This is A Randomized, Blinded, Placebo- and Positive-Controlled, Four-Period, Crossover-Design Thorough QT/QTc (TQT) Study to Evaluate the Effect of Orelabrutinib on Cardiac Repolarization in Healthy Subjects
This is a randomized, blinded, placebo- and positive-controlled, four-period, crossover clinical study. A double-blind design is used for administration of orelabrutinib tablet and placebo, and an open-label design is used for moxifloxacin hydrochloride tablet.Subjects who meet all inclusion criteria and do not meet any of the exclusion criteria are randomly assigned to one of 12 treatment sequences, and each treatment sequence includes 4 periods, with a 5-day washout period between treatment periods. The subject will complete all the visit examinations on Day 17 after the first dose, then will be discharged from the study site, and will receive telephone follow-up on Day 8 ± 2 after the last dose date. If a subject has clinically significant abnormal examination results when discharging from the study site after the last dose, on-site follow-up is essential to track the abnormal examination results, or otherwise, only telephone follow-up is required.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
48
Orelabrutinib will be administered as 3 tablets (150mg) and placebo as 5 tablets (250mg)
Orelabrutinib will be administered as 8 tablets (400mg)
Placebo will be administered as 8 tablets (400mg).
Beijing GoBroad Boren Hospital
Beijing, China
Placebo-corrected change-from-baseline QTcF interval
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Change-from-baseline QTcF, PR, and QRS intervals
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Change-from-baseline HR
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Placebo-corrected change-from-baseline PR, and QRS intervals
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Placebo-corrected change-from-baseline HR
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Categorical outliers for QTcF, PR, and QRS
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Categorical outliers for HR
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Moxifloxacin hydrochloride will be administered as 1 tablet (400mg)
Frequency of treatment-emergent changes of T-wave morphology and U-waves presence
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Tmax of Orelabrutinib after single dose
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Cmax of Orelabrutinib after single dose
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
AUC of Orelabrutinib after single dose
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
T1/2 of Orelabrutinib after single dose
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
CL/F of Orelabrutinib after single dose
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Vz/F of Orelabrutinib after single dose
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Tmax of moxifloxacin after single dose
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Cmax of moxifloxacin after single dose
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
AUC of moxifloxacin after single dose
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
T1/2 of moxifloxacin after single dose
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
CL/F of moxifloxacin after single dose
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Vz/F of moxifloxacin after single dose
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Time frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Serious adverse events (SAEs) occurring from administration of drugst to follow-up period or early withdrawal, incidence of treatment-emergent adverse events
SAE and TEAE
Time frame: Through study completion, an average of 1 year