Phase 1
Completed N=36
Study of Pirtobrutinib (LOXO-305) in Participants With Impaired Liver Function and Healthy Participants
Healthy · Hepatic Insufficiency
Source: ClinicalTrials.gov NCT06190691 ↗
Enrolled (actual)
36
Serious AEs
0.0%
Results posted
Jan 2025
Primary outcomePrimary: Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Pirtobrutinib — 4240; 4410; 4140; 3270 nanogram per milliliter (ng/mL)
Summary
The main purpose of this study is to measure how much of pirtobrutinib (LOXO-305) gets into the bloodstream and how long it takes the body to eliminate it in participants with impaired liver function and healthy participants. The side effects and tolerability of pirtobrutinib will also be evaluated. Participation could last about 46 days.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Pirtobrutinib |
4240; 4410; 4140; 3270 | — |
| PRIMARY PK: Time to Maximum Observed Plasma Concentration (Tmax) of Pirtobrutinib |
2.50; 2.25; 2.25; 2.78 | — |
| PRIMARY PK: Area Under the Concentration Versus Time Curve From Time Zero to the Last Measurable Concentration (AUC0-t) of Pirtobrutinib |
96800; 89900; 84600; 71500 | — |
| PRIMARY PK: Area Under the Concentration Versus Time Curve From Time Zero to Infinity (AUC0-inf) of Pirtobrutinib |
98000; 90900; 85700; 72200 | — |
| PRIMARY PK: Percentage Extrapolation for AUC0-inf (%AUCextrap) of Pirtobrutinib |
0.978; 1.13; 1.14; 0.921 | — |
| PRIMARY PK: Apparent Plasma Terminal Elimination Half-life (t½) of Pirtobrutinib |
21.2; 19.8; 18; 15.5 | — |
| PRIMARY PK: Apparent Systemic Clearance (CL/F) of Pirtobrutinib |
2.04; 2.20; 2.33; 2.77 | — |
| PRIMARY PK: Apparent Volume of Distribution During the Terminal Phase (Vz/F) of Pirtobrutinib |
62.4; 62.9; 60.6; 61.8 | — |
| PRIMARY PK: Mean Residence Time (MRT) of Pirtobrutinib |
28.8; 27.7; 25; 24 | — |
| PRIMARY PK: Unbound Cmax (Cmax,u) of Pirtobrutinib |
107; 133; 118; 111 | — |
| PRIMARY PK: Unbound AUC0-t (AUC0-t,u) of Pirtobrutinib |
2440; 2710; 2410; 2410 | — |
| PRIMARY PK: Unbound AUC0-inf (AUC0-inf,u) of Pirtobrutinib |
2470; 2740; 2440; 2440 | — |
| PRIMARY PK: Unbound CL/F (CL/F,u) of Pirtobrutinib |
80.9; 73; 81.9; 82 | — |
| PRIMARY PK: Unbound Vz/F (Vz/F,u) of Pirtobrutinib |
2470; 2090; 2130; 1830 | — |
| PRIMARY PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib (Normal Hepatic Function) |
0.0334; 0.0323; 0.0418; 0.0287; 0.0231; 0.0319 | — |
| PRIMARY PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib (Mild Hepatic Function) |
0.0270; 0.0448; 0.0453; 0.0336; 0.0234; 0.0273 | — |
| PRIMARY PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib (Moderate Hepatic Function) |
0.0377; 0.0387; 0.0364; 0.0430; 0.0395; 0.0467 | — |
| PRIMARY PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib (Severe Hepatic Function) |
0.0401; 0.0526; 0.0279; 0.0522; 0.0465; 0.0567 | — |
Eligibility Criteria
Inclusion Criteria
- Participants with mild, moderate or severe hepatic impairment and healthy participants with normal hepatic function
- Males and females of non-childbearing potential.
- Within body mass index (BMI) range 18.5 to 40.0 kilograms per square meter (kg/m²).
- Participants will be in good health, based on medical history, physical examination findings, vital signs, 12 lead electrocardiogram (ECG), and clinical laboratory tests, as determined by the Investigator (or designee).
- Able to comply with all study procedures, including the 8-night stay at the Clinical Research Unit and follow-up phone call.
Exclusion Criteria
- History or presence of any of the following, deemed clinically significant by the Investigator (or designee), and/or Sponsor:
- pancreatitis
- peptic ulcer disease
- intestinal malabsorption
- gastric reduction surgery
- history or presence of clinically significant cardiovascular disease.
- Participants with out-of-range, at-rest vital signs.
- Abnormal laboratory values determined to be clinically significant by the Investigator (or designee).
- Clinically significant abnormality, as determined by the Investigator (or designee), from physical examination.
- Participation in any other investigational study drug trial involving administration of any investigational drug in the past 30 days or 5 half-lives, whichever was longer, prior to the first dose administration (Day 1).
- Use or intention to use any prescription or over-the-counter medications within 14 days prior to the first dose administration (Day 1) and through end of trial.
- History or presence, upon clinical evaluation, of any illness that, in the opinion of the Investigator, would interfere with the ability to provide informed consent or comply with study instructions, or that might confound the interpretation of the study results, or put the participant at undue risk.
- Donation of blood from 56 days prior to Screening, plasma or platelets from 4 weeks prior to Screening.
- Receipt of blood products within 2 months prior to Check-in (Day -1).
- Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, biliary, renal, hematological, pulmonary, cardiovascular (including any prior history of cardiomyopathy or cardiac failure), gastrointestinal (GI), neurological, or psychiatric disorder (as determined by the Investigator).
Data sourced from ClinicalTrials.gov (NCT06190691). 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.