The purpose of this clinical trial is to learn about the safety, effects, and tolerability of the study medicine (sisunatovir). This study is looking for healthy adult participants who meet the following criteria: 1. Males age 18 to 55 years 2. All fertile participants must agree to the use of highly effective contraception 3. Body mass index (BMI) of 18 to 32.0 kg/m2; body weight of 55.0 to 100.0 kg. 4. Participants who are overtly healthy as determined by medical evaluation. This includes medical history, physical examination, blood pressure, pulse rate, standard 12-lead ECG (electrocardiogram), and laboratory tests. This study will enroll up to 10 participants. All study participants will receive 1 dose of sisunatovir by mouth. The study duration is expected to be about 9 weeks. This includes a 28-day screening period, 16-day inpatient stay, and 2 overnight follow-up visits, if needed.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
9
200 mg RV521/78 µCi \[ 14C\]-RV521
Pharmaron Clinical Pharmacology Center
Baltimore, Maryland, United States
Tmax (Time of maximum observed concentration)
PK parameters of total radioactivity and RV521 following a single oral administration of \[ 14C\]-RV521 to healthy male subjects
Time frame: Day 1 (time 0) to Day 29
Cmax (Maximum observed concentration)
PK parameters of total radioactivity and RV521 following a single oral administration of \[ 14C\]-RV521 to healthy male subjects
Time frame: Day 1 (time 0) to Day 29
AUC0-inf (Area under the concentration-time curve (AUC) extrapolated to infinity)
PK parameters of total radioactivity and RV521 following a single oral administration of \[ 14C\]-RV521 to healthy male subjects
Time frame: Day 1 (time 0) to Day 29
AUC0-last (AUC from the time of dosing to the time of the last measurable concentration)
PK parameters of total radioactivity and RV521 following a single oral administration of \[ 14C\]-RV521 to healthy male subjects
Time frame: Day 1 (time 0) to Day 29
lambdaz (Rate constant associated with the terminal elimination phase)
PK parameters of total radioactivity and RV521 following a single oral administration of \[ 14C\]-RV521 to healthy male subjects
Time frame: Day 1 (time 0) to Day 29
t1/2 (half-life of the terminal elimination phase)
PK parameters of total radioactivity and RV521 following a single oral administration of \[ 14C\]-RV521 to healthy male subjects
Time frame: Day 1 (time 0) to Day 29
CL/F (Apparent clearance of the drug from plasma after oral administration)
PK parameters of total radioactivity and RV521 following a single oral administration of \[ 14C\]-RV521 to healthy male subjects
Time frame: Day 1 (time 0) to Day 29
Vz/F (Volume of distribution associated with the terminal phase)
PK parameters of total radioactivity and RV521 following a single oral administration of \[ 14C\]-RV521 to healthy male subjects
Time frame: Day 1 (time 0) to Day 29
CLR (renal clearance)
PK parameters of total radioactivity and RV521 following a single oral administration of \[ 14C\]-RV521 to healthy male subjects
Time frame: Day 1 (time 0) to Day 29
Fe (fraction of administered drug excreted into urine)
PK parameters of total radioactivity and RV521 following a single oral administration of \[ 14C\]-RV521 to healthy male subjects
Time frame: Day 1 (time 0) to Day 29
Ae0-t (cumulative amount of 14C excreted into urine from time 0 to the last sampling interval)
PK parameters of total radioactivity and RV521 following a single oral administration of \[ 14C\]-RV521 to healthy male subjects
Time frame: Day 1 (time 0) to Day 29
Ae0-t (Cumulative amount of 14C excreted into urine and feces from time 0 to the last sampling interval (in units of mass-equivalents/g))
Mass balance parameters in urinary and fecal excretion of radioactivity
Time frame: Day 1 (time 0) to Day 29
Aet (Amount of 14C excreted into urine and feces per sampling interval (in units of mass-equivalents/g))
Mass balance parameters in urinary and fecal excretion of radioactivity
Time frame: Day 1 (time 0) to Day 29
Fet (Fraction of 14C excreted into urine and feces per sampling interval (in units of %))
Mass balance parameters in urinary and fecal excretion of radioactivity
Time frame: Day 1 (time 0) to Day 29
Fe0-t (Cumulative fraction of 14C excreted into urine or feces from time 0)
Mass balance parameters in urinary and fecal excretion of radioactivity
Time frame: Day 1 (time 0) to Day 29
14C associated with % of AUC of the total in plasma
Metabolite Profiling and Identification
Time frame: Day 1 (time 0) to Day 29
14C associated with % of administered dose of the total in urine and feces
Metabolite Profiling and Identification
Time frame: Day 1 (time 0) to Day 29
Spontaneously reported adverse events (AEs) during the Treatment Period
safety and tolerability of a single oral dose of RV521 in healthy male subjects
Time frame: Day -1 to Day 29
Spontaneously reported serious AEs (SAEs) during the Treatment Period
Safety and tolerability of a single oral dose of RV521 in healthy male subjects
Time frame: Day -1 to Day 29
Use of concomitant medications
Safety and tolerability of a single oral dose of RV521 in healthy male subjects
Time frame: Day -1 to Day 29
Unscheduled assessments as needed for management of AEs
Safety and tolerability of a single oral dose of RV521 in healthy male subjects
Time frame: Day -1 to Day 29
Clinically significant changes from baseline of any of the following: Vital Signs (blood pressure, heart rate [HR], respiratory rate [RR], and oral temperature)
Safety and tolerability of a single oral dose of RV521 in healthy male subjects
Time frame: Day -1 to Day 29
Clinically significant changes from baseline of any of the following: 12-lead electrocardiogram (ECD) assessments
Safety and tolerability of a single oral dose of RV521 in healthy male subjects
Time frame: Day -1 to Day 29
Clinically significant changes from baseline of any of the following: Physical examinations
Safety and tolerability of a single oral dose of RV521 in healthy male subjects
Time frame: Day -1 to Day 29
Blood/Plasma AUC Ratio
AUC0-inf of total 14C in whole blood divided by the AUC0-inf of total 14C in plasma
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Time frame: Day 1 (time 0 to Day 29)
Amount of 14C excreted into nostrils per sampling interval (in units of mass-equivalents/g)
Metabolite Profiling and Identification
Time frame: Day 1 (time 0) to Day 29
Cumulative amount of 14C excreted into nostrils, urine, and feces from time 0 to the last sampling interval (in units of mass-equivalents/g)
Metabolite Profiling and Identification
Time frame: Day 1 (time 0 to Day 29)
Evaluation of total radioactivity in nasal samples following a single oral administration of [ 14C]-RV521 to healthy male subjects
PK parameters of total radioactivity and RV521 following a single oral administration of \[ 14C\]-RV521 to healthy male subjects
Time frame: Day 1 (time 0) to Day 29
Structural identification of major metabolites
Identification of each metabolite that accounts for ≥10% of circulating radiolabel
Time frame: Day 1 (time 0) to Day 29