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A Study of Effects of Selpercatinib (LY3527723) on Repaglinide in Healthy Participants

Phase 1
Completed
Conditions
Healthy
Interventions
Registration Number
NCT05469113
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to assess the effect of selpercatinib on how fast repaglinide gets into the blood stream and how long it takes the body to remove it when administered in healthy participants. Information about safety and tolerability will be collected. The study will last up to 12 days.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
13
Inclusion Criteria
  • Body mass index (BMI) ≥ 18.0 and ≤ 32.0 kilograms per meter squared (kg/m²) and had a minimum weight of at least 50 kg at screening
  • Have normal blood pressure, pulse rate, electrocardiogram (ECG), and blood and urine laboratory test results that are acceptable for the study
  • Hemoglobin (Hb) A1c value < 6.5 % at screening and fasting glucose ≤ 126 mg/dL.
  • Males who are capable of fathering a child must agree to use one of the following methods of contraception from the time of the dose administration through 6 months after the last dose
  • Female of non-childbearing potential only or must have undergone sterilization procedures at least 6months prior to the first dosing
Exclusion Criteria
  • History or presence of diabetes or history of prior episode(s) of hypoglycemia.
  • Estimated creatinine clearance <90 mL/min at Screening or Check-in (Day -1, Period 1)
  • Unable to refrain from or anticipates the use of any drug, including prescription and non prescription medications, herbal remedies, or vitamin supplements for 14 days prior to the first dosing and through EOT or ET. After first dosing, acetaminophen (up to 2 g per 24 hours) may be administered at the discretion of the PI or designee

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Repaglinide - Period 1RepaglinideSingle dose of repaglinide administered orally.
Selpercatinib and repaglinide - Period 2RepaglinideMultiple doses of selpercatinib along with single dose of repaglinide administered orally. There will be a 24-hour washout period between Period 1 and 2.
Selpercatinib and repaglinide - Period 2SelpercatinibMultiple doses of selpercatinib along with single dose of repaglinide administered orally. There will be a 24-hour washout period between Period 1 and 2.
Primary Outcome Measures
NameTimeMethod
Pharmacokinetics (PK): Area under the concentration-time curve, from time 0 to the last observed non-zero concentration (AUC0-t) of RepaglinidePre-dose up to 16 hours postdose

PK: AUC0-t of Repaglinide

PK: Area under the concentration-time curve from time 0 extrapolated to infinity (AUC0-inf) of RepaglinidePre-dose up to 16 hours post-dose

PK: AUC0-inf of Repaglinide

PK: Percent of AUC0-inf extrapolated (AUC%extrap) of RepaglinidePre-dose up to 16 hours post-dose

PK: AUC%extrap of Repaglinide

PK: Maximum observed concentration (Cmax) of RepaglinidePre-dose up to 16 hours post-dose

PK: Cmax of Repaglinide

PK: Time to reach Cmax (Tmax) of RepaglinidePre-dose up to 16 hour post-dose

PK: Tmax of Repaglinide

PK: Apparent first-order terminal elimination rate constant (Kel) of RepaglindidePre-dose up to 16 hour post-dose

PK: Kel of Repaglindide

PK: Apparent first-order terminal elimination half-life (t½) of RepaglinidePre-dose up to 16 hour post-dose

PK: t½ of Repaglinide

PK: Apparent total plasma clearance after oral (extravascular) administration (CL/F) of RepaglinidePre-dose up to 16 hour post-dose

PK: CL/F of Repaglinide

PK: Apparent volume of distribution during the terminal elimination phase after oral (extravascular) administration (Vz/F) of RepaglinidePre-dose up to 16 hour post-dose

PK: (Vz/F) of Repaglinide

Secondary Outcome Measures
NameTimeMethod
PK: Area under the concentration-time curve, from time 0 to the 12 hour timepoint (AUC0-12) of Selpercatinib (Day 1 of Period 2)Pre-morning dose up to 12 hours following the morning dose

PK: AUC0-12 of Selpercatinib

PK: Area under the concentration-time curve, from time 0 to the last observed non-zero concentration (AUC0-t) of Selpercatinib (Day 1 of Period 2)Pre-morning dose up to 12 hours following the morning dose

PK: AUC0-t of Selpercatinib

PK: Maximum observed concentration (Cmax) of Selpercatinib (Day 1 of Period 2)Pre-morning dose up to 12 hours following the morning dose

PK: Cmax of Selpercatinib

PK: Time to reach Cmax (Tmax) of Selpercatinib (Day 1 of Period 2)Pre-morning dose up to 12 hours following the morning dose

PK: Tmax of Selpercatinib

PK: Area under the concentration-time curve during a dosing interval (tau) at steady state (AUCtau) of Selpercatinib (Day 10 of Period 2)Pre-morning dose up to 12 hours following the morning dose

PK: AUCtau of Selpercatinib

PK: Maximum observed concentration at steady-state (Cmax,ss) of Selpertcatinib (Day 10 of Period 2)Pre-morning dose up to 12 hours following the morning dose

PK: Cmax,ss of Selpertcatinib

PK: Concentration observed at the end of the dosing interval (Ctrough) of Selpercatinib (Day 10 of Period 2)Pre-morning dose

PK: Ctrough of Selpercatinib

PK: Time to reach Cmax,ss (Tmax,ss) of Selpercatinib (Day 10 of Period 2)Pre-morning dose up to 12 hours following the morning dose

PK: Tmax,ss of Selpercatinib

PK: Apparent total plasma clearance after oral (extravascular) administration(CL,ss/F) of Selpercatinib (Day 10 of Period 2)Pre-morning dose up to 12 hours following the morning dose

PK: CL,ss/F of Selpercatinib

Trial Locations

Locations (1)

Celerion

🇺🇸

Tempe, Arizona, United States

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