The purpose of this study is to assess the effect of multiple doses of phenytoin, a strong cytochrome P450 (CYP)3A4 inducer, and itraconazole, a strong CYP3A4 inhibitor, on the pharmacokinetic (PK) profile of DAK539 (hereafter referred to as pelabresib) after a single dose in healthy participants. In addition, the safety and tolerability of a single dose of pelabresib with and without the co-administration of itraconazole or phenytoin will be evaluated.
This is a 2-part, open-label, drug-drug interaction (DDI) study to assess the effect of phenytoin (a strong CYP3A4 inducer) and itraconazole (a strong CYP3A4 inhibitor) on the pharmacokinetics of pelabresib in healthy participants. The study includes two parts, each with two treatment periods. In Part 1, participants will be administered pelabresib in Treatment Period 1 and pelabresib and phenytoin in Treatment Period 2. In Part 2, participants will be administered pelabresib in Treatment Period 1 and pelabresib and itraconazole in Treatment Period 2.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
30
Oral dosing
Oral dosing
Oral dosing
Novartis Investigative Site
Nottingham, United Kingdom
RECRUITINGPart 1 and 2: Maximum observed plasma concentration (Cmax) of pelabresib
Pharmacokinetic (PK) parameters determined using the actual recorded sampling times and non- compartmental method(s) from the pelabresib plasma concentration-time data.
Time frame: From pre-dose up to 48 or 72 hours after pelabresib administration
Part 1 and 2: Area under the plasma concentration-time curve from time 0 to the last measurable concentration sampling time (AUClast) of pelabresib
PK parameters determined using the actual recorded sampling times and non- compartmental method(s) from the pelabresib plasma concentration-time data.
Time frame: From pre-dose up to 48 or 72 hours after pelabresib administration
Part 1 and 2: Area under the plasma concentration-time curve from time 0 to infinity (AUCinf) of pelabresib
PK parameters determined using the actual recorded sampling times and non- compartmental method(s) from the pelabresib plasma concentration-time data.
Time frame: From pre-dose up to 48 or 72 hours after pelabresib administration
Part 1 and 2: Time to reach maximum plasma concentration (Tmax) of pelabresib
PK parameters determined using the actual recorded sampling times and non- compartmental method(s) from the pelabresib plasma concentration-time data.
Time frame: From pre-dose up to 48 or 72 hours after pelabresib administration
Part 1 and 2: Apparent plasma clearance (CL/F) of pelabresib
Pharmacokinetic (PK) parameters determined using the actual recorded sampling times and non- compartmental method(s) from the pelabresib plasma concentration-time data.
Time frame: From pre-dose up to 48 or 72 hours after pelabresib administration
Part 1 and 2: Apparent volume of distribution during the terminal elimination phase (Vz/F) of pelabresib
Pharmacokinetic (PK) parameters determined using the actual recorded sampling times and non- compartmental method(s) from the pelabresib plasma concentration-time data.
Time frame: From pre-dose up to 48 or 72 hours after pelabresib administration
Part 1 and 2: Terminal elimination half-life (T1/2) of pelabresib
Pharmacokinetic (PK) parameters determined using the actual recorded sampling times and non- compartmental method(s) from the pelabresib plasma concentration-time data.
Time frame: From pre-dose up to 48 or 72 hours after pelabresib administration
Part 1 and 2: Incidence of adverse events (AEs) and serious adverse events (SAEs)
Number of participants with AEs and SAEs, including changes in vital signs, electrocardiograms and laboratory values qualifying and reported as AEs.
Time frame: Up to approximately 30 days after the last dose of study drug (Day 48 in Part 1 and Day 40 in Part 2)
Novartis Pharmaceuticals
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