Phase 1
Completed N=6
Pharmacokinetics (PKs) and Metabolism of Radiolabelled Linerixibat
Source: ClinicalTrials.gov NCT03992014 ↗Enrolled (actual)
6
Serious AEs
0.0%
Results posted
Jun 2020
Primary outcomePrimary: Period 1: Area Under the Concentration-time Curve (AUC) From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUC[0-inf]) of Linerixibat and [14C]-Linerixibat Following Oral Dose of Linerixibat and IV Dose of [14C]-Linerixibat — 1554; 1570 Hours*picogram per milliliter
Summary
Absorption, metabolism and excretion of linerixibat have been studied in previous clinical trials. However, no dedicated clinical studies of drug absorption, metabolism, and excretion have been conducted for linerixibat. The purpose of this study is to determine the PK, balance/excretion, and metabolism of radiolabeled 14 Carbon [14C]-linerixibat following a single intravenous (IV) radiolabeled microtracer dose (concomitant with a non-radiolabeled oral dose) and a single oral radiolabeled dose. This is a single group, two period, single sequence, and mass balance study will enroll 6 healthy male subjects. Each subject will be involved in the study for up to 10 weeks which includes screening period, two treatment periods (treatment Periods 1 and 2), separated by about 7 days (at least 13 days between oral doses), and a follow-up visit 1-2 weeks after the last assessment in treatment Period 2.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Period 1: Area Under the Concentration-time Curve (AUC) From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUC[0-inf]) of Linerixibat and [14C]-Linerixibat Following Oral Dose of Linerixibat and IV Dose of [14C]-Linerixibat |
1554; 1570 | — |
| PRIMARY Period 2: AUC(0-inf) of [14C]-Linerixibat Following Administration of Oral Dose of [14C]-Linerixibat Solution |
1634 | — |
| PRIMARY Period 1: AUC From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration (AUC[0-t]) of Linerixibat and [14C]-Linerixibat Following Oral Dose of Linerixibat and IV Dose of [14C]-Linerixibat |
749; 1560 | — |
| PRIMARY Period 2: AUC(0-t) of [14C]-Linerixibat Following Administration of Oral Dose of [14C] Linerixibat Solution |
1044 | — |
| PRIMARY Period 1: Maximum Observed Concentration (Cmax) of Linerixibat and [14C]-Linerixibat Following Oral Dose of Linerixibat and IV Dose of [14C]-Linerixibat |
120; 638 | — |
| PRIMARY Period 2: Cmax of [14C]-Linerixibat Following Administration of Oral Dose of [14C] Linerixibat Solution |
158 | — |
| PRIMARY Period 1: Time of Occurrence of Cmax (Tmax) of Linerixibat and [14C]-Linerixibat Following Oral Dose of Linerixibat and IV Dose of [14C]-Linerixibat |
2.25; 1.49 | — |
| PRIMARY Period 2: Tmax of [14C]-Linerixibat Following Administration of Oral Dose of [14C] Linerixibat Solution |
7.50 | — |
| PRIMARY Period 1: Terminal Phase Half-Life (t1/2) of Linerixibat and [14C]-Linerixibat Following Oral Dose of Linerixibat and IV Dose of [14C]-Linerixibat |
6.76; 0.828 | — |
| PRIMARY Period 2: t1/2 of [14C]-Linerixibat Following Administration of Oral Dose of [14C] Linerixibat Solution |
6.25 | — |
| PRIMARY Period 1: AUC(0-inf) of Total Radioactivity Following IV Dose of [14C]-Linerixibat |
2300 | — |
| PRIMARY Period 2: AUC(0-inf) of Total Radioactivity Following Administration of Oral Dose of [14C]-Linerixibat Solution |
94740 | — |
| PRIMARY Period 1: AUC(0-t) of Total Radioactivity Following IV Dose of [14C]-Linerixibat |
1903 | — |
| PRIMARY Period 2: AUC(0-t) of Total Radioactivity Following Administration of Oral Dose of [14C] Linerixibat Solution |
67533 | — |
| PRIMARY Period 1: Cmax of Total Radioactivity Following IV Dose of [14C]-Linerixibat |
738 | — |
| PRIMARY Period 2: Cmax of Total Radioactivity Following Administration of Oral Dose of [14C] Linerixibat Solution |
2784 | — |
| PRIMARY Period 1: Tmax of Total Radioactivity Following IV Dose of [14C]-Linerixibat |
1.49 | — |
