Trial Outcomes & Findings for A Study to Evaluate Pharmacokinetics (PK) and Safety of Oral Mobocertinib in Participants With Moderate or Severe Hepatic Impairment (HI) and Normal Hepatic Function (NCT NCT04056468)

NCT ID: NCT04056468

Last Updated: 2023-11-03

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Results posted on

2023-11-03

Participant Flow

Participants took part in the study at 2 investigative sites in the United States from 09 October 2020 to 26 February 2022.

Participants with a diagnosis of moderate or severe hepatic impairment (HI) were enrolled to receive mobocertinib and were compared to a matched-normal hepatic function arm.

Participant milestones

Participant milestones
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
Mobocertinib 40 milligram (mg), capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Overall Study
STARTED
8
8
8
Overall Study
COMPLETED
8
8
8
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Evaluate Pharmacokinetics (PK) and Safety of Oral Mobocertinib in Participants With Moderate or Severe Hepatic Impairment (HI) and Normal Hepatic Function

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
61.1 years
STANDARD_DEVIATION 3.76 • n=5 Participants
56.1 years
STANDARD_DEVIATION 8.64 • n=7 Participants
59.4 years
STANDARD_DEVIATION 6.09 • n=5 Participants
58.9 years
STANDARD_DEVIATION 6.54 • n=4 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
7 Participants
n=4 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
6 Participants
n=7 Participants
5 Participants
n=5 Participants
17 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
6 Participants
n=7 Participants
7 Participants
n=5 Participants
18 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
6 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 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
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
8 Participants
n=7 Participants
7 Participants
n=5 Participants
22 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
8 Participants
n=5 Participants
8 Participants
n=7 Participants
8 Participants
n=5 Participants
24 Participants
n=4 Participants
Weight
87.06 kg
STANDARD_DEVIATION 24.847 • n=5 Participants
81.46 kg
STANDARD_DEVIATION 14.803 • n=7 Participants
85.88 kg
STANDARD_DEVIATION 16.824 • n=5 Participants
84.80 kg
STANDARD_DEVIATION 18.622 • n=4 Participants
Height
170.9 cm
STANDARD_DEVIATION 11.72 • n=5 Participants
169.4 cm
STANDARD_DEVIATION 9.71 • n=7 Participants
167.4 cm
STANDARD_DEVIATION 8.98 • n=5 Participants
169.2 cm
STANDARD_DEVIATION 9.86 • n=4 Participants
Body Mass Index (BMI)
29.279 kg/m^2
STANDARD_DEVIATION 4.7428 • n=5 Participants
28.378 kg/m^2
STANDARD_DEVIATION 4.5553 • n=7 Participants
30.456 kg/m^2
STANDARD_DEVIATION 4.0801 • n=5 Participants
29.371 kg/m^2
STANDARD_DEVIATION 4.3571 • n=4 Participants

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Population: Pharmacokinetic (PK) set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations).

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Cmax: Maximum Observed Plasma Concentration for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
Mobocertinib
9.67 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 58.2
11.3 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 31.7
10.5 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 37.6
Cmax: Maximum Observed Plasma Concentration for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32960
3.88 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 28.8
2.82 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 27.9
4.80 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 23.6
Cmax: Maximum Observed Plasma Concentration for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32914
0.752 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 38.6
0.722 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 32.5
1.15 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 31.7

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Population: PK set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations).

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Cmax,u: Maximum Observed Unbound Plasma Concentration for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
Mobocertinib
0.153 ng/mL
Geometric Coefficient of Variation 51.2
0.167 ng/mL
Geometric Coefficient of Variation 50.3
0.184 ng/mL
Geometric Coefficient of Variation 39.7
Cmax,u: Maximum Observed Unbound Plasma Concentration for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32960
0.0569 ng/mL
Geometric Coefficient of Variation 24.4
0.0396 ng/mL
Geometric Coefficient of Variation 35.9
0.0729 ng/mL
Geometric Coefficient of Variation 22.2
Cmax,u: Maximum Observed Unbound Plasma Concentration for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32914
0.00518 ng/mL
Geometric Coefficient of Variation 81.3
0.00837 ng/mL
Geometric Coefficient of Variation 28.9
0.0127 ng/mL
Geometric Coefficient of Variation 36.1

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Population: PK set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations). Number analyzed is the number of participants with data available for analysis for the specified category. Data was not collected for AP32914 as no participant displayed a sufficient PK profile with respect to this parameter.

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
Mobocertinib
206 nanogram*hours/milliliters (ng*h/mL)
Geometric Coefficient of Variation 32.7
291 nanogram*hours/milliliters (ng*h/mL)
Geometric Coefficient of Variation 48.9
199 nanogram*hours/milliliters (ng*h/mL)
Geometric Coefficient of Variation 36.2
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32960
91.6 nanogram*hours/milliliters (ng*h/mL)
Geometric Coefficient of Variation 22.2
115 nanogram*hours/milliliters (ng*h/mL)
Geometric Coefficient of Variation 1.94
105 nanogram*hours/milliliters (ng*h/mL)
Geometric Coefficient of Variation 31.5

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Population: PK set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations). Number analyzed is the number of participants with data available for analysis for the specified category. Data was not collected for AP32914 as no participant displayed a sufficient PK profile with respect to this parameter.

