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

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

28 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 postdose

Results posted on

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

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

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 postdose

Population: 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

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 postdose

Population: 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

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 postdose

Population: 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

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 postdose

Population: 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

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 postdose

Population: 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

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 postdose

Population: 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

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 postdose

Population: 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

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 postdose

Population: 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

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 postdose

Population: 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

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 postdose

Population: 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

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)

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

200 mg Pirtobrutinib (Test Formulation)

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

Serious adverse events

Adverse event data not reported

Other adverse events

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

Chief Medical Officer

Eli Lilly and Company

Phone: 800- 545-5979

Results disclosure agreements

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

Restriction type: GT60