| PRIMARY Period 2: Tmax of Total Radioactivity Following Administration of Oral Dose of [14C] Linerixibat Solution |
0.50 | — |
| PRIMARY Period 1: t1/2 of [14C]-Linerixibat for Total Radioactivity Following IV Dose of [14C]-Linerixibat |
0.733 | — |
| PRIMARY Period 2: t1/2 of [14C]-Linerixibat for Total Radioactivity Following Administration of Oral Dose of [14C] Linerixibat Solution |
98.3 | — |
| PRIMARY Period 1: Volume of Distribution at Steady State (Vss) of [14C]-Linerixibat Following Administration of IV Dose of [14C]-Linerixibat |
16340 | — |
| PRIMARY Period 1: Total Plasma Clearance (CL) of [14C]-Linerixibat Following Administration of IV Dose of [14C]-Linerixibat |
1032 | — |
| PRIMARY Period 1: Hepatic Clearance (CLh) of [14C]-Linerixibat Following Administration of IV Dose of [14C]-Linerixibat |
867 | — |
| PRIMARY Period 1: Absolute Oral Bioavailability (F) of Linerixibat Following Administration of Oral Dose of Linerixibat and IV Dose of [14C]-Linerixibat |
0.0517 | — |
| PRIMARY Period 1: Percentage of Drug Escaping First-pass Hepatic Clearance (Fh) of Linerixibat Following Administration of Oral Dose of Linerixibat and IV Dose of [14C]-Linerixibat |
24.4 | — |
| PRIMARY Period 1: Percentage of Drug Absorbed (Fa) for Linerixibat Following Administration of Oral Dose of Linerixibat and IV Dose of [14C]-Linerixibat |
0.167 | — |
| PRIMARY Period 1: Summary of Mean Cumulative Total Recovery (Percentage Excreted) in Urine Following Administration of IV Dose of [14C]-Linerixibat. |
16.4; 16.4; 16.5; 16.5; 16.5; 16.5 | — |
| PRIMARY Period 2: Summary of Mean Cumulative Total Recovery (Percentage Excreted) in Urine Following Administration of Oral Dose of [14C]-Linerixibat |
0.04; 0.04; 0.04; 0.04; 0.04; 0.04 | — |
| PRIMARY Period 1: Summary of Mean Cumulative Total Recovery (Percentage Excreted) in Feces Following Administration of IV Dose of [14C]-Linerixibat |
33.4; 43.6; 61.3; 67.8; 68.8; 69.1 | — |
| PRIMARY Period 2: Summary of Mean Cumulative Total Recovery (Percentage Excreted) in Feces Following Administration of Oral Dose of [14C]-Linerixibat |
41.2; 64.4; 84.4; 93.2; 96.3; 97.0 | — |
| SECONDARY Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) |
3; 3; 0; 0 | — |
| SECONDARY Number of Participants With Worst Case Hematology Results Relative to Normal Range |
0; 0; 6; 6; 0; 0 | — |
| SECONDARY Number of Participants With Worst Case Chemistry Results Relative to Normal Range |
0; 0; 6; 6; 0; 0 | — |
| SECONDARY Number of Participants With Abnormal Urinalysis Results by Dipstick Method |
0; 0 | — |
| SECONDARY Number of Participants With Clinically Significant Abnormal Findings for Electrocardiogram (ECG) Parameters |
0; 0 | — |
| SECONDARY Period 1: Change From Baseline in Diastolic Blood Pressure (DBP) at Indicated Time-points |
-1.2; 2.0 | — |
| SECONDARY Period 2: Change From Baseline in DBP at Indicated Time-points |
-2.4; 2.1 | — |
| SECONDARY Change From Baseline in DBP at Follow-up Visit (Day 34) |
1.2 | — |
| SECONDARY Period 1: Change From Baseline in Pulse Rate at Indicated Time-points |
1.3; 1.9 | — |
| SECONDARY Period 2: Change From Baseline in Pulse Rate at Indicated Time-points |
-0.6; 1.3 | — |
| SECONDARY Change From Baseline in Pulse Rate at Follow-up Visit (Day 34) |
2.8 | — |
| SECONDARY Period 1: Change From Baseline in Systolic Blood Pressure (SBP) at Indicated Time-points |
5.2; 6.6 | — |
| SECONDARY Period 2: Change From Baseline in SBP at Indicated Time-points |
-1.1; 6.5 | — |
| SECONDARY Change From Baseline in SBP at Follow-up Visit (Day 34) |
2.4 | — |
| SECONDARY Period 1: Change From Baseline in Respiratory Rate at Indicated Time-points |
0.0; 1.0 | — |
| SECONDARY Period 2: Change From Baseline in Respiratory Rate at Indicated Time-points |
-0.7; -0.7 | — |
| SECONDARY Change From Baseline in Respiratory Rate at Follow-up Visit (Day 34) |
-1.7 | — |
