Trial Outcomes & Findings for A Study of Effects of Selpercatinib (LY3527723) on Midazolam in Healthy Participants (NCT NCT05338476)

NCT ID: NCT05338476

Last Updated: 2025-10-17

Results Overview

PK: PK: AUC0-t of midazolam and its metabolite 1-OH-midazolam was reported.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

16 participants

Primary outcome timeframe

Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Results posted on

2025-10-17

Participant Flow

Participant milestones

Participant milestones
Measure
Period 1: Midazolam
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib + Midazolam
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
Period 1
STARTED
16
0
Period 1
Safety Analysis Population (Received at Least One Dose of Study Drug)
16
0
Period 1
COMPLETED
16
0
Period 1
NOT COMPLETED
0
0
Period 2
STARTED
0
16
Period 2
Safety Analysis Population (Received at Least One Dose of Study Drug)
0
16
Period 2
COMPLETED
0
15
Period 2
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Period 1: Midazolam
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib + Midazolam
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
Period 2
Adverse Event
0
1

Baseline Characteristics

A Study of Effects of Selpercatinib (LY3527723) on Midazolam in Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=16 Participants
* Period 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup on Day 1. * Period 2: Participants received 160 mg Selpercatinib capsules twice daily (BID) from Day 1-10, and on Day 10 it was co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
Age, Continuous
41.1 years
STANDARD_DEVIATION 6.05 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
15 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
16 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

PK: PK: AUC0-t of midazolam and its metabolite 1-OH-midazolam was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=16 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
n=15 Participants
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
Pharmacokinetics (PK): Area Under the Concentration-time Curve, From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of Midazolam and Its Metabolite 1-hydroxymidazolam (1-OH-midazolam)
Midazolam
27.02 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 38.4
42.43 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 35.5
Pharmacokinetics (PK): Area Under the Concentration-time Curve, From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of Midazolam and Its Metabolite 1-hydroxymidazolam (1-OH-midazolam)
Metabolite: 1-OH-midazolam
41.02 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 100.7
55.81 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 80.5

PRIMARY outcome

Timeframe: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

PK: PK: AUC0-inf of midazolam and its metabolite 1-OH-midazolam was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=16 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
n=15 Participants
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Area Under the Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) of Midazolam and Its Metabolite 1-OH-midazolam
Midazolam
28.46 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 38.4
45.00 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 36.7
PK: Area Under the Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) of Midazolam and Its Metabolite 1-OH-midazolam
Metabolite: 1-OH-midazolam
43.29 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 100.3
59.49 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 80.2

PRIMARY outcome

Timeframe: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

PK: PK: AUC%extrap of midazolam and its metabolite 1-OH-midazolam was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=16 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
n=15 Participants
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Percent of AUC0-inf Extrapolated (AUC%Extrap) of Midazolam and Its Metabolite 1-OH-midazolam
Midazolam
4.763 percent AUC extrapolation
Geometric Coefficient of Variation 36.9
5.165 percent AUC extrapolation
Geometric Coefficient of Variation 48.1
PK: Percent of AUC0-inf Extrapolated (AUC%Extrap) of Midazolam and Its Metabolite 1-OH-midazolam
Metabolite: 1-OH-midazolam
4.869 percent AUC extrapolation
Geometric Coefficient of Variation 41.3
5.849 percent AUC extrapolation
Geometric Coefficient of Variation 36.3

PRIMARY outcome

Timeframe: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome

PK: Cmax of midazolam and its metabolite 1-OH-midazolam was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=16 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
n=15 Participants
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Maximum Observed Concentration (Cmax) of Midazolam and Its Metabolite 1-OH-midazolam
Midazolam
11.94 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 32.0
16.76 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 39.9
PK: Maximum Observed Concentration (Cmax) of Midazolam and Its Metabolite 1-OH-midazolam
Metabolite: 1-OH-midazolam
15.98 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 70.1
17.91 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 70.3

PRIMARY outcome

Timeframe: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

PK: Tmax of midazolam and its metabolite 1-OH-midazolam was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=16 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
n=15 Participants
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Time to Reach Maximum Observed Concentration (Tmax) of Midazolam and Its Metabolite 1-OH-midazolam
Midazolam
0.584 hours
Geometric Coefficient of Variation 20.4
0.626 hours
Geometric Coefficient of Variation 33.6
PK: Time to Reach Maximum Observed Concentration (Tmax) of Midazolam and Its Metabolite 1-OH-midazolam
Metabolite: 1-OH-midazolam
0.668 hours
Geometric Coefficient of Variation 25.3
0.738 hours
Geometric Coefficient of Variation 30.6