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
AUC∞,u: Area Under the Unbound Plasma Concentration-time Curve From Time 0 to Infinity for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
Mobocertinib
3.26 ng*h/mL
Geometric Coefficient of Variation 42.6
4.31 ng*h/mL
Geometric Coefficient of Variation 42.4
3.50 ng*h/mL
Geometric Coefficient of Variation 34.9
AUC∞,u: Area Under the Unbound Plasma Concentration-time Curve From Time 0 to Infinity for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32960
1.32 ng*h/mL
Geometric Coefficient of Variation 28.4
1.48 ng*h/mL
Geometric Coefficient of Variation 28.5
1.60 ng*h/mL
Geometric Coefficient of Variation 29.3

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Population: PK set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations).

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
Mobocertinib
192 ng*h/mL
Geometric Coefficient of Variation 34.2
275 ng*h/mL
Geometric Coefficient of Variation 50.3
186 ng*h/mL
Geometric Coefficient of Variation 38.7
AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32960
69.3 ng*h/mL
Geometric Coefficient of Variation 21.3
64.5 ng*h/mL
Geometric Coefficient of Variation 52.1
91.9 ng*h/mL
Geometric Coefficient of Variation 35.1
AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32914
7.61 ng*h/mL
Geometric Coefficient of Variation 48.1
9.32 ng*h/mL
Geometric Coefficient of Variation 91.4
12.5 ng*h/mL
Geometric Coefficient of Variation 71.3

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Population: PK set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations).

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
AUClast,u: Area Under the Unbound Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
Mobocertinib
3.04 ng*h/mL
Geometric Coefficient of Variation 43.3
4.06 ng*h/mL
Geometric Coefficient of Variation 42.9
3.28 ng*h/mL
Geometric Coefficient of Variation 36.2
AUClast,u: Area Under the Unbound Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32960
1.02 ng*h/mL
Geometric Coefficient of Variation 24.9
0.906 ng*h/mL
Geometric Coefficient of Variation 42.8
1.40 ng*h/mL
Geometric Coefficient of Variation 32.0
AUClast,u: Area Under the Unbound Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32914
0.0524 ng*h/mL
Geometric Coefficient of Variation 82.5
0.108 ng*h/mL
Geometric Coefficient of Variation 45.5
0.138 ng*h/mL
Geometric Coefficient of Variation 79.5

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Population: PK set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations).

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
Mobocertinib
2.00 hours (h)
Interval 1.0 to 8.0
4.00 hours (h)
Interval 1.0 to 8.0
6.00 hours (h)
Interval 1.0 to 8.0
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32960
2.00 hours (h)
Interval 2.0 to 4.0
4.00 hours (h)
Interval 2.0 to 6.0
6.00 hours (h)
Interval 2.0 to 6.0
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32914
5.00 hours (h)
Interval 2.0 to 8.0
4.00 hours (h)
Interval 2.0 to 8.0
6.00 hours (h)
Interval 2.0 to 8.0

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Population: PK set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations). Number analyzed is the number of participants with data available for analysis for the specified category. Data was not collected for AP32914 as no participant displayed a sufficient PK profile with respect to this parameter.

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
t1/2z: Terminal Disposition Phase Half-life for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
Mobocertinib
26.4 hours
Geometric Coefficient of Variation 16.8
30.7 hours
Geometric Coefficient of Variation 20.9
22.9 hours
Geometric Coefficient of Variation 28.1
t1/2z: Terminal Disposition Phase Half-life for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32960
31.7 hours
Geometric Coefficient of Variation 36.2
45.0 hours
Geometric Coefficient of Variation 44.9
25.9 hours
Geometric Coefficient of Variation 29.1

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Population: PK set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations). Number analyzed is the number of participants with data available for analysis for the specified category. Data was not collected for AP32914 as no participant displayed a sufficient PK profile with respect to this parameter.

Terminal elimination rate constant (λz) is a mathematical estimate calculated using log-linear regression of the terminal portions of a plasma concentration against time curve.

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
λz: Terminal Elimination Rate Constant for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
Mobocertinib
0.0263 1/hour
Geometric Coefficient of Variation 16.8
0.0226 1/hour
Geometric Coefficient of Variation 20.9
0.0303 1/hour
Geometric Coefficient of Variation 28.1
λz: Terminal Elimination Rate Constant for Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32960
0.0218 1/hour
Geometric Coefficient of Variation 36.2
0.0154 1/hour
Geometric Coefficient of Variation 44.9
0.0268 1/hour
Geometric Coefficient of Variation 29.1

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Population: PK set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations).

