This will be an open-label, randomized, 3-treatment, 2-period, 2-sequence study in healthy subjects to evaluate the single-dose PK of milademetan when given as monotherapy and when administered with steady-state levels of the strong CYP3A4 inhibitors itraconazole or posaconazole. The duration of the study for each individual subject will be approximately 49 days from the start of Screening through Study Discharge. Subjects will remain in-house for up to 23 days, including 22 overnight stays.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
36
Milademetan 100 mg capsule for oral administration
Itraconazole (200 mg) oral solution (20 mL of 10 mg/mL)
Posaconazole (200 mg) oral suspension (5 mL of 40 mg/mL)
Covance Clinical Research Unit, Inc.
Dallas, Texas, United States
Maximum plasma concentration (Cmax) of milademetan
Categories: alone (A), in sequence AB, in sequence AC
Time frame: pre-dose and then at 0.5, 1, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, and 168 hours postdose
Area under the plasma concentration-time curve extrapolated to infinity (AUCinf) of milademetan
Categories: alone (A), in sequence AB, in sequence AC
Time frame: within 168 hours postdose
Time to reach maximum plasma concentration (Tmax) of milademetan
Categories: alone (A), in sequence AB, in sequence AC
Time frame: pre-dose and then at 0.5, 1, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, and 168 hours postdose
Area under the plasma concentration-time curve from time 0 to the time of last measurable concentration (AUC0-t) for milademetan
Categories: alone (A), in sequence AB, in sequence AC
Time frame: within 168 hours postdose
Terminal elimination half-life (t½) of milademetan
Categories: alone (A), in sequence AB, in sequence AC
Time frame: within 168 hours postdose
Apparent total body clearance (CL/F) of milademetan
Categories: alone (A), in sequence AB, in sequence AC
Time frame: within 168 hours postdose
Apparent volume of distribution (Vz/F)
Categories: alone (A), in sequence AB, in sequence AC
Time frame: within 168 hours postdose
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