Trial Outcomes & Findings for A Study to Compare the Relative Bioavailability of Brigatinib When Swallowed as a Solution Versus When Swallowed as a Tablet in Healthy Adults (NCT NCT06132867)

NCT ID: NCT06132867

Last Updated: 2025-01-23

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

12 participants

Primary outcome timeframe

Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 120 and 168 hours post-dose

Results posted on

2025-01-23

Participant Flow

Participants took part in the study at 1 investigative site in the United States from 20 December 2023 to 17 February 2024.

A total of 12 participants entered the study and were randomized in a 1:1 ratio to one of the treatment sequences: Treatment A followed by Treatment B (AB) or Treatment B followed by Treatment A (BA).

Participant milestones

Participant milestones
Measure
Sequence AB
Participants received single dose of brigatinib 90 milligram (mg) as an oral solution in a fasted state on Day 1 of Period 1 (Treatment A) followed by single dose of brigatinib 90 mg as an immediate-release tablet in a fasted state on Day 1 of Period 2 (Treatment B). A washout period of at least 14 days was maintained between brigatinib administration in Period 1 and 2.
Sequence BA
Participants received single dose of brigatinib 90 mg as an immediate-release tablet in a fasted state on Day 1 of Period 1 (Treatment B) followed by single dose of brigatinib 90 mg as an oral solution in a fasted state on Day 1 of Period 2 (Treatment A). A washout period of at least 14 days was maintained between brigatinib administration in Period 1 and 2.
Period 1 (Day 1)
STARTED
6
6
Period 1 (Day 1)
COMPLETED
6
6
Period 1 (Day 1)
NOT COMPLETED
0
0
Period 2 (Day 1)
STARTED
6
6
Period 2 (Day 1)
COMPLETED
6
6
Period 2 (Day 1)
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Compare the Relative Bioavailability of Brigatinib When Swallowed as a Solution Versus When Swallowed as a Tablet in Healthy Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sequence AB
n=6 Participants
Participants received single dose of brigatinib 90 milligram (mg) as an oral solution in a fasted state on Day 1 of Period 1 (Treatment A) followed by single dose of brigatinib 90 mg as an immediate-release tablet in a fasted state on Day 1 of Period 2 (Treatment B). A washout period of at least 14 days was maintained between brigatinib administration in Period 1 and 2.
Sequence BA
n=6 Participants
Participants received single dose of brigatinib 90 mg as an immediate-release tablet in a fasted state on Day 1 of Period 1 (Treatment B) followed by single dose of brigatinib 90 mg as an oral solution in a fasted state on Day 1 of Period 2 (Treatment A). A washout period of at least 14 days was maintained between brigatinib administration in Period 1 and 2.
Total
n=12 Participants
Total of all reporting groups
Age, Continuous
45.2 years
STANDARD_DEVIATION 10.82 • n=5 Participants
39.3 years
STANDARD_DEVIATION 8.50 • n=7 Participants
42.3 years
STANDARD_DEVIATION 9.76 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=5 Participants
6 Participants
n=7 Participants
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 120 and 168 hours post-dose

Population: The pharmacokinetic (PK) analysis set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: Brigatinib 90 mg Oral Solution
n=12 Participants
Participants received single dose of brigatinib 90 mg as an oral solution on Day 1 of Period 1 or 2 in a fasted state.
Treatment B: Brigatinib 90 mg Tablet
n=12 Participants
Participants received single dose of brigatinib 90 mg as an immediate-release tablet on Day 1 of Period 1 or 2 in a fasted state.
Cmax: Maximum Observed Plasma Concentration for Brigatinib
366.6 nanogram per millliliter (ng/mL)
Geometric Coefficient of Variation 53.2
397.6 nanogram per millliliter (ng/mL)
Geometric Coefficient of Variation 49.7

PRIMARY outcome

Timeframe: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 120 and 168 hours post-dose

