Trial Outcomes & Findings for A Study of Two Different Formulations of Pirtobrutinib (LOXO-305) In Healthy Participants (NCT NCT06258174)
NCT ID: NCT06258174
Last Updated: 2025-01-13
Results Overview
PK: AUC0-24 of Pirtobrutinib
COMPLETED
PHASE1
28 participants
Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose
2025-01-13
Participant Flow
Participants were randomized to 2 treatment sequences (R/T, T/R), with each sequence having 2 periods where participants were crossed over between the periods. A washout period of 7 days was maintained between doses of each treatment period.
Participant milestones
| Measure |
200 mg Pirtobrutinib (Sequence R/T)
Period 1: Participants received a reference formulation (R) of oral pirtobrutinib 200 milligrams (mg) on day 1.
Period 2: Participants received a test formulation (T) of oral pirtobrutinib 200 mg on day 8.
There was a washout period of 7 days between the doses of pirtobrutinib.
|
200 mg Pirtobrutinib (Sequence T/R)
Period 1: Participants received a test formulation (T) of oral pirtobrutinib 200 mg on day 1.
Period 2: Participants received a reference formulation (R) of oral pirtobrutinib 200 mg on day 8.
There was a washout period of 7 days between the doses of pirtobrutinib.
|
|---|---|---|
|
Period 1
STARTED
|
14
|
14
|
|
Period 1
Received at Least 1 Dose of Study Drug
|
14
|
14
|
|
Period 1
COMPLETED
|
14
|
14
|
|
Period 1
NOT COMPLETED
|
0
|
0
|
|
Period 2
STARTED
|
14
|
14
|
|
Period 2
Received at Least 1 Dose of Study Drug
|
14
|
14
|
|
Period 2
COMPLETED
|
14
|
14
|
|
Period 2
NOT COMPLETED
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
A Study of Two Different Formulations of Pirtobrutinib (LOXO-305) In Healthy Participants
Baseline characteristics by cohort
| Measure |
200 mg Pirtobrutinib (Sequence R/T)
n=14 Participants
Period 1: Participants received a reference formulation (R) of oral pirtobrutinib 200 mg on day 1.
Period 2: Participants received a test formulation (T) of oral pirtobrutinib 200 mg on day 8.
There was a washout period of 7 days between the doses of pirtobrutinib.
|
200 mg Pirtobrutinib (Sequence T/R)
n=14 Participants
Period 1: Participants received a test formulation (T) of oral pirtobrutinib 200 mg on day 1.
Period 2: Participants received a reference formulation (R) of oral pirtobrutinib 200 mg on day 8.
There was a washout period of 7 days between the doses of pirtobrutinib.
|
Total
n=28 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
40.2 years
STANDARD_DEVIATION 6.860 • n=5 Participants
|
33.5 years
STANDARD_DEVIATION 9.940 • n=7 Participants
|
36.9 years
STANDARD_DEVIATION 9.050 • n=5 Participants
|
|
Sex: Female, Male
Female
|
2 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
12 Participants
n=5 Participants
|
13 Participants
n=7 Participants
|
25 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
3 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
5 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
11 Participants
n=5 Participants
|
12 Participants
n=7 Participants
|
23 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
|
2 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
4 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
|
5 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
8 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
6 Participants
n=5 Participants
|
8 Participants
n=7 Participants
|
14 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
1 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
2 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
|
|
Region of Enrollment
United States
|
14 Participants
n=5 Participants
|
14 Participants
n=7 Participants
|
28 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdosePopulation: All randomized participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.
PK: AUC0-24 of Pirtobrutinib
Outcome measures
| Measure |
200 mg Pirtobrutinib (Reference Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received reference formulation (R) of oral pirtobrutinib 200 mg.
|
200 mg Pirtobrutinib (Test Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received test formulation (T) of oral pirtobrutinib 200 mg.
|
|---|---|---|
|
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time 0 to 24 Hours Post-dose (AUC0-24) of Pirtobrutinib
|
48800 hour*nanogram per milliliter (h*ng/mL)
Geometric Coefficient of Variation 29.1
|
49700 hour*nanogram per milliliter (h*ng/mL)
Geometric Coefficient of Variation 20.6
|
PRIMARY outcome
Timeframe: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdosePopulation: All randomized participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.
