Trial Outcomes & Findings for Study to Evaluate the Effects of a High-Fat Meal on Bexagliflozin in Healthy Subjects (NCT NCT02820298)

NCT ID: NCT02820298

Last Updated: 2021-06-10

Results Overview

Blood samples (2 mL) for bexagliflozin plasma concentrations were collected at 0 h (pre-dose), and at 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36 and 48 h post-dose (days 1-3 in treatment period 1 and days 8-10 in treatment period 2, respectively)

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

25 participants

Primary outcome timeframe

1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36 and 48 h post-dose

Results posted on

2021-06-10

Participant Flow

Participant milestones

Participant milestones
Measure
Bexagliflozin Administered in Fed Condition, Then in Fasted Condition
Subjects were dosed with bexagliflozin tablet, 20 mg, with a high-fat meal on day 1 and a second dose of bexagliflozin tablet in fasted state on day 8.
Bexagliflozin Administered in Fasted Condition, Then in Fed Condition
Subjects were dosed with bexagliflozin tablet, 20 mg, in fasted state on day 1 and second dose of bexagliflozin tablet with a high-fat meal on day 8
Overall Study
STARTED
13
12
Overall Study
COMPLETED
12
10
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Bexagliflozin Administered in Fed Condition, Then in Fasted Condition
Subjects were dosed with bexagliflozin tablet, 20 mg, with a high-fat meal on day 1 and a second dose of bexagliflozin tablet in fasted state on day 8.
Bexagliflozin Administered in Fasted Condition, Then in Fed Condition
Subjects were dosed with bexagliflozin tablet, 20 mg, in fasted state on day 1 and second dose of bexagliflozin tablet with a high-fat meal on day 8
Overall Study
Withdrawal by Subject
0
1
Overall Study
Physician Decision
1
0
Overall Study
Protocol Violation
0
1

Baseline Characteristics

Study to Evaluate the Effects of a High-Fat Meal on Bexagliflozin in Healthy Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bexagliflozin Administered in Fed Condition, Then in Fasted Condition
n=13 Participants
Subjects were dosed with bexagliflozin tablet, 20 mg, with a high-fat meal on day 1 and a second dose of bexagliflozin tablet in fasted state on day 8.
Bexagliflozin Administered in Fasted Condition, Then in Fed Condition
n=12 Participants
Subjects were dosed with bexagliflozin tablet, 20 mg, in fasted state on day 1 and second dose of bexagliflozin tablet with a high-fat meal on day 8
Total
n=25 Participants
Total of all reporting groups
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Age, Continuous
31.0 years
STANDARD_DEVIATION 10.1 • n=5 Participants
31.8 years
STANDARD_DEVIATION 10.6 • n=7 Participants
31.4 years
STANDARD_DEVIATION 10.1 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
9 Participants
n=7 Participants
19 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Weight
75.05 kg
STANDARD_DEVIATION 14.65 • n=5 Participants
71.58 kg
STANDARD_DEVIATION 12.42 • n=7 Participants
73.38 kg
STANDARD_DEVIATION 13.46 • n=5 Participants
Height
173.6 cm
STANDARD_DEVIATION 9.3 • n=5 Participants
171.1 cm
STANDARD_DEVIATION 8.8 • n=7 Participants
172.4 cm
STANDARD_DEVIATION 9.0 • n=5 Participants

PRIMARY outcome

Timeframe: 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36 and 48 h post-dose

Population: The PK Population included all randomized subjects who received study drug and who had sufficient plasma bexagliflozin measurements to derive at least one PK parameter following dosing.

