Phase 1
Completed N=32
A Comparative Bioavailability Study of Lomitapide 20 mg Intact vs Sprinkled
Healthy
Source: ClinicalTrials.gov NCT02044419 ↗
Enrolled (actual)
32
Serious AEs
0.0%
Results posted
Feb 2018
Primary outcomePrimary: AUC0-t — 38.3; 40.2; 43.6; 70.4 ng*h/mL
Summary
To compare the relative bioavailability of lomitapide when administered by sprinkling the contents of a 20 mg capsule of lomitapide in applesauce or in mashed banana to a single oral intact capsule dose of 20 mg lomitapide in healthy subjects.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY AUC0-t |
38.3; 40.2; 43.6; 70.4; 72.9; 75.2 | — |
| PRIMARY Cmax |
0.986; 1.03; 1.13; 2.52; 2.65; 2.74 | — |
| PRIMARY Tmax |
4.00; 5.00; 5.00; 5.00; 5.00; 5.00 | — |
| PRIMARY t1/2 |
52.4; 47.7; 48.8; 38.7; 37.0; 39.1 | — |
| PRIMARY AUC0-∞ |
42.5; 43.8; 47.7; 72.8; 75.2; 77.8 | — |
| PRIMARY λz |
0.0140; 0.0153; 0.0149; 0.0185; 0.0195; 0.0182 | — |
Eligibility Criteria
Inclusion Criteria
- Subject is a non-smoking healthy male or female, aged between 18 and 40 years of age.
- Subject has a BMI of 18.5 - 25 kg/m2.
- Subject has total body weight between > 50 kg to ≤ 100 kg.
- Subjects must agree to use acceptable methods of contraception.
- All females, regardless of childbearing potential, must have a negative serum beta human chorionic gonadotropin pregnancy test at Screening and on admission.
- In good health, determined by no clinically significant or relevant abnormalities identified by a detailed medical history & full physical examination.
- No known history of hypersensitivity or previous intolerance to lomitapide, applesauce, and/or banana.
- Subjects must be capable of understanding and complying with the requirements of the protocol and must have signed the informed consent form prior to undergoing any study-related procedures.
Exclusion Criteria
- Subject has a clinically significant disease or any condition or disease that might affect drug absorption, distribution or excretion.
- History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs.
- Any clinically significant abnormal laboratory, vital signs or other safety findings as determined by medical history, physical examination or other evaluations.
- History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the Investigator;
- Electrocardiogram (ECG) abnormalities in the standard 12-lead ECG (at screening) such as a QTcF interval of >450 msec, a history of a prolonged QTc interval or Brugada syndrome.
- History or current evidence of any clinically relevant cardiovascular, pulmonary, hepatic, renal, gastrointestinal, haematological, endocrinological, allergic, dermatological, metabolic, neurological, psychiatric or other disease.
- History or laboratory evidence of Gilbert's syndrome.
- Positive results in any of the serology tests for Hepatitis B Surface Antigen (HbsAg), anti-Hepatitis core antibody (anti-HBc Ig G [and anti-HBc IgM if IgG is positive], Hepatitis C antibodies (anti-HCV), and HIV 1 and 2 antibodies, (anti-HIV 1/2).
- Use of any drugs of abuse within 6 months prior to admission.
- Confirmed positive results from urine drug screen (amphetamines, benzodiazepines, cocaine, cannabinoids, opiates, barbiturates and methadone) or from the alcohol breath test at screening and on admission (Day -1).
- History or clinical evidence of alcohol or drug abuse within one year prior to admission.
- Mentally handicapped.
- Participation in a drug trial within 90 days prior to first drug administration.
- Use of any prescription medication within 2 weeks prior to admission (Day -1), with the exception of the oral contraceptive pill.
- Use of any substance inducing or inhibiting CYP3A4 enzymes within 30 days prior to admission (Day -1).
- Use of any over-the-counter (OTC) medication (including vitamins, minerals, and phytotherapeutic/herbal/plant-derived preparations) within 7 days prior to admission (Day -1), unless deemed acceptable by the Investigator and Sponsor.
- Use of alcohol-, grapefruit-, starfruit-, or caffeine-containing foods or beverages within 72 hours prior to admission and through Study Completion.
- Donation of more than 500 mL of blood within 90 days prior to drug administration.
- Receipt of blood products within 2 months prior to admission.
- Poor peripheral venous access.
- Use of any tobacco- or nicotine-containing products within 6 months prior to admission (Day -1).
- Any acute or chronic condition, scheduled hospitalisation (inclusive of elective surgery during study), or scheduled travel prior to completion of all study procedures.
- Any circumstances or conditions, which, in the opinion of the PI, may affect full participation in the trial or compliance with the protocol.
- Legal incapacity or limited
Data sourced from ClinicalTrials.gov (NCT02044419). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.