PRIMARY outcome

Timeframe: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

PK: Kel of midazolam and its metabolite 1-OH-midazolam was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=16 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
n=15 Participants
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Apparent Terminal Elimination Rate Constant (Kel) of Midazolam and Its Metabolite 1-OH-midazolam
Midazolam
0.1193 One per hour (1/h)
Geometric Coefficient of Variation 32.5
0.09787 One per hour (1/h)
Geometric Coefficient of Variation 22.1
PK: Apparent Terminal Elimination Rate Constant (Kel) of Midazolam and Its Metabolite 1-OH-midazolam
Metabolite: 1-OH-midazolam
0.1105 One per hour (1/h)
Geometric Coefficient of Variation 31.4
0.09474 One per hour (1/h)
Geometric Coefficient of Variation 18.2

PRIMARY outcome

Timeframe: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

PK: t½ of midazolam and its metabolite 1-OH-midazolam was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=16 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
n=15 Participants
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Apparent Terminal Elimination Half-life (t½) of Midazolam and Its Metabolite 1-OH-midazolam
Midazolam
5.812 hours
Geometric Coefficient of Variation 32.5
7.082 hours
Geometric Coefficient of Variation 22.1
PK: Apparent Terminal Elimination Half-life (t½) of Midazolam and Its Metabolite 1-OH-midazolam
Metabolite: 1-OH-midazolam
6.275 hours
Geometric Coefficient of Variation 31.4
7.317 hours
Geometric Coefficient of Variation 18.2

PRIMARY outcome

Timeframe: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

PK: CL/F of midazolam was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=16 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
n=15 Participants
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Apparent Total Plasma Clearance After Oral (Extravascular) Administration (CL/F) of Midazolam
70.26 Liter per Hour (L/h)
Geometric Coefficient of Variation 38.4
44.44 Liter per Hour (L/h)
Geometric Coefficient of Variation 36.7

PRIMARY outcome

Timeframe: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

PK: Vz/F of midazolam was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=16 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
n=15 Participants
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of Midazolam
589.1 Liter (L)
Geometric Coefficient of Variation 35.0
454.1 Liter (L)
Geometric Coefficient of Variation 32.3

SECONDARY outcome

Timeframe: Period 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

PK: AUC0-12 of Selpercatinib was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=16 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Area Under the Concentration-time Curve, From Time 0 to the 12 Hour (AUC0-12) of Selpercatinib
10710 ng*h/mL
Geometric Coefficient of Variation 36.9

SECONDARY outcome

Timeframe: Period 2: Day 9 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose); Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

PK: AUC0-tau of Selpercatinib was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=15 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Area Under the Concentration-time Curve During a Dosing Interval (Tau) at Steady State (AUCtau) of Selpercatinib
Day 9
37610 ng*h/mL
Geometric Coefficient of Variation 32.4
PK: Area Under the Concentration-time Curve During a Dosing Interval (Tau) at Steady State (AUCtau) of Selpercatinib
Day 10
36890 ng*h/mL
Geometric Coefficient of Variation 33.5

SECONDARY outcome

Timeframe: Period 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

PK: Cmax of Selpercatinib was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=16 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Maximum Observed Concentration (Cmax) of Selpercatinib
1859 ng/mL
Geometric Coefficient of Variation 50.3

SECONDARY outcome

Timeframe: Period 2: Day 9 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose); Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

PK: Cmax,ss of Selpercatinib was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=15 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Maximum Observed Concentration at Steady-state (Cmax,ss) of Selpercatinib
Day 9
4574 ng/mL
Geometric Coefficient of Variation 38.0
PK: Maximum Observed Concentration at Steady-state (Cmax,ss) of Selpercatinib
Day 10
4190 ng/mL
Geometric Coefficient of Variation 36.8

SECONDARY outcome

Timeframe: Period 2: Predose at Day 1, Day 2, Day 3, Day 4, Day 5, Day 6, Day 7, Day 8, Day 9

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome. 'Number analyzed' signifies participants with available data at specified timepoints.

