Phase 1
Completed N=20
Effect of Tepotinib on the PK of the P-gp Substrate Dabigatran Etexilate
Healthy
Source: ClinicalTrials.gov NCT03492437 ↗
Enrolled (actual)
20
Serious AEs
0.0%
Results posted
Aug 2023
Primary outcomePrimary: Area Under Plasma Concentration-time Curve From Time Zero to Last Sampling Time (Tlast) at Which the Concentration is at or Above the Lower Limit of Quantification (AUC0-t) of Total Dabigatran — 461; 709 nanogram*hour per milliliter (ng*h/mL)
Summary
This study investigated the effect of Tepotinib on the pharmacokinetics (PK) of the p-glycoprotein (P-gp) probe substrate Dabigatran etexilate.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Area Under Plasma Concentration-time Curve From Time Zero to Last Sampling Time (Tlast) at Which the Concentration is at or Above the Lower Limit of Quantification (AUC0-t) of Total Dabigatran |
461; 709 | — |
| PRIMARY Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Total Dabigatran |
544; 730 | — |
| PRIMARY Maximum Observed Plasma Concentration (Cmax) of Total Dabigatran |
54.5; 76.9 | — |
| SECONDARY Time to Reach Maximum Plasma Concentration (Tmax) of Total Dabigatran |
3.00; 4.00 | — |
| SECONDARY Elimination Half Life (t1/2) of Total Dabigatran |
8.18; 7.81 | — |
| SECONDARY Apparent Clearance (CL/f) of Total Dabigatran |
138; 103 | — |
| SECONDARY Apparent Volume of Distribution During Terminal Phase (Vz/f) of Total Dabigatran |
1627; 1157 | — |
| SECONDARY Percentage of Area Under the Plasma Concentration-Time Curve From Time Tlast Extrapolated to Infinity (AUC0-inf) Obtained by Extrapolation (AUCextra%) of Total Dabigatran |
3.03216; 2.3654 | — |
| SECONDARY Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs |
4; 15; 0; 0 | — |
| SECONDARY Number of Participants With Clinically Significant Changes in Laboratory Values |
0; 0 | — |
| SECONDARY Number of Participants With Clinically Significant Changes in 12-lead Electrocardiogram (ECG) Findings |
0; 0 | — |
| SECONDARY Number of Participants With Clinically Significant Changes in Vital Signs |
0; 0 | — |
Eligibility Criteria
Inclusion Criteria
- Healthy participants of non-child bearing potential
- Body weight between 50 to 100 kilogram (kg)
- Body mass index (BMI) between 18.5 and 29.9 kilogram per meter square (kg/m^2)
- A male participant must agree to use and to have his female partner of childbearing potential to use highly effective method of contraception
- Participant must have given written informed consent before any study-related activities
- All values for hematology, coagulation, and biochemistry tests of blood and urinalysis are within the normal range. Minor (solitary) non-clinically relevant deviation(s) are allowed as judged by the Investigator
- Other protocol defined inclusion criteria could apply
Exclusion Criteria
- Participation in a clinical study within 60 days prior to first drug administration
- Whole blood donation or loss of > 450 milliliter (mL) within 60 days prior to first drug administration
- Any surgical or medical condition, or any other significant disease that could interfere with the study objectives, conduct, or evaluation
- Supine systolic blood pressure (SBP) greater than (>) 140 millimeter of mercury (mmHg) or less than ( 90 or 90 or 450 milliseconds (ms), PR > 215 ms, or QRS > 120 ms (at Screening)
- Creatinine clearance estimated glomerular filtration rate (eGFR) < 90 milliliter per minute (mL/min) (at Screening)
- Participants with gall bladder removal or other relevant surgery of gastrointestinal tract
- History of any malignancy
- History of epilepsy
- Ascertained or presumptive allergy/hypersensitivity to the active drug substance and/or excipients
- Participants who in the Investigator's judgment were perceived as having an increased risk of bleeding
- Positive screen for alcohol or drugs of abuse (at Screening and Day -1)
- Positive screen for hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (anti-HCV), and human immunodeficiency virus 1 and 2 antibodies (HIV1/HIV2 antibodies) (at Screening)
- Excessive consumption of xanthine-containing food or beverages before study drug administration until collection of last pharmacokinetic (PK) sample in each period (at Screening and Day -1)
- Receipt of any prescription or nonprescription medication within 14 days or 5 half-lives, before study drug administration
- Smoker or former smoker who stopped smoking less than 6 months before the time of the Screening Visit
- Intake of grapefruit, Seville orange, cranberry or juices of these 3 fruits, or St. John's Wort, from 14 days prior to Day -1
- Inability to communicate or cooperate with the Investigator
- Other factors, which in the opinion of the Investigator may interfere with study conduct (at Screening and Day -1 of first Period only)
- Legal incapacity or limited legal capacity
- Participants kept in detention
- Other protocol defined exclusion criteria could apply
Data sourced from ClinicalTrials.gov (NCT03492437). 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.