Blood samples (2 mL) for bexagliflozin plasma concentrations were collected at 0 h (pre-dose), and at 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36 and 48 h post-dose (days 1-3 in treatment period 1 and days 8-10 in treatment period 2, respectively)

Outcome measures

Outcome measures
Measure
Bexagliflozin Tablet Dosed in Fed Condition
n=23 Participants
Subjects were dosed with bexagliflozin tablet, 20 mg, with a high-fat meal on day 1 after an overnight fast and a second dose of bexagliflozin without a high-fat meal on day 8 after an overnight fast.
Bexagliflozin Tablet Dosed in Fasted Condition
n=24 Participants
Subjects were dosed with bexagliflozin tablet, 20 mg, without a high-fat meal on day 1 after an overnight fast and a second dose of bexagliflozin with a high-fat meal on day 8 after an overnight fast.
Cmax (Maximum Observed Plasma Concentration)
176.1 ng/mL
Geometric Coefficient of Variation 30.6
133.7 ng/mL
Geometric Coefficient of Variation 42.5

PRIMARY outcome

Timeframe: 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36 and 48 h post-dose

Population: PK population

Blood samples (2 mL) for bexagliflozin plasma concentrations were collected at 0 h (pre-dose), and at 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36 and 48 h post-dose (days 1-3 in treatment period 1 and days 8-10 in treatment period 2, respectively)

Outcome measures

Outcome measures
Measure
Bexagliflozin Tablet Dosed in Fed Condition
n=23 Participants
Subjects were dosed with bexagliflozin tablet, 20 mg, with a high-fat meal on day 1 after an overnight fast and a second dose of bexagliflozin without a high-fat meal on day 8 after an overnight fast.
Bexagliflozin Tablet Dosed in Fasted Condition
n=24 Participants
Subjects were dosed with bexagliflozin tablet, 20 mg, without a high-fat meal on day 1 after an overnight fast and a second dose of bexagliflozin with a high-fat meal on day 8 after an overnight fast.
Tmax (Time of Maximum Observed Plasma Concentration)
5.0 hours
Interval 3.0 to 8.0
3.5 hours
Interval 2.0 to 5.0

PRIMARY outcome

Timeframe: 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36 and 48 h post-dose

Population: PK population

Blood samples (2 mL) for bexagliflozin plasma concentrations were collected at 0 h (pre-dose), and at 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36 and 48 h post-dose (days 1-3 in treatment period 1 and days 8-10 in treatment period 2, respectively)

Outcome measures

Outcome measures
Measure
Bexagliflozin Tablet Dosed in Fed Condition
n=23 Participants
Subjects were dosed with bexagliflozin tablet, 20 mg, with a high-fat meal on day 1 after an overnight fast and a second dose of bexagliflozin without a high-fat meal on day 8 after an overnight fast.
Bexagliflozin Tablet Dosed in Fasted Condition
n=24 Participants
Subjects were dosed with bexagliflozin tablet, 20 mg, without a high-fat meal on day 1 after an overnight fast and a second dose of bexagliflozin with a high-fat meal on day 8 after an overnight fast.
AUC0-t (Area Under the Plasma Concentration-time Curve From Time 0 to t)
1222.7 h*ng/mL
Geometric Coefficient of Variation 26.8
1074.2 h*ng/mL
Geometric Coefficient of Variation 33.0

PRIMARY outcome

Timeframe: 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36 and 48 h post-dose

Population: PK population

Blood samples (2 mL) for bexagliflozin plasma concentrations were collected at 0 h (pre-dose), and at 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36 and 48 h post-dose (days 1-3 in treatment period 1 and days 8-10 in treatment period 2, respectively)

Outcome measures

Outcome measures
Measure
Bexagliflozin Tablet Dosed in Fed Condition
n=23 Participants
Subjects were dosed with bexagliflozin tablet, 20 mg, with a high-fat meal on day 1 after an overnight fast and a second dose of bexagliflozin without a high-fat meal on day 8 after an overnight fast.
Bexagliflozin Tablet Dosed in Fasted Condition
n=24 Participants
Subjects were dosed with bexagliflozin tablet, 20 mg, without a high-fat meal on day 1 after an overnight fast and a second dose of bexagliflozin with a high-fat meal on day 8 after an overnight fast.
AUC0-∞ (Area Under the Plasma Concentration-time Curve From Time 0 to ∞)
1258.7 ng*h/mL
Geometric Coefficient of Variation 5.8
1161.8 ng*h/mL
Geometric Coefficient of Variation 5.7

PRIMARY outcome

Timeframe: 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36 and 48 h post-dose

Population: PK population

Whole venous blood samples of 3 mL were collected from a peripheral vein prior to dosing and at 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, and 48 h after administration of bexagliflozin; On Day 1 and Day 5 for Study 1, Day 1 and Day 6 for Study 2, Day 1 and Day 4 for Study 3. The pharmacokinetic parameters were estimated from the bexagliflozin plasma concentration data for each subject by non-compartmental analysis (NCA).

