Primary Objective: To assess the absolute bioavailability of sotagliflozin via administration of an intravenous (IV) microdose of a 14C-sotagliflozin tracer on top of a single oral dose of unlabeled sotagliflozin without charcoal administration Secondary Objectives: * To assess the PK of sotagliflozin and its main metabolite sotagliflozin-3-O-glucuronide (M19) after a single oral dose of sotagliflozin and an IV microdose of a 14C-sotagliflozin tracer without charcoal administration * To assess the safety and tolerability of single doses of sotagliflozin when administered with and without charcoal
Study duration per participant is up to 54 days including a screening period of up to 28 days, period 1 of 8 days, period 2 of 8 days, a washout period of at least 10 days, and a follow up period of 12-16 days. The oral drug Sotagliflozin is metabolized by the liver and released in the bile juice into the intestine. Ingestion of charcoal a few hours after the drug administration circumvents the re-uptake of the drug from the intestine back into the blood circulation; instead, Sotagliflozin is eliminated with the feces. By comparison of Sotagliflozin drug administration with and without charcoal, the extent of this so-called enterohepatic circulation can be assessed.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
6
Pharmaceutical form: Tablet Route of administration: Oral
Pharmaceutical form: Solution for injection Route of administration: Intravenous
Pharmaceutical form: Granules for suspension Route of administration: Oral
Investigational site number 8260001
Nottingham, United Kingdom
Pharmacokinetic (PK) parameter: Absolute Bioavailability (F)
Absolute Bioavailability (F) will be a composite endpoint and include Area under plasma concentration (AUC) dose normalized for intravenous (IV) 14C-IMP AUClast dose normalized for oral Investigational Medicinal Product (IMP)
Time frame: Baseline to Day 8 of period 1 (without charcoal)
Assessment of PK parameter: Area under the curve (AUC) for oral investigational medicinal product (IMP)
Area under the plasma concentration versus time curve extrapolated to infinity for oral IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: AUC for IMP metabolite
Area under the plasma concentration versus time curve extrapolated to infinity for IMP metabolite
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: AUC for IV 14C-IMP
Area under the plasma concentration versus time curve extrapolated to infinity for IV 14C-IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: AUC for 14C-IMP metabolite
Area under the plasma concentration versus time curve extrapolated to infinity for 14C-IMP metabolite
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: Area under curve versus time (AUClast) for oral IMP
Area under the plasma concentration versus time curve calculated using the trapezoidal method from time zero to the real time tlast for oral IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: AUClast for IMP metabolite
Area under the plasma concentration versus time curve calculated using the trapezoidal method from time zero to the real time tlast for IMP metabolite
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: AUClast for IV 14C-IMP
Area under the plasma concentration versus time curve calculated using the trapezoidal method from time zero to the real time tlast for IV 14C-IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: AUClast for 14C-IMP metabolite
Area under the plasma concentration versus time curve
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: Cmax for oral IMP
Maximum plasma concentration observed for oral IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: Cmax for IMP metabolite
Maximum plasma concentration observed for IMP metabolite
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: Cmax for IV 14C-IMP
Maximum plasma concentration observed for IV 14C-IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: Cmax for 14C-IMP metabolite
Maximum plasma concentration observed for 14C-IMP metabolite
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: tmax for oral IMP
Time to reach Cmax for oral IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: tmax for IMP metabolite
Time to reach Cmax for IMP metabolite
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: tmax for IV 14C-IMP
Time to reach Cmax for IV 14C-IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: tmax for 14C-IMP metabolite
Time to reach Cmax for 14C-IMP metabolite
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: t1/2z for oral IMP
Terminal half-life (t1/2z) associated with the terminal slope for oral IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: t1/2z for IV 14C-IMP
Terminal half-life (t1/2z) associated with the terminal slope for IV 14C-IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: Clearance (CL/F) for oral IMP
Apparent total body clearance for oral IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: Clearance (CL/F) for IV 14C-IMP
Apparent total body clearance for IV 14C-IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: Vz/F for oral IMP
Apparent volume of distribution for oral IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: Vz/F for IV 14C-IMP
Apparent volume of distribution for IV 14C-IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: Vdss/F for oral IMP
Apparent volume of distribution at the steady state for oral IMP
Time frame: Baseline to Day 8 of each period
Assessment of PK parameter: Vdss/F for IV 14C-IMP
Apparent volume of distribution at the steady state for IV 14C-IMP
Time frame: Baseline to Day 8 of each period
Safety: Adverse events
Number of subjects with adverse events including serious, non-serious, and treatment emergent adverse events
Time frame: Baseline to Day 8 of each period
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