PK: Ctrough of Selpercatinib was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=16 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Concentration Observed at the End of the Dosing Interval (Ctrough) of Selpercatinib
Day 1
1301 ng/mL
Geometric Coefficient of Variation 23.1
PK: Concentration Observed at the End of the Dosing Interval (Ctrough) of Selpercatinib
Day 2
1843 ng/mL
Geometric Coefficient of Variation 27.6
PK: Concentration Observed at the End of the Dosing Interval (Ctrough) of Selpercatinib
Day 3
2022 ng/mL
Geometric Coefficient of Variation 29.4
PK: Concentration Observed at the End of the Dosing Interval (Ctrough) of Selpercatinib
Day 4
2213 ng/mL
Geometric Coefficient of Variation 35.5
PK: Concentration Observed at the End of the Dosing Interval (Ctrough) of Selpercatinib
Day 5
2373 ng/mL
Geometric Coefficient of Variation 34.9
PK: Concentration Observed at the End of the Dosing Interval (Ctrough) of Selpercatinib
Day 6
2660 ng/mL
Geometric Coefficient of Variation 37.6
PK: Concentration Observed at the End of the Dosing Interval (Ctrough) of Selpercatinib
Day 7
2606 ng/mL
Geometric Coefficient of Variation 32.7
PK: Concentration Observed at the End of the Dosing Interval (Ctrough) of Selpercatinib
Day 8
2733 ng/mL
Geometric Coefficient of Variation 26.0
PK: Concentration Observed at the End of the Dosing Interval (Ctrough) of Selpercatinib
Day 9
2754 ng/mL
Geometric Coefficient of Variation 30.9

SECONDARY outcome

Timeframe: Period 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

PK: tmax of Selpercatinib was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=16 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Time to Reach Maximum Observed Concentration (Tmax) of Selpercatinib
1.843 hours
Geometric Coefficient of Variation 45.9

SECONDARY outcome

Timeframe: Period 2: Day 9 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose); Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

PK: Tmax,ss of Selpercatinib was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=15 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Time to Reach Maximum Observed Concentration at Steady-state (Tmax,ss) of Selpercatinib
Day 9
1.955 hours
Geometric Coefficient of Variation 76.0
PK: Time to Reach Maximum Observed Concentration at Steady-state (Tmax,ss) of Selpercatinib
Day 10
1.752 hours
Geometric Coefficient of Variation 55.8

SECONDARY outcome

Timeframe: Period 2: Day 9 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose); Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome. 'Number analyzed' signifies participants with available data at specified timepoints.

PK: CL,ss/F of Selpercatinib was reported.

Outcome measures

Outcome measures
Measure
Period 1: Midazolam
n=11 Participants
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib+ Midazolam
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
PK: Apparent Total Plasma Clearance at Steady State After Oral/Extravascular Administration (CL,ss/F) of Selpercatinib
Day 9
1.930 Liter per Hours (L/h)
Geometric Coefficient of Variation 35.8
PK: Apparent Total Plasma Clearance at Steady State After Oral/Extravascular Administration (CL,ss/F) of Selpercatinib
Day 10
2.027 Liter per Hours (L/h)
Geometric Coefficient of Variation 34.5

Adverse Events

Period 1: Midazolam (Day 1)

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

Period 2: Selpercatinib (Day 1 to Day 9)

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Period 2: Selpercatinib + Midazolam (Day 10)

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Period 1: Midazolam (Day 1)
n=16 participants at risk
* Day 1: Participants received single oral dose of 2 milligram (mg) midazolam syrup.
Period 2: Selpercatinib (Day 1 to Day 9)
n=16 participants at risk
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsules twice daily (BID).
Period 2: Selpercatinib + Midazolam (Day 10)
n=15 participants at risk
* Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 2 mg midazolam syrup on the morning of Day 10.
Ear and labyrinth disorders
Hyperacusis
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.2%
1/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Gastrointestinal disorders
Abdominal pain
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
12.5%
2/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Gastrointestinal disorders
Constipation
25.0%
4/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
18.8%
3/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Gastrointestinal disorders
Diarrhoea
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.2%
1/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Infections and infestations
Asymptomatic bacteriuria
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.7%
1/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Investigations
Alanine aminotransferase increased
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.2%
1/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Investigations
Blood alkaline phosphatase increased
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.2%
1/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.7%
1/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Investigations
Blood triglycerides increased
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.2%
1/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Investigations
Platelet count decreased
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.7%
1/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
12.5%
2/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Musculoskeletal and connective tissue disorders
Limb discomfort
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.2%
1/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Musculoskeletal and connective tissue disorders
Muscle tightness
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.2%
1/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
18.8%
3/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.7%
1/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.2%
1/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Nervous system disorders
Head discomfort
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
12.5%
2/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Nervous system disorders
Headache
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
50.0%
8/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.2%
1/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.2%
1/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Skin and subcutaneous tissue disorders
Rash macular
0.00%
0/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.2%
1/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.7%
1/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
Vascular disorders
Hypertension
6.2%
1/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
6.2%
1/16 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.
0.00%
0/15 • Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2)
Safety analysis population: All participants who received at least one dose of study drug. * 1 participant discontinued the study after receiving the Selpercatinib dose on Day 5 in Period 2. Therefore, safety analysis population for the Period 2: Selpercatinib + Midazolam (Day 10) treatment includes only the remaining 15 participants.

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 08005455979

Results disclosure agreements

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

Restriction type: GT60