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A Study of Effect of Food and a Proton Pump Inhibitor on Selpercatinib (LY3527723) in Healthy Participants

Phase 1
Completed
Conditions
Healthy
Interventions
Registration Number
NCT05468164
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to assess the effect of food on how fast selpercatinib gets into the bloodstream and how long it takes the body to remove it after a high-fat meal, and the effect of a change in gastric pH after multiple doses of omeprazole on how fast selpercatinib gets into the bloodstream and how long it takes the body to remove it when administered under fasted and fed conditions in healthy participants. The study will also evaluate the safety and tolerability of selpercatinib in healthy participants. The study will last up to 33 days excluding the screening period.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
19
Inclusion Criteria
  • Non-vasectomized, male participants must have agreed to use a condom with spermicide or abstain from sexual intercourse during the study until 6 months after the last dosing. (No restrictions were required for a vasectomized male provided his vasectomy had been performed 4 months or more prior to the first dosing of study drug)
  • If male, must have agreed not to donate sperm from the first dosing until 6 months after the last dosing
  • Female participants of non-childbearing potential who are agreeable to take birth control measures until study completion
  • 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
Exclusion Criteria
  • Had a history of gastritis, gastrointestinal tract or hepatic disorder or other clinical condition that might have, in the opinion of the Principal Investigator or designee, and as confirmed by the Sponsor, affected the absorption, distribution, biotransformation, or excretion of LOXO 292 or omeprazole

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Selpercatinib and omeprazole administered in ABDC treatment sequence.SelpercatinibPeriod 1: Single oral dose of Selpercatinib administered in fasted state. Period 2: Single oral dose of Selpercatinib administered in fed state. Period 3: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fed state. Period 4: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fasted state. Periods 1 and 2, 2 and 3 will be separated by a 7-day washout period. There will be no washout between Periods 3 and 4.
Selpercatinib and omeprazole administered in ABCD treatment sequenceOmeprazolePeriod 1: Single oral dose of Selpercatinib administered in fasted state. Period 2: Single oral dose of Selpercatinib administered in fed state. Period 3: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fasted state. Period 4: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fed state. Periods 1 and 2, 2 and 3 will be separated by a 7-day washout period. There will be no washout between Periods 3 and 4.
Selpercatinib and omeprazole administered in ABCD treatment sequenceSelpercatinibPeriod 1: Single oral dose of Selpercatinib administered in fasted state. Period 2: Single oral dose of Selpercatinib administered in fed state. Period 3: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fasted state. Period 4: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fed state. Periods 1 and 2, 2 and 3 will be separated by a 7-day washout period. There will be no washout between Periods 3 and 4.
Selpercatinib and omeprazole administered in ABDC treatment sequence.OmeprazolePeriod 1: Single oral dose of Selpercatinib administered in fasted state. Period 2: Single oral dose of Selpercatinib administered in fed state. Period 3: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fed state. Period 4: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fasted state. Periods 1 and 2, 2 and 3 will be separated by a 7-day washout period. There will be no washout between Periods 3 and 4.
Selpercatinib and omeprazole administered in BADC treatment sequence.SelpercatinibPeriod 1: Single oral dose of Selpercatinib administered in fed state. Period 2: Single oral dose of Selpercatinib administered in fasted state. Period 3: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fed state. Period 4: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fasted state. Periods 1 and 2, 2 and 3 will be separated by a 7-day washout period. There will be no washout between Periods 3 and 4.
Selpercatinib and omeprazole administered in BACD treatment sequence.SelpercatinibPeriod 1: Single oral dose of Selpercatinib administered in fed state. Period 2: Single oral dose of Selpercatinib administered in fasted state. Period 3: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fasted state. Period 4: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fed state. Periods 1 and 2, 2 and 3 will be separated by a 7-day washout period. There will be no washout between Periods 3 and 4.
Selpercatinib and omeprazole administered in BACD treatment sequence.OmeprazolePeriod 1: Single oral dose of Selpercatinib administered in fed state. Period 2: Single oral dose of Selpercatinib administered in fasted state. Period 3: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fasted state. Period 4: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fed state. Periods 1 and 2, 2 and 3 will be separated by a 7-day washout period. There will be no washout between Periods 3 and 4.
Selpercatinib and omeprazole administered in BADC treatment sequence.OmeprazolePeriod 1: Single oral dose of Selpercatinib administered in fed state. Period 2: Single oral dose of Selpercatinib administered in fasted state. Period 3: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fed state. Period 4: Multiple daily oral doses of omeprazole administered along with single oral dose of selpercatinib in fasted state. Periods 1 and 2, 2 and 3 will be separated by a 7-day washout period. There will be no washout between Periods 3 and 4.
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 SelpercatinibPre-dose up to 168 hour post-dose

PK: AUC0-t of Selpercatinib

PK: Area under the concentration-time curve, from time 0 extrapolated to infinity (AUC0-inf) of SelpercatinibPre-dose up to 168 hour post-dose

PK: AUC0-inf of Selpercatinib

PK: Percent of AUC0-inf extrapolated (AUC%extrap) of SelpercatinibPre-dose up to 168 hour post-dose

PK: AUC%extrap of Selpercatinib

PK: Apparent first order terminal elimination rate constant (Kel) of SelpercatinibPre-dose up to 168 hour post-dose

PK: Kel of Selpercatinib

PK: Maximum observed concentration (Cmax) of SelpercatinibPre-dose up to 168 hour post-dose

PK: Cmax of Selpercatinib

PK: Time to reach Cmax (Tmax) of SelpercatinibPre-dose up to 168 hour post-dose

PK: Tmax of Selpercatinib

PK: Apparent total plasma clearance after oral (extravascular) administration (CL/F) of SelpercatinibPre-dose up to 168 hour post-dose

PK: CL/F of Selpercatinib

PK: Apparent first-order terminal elimination half-life (t½) of SelpercatinibPre-dose up to 168 hour post-dose

PK: t½ of Selpercatinib

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Celerion

🇺🇸

Tempe, Arizona, United States

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