A Phase 1, Randomised, Open-Label, Three-way, Three-period, Crossover Relative Bioavailability Study to Assess the Single-Dose Pharmacokinetics of FOR-6219 in Capsule and Tablet Formulations in Postmenopausal Women
Overview
- Phase
- Phase 1
- Intervention
- FOR-6219 capsule formulation
- Conditions
- Relative Bioavailability
- Sponsor
- Forendo Pharma Ltd
- Enrollment
- 12
- Locations
- 1
- Primary Endpoint
- Ratio of Area under the plasma concentration versus time curve (AUC) after single dose of FOR-6219 tablet (fasted) over soft gelatine capsule (fasted) for FOR-6219.
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
This is a phase 1, randomised, open-label, three-way, three-period, crossover relative bioavailability study to assess the single-dose pharmacokinetics of FOR-6219 in capsule and tablet formulations in postmenopausal women. The effect of high-fat food on the pharmacokinetics of the tablet formulation will also be evaluated. A total of twelve, post-menopausal women, will be randomised to receive a single oral dose of FOR-6219 in three treatment periods: capsule formulation (fasted); tablet formulation (fed); tablet formulation (fasted)
Investigators
Eligibility Criteria
Inclusion Criteria
- •Female participants between 45 and 65 years (inclusive) at screening
- •Female participants must be either naturally (spontaneously) post-menopausal: Natural (spontaneous) postmenopause is defined as being amenorrheic for at least 12 months without an alternative medical cause with a screening follicle stimulating hormone level \>25.8 IU/L and 17β-oestradiol serum levels less than 183 pmol/L (or the local laboratory levels for post-menopause) OR Must have had a bilateral oophorectomy/bilateral salpingo-oophorectomy. Hysterectomised women can be included only if they have had bilateral oophorectomy.
- •Participants not taking hormone replacement therapy (HRT).
- •Has a body weight between 50kg and 100kg inclusive and a body mass index (BMI) between 18.5-30.0 kg/m\^2 inclusive.
- •Satisfactory medical assessment with no clinically significant or relevant abnormalities as determined by medical history, physical examination, vital signs, 12-lead ECG, and clinical laboratory evaluation (haematology, biochemistry, coagulation and urinalysis) that is reasonably likely to interfere with the participant's participation in or ability to complete the study as assessed by the investigator.
- •Ability to provide written, personally signed, and dated informed consent to participate in the study, in accordance with the ICH Good Clinical Practice (GCP) Guideline E6 (R2) (2016) and applicable regulations, before completing any study-related procedures.
- •Ability to swallow three capsules and tablets at a time or (consecutively) one capsule at a time.
- •An understanding, ability, and willingness to fully comply with study procedures and restrictions.
Exclusion Criteria
- •Post-menopausal women with less than 12 months amenorrhoea, or women with amenorrhoea due to other medical causes.
- •Current or recurrent disease (e.g., cardiovascular, haematological, neurological, endocrine, immunological, renal, hepatic or gastrointestinal or other conditions) that could affect the action, absorption, or disposition of FOR-6219, or could affect clinical laboratory evaluations.
- •Current or relevant history of physical or psychiatric illness that are not stable or may require a change in treatment, use of prohibited therapies during the study or make the participant unlikely to fully comply with the requirements of the study or complete the study, or any condition that presents undue risk from the investigational product or study procedures.
- •Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participant at risk because of participation in the study may influence the result of the study, or the participant's ability to participate in the study.
- •The history or presence of any of the following cardiac conditions: known structural cardiac abnormalities; family history of long QT syndrome; cardiac syncope or recurrent, idiopathic syncope; exercise-related clinically significant cardiac events.
- •Any clinically significant abnormalities in rhythm, conduction or morphology of resting ECG or clinically important abnormalities that may interfere with the interpretation of QTc interval changes.
- •Has vital signs consistently outside of the following normal range. Supine blood pressure (after at least 5 minutes of supine rest): Systolic blood pressure: 90 - 140 mmHg, Diastolic blood pressure: 40 - 90 mmHg.
- •Positive test for Hepatitis B surface antigen (HBsAg), Hepatitis C antibody (HCV Ab), or human immunodeficiency virus antibody (HIV Ab) at screening.
- •Evidence of pregnancy
- •Any other abnormal findings on vital signs, ECG, physical examination or laboratory evaluation of blood and urine samples that the Investigator judges as likely to interfere with the study or pose an additional risk in participating.