PK: AUC0-t of Pirtobrutinib
Outcome measures
| Measure |
200 mg Pirtobrutinib (Reference Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received reference formulation (R) of oral pirtobrutinib 200 mg.
|
200 mg Pirtobrutinib (Test Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received test formulation (T) of oral pirtobrutinib 200 mg.
|
|---|---|---|
|
PK: Area Under the Concentration Versus Time Curve From Time Zero to the Last Measurable Concentration (AUC0-t) of Pirtobrutinib
|
81100 hour*nanogram per milliliter (h*ng/mL)
Geometric Coefficient of Variation 36
|
83600 hour*nanogram per milliliter (h*ng/mL)
Geometric Coefficient of Variation 24.7
|
PRIMARY outcome
Timeframe: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdosePopulation: All randomized participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.
PK: AUC0-inf of Pirtobrutinib
Outcome measures
| Measure |
200 mg Pirtobrutinib (Reference Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received reference formulation (R) of oral pirtobrutinib 200 mg.
|
200 mg Pirtobrutinib (Test Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received test formulation (T) of oral pirtobrutinib 200 mg.
|
|---|---|---|
|
PK: Area Under the Concentration Versus Time Curve From Time Zero to Infinity (AUC0-inf) of Pirtobrutinib
|
82000 hour*nanogram per milliliter (h*ng/mL)
Geometric Coefficient of Variation 35.5
|
84700 hour*nanogram per milliliter (h*ng/mL)
Geometric Coefficient of Variation 24.4
|
PRIMARY outcome
Timeframe: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdosePopulation: All randomized participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.
PK: %AUCextrap of Pirtobrutinib
Outcome measures
| Measure |
200 mg Pirtobrutinib (Reference Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received reference formulation (R) of oral pirtobrutinib 200 mg.
|
200 mg Pirtobrutinib (Test Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received test formulation (T) of oral pirtobrutinib 200 mg.
|
|---|---|---|
|
PK: Percentage Extrapolation for AUC0-inf (%AUCextrap) of Pirtobrutinib
|
1.01 percentage of AUCextrap
Geometric Coefficient of Variation 46.9
|
1.12 percentage of AUCextrap
Geometric Coefficient of Variation 36.7
|
PRIMARY outcome
Timeframe: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdosePopulation: All randomized participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.
PK: CL/F of Pirtobrutinib
Outcome measures
| Measure |
200 mg Pirtobrutinib (Reference Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received reference formulation (R) of oral pirtobrutinib 200 mg.
|
200 mg Pirtobrutinib (Test Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received test formulation (T) of oral pirtobrutinib 200 mg.
|
|---|---|---|
|
PK: Apparent Systemic Clearance (CL/F) of Pirtobrutinib
|
2.44 liter per hour (L/h)
Geometric Coefficient of Variation 35.5
|
2.36 liter per hour (L/h)
Geometric Coefficient of Variation 24.4
|
PRIMARY outcome
Timeframe: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdosePopulation: All randomized participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.
PK: t1/2 of Pirtobrutinib
Outcome measures
| Measure |
200 mg Pirtobrutinib (Reference Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received reference formulation (R) of oral pirtobrutinib 200 mg.
|
200 mg Pirtobrutinib (Test Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received test formulation (T) of oral pirtobrutinib 200 mg.
|
|---|---|---|
|
PK: Apparent Plasma Terminal Elimination Half-life (t1/2) of Pirtobrutinib
|
18.9 hours
Geometric Coefficient of Variation 21.2
|
19 hours
Geometric Coefficient of Variation 20.3
|
PRIMARY outcome
Timeframe: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdosePopulation: All randomized participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.
PK: Cmax of Pirtobrutinib
Outcome measures
| Measure |
200 mg Pirtobrutinib (Reference Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received reference formulation (R) of oral pirtobrutinib 200 mg.
|
200 mg Pirtobrutinib (Test Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received test formulation (T) of oral pirtobrutinib 200 mg.
|
|---|---|---|
|
PK: Maximum Observed Plasma Concentration (Cmax) of Pirtobrutinib
|
3960 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 23.3
|
3980 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 24.2
|
PRIMARY outcome
Timeframe: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdosePopulation: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose
PK: Tmax of Pirtobrutinib
Outcome measures
| Measure |
200 mg Pirtobrutinib (Reference Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received reference formulation (R) of oral pirtobrutinib 200 mg.
|
200 mg Pirtobrutinib (Test Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received test formulation (T) of oral pirtobrutinib 200 mg.
|
|---|---|---|
|
PK: Time to Maximum Observed Plasma Concentration (Tmax) of Pirtobrutinib
|
2.50 hours
Interval 0.5 to 6.0
|
2.50 hours
Interval 0.75 to 6.0
|
PRIMARY outcome
Timeframe: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdosePopulation: All randomized participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.
