Trial Outcomes & Findings for A Study to Investigate the Bioequivalence of Two Different Forms of Entrectinib (Forms A and C) Under Fasted Conditions in Healthy Subjects (NCT NCT03796013)

NCT ID: NCT03796013

Last Updated: 2020-03-09

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

28 participants

Primary outcome timeframe

At pre-defined intervals from Hour 0 through Day 5 of each study Period (Periods 1 and 2 = 6 days)

Results posted on

2020-03-09

Participant Flow

Participant milestones

Participant milestones
Measure
Form A to Form C Crossover
Participants first randomized to this arm received a single oral dose of entrectinib form A (reference form) under fasted conditions on Day 1 of Period 1. This dose was followed by a minimum 14-day washout period, after which participants received a single oral dose of entrectinib form C (test form) under fasted conditions on Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Form C to Form A Crossover
Participants first randomized to this arm received a single oral dose of entrectinib form C (test form) under fasted conditions on Day 1 of Period 1. This dose was followed by a minimum 14-day washout period, after which participants received a single oral dose of entrectinib form A (reference form) under fasted conditions on Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Period 1
STARTED
14
14
Period 1
COMPLETED
14
14
Period 1
NOT COMPLETED
0
0
Period 2
STARTED
14
14
Period 2
COMPLETED
14
14
Period 2
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Investigate the Bioequivalence of Two Different Forms of Entrectinib (Forms A and C) Under Fasted Conditions in Healthy Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Form A to Form C Crossover
n=14 Participants
Participants first randomized to this arm received a single oral dose of entrectinib form A (reference form) under fasted conditions on Day 1 of Period 1. This dose was followed by a minimum 14-day washout period, after which participants received a single oral dose of entrectinib form C (test form) under fasted conditions on Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Form C to Form A Crossover
n=14 Participants
Participants first randomized to this arm received a single oral dose of entrectinib form C (test form) under fasted conditions on Day 1 of Period 1. This dose was followed by a minimum 14-day washout period, after which participants received a single oral dose of entrectinib form A (reference form) under fasted conditions on Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Total
n=28 Participants
Total of all reporting groups
Age, Continuous
43.9 Years
STANDARD_DEVIATION 8.4 • n=5 Participants
44.4 Years
STANDARD_DEVIATION 11.7 • n=7 Participants
44 Years
STANDARD_DEVIATION 10.4 • n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
5 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Race/Ethnicity, Customized
White
8 Participants
n=5 Participants
8 Participants
n=7 Participants
16 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Multiple
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
9 Participants
n=5 Participants
11 Participants
n=7 Participants
20 Participants
n=5 Participants

PRIMARY outcome

Timeframe: At pre-defined intervals from Hour 0 through Day 5 of each study Period (Periods 1 and 2 = 6 days)

Population: The PK Population consisted of all participants who received at least 1 dose of study drug and had at least 1 evaluable postdose pharmacokinetic (PK) sample.

Outcome measures

Outcome measures
Measure
Form A Reference Formulation
n=28 Participants
Participants who received a single oral dose of entrectinib form A (reference form) under fasted conditions on Day 1 of Period 1 and Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Form C Test Formulation
n=28 Participants
Participants who received a single oral dose of entrectinib form C (test form) under fasted conditions on Day 1 of Period 1 and Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Area Under the Concentration-Time Curve (AUC0-t) of Entrectinib and M5 Metabolite
Entrectinib
18500 nmol*h/L
Geometric Coefficient of Variation 37.9
16600 nmol*h/L
Geometric Coefficient of Variation 30.7
Area Under the Concentration-Time Curve (AUC0-t) of Entrectinib and M5 Metabolite
M5 metabolite
3610 nmol*h/L
Geometric Coefficient of Variation 37.0
3070 nmol*h/L
Geometric Coefficient of Variation 36.9

PRIMARY outcome

Timeframe: At pre-defined intervals from Hour 0 through Day 5 of each study Period (Periods 1 and 2 = 6 days)

Population: The PK Population consisted of all participants who received at least 1 dose of study drug and had at least 1 evaluable postdose PK sample.

Outcome measures

Outcome measures
Measure
Form A Reference Formulation
n=28 Participants
Participants who received a single oral dose of entrectinib form A (reference form) under fasted conditions on Day 1 of Period 1 and Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Form C Test Formulation
n=28 Participants
Participants who received a single oral dose of entrectinib form C (test form) under fasted conditions on Day 1 of Period 1 and Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Maximum Observed Concentration (Cmax) of Entrectinib and M5 Metabolite
Entrectinib
796 nmol/L
Geometric Coefficient of Variation 35.6
726 nmol/L
Geometric Coefficient of Variation 28.9
Maximum Observed Concentration (Cmax) of Entrectinib and M5 Metabolite
M5 metabolite
138 nmol/L
Geometric Coefficient of Variation 47.9
114 nmol/L
Geometric Coefficient of Variation 50.3

SECONDARY outcome

Timeframe: Baseline through the end of study (up to clinical cut-off date 06 Feb 2019 [28 days])

Population: The Safety Population consisted of all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.

An adverse event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.

Outcome measures

Outcome measures
Measure
Form A Reference Formulation
n=28 Participants
Participants who received a single oral dose of entrectinib form A (reference form) under fasted conditions on Day 1 of Period 1 and Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Form C Test Formulation
n=28 Participants
Participants who received a single oral dose of entrectinib form C (test form) under fasted conditions on Day 1 of Period 1 and Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)
7.1 Percentage of Participants
0 Percentage of Participants

Adverse Events

Form A Reference Formulation

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Form C Test Formulation

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Form A Reference Formulation
n=28 participants at risk
Participants who received a single oral dose of entrectinib form A (reference form) under fasted conditions on Day 1 of Period 1 and Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Form C Test Formulation
n=28 participants at risk
Participants who received a single oral dose of entrectinib form C (test form) under fasted conditions on Day 1 of Period 1 and Day 1 of Period 2 (Periods 1 and 2 = 6 days).
Injury, poisoning and procedural complications
Arthropod bite
7.1%
2/28 • Baseline through the end of study (up to clinical cut-off date 06 Feb 2019 [28 days])
The Safety Population consisted of all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
0.00%
0/28 • Baseline through the end of study (up to clinical cut-off date 06 Feb 2019 [28 days])
The Safety Population consisted of all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
Respiratory, thoracic and mediastinal disorders
Cough
3.6%
1/28 • Baseline through the end of study (up to clinical cut-off date 06 Feb 2019 [28 days])
The Safety Population consisted of all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
0.00%
0/28 • Baseline through the end of study (up to clinical cut-off date 06 Feb 2019 [28 days])
The Safety Population consisted of all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
3.6%
1/28 • Baseline through the end of study (up to clinical cut-off date 06 Feb 2019 [28 days])
The Safety Population consisted of all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.
0.00%
0/28 • Baseline through the end of study (up to clinical cut-off date 06 Feb 2019 [28 days])
The Safety Population consisted of all participants who received at least 1 dose of study drug and had at least 1 postdose safety assessment.

Additional Information

Medical Communications

Hoffmann-La Roche

Phone: 800 821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER