The purpose of this study is to evaluate the bioequivalence of isavuconazole following a single dose of isavuconazonium sulfate intravenous (IV) solution via nasogastric (NG) tube (test formulation) compared to a single dose of isavuconazonium sulfate capsules for oral administration (i.e., oral capsules administered to nonintubated participants)(reference formulation). In addition, this study will evaluate the safety and tolerability of isavuconazole and the general pharmacokinetic (PK) parameters of isavuconazole when administered as a single dose of isavuconazonium sulfate IV solution via NG tube (test formulation) and a single dose of isavuconazonium sulfate capsules for oral administration (i.e., oral capsules administered to nonintubated participants) (reference formulation) under fasting conditions in healthy male and female participants.
Eligible participants will participate in 2 treatment periods separated by a washout of at least 30 days between investigational product (IP) administrations in each period. Participants will be randomized to 1 of 2 sequences. Participants will be admitted to the clinical unit on day -1 of each period and will be residential for 5 days/4 nights. Participants will receive a single dose of isavuconazonium sulfate IV solution via NG tube (test formulation) or isavuconazonium sulfate capsules for oral administration (i.e., oral capsules administered to nonintubated participants) (reference formulation) under fasting conditions on day 1 of each period. Participants are to remain semirecumbent and avoid lying on either the left or right side for 4 hours postdose. Correct placement of the NG tube will be confirmed using X-ray radiography. Pharmacokinetic samples will be collected predose on day 1 of each period and at multiple time points postdose. Standard safety and tolerability assessments will be conducted. Participants will be discharged from the clinical unit on day 4 of each period on the condition that all required assessments have been performed and that there are no medical reasons for a longer stay in the clinical unit. Participants will return for ambulatory visits to collect pharmacokinetic samples on days 8, 11, 15 and 21 of each period. The study will be completed with an end-of-study visit (ESV). The ESV will take place 5 to 9 days after day 21 of period 2 or at early discontinuation from the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
17
Intravenous (IV) via nasogastric (NG) tube
Oral
Parexel International
Baltimore, Maryland, United States
Pharmacokinetics (PK) of isavuconazole in plasma: area under the concentration-time curve from the time of dosing extrapolated to time infinity (AUCinf)
AUCinf will be recorded from the PK plasma samples collected.
Time frame: Predose on Day 1 and up to Day 21 postdose in each period
PK of isavuconazole in plasma: area under the concentration-time curve from 0 to 72 hours (AUC72)
AUC72 will be recorded from the PK plasma samples collected.
Time frame: Predose on Day 1 and up to Day 3 postdose in each period
PK of isavuconazole in plasma: area under the concentration-time curve from the time of dosing to the last measurable concentration (AUClast)
AUClast will be recorded from the PK plasma samples collected.
Time frame: Predose on Day 1 and up to Day 21 postdose in each period
PK of isavuconazole in plasma: maximum concentration (Cmax)
Cmax will be recorded from the PK plasma samples collected.
Time frame: Predose on Day 1 and up to Day 21 postdose in each period
Number of participants with Adverse Events (AEs)
An AE is any untoward medical occurrence in a participant administered an investigational product (IP), and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of IP whether or not considered related to the IP. An AE is considered "serious" if the investigator or sponsor view any of the following outcomes: Death, life-threatening, persistent or significant disability/incapacity, congenital anomaly or birth defect, hospitalization, or medically important event. Treatment Emergent Adverse Event (TEAE) is defined as any AE which starts, or worsens, after the first dose of study drug through 30 days after the last dose of study drug.
Time frame: Up to 61 days
Number of participants with laboratory value abnormalities and/or adverse events
Number of participants with potentially clinically significant laboratory values.
Time frame: Up to 32 days
Number of participants with vital sign abnormalities and/or adverse events
Number of participants with potentially clinically significant vital sign values.
Time frame: Up to 61 days
Pharmacokinetics (PK) of isavuconazole in plasma: area under the concentration-time curve extrapolated from time to infinity as a percentage of total AUC (AUCinf(%extrap))
(AUCinf(%extrap)) will be recorded from the PK plasma samples collected.
Time frame: Predose on Day 1 and up to Day 21 postdose in each period
Pharmacokinetics (PK) of isavuconazole in plasma: apparent clearance (CL/F)
CL/F will be recorded from the PK plasma samples collected.
Time frame: Predose on Day 1 and up to Day 21 postdose in each period
Pharmacokinetics (PK) of isavuconazole in plasma: terminal elimination half-life (t1/2)
t1/2 will be recorded from the PK plasma samples collected.
Time frame: Predose on Day 1 and up to Day 21 postdose in each period
Pharmacokinetics (PK) of isavuconazole in plasma: time of maximum concentration (tmax)
tmax will be recorded from the PK plasma samples collected.
Time frame: Predose on Day 1 and up to Day 21 postdose in each period
Pharmacokinetics (PK) of isavuconazole in plasma: lag time (tlag)
tlag will be recorded from the PK plasma samples collected.
Time frame: Predose on Day 1 and up to Day 21 postdose in each period
Pharmacokinetics (PK) of isavuconazole in plasma: apparent volume of distribution during terminal phase after oral/intravenous administration (Vz/F)
Vz/F will be recorded from the PK plasma samples collected.
Time frame: Predose on Day 1 and up to Day 21 postdose in each period
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