This study will assess the effects of strong CYP1A2 (Cytochrome P450 1A2) inhibitor (fluvoxamine) on savolitinib exposure in healthy male subjects, performed at a single clinical unit.
This study will be a Phase I, open-label, fixed-sequence, 2-treatment period study. The study will consist of 2 periods. During period 1 of the study, each subject will receive a single oral dose of savolitinib following an overnight fast. A low-fat breakfast will be provided prior to dosing. There will be a minimum washout period of 10 days (14 days between two successive savolitinib doses) between period 1 and period 2. During period 2 of the study, subject will take oral doses of fluvoxamine alone from Days 1 to 4. There would be no dietary restrictions for fluvoxamine dosing. On Day 5, subjects will take a single oral dose of savolitinib and oral dose of fluvoxamine. On Day 6, subject will receive an oral dose of fluvoxamine alone. Each subject would be involved in the study for 9 weeks (including screening window).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
16
Savolitinib will be administered as a single oral dose on Day 1 of Period 1 and on Day 5 of Period 2.
Only fluvoxamine will be administered as a twice daily oral dose from Days 1 to 4 of Period 2. On Day 5 of Period 2, subject will receive a twice daily oral dose of fluvoxamine along with savolitinib. On Day 6 of Period 2, subject will receive a twice daily oral dose of fluvoxamine alone.
Research Site
Brooklyn, Maryland, United States
Maximum observed plasma (peak) drug concentration (Cmax) for savolitinib
To evaluate the effects of fluvoxamine on savolitinib Cmax in healthy male subjects after administration of a single oral dose.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
Area under plasma concentration time curve from zero to infinity (AUCinf) for savolitinib
To evaluate the effects of fluvoxamine on savolitinib AUCinf in healthy male subjects after administration of a single oral dose.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
Area under the plasma concentration curve from zero to the last quantifiable concentration (AUClast) for savolitinib
To evaluate the AUClast of savolitinib when administered alone or in combination with fluvoxamine.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
AUClast for metabolites M2 and M3
To evaluate the AUClast of savolitinib metabolites (M2 and M3) when savolitinib is administered alone or in combination with fluvoxamine.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
Cmax for metabolites M2 and M3
To evaluate the Cmax of savolitinib metabolites (M2 and M3) when savolitinib is administered alone or in combination with fluvoxamine.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
AUCinf for metabolites M2 and M3
To evaluate the AUCinf of savolitinib metabolites (M2 and M3) when savolitinib is administered alone or in combination with fluvoxamine.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
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Ratio of metabolite Cmax to parent Cmax (MRCmax)
To evaluate the MRCmax of savolitinib and its metabolites (M2 and M3) when savolitinib is administered alone.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
Ratio of metabolite AUCinf to parent AUCinf (MRAUCinf)
To evaluate the MRAUCinf of savolitinib and its metabolites (M2 and M3) when savolitinib is administered alone.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
Ratio of metabolite AUClast to parent AUClast (MRAUClast)
To evaluate the MRAUClast of savolitinib and its metabolites (M2 and M3) when savolitinib is administered alone.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
Time to reach peak or maximum observed concentration or response following drug administration (tmax) for savolitinib and metabolites (M2 and M3)
To evaluate the tmax of savolitinib and its metabolites (M2 and M3) when savolitinib is administered alone.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
Half life associated with terminal slope (λz) of a semi logarithmic concentration time curve (t1/2λz) for savolitinib and metabolites (M2 and M3)
To evaluate the t1/2λz of savolitinib and its metabolites (M2 and M3) when savolitinib is administered alone.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
Terminal rate constant, estimated by log linear least squares regression of the terminal part of the concentration time curve (λz) for savolitinib and metabolites (M2 and M3)
To evaluate the λz of savolitinib and its metabolites (M2 and M3) when savolitinib is administered alone.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
Number of data points used for λz determination (λzN) for savolitinib and metabolites (M2 and M3)
To evaluate the λzN of savolitinib and its metabolites (M2 and M3) when savolitinib is administered alone.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
Apparent total body clearance of drug from plasma after extravascular administration (CL/F) for savolitinib
To evaluate the CL/F of savolitinib when savolitinib is administered alone.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
Volume of distribution (apparent) at steady state following extravascular administration (based on terminal phase) (Vz/F) for savolitinib
To evaluate the Vz/F of savolitinib when savolitinib is administered alone.
Time frame: Period 1: Day 1 to Day 3 and Period 2: Day 5 to Day 7
Number of subjects with adverse events (AEs)
To assess additional safety and tolerability of savolitnib.
Time frame: From screening (Day -28 to Day -2) to follow up visit (approximately 9 weeks)