The primary objective is to evaluate the cardiac safety of a single oral dose (400 mg) of pacritinib compared to placebo on the QT calculated using the Fridericia correction (QTcF) interval in healthy subjects.
This is a randomized, pacritinib- versus placebo-blind, placebo- and active-controlled, single-dose, single-center, 3-period crossover study to evaluate the cardiac safety of a single 400-mg dose of pacritinib compared to placebo, and to characterize the PK of pacritinib and major human metabolites of pacritinib. The study is blinded for pacritinib and placebo, and open-label for moxifloxacin. Subjects were to receive 3 treatments (400 mg pacritinib, placebo, and 400 mg moxifloxacin) in a crossover fashion. Each treatment is administered as monotherapy during 1 of 3 treatment periods with a 7-day washout period between administration of each study medication. Screening occurred up to 28 days before Check-in (Day -1) of Period 1. On Day -1 of Period 1, subjects checked into the Clinical Research Unit (CRU) for baseline assessments and were confined to the CRU for the remainder of the study until Study Completion (Day 22)/Early Termination. Continuous 12-lead cardiodynamic ECG monitoring and recording was performed from predose (at least 1 hour before administration of study medication) through 24 hours after the administration of study medication, then for 15 minutes every 12 hours (on Days 2 to 7 of each period). Blood samples for PK analysis were also collected predose (Hour 0) and at each cardiodynamic ECG timepoint postdose. Safety endpoints (eg, adverse events \[AEs\], clinical laboratory evaluations, vital signs) were monitored throughout each period. Subjects were discharged at Study Completion (Day 22). Subjects were scheduled to return for a Follow-up Visit 14 days (±3 days) later on Day 36.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
TRIPLE
Enrollment
42
Covance Clinical Research Unit Inc.
Evansville, Indiana, United States
QT calculated using Fridericia correction (QTcF) interval
To evaluate the cardiac safety of a single oral dose (400 mg) of pacritinib compared to placebo
Time frame: ECG: 0, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 144, and 168 hrs post-dose
Maximum observed concentration (Cmax)
To characterize the pharmacokinetics of pacritinib, moxifloxacin, and major metabolites
Time frame: Plasma: 0, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 144, and 168 hrs post-dose
Treatment emergent Adverse events
To characterize the safety and tolerability of pacritinib following single dose administration in healthy subjects. The frequency of TEAEs is summarized by treatment, MedDRA (version 16.0) system organ class, and preferred term
Time frame: Day1 to Day 36
time to Cmax (tmax)
To characterize the pharmacokinetics of pacritinib, moxifloxacin, and major metabolites
Time frame: Plasma: 0, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 144, and 168 hrs post-dose
area under the concentration-time curve (AUC) from Hour 0 to the last measurable concentration (AUC0-t)
To characterize the pharmacokinetics of pacritinib, moxifloxacin, and major metabolites
Time frame: Plasma: 0, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 144, and 168 hrs post-dose
AUC extrapolated to infinity (AUC0-∞)
To characterize the pharmacokinetics of pacritinib, moxifloxacin, and major metabolites
Time frame: Plasma: 0, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 144, and 168 hrs post-dose
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Apparent terminal elimination rate constant (λz)
To characterize the pharmacokinetics of pacritinib, moxifloxacin, and major metabolites
Time frame: Plasma: 0, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 144, and 168 hrs post-dose
Apparent terminal elimination half-life (t1/2)
To characterize the pharmacokinetics of pacritinib, moxifloxacin, and major metabolites
Time frame: Plasma: 0, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 144, and 168 hrs post-dose