Outcome measures

Outcome measures
Measure
Bexagliflozin Tablet Dosed in Fed Condition
n=23 Participants
Subjects were dosed with bexagliflozin tablet, 20 mg, with a high-fat meal on day 1 after an overnight fast and a second dose of bexagliflozin without a high-fat meal on day 8 after an overnight fast.
Bexagliflozin Tablet Dosed in Fasted Condition
n=24 Participants
Subjects were dosed with bexagliflozin tablet, 20 mg, without a high-fat meal on day 1 after an overnight fast and a second dose of bexagliflozin with a high-fat meal on day 8 after an overnight fast.
T1/2 (Apparent Terminal Elimination Half-life)
10.1 hours
Geometric Coefficient of Variation 28.2
11.7 hours
Geometric Coefficient of Variation 38.0

Adverse Events

Bexagliflozin Tablet Dosed in Fed Condition

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Bexagliflozin Tablet Dosed in Fasted Condition

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
Bexagliflozin Tablet Dosed in Fed Condition
n=23 participants at risk
Subjects were dosed with bexagliflozin tablet, 20 mg, with a high-fat meal after an overnight fast
Bexagliflozin Tablet Dosed in Fasted Condition
n=24 participants at risk
Subjects were dosed with bexagliflozin tablet, 20 mg, in fasted condition after an overnight fast
Nervous system disorders
Dizziness
4.3%
1/23 • Number of events 1 • The adverse event data were collected from Day 0 up to Day 10
4.2%
1/24 • Number of events 1 • The adverse event data were collected from Day 0 up to Day 10
Nervous system disorders
Headache
4.3%
1/23 • Number of events 1 • The adverse event data were collected from Day 0 up to Day 10
4.2%
1/24 • Number of events 1 • The adverse event data were collected from Day 0 up to Day 10
Nervous system disorders
Parosmia
4.3%
1/23 • Number of events 1 • The adverse event data were collected from Day 0 up to Day 10
0.00%
0/24 • The adverse event data were collected from Day 0 up to Day 10
Blood and lymphatic system disorders
Neutropenia
4.3%
1/23 • Number of events 1 • The adverse event data were collected from Day 0 up to Day 10
0.00%
0/24 • The adverse event data were collected from Day 0 up to Day 10
Cardiac disorders
Tachycardia
4.3%
1/23 • Number of events 1 • The adverse event data were collected from Day 0 up to Day 10
0.00%
0/24 • The adverse event data were collected from Day 0 up to Day 10
General disorders
Chest discomfort
4.3%
1/23 • Number of events 1 • The adverse event data were collected from Day 0 up to Day 10
0.00%
0/24 • The adverse event data were collected from Day 0 up to Day 10
Reproductive system and breast disorders
Uterine hemorrhage
4.3%
1/23 • Number of events 1 • The adverse event data were collected from Day 0 up to Day 10
0.00%
0/24 • The adverse event data were collected from Day 0 up to Day 10
Reproductive system and breast disorders
Nasal congestion
0.00%
0/23 • The adverse event data were collected from Day 0 up to Day 10
4.2%
1/24 • Number of events 1 • The adverse event data were collected from Day 0 up to Day 10

Additional Information

Albert Collinson

Theracos Sub, LLC

Phone: (508) 630-2129

Results disclosure agreements

  • Principal investigator is a sponsor employee The investigator has no right to publish the results.
  • Publication restrictions are in place

Restriction type: OTHER