Trial Outcomes & Findings for Pharmacokinetic Study of Lurasidone After Multiple Oral Administration in Healthy Human Subjects (NCT NCT02174523)

NCT ID: NCT02174523

Last Updated: 2019-04-08

Results Overview

Maximum (peak) observed drug serum concentration.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

14 participants

Primary outcome timeframe

pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose

Results posted on

2019-04-08

Participant Flow

Total 27 subjects were screened at the clinical site after obtaining informed consent. A total 14 subjects were enrolled into the study and were randomized to lurasidone group (10) and placebo group (4). The data of informed consent from the first subject was 8th April 2014(and that from the last subject was 15th April 2014).

Participant milestones

Participant milestones
Measure
40mg Lurasidone
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Placebo
Single oral administration of 40 mg study drug placebo after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg placebo, once daily between Day 4 and Day 8.
Overall Study
STARTED
10
4
Overall Study
COMPLETED
9
4
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
40mg Lurasidone
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Placebo
Single oral administration of 40 mg study drug placebo after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg placebo, once daily between Day 4 and Day 8.
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

Pharmacokinetic Study of Lurasidone After Multiple Oral Administration in Healthy Human Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
40mg Lurasidone
n=10 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Placebo
n=4 Participants
Single oral administration of 40 mg study drug placebo after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg placebo, once daily between Day 4 and Day 8.
Total
n=14 Participants
Total of all reporting groups
Age, Continuous
27.7 years
STANDARD_DEVIATION 3.74 • n=5 Participants
26.5 years
STANDARD_DEVIATION 5.07 • n=7 Participants
27.4 years
STANDARD_DEVIATION 3.99 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
4 Participants
n=7 Participants
14 Participants
n=5 Participants

PRIMARY outcome

Timeframe: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose

Population: All subjects with evaluable PK data were included in PK data analysis.

Maximum (peak) observed drug serum concentration.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=10 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone Cmax
50.2 ng/mL
Geometric Coefficient of Variation 44.3

PRIMARY outcome

Timeframe: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=10 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone AUC 0-24
152 ng・h/mL
Geometric Coefficient of Variation 33.2

PRIMARY outcome

Timeframe: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=10 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone AUC 0-τ
166 ng・h/mL
Geometric Coefficient of Variation 32.4

PRIMARY outcome

Timeframe: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=10 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone AUC0-∞
179 ng・h/mL
Standard Deviation 29.9

PRIMARY outcome

Timeframe: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=10 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone Tmax
1.50 h
Interval 1.0 to 4.0

PRIMARY outcome

Timeframe: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=10 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone λz
0.0360 1/h
Geometric Coefficient of Variation 20.8

PRIMARY outcome

Timeframe: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=10 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone t1/2
19.3 h
Geometric Coefficient of Variation 20.8

PRIMARY outcome

Timeframe: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=10 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone MRT
12.2 h
Geometric Coefficient of Variation 22.7

PRIMARY outcome

Timeframe: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=10 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone CL/F
223 L/h
Geometric Coefficient of Variation 29.9

PRIMARY outcome

Timeframe: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=8 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
CLss/F
211 L/h
Geometric Coefficient of Variation 27.9

PRIMARY outcome

Timeframe: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=10 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone Vz/F
6198 L
Geometric Coefficient of Variation 47.9

PRIMARY outcome

Timeframe: Day 8

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=8 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone Vzss/F
10618 L
Geometric Coefficient of Variation 38.6

PRIMARY outcome

Timeframe: Day 8/Day 1

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=8 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Accumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ,
Ratio of Cmax
0.94 Ratios
Interval 0.75 to 1.18
Accumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ,
Ratio of AUC0-∞
1.74 Ratios
Interval 1.59 to 1.9
Accumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ,
Ratio of AUC0-τ
1.25 Ratios
Interval 1.14 to 1.36
Accumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ,
Ratio of Cτ
2.52 Ratios
Interval 2.37 to 2.68

PRIMARY outcome

Timeframe: Pre-dose (-0.5h) of Day4 and Day5

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=10 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Summary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 4 and Day 5
Day4 Pre-dose (-0.5h)
0.277 ng/ml
Geometric Coefficient of Variation 31.5
Summary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 4 and Day 5
Day5Pre-dose (-0.5h)
1.15 ng/ml
Geometric Coefficient of Variation 28.7

PRIMARY outcome

Timeframe: Pre-dose (-0.5h) of Day6 and Day7

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=9 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Summary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 6 and Day 7
Day6 Pre-dose (-0.5h)
1.56 ng/ml
Geometric Coefficient of Variation 27.1
Summary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 6 and Day 7
Day7 Pre-dose (-0.5h)
2.00 ng/ml
Geometric Coefficient of Variation 27.3

PRIMARY outcome

Timeframe: Day8

Maximum (peak) observed drug serum concentration.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=8 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone Cmax
48.5 ng/mL
Geometric Coefficient of Variation 49.4

PRIMARY outcome

Timeframe: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=8 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone AUC 0-24
190 ng・h/mL
Geometric Coefficient of Variation 27.9

PRIMARY outcome

Timeframe: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=8 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone AUC 0-τ
234 ng・h/mL
Geometric Coefficient of Variation 27.4

PRIMARY outcome

Timeframe: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=8 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone AUC0-∞
314 ng・h/mL
Geometric Coefficient of Variation 26.6

PRIMARY outcome

Timeframe: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=8 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone Tmax
1.75 h
Interval 1.0 to 4.0

PRIMARY outcome

Timeframe: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=8 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone λz
0.0199 1/h
Geometric Coefficient of Variation 20.2

PRIMARY outcome

Timeframe: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=8 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone t1/2
34.9 h
Geometric Coefficient of Variation 20.2

PRIMARY outcome

Timeframe: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8

Population: All subjects with evaluable PK data were included in PK data analysis.

Outcome measures

Outcome measures
Measure
40mg Lurasidone
n=8 Participants
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Lurasidone MRT
22.0 h
Geometric Coefficient of Variation 19

Adverse Events

40mg Lurasidone

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
40mg Lurasidone
n=10 participants at risk
Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8.
Placebo
n=4 participants at risk
Single oral administration of 40 mg study drug placebo after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg placebo, once daily between Day 4 and Day 8.
Gastrointestinal disorders
Diarrhoea
10.0%
1/10 • Number of events 1
0.00%
0/4
Gastrointestinal disorders
Dyspepsia
10.0%
1/10 • Number of events 1
0.00%
0/4
Gastrointestinal disorders
Nausea
10.0%
1/10 • Number of events 1
0.00%
0/4
Investigations
Blood prolactin increased
60.0%
6/10 • Number of events 6
25.0%
1/4 • Number of events 1
Investigations
Blood bilirubin increased
20.0%
2/10 • Number of events 2
0.00%
0/4
Nervous system disorders
Somnolence
100.0%
10/10 • Number of events 10
0.00%
0/4
Nervous system disorders
Dizziness
40.0%
4/10 • Number of events 4
25.0%
1/4 • Number of events 1
Psychiatric disorders
Restlessness
60.0%
6/10 • Number of events 6
0.00%
0/4

Additional Information

Dr.Hu Chaoying

Phase I Clinical Research Unit , Shanghai Xuihui Central Hospital

Phone: 021-54036058

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER