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Phase 1 Completed N=20 Basic Science

Pharmacokinetics of Sotorasib in Healthy Participants and Participants With Moderate or Severe Hepatic Impairment

Source: ClinicalTrials.gov NCT04887064 ↗
Enrolled (actual)
20
Serious AEs
0.0%
Results posted
Apr 2024
Primary outcomePrimary: Maximum Observed Plasma Concentration (Cmax) of Sotorasib — 5080; 4850; 7250 ng/mL

Summary

The main purpose of the study is to evaluate the pharmacokinetics (PK) of a single oral dose of sotorasib administered in participants with moderate or severe hepatic impairment compared to participants with normal hepatic function.

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximum Observed Plasma Concentration (Cmax) of Sotorasib
5080; 4850; 7250
PRIMARY
Area Under the Plasma Concentration-time Curve From Time Zero to the Last Quantifiable Concentration (AUClast) of Sotorasib
28700; 21500; 29900
PRIMARY
Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUCinf) of Sotorasib
29000; 21700; 30100
SECONDARY
Number of Participants Who Experienced One or More Treatment Emergent Adverse Events (TEAEs)
1; 2; 1
SECONDARY
Unbound Cmax (Cmax,u) of Sotorasib
183; 400; 1220
SECONDARY
Unbound AUClast (AUClast,u) of Sotorasib
694; 1320; 4680
SECONDARY
Unbound AUCinf (AUCinf,u) of Sotorasib
742; 1340; 4680
SECONDARY
Unbound Apparent Total Plasma Clearance (CLu/F) of Sotorasib
1290; 715; 205
SECONDARY
Unbound Apparent Volume of Distribution During the Terminal Phase (Vz,u/F) of Sotorasib
7080; 3820; 928

Eligibility Criteria

Key Inclusion Criteria

All Participants

  • Participant has provided informed consent before initiation of any study-specific activities/procedures
  • Participants between 18 and 70 years of age
  • Body mass index between 18 and 38 kg/m^2
  • Females of nonchildbearing potential defined as permanently sterile or postmenopausal

Participants with Normal Hepatic Function

  • In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead ECG, vital signs measurements, and clinical laboratory evaluations

Participants with Hepatic Impairment

  • Child-Pugh B or C classification with clinical laboratory values and clinical examination findings
  • Documented medical history of chronic liver disease

Key Exclusion Criteria

All Participants

  • Female participants with a positive pregnancy test at Screening or Check-in
  • Male participants with a pregnant partner or partner planning to become pregnant who are unwilling to practice abstinence or use a condom for 7 days after dosing
  • History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance
  • Participant has received a dose of an investigational drug (new chemical entity) within the past 30 days or 5 half-lives, whichever is longer, prior to Check-in
  • Use of any over-the-counter or prescription medications within 30 days or 5 half-lives (whichever is longer)
  • All herbal medicines vitamins, and supplements consumed by the subject within the 30 days prior to enrollment
  • Alcohol consumption from 48 hours prior to Check-in
  • Positive test for illicit drugs, cotinine (tobacco or nicotine use), and/or alcohol use at Check-in
  • Positive human immunodeficiency virus test at Screening

Participants with Normal Hepatic Function

  • Positive hepatitis B or hepatitis C panel at Screening. Subjects whose results are compatible with prior immunity (vaccination or prior infection) may be included
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > upper limit of normal (ULN) at Screening or Check-in
  • Total bilirubin levels > ULN at Screening or Check-in
  • A QT interval corrected for heart rate based on the Fridericia correction (QTcF) interval > 450 msec in male subjects or > 470 msec in female subjects or history/evidence of long QT syndrome at Screening or Check-in, confirmed by calculating the mean of the original value and 2 repeats

Participants with Hepatic Impairment

  • Values outside the normal range for liver function tests that are not consistent with their hepatic condition, as determined by the Investigator (or designee)
  • A QTcF interval > 470 msec in male subjects or > 480 msec in female subjects at Screening or Check-in, confirmed by calculating the mean of the original value and 2 repeats
  • Use of a new medication, or a change in dose, for the treatment, or worsening of, hepatic encephalopathy within 30 days prior to Check-in
  • Presence of a portosystemic shunt
  • Evidence of severe ascites
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04887064). 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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