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Phase 1 Completed N=20 Other

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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