PK: λZ of Pirtobrutinib
Outcome measures
| Measure |
200 mg Pirtobrutinib (Reference Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received reference formulation (R) of oral pirtobrutinib 200 mg.
|
200 mg Pirtobrutinib (Test Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received test formulation (T) of oral pirtobrutinib 200 mg.
|
|---|---|---|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 1
|
0.0487 1/hour (1/h)
|
0.0347 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 2
|
0.0420 1/hour (1/h)
|
0.0374 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 3
|
0.0549 1/hour (1/h)
|
0.0563 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 4
|
0.0446 1/hour (1/h)
|
0.0386 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 5
|
0.0406 1/hour (1/h)
|
0.0382 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 6
|
0.0382 1/hour (1/h)
|
0.0389 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 7
|
0.0355 1/hour (1/h)
|
0.0348 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 8
|
0.0335 1/hour (1/h)
|
0.0341 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 9
|
0.0414 1/hour (1/h)
|
0.0390 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 10
|
0.0431 1/hour (1/h)
|
0.0437 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 11
|
0.0358 1/hour (1/h)
|
0.0321 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 12
|
0.0432 1/hour (1/h)
|
0.0427 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 13
|
0.0324 1/hour (1/h)
|
0.0382 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 14
|
0.0198 1/hour (1/h)
|
0.0179 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 15
|
0.0409 1/hour (1/h)
|
0.0371 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 16
|
0.0457 1/hour (1/h)
|
0.0451 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 17
|
0.0279 1/hour (1/h)
|
0.0284 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 18
|
0.0305 1/hour (1/h)
|
0.0299 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 19
|
0.0407 1/hour (1/h)
|
0.0478 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 20
|
0.0290 1/hour (1/h)
|
0.0350 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 21
|
0.0293 1/hour (1/h)
|
0.0342 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 22
|
0.0408 1/hour (1/h)
|
0.0403 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 23
|
0.0340 1/hour (1/h)
|
0.0322 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 24
|
0.0269 1/hour (1/h)
|
0.0299 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 25
|
0.0372 1/hour (1/h)
|
0.0379 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 26
|
0.0359 1/hour (1/h)
|
0.0396 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 27
|
0.0370 1/hour (1/h)
|
0.0369 1/hour (1/h)
|
|
PK: Apparent Terminal Elimination Rate Constant (λZ) of Pirtobrutinib
Subject 28
|
0.0360 1/hour (1/h)
|
0.0368 1/hour (1/h)
|
PRIMARY outcome
Timeframe: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdosePopulation: All randomized participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.
PK: Vz/F of Pirtobrutinib
Outcome measures
| Measure |
200 mg Pirtobrutinib (Reference Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received reference formulation (R) of oral pirtobrutinib 200 mg.
|
200 mg Pirtobrutinib (Test Formulation)
n=28 Participants
Participants from R/T and T/R randomized sequences who received test formulation (T) of oral pirtobrutinib 200 mg.
|
|---|---|---|
|
PK: Apparent Volume of Distribution During the Terminal Phase (Vz/F) of Pirtobrutinib
|
66.6 Liter (L)
Geometric Coefficient of Variation 36.7
|
64.9 Liter (L)
Geometric Coefficient of Variation 28.4
|
Adverse Events
200 mg Pirtobrutinib (Reference Formulation)
200 mg Pirtobrutinib (Test Formulation)
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
200 mg Pirtobrutinib (Reference Formulation)
n=28 participants at risk
Participants from R/T and T/R randomized sequences who received reference formulation (R) of oral pirtobrutinib 200 mg.
|
200 mg Pirtobrutinib (Test Formulation)
n=28 participants at risk
Participants from R/T and T/R randomized sequences who received test formulation (T) of oral pirtobrutinib 200 mg.
|
|---|---|---|
|
Skin and subcutaneous tissue disorders
Dermatitis contact
|
0.00%
0/28 • Baseline to Follow-up (Up To Day 24)
All randomized participants who received at least one dose of study drug.
|
3.6%
1/28 • Baseline to Follow-up (Up To Day 24)
All randomized participants who received at least one dose of study drug.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place
Restriction type: GT60