 mg Tablet
Part 1: Treatment B
\[14C\]-KD025 at a dose of 100 μg in a 5 mL solution IV (20 μg per mL)
Cumulative Total Ae (%)
Percentage of \[14C\]-KD025 200 mg oral capsule excreted overall
Part 2 Pharmacokinetics: AUC(0-inf) of 200 mg [14C]-KD025
8100 (ng*h)/mL
Geometric Coefficient of Variation 37.0

Adverse Events

All Subjects

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
All Subjects
n=5 participants at risk
All subjects completing Part 1 and Part 2
Skin and subcutaneous tissue disorders
Rash
20.0%
1/5 • Number of events 1 • Up to 20 days

Additional Information

Olivier Schueller, Senior Vice President, CMC & Clinical Pharmacology

Kadmon Corporation

Phone: 724-778-6170

Results disclosure agreements

  • Principal investigator is a sponsor employee The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding results. The sponsor cannot require changes to the study results in the communication except to remove sponsor's confidential information. Sponsor cannot unilaterally extend the embargo.
  • Publication restrictions are in place

Restriction type: OTHER