Phase 1
Completed N=20
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
| Outcome | Result | p-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
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.