Population: The PK analysis set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: Brigatinib 90 mg Oral Solution
n=12 Participants
Participants received single dose of brigatinib 90 mg as an oral solution on Day 1 of Period 1 or 2 in a fasted state.
Treatment B: Brigatinib 90 mg Tablet
n=12 Participants
Participants received single dose of brigatinib 90 mg as an immediate-release tablet on Day 1 of Period 1 or 2 in a fasted state.
AUClast: Area Under the Plasma Concentration-Time Curve From Time Zero to the Time of the Last Quantifiable Concentration for Brigatinib
6930 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 43.4
7219 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 43.6

PRIMARY outcome

Timeframe: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 120 and 168 hours post-dose

Population: The PK analysis set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: Brigatinib 90 mg Oral Solution
n=12 Participants
Participants received single dose of brigatinib 90 mg as an oral solution on Day 1 of Period 1 or 2 in a fasted state.
Treatment B: Brigatinib 90 mg Tablet
n=12 Participants
Participants received single dose of brigatinib 90 mg as an immediate-release tablet on Day 1 of Period 1 or 2 in a fasted state.
AUCinf: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity for Brigatinib
7373 ng*h/mL
Geometric Coefficient of Variation 39.5
7693 ng*h/mL
Geometric Coefficient of Variation 41.0

SECONDARY outcome

Timeframe: From first dose of the study drug up to Day 31

Population: The safety analysis set included all the participants who received at least one dose of the study drug.

An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant who had signed informed consent form (ICF) to participate in a study. An AE can be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A TEAE was defined as an adverse event that was starting or worsening at the time of or after the first dose of brigatinib administered in the study. An SAE was defined as any untoward medical occurrence that at any dose resulted in death, was life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly or is an important medical event.

Outcome measures

Outcome measures
Measure
Treatment A: Brigatinib 90 mg Oral Solution
n=12 Participants
Participants received single dose of brigatinib 90 mg as an oral solution on Day 1 of Period 1 or 2 in a fasted state.
Treatment B: Brigatinib 90 mg Tablet
n=12 Participants
Participants received single dose of brigatinib 90 mg as an immediate-release tablet on Day 1 of Period 1 or 2 in a fasted state.
Number of Participants With at Least One Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Participants with TEAEs
2 Participants
2 Participants
Number of Participants With at Least One Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Participants with SAEs
0 Participants
0 Participants

Adverse Events

Treatment A: Brigatinib 90 mg Oral Solution

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

Treatment B: Brigatinib 90 mg Tablet

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
Treatment A: Brigatinib 90 mg Oral Solution
n=12 participants at risk
Participants received single dose of brigatinib 90 mg as an oral solution on Day 1 of Period 1 or 2 in a fasted state.
Treatment B: Brigatinib 90 mg Tablet
n=12 participants at risk
Participants received single dose of brigatinib 90 mg as an immediate-release tablet on Day 1 of Period 1 or 2 in a fasted state.
Gastrointestinal disorders
Abdominal pain
8.3%
1/12 • From first dose of the study drug up to Day 31
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.
0.00%
0/12 • From first dose of the study drug up to Day 31
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.
Infections and infestations
Bronchitis
8.3%
1/12 • From first dose of the study drug up to Day 31
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.
0.00%
0/12 • From first dose of the study drug up to Day 31
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.
Respiratory, thoracic and mediastinal disorders
Cough
8.3%
1/12 • From first dose of the study drug up to Day 31
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.
8.3%
1/12 • From first dose of the study drug up to Day 31
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.
Gastrointestinal disorders
Diarrhoea
8.3%
1/12 • From first dose of the study drug up to Day 31
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.
0.00%
0/12 • From first dose of the study drug up to Day 31
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.
Nervous system disorders
Headache
8.3%
1/12 • From first dose of the study drug up to Day 31
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.
0.00%
0/12 • From first dose of the study drug up to Day 31
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.
Psychiatric disorders
Poor quality sleep
0.00%
0/12 • From first dose of the study drug up to Day 31
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.
8.3%
1/12 • From first dose of the study drug up to Day 31
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.
Infections and infestations
Viral infection
8.3%
1/12 • From first dose of the study drug up to Day 31
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.
0.00%
0/12 • From first dose of the study drug up to Day 31
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.

Additional Information

Study Director

Takeda

Phone: +1-877-825-3327

Results disclosure agreements

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

Restriction type: OTHER