| SECONDARY Period 1: Change From Baseline in Tympanic Membrane Temperature at Indicated Time-points |
0.4; -0.4 | — |
| SECONDARY Period 2: Change From Baseline in Tympanic Membrane Temperature at Indicated Time-points |
0.2; -0.4 | — |
| SECONDARY Change From Baseline in Tympanic Membrane Temperature at Follow-up Visit (Day 34) |
0.3 | — |
Eligibility Criteria
Inclusion Criteria
- Aged 30 to 55 years, inclusive, at the time of signing the informed consent.
- Healthy, as determined by the investigator or medically qualified designee, based on a medical evaluation including medical history, physical examination, vital signs, laboratory tests, and ECG. A subject with a clinical abnormality or laboratory parameter (i.e., outside the reference range for the population being studied), which is not specifically listed in the eligibility criteria, may be included only if the investigator agrees and documents that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.
- History of regular bowel movements (averaging one or more bowel movements per day).
- Non-smoker, or ex-smoker who hasn't regularly smoked for the 6 months before screening.
- Body weight of 50 kilogram and above, and body mass index (BMI) within the range 19.0 to 31.0 kilogram per square meter (kg/m^2) (inclusive).
- Male only. Subjects must agree to use contraception as follows: subjects with female partners of childbearing potential must agree to use a condom from the time of first dose of study intervention until 1 month after their last dose.
- Capable of giving signed informed consent.
Exclusion Criteria
- Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones). Subjects with a history of cholecystectomy must be excluded.
- Significant history of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention; or interfering with the interpretation of data.
- Any clinically relevant abnormality identified at the screening medical assessment (physical examination/medical history) clinical laboratory tests, or 12-lead ECG.
- Current episode, recent history, or chronic history of diarrhoea.
- Lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years.
- Any current medical condition (example given [e.g.], psychiatric disorder, senility, dementia, or other condition), clinical or laboratory abnormality, or examination finding that the investigator considers would put the subjects at unacceptable risk, which may affect study compliance or prevent understanding of the aims or investigational procedures or possible consequences of the study.
- Regular use of known drugs of abuse or history of drug abuse or dependence within 6 months of the study.
- Regular alcohol consumption within 6 months prior to the study defined as an average weekly intake of >21 units. One unit is equivalent to 8 gram of alcohol: a glass (approximately 240 mL) of beer, 1 small glass (approximately 100 mL) of wine or 1 (approximately 25 mL) measure of spirits.
- History of or regular use of tobacco- or nicotine-containing products in the 6 months prior to screening.
- Past or intended use of over-the-counter or prescription medication, including analgesics (e.g., paracetamol), herbal medications, or grapefruit and Seville orange juices within 14 days prior to the first dose of study intervention until completion of the follow-up visit.
- Administration of any other Ileal bile acid transporter (IBAT) inhibitor in the 3 months prior to screening.
- Current enrolment in a clinical trial; recent participation in a clinical trial and has received an investigational product within 3 months before the first dose in the current study.
- Exposure to more than 4 new chemical entities within 12 months before the first dose in the current study.
- Participation in a clinical trial involving administration of 14C-labelled compound(s) within the last 12 months. A subj
Data sourced from ClinicalTrials.gov (NCT03992014). 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.