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
CL/F: Apparent Clearance After Extravascular Administration for Mobocertinib
195 liters per hour (L/hour)
Geometric Coefficient of Variation 32.7
137 liters per hour (L/hour)
Geometric Coefficient of Variation 48.9
201 liters per hour (L/hour)
Geometric Coefficient of Variation 36.2

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Population: PK set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations).

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
CLu/F: Apparent Clearance for Unbound Drug After Extravascular Administration for Mobocertinib
12300 L/hour
Geometric Coefficient of Variation 42.6
9290 L/hour
Geometric Coefficient of Variation 42.4
11400 L/hour
Geometric Coefficient of Variation 34.9

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Population: PK set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations).

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Vz/F: Apparent Volume of Distribution During the Terminal Disposition Phase After Extravascular Administration for Mobocertinib
7400 liters
Geometric Coefficient of Variation 30.5
6090 liters
Geometric Coefficient of Variation 30.7
6640 liters
Geometric Coefficient of Variation 37.7

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 216 hours) post-dose

Population: PK set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations).

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Vz,u/F: Apparent Volume of Distribution for Unbound Drug During the Terminal Disposition Phase After Extravascular Administration for Mobocertinib
467000 liters
Geometric Coefficient of Variation 34.3
412000 liters
Geometric Coefficient of Variation 22.6
377000 liters
Geometric Coefficient of Variation 24.9

SECONDARY outcome

Timeframe: Day 1 at multiple time points (up to 24 hours) post-dose

Population: PK set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (e.g., exposure to treatment, availability of measurements and absence of major protocol violations).

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Plasma Protein Binding of Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
Mobocertinib
98.4 percentage bound
Standard Deviation 0.385
98.5 percentage bound
Standard Deviation 0.397
98.2 percentage bound
Standard Deviation 0.426
Plasma Protein Binding of Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32960
98.5 percentage bound
Standard Deviation 0.114
98.6 percentage bound
Standard Deviation 0.321
98.5 percentage bound
Standard Deviation 0.129
Plasma Protein Binding of Mobocertinib and Its Active Metabolites (AP32960 and AP32914)
AP32914
99.2 percentage bound
Standard Deviation 0.332
98.7 percentage bound
Standard Deviation 0.621
98.9 percentage bound
Standard Deviation 0.245

SECONDARY outcome

Timeframe: Baseline up to 30 days after last dose of study drug (up to Day 32)

Population: Safety set included all participants who received the study drug.

An adverse event (AE) is defined as any untoward medical occurrence in a participant administered a pharmaceutical product; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (e.g., a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug.

Outcome measures

Outcome measures
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 Participants
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)
1 Participants
0 Participants
2 Participants

Adverse Events

Moderate HI (Child-Pugh B): Mobocertinib 40 mg

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

Severe HI (Child-Pugh C): Mobocertinib 40 mg

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

Normal Hepatic Function: Mobocertinib 40 mg

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Moderate HI (Child-Pugh B): Mobocertinib 40 mg
n=8 participants at risk
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Severe HI (Child-Pugh C): Mobocertinib 40 mg
n=8 participants at risk
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Normal Hepatic Function: Mobocertinib 40 mg
n=8 participants at risk
Mobocertinib 40 mg, capsule, orally, a single dose on Day 1.
Gastrointestinal disorders
Dyspepsia
12.5%
1/8 • Baseline up to 30 days after last dose of study drug (up to Day 32)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Safety set included all participants who received the study drug.
0.00%
0/8 • Baseline up to 30 days after last dose of study drug (up to Day 32)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Safety set included all participants who received the study drug.
0.00%
0/8 • Baseline up to 30 days after last dose of study drug (up to Day 32)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Safety set included all participants who received the study drug.
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/8 • Baseline up to 30 days after last dose of study drug (up to Day 32)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Safety set included all participants who received the study drug.
0.00%
0/8 • Baseline up to 30 days after last dose of study drug (up to Day 32)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Safety set included all participants who received the study drug.
12.5%
1/8 • Baseline up to 30 days after last dose of study drug (up to Day 32)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Safety set included all participants who received the study drug.
Skin and subcutaneous tissue disorders
Rash
0.00%
0/8 • Baseline up to 30 days after last dose of study drug (up to Day 32)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Safety set included all participants who received the study drug.
0.00%
0/8 • Baseline up to 30 days after last dose of study drug (up to Day 32)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Safety set included all participants who received the study drug.
12.5%
1/8 • Baseline up to 30 days after last dose of study drug (up to Day 32)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Safety set included all participants who received the study drug.

Additional Information

Study Director

Takeda

Phone: +1-877-825-3327

Results disclosure agreements

  • Principal investigator is a sponsor employee Research Organization shall not publish any articles or papers nor make any presentations, nor assist any other person in publishing any articles or papers or in making any presentations relating or referring to the Study or any results, data or insights from or any data, information or materials obtained or generated in the performance of its obligations without the prior written consent of Takeda, which consent may be granted or withheld in Takeda's sole discretion.
  • Publication restrictions are in place

Restriction type: OTHER