Arms & Interventions
Subjects receiving treatment sequence ABC
Subjects will receive treatment sequence ABC on Days 1, 3 and 5 respectively; A= 3x50 milligrams FOR-6219 soft gelatine capsule given in fasted state, B= 3x50 milligrams FOR-6219 tablet given in fed state, C= 3x50 milligrams FOR-6219 tablet given in fasted state.
Intervention: FOR-6219 capsule formulation
Subjects receiving treatment sequence ABC
Subjects will receive treatment sequence ABC on Days 1, 3 and 5 respectively; A= 3x50 milligrams FOR-6219 soft gelatine capsule given in fasted state, B= 3x50 milligrams FOR-6219 tablet given in fed state, C= 3x50 milligrams FOR-6219 tablet given in fasted state.
Intervention: FOR-6219 tablet formulation
Subjects receiving treatment sequence BCA
Subjects will receive treatment sequence BCA on Days 1, 3 and 5 respectively; B= 3x50 milligrams FOR-6219 tablet given in fed state, C= 3x50 milligrams FOR-6219 tablet given in fasted state, A= 3x50 milligrams FOR-6219 soft gelatine capsule given in fasted state.
Intervention: FOR-6219 capsule formulation
Subjects receiving treatment sequence BCA
Subjects will receive treatment sequence BCA on Days 1, 3 and 5 respectively; B= 3x50 milligrams FOR-6219 tablet given in fed state, C= 3x50 milligrams FOR-6219 tablet given in fasted state, A= 3x50 milligrams FOR-6219 soft gelatine capsule given in fasted state.
Intervention: FOR-6219 tablet formulation
Subjects receiving treatment sequence CAB
Subjects will receive treatment sequence CAB on Days 1, 3 and 5 respectively; C= 3x50 milligrams FOR-6219 tablet given in fasted state, A= 3x50 milligrams FOR-6219 soft gelatine capsule given in fasted state, B= 3x50 milligrams FOR-6219 tablet given in fed state.
Intervention: FOR-6219 capsule formulation
Subjects receiving treatment sequence CAB
Subjects will receive treatment sequence CAB on Days 1, 3 and 5 respectively; C= 3x50 milligrams FOR-6219 tablet given in fasted state, A= 3x50 milligrams FOR-6219 soft gelatine capsule given in fasted state, B= 3x50 milligrams FOR-6219 tablet given in fed state.
Intervention: FOR-6219 tablet formulation
Subjects receiving treatment sequence ACB
Subjects will receive treatment sequence ACB on Days 1, 3 and 5 respectively; A= 3x50 milligrams FOR-6219 soft gelatine capsule given in fasted state, C= 3x50 milligrams FOR-6219 tablet given in fasted state, B= 3x50 milligrams FOR-6219 tablet given in fed state.
Intervention: FOR-6219 capsule formulation
Subjects receiving treatment sequence ACB
Subjects will receive treatment sequence ACB on Days 1, 3 and 5 respectively; A= 3x50 milligrams FOR-6219 soft gelatine capsule given in fasted state, C= 3x50 milligrams FOR-6219 tablet given in fasted state, B= 3x50 milligrams FOR-6219 tablet given in fed state.
Intervention: FOR-6219 tablet formulation
Subjects receiving treatment sequence BAC
Subjects will receive treatment sequence BAC on Days 1, 3 and 5 respectively; B= 3x50 milligrams FOR-6219 tablet given in fed state, A= 3x50 milligrams FOR-6219 soft gelatine capsule given in fasted state, C= 3x50 milligrams FOR-6219 tablet given in fasted state.
Intervention: FOR-6219 capsule formulation
Subjects receiving treatment sequence BAC
Subjects will receive treatment sequence BAC on Days 1, 3 and 5 respectively; B= 3x50 milligrams FOR-6219 tablet given in fed state, A= 3x50 milligrams FOR-6219 soft gelatine capsule given in fasted state, C= 3x50 milligrams FOR-6219 tablet given in fasted state.
Intervention: FOR-6219 tablet formulation
Subjects receiving treatment sequence CBA
Subjects will receive treatment sequence CBA on Days 1, 3 and 5 respectively; C= 3x50 milligrams FOR-6219 tablet given in fasted state, B= 3x50 milligrams FOR-6219 tablet given in fed state, A= 3x50 milligrams FOR-6219 soft gelatine capsule given in fasted state.
Intervention: FOR-6219 capsule formulation
Subjects receiving treatment sequence CBA
Subjects will receive treatment sequence CBA on Days 1, 3 and 5 respectively; C= 3x50 milligrams FOR-6219 tablet given in fasted state, B= 3x50 milligrams FOR-6219 tablet given in fed state, A= 3x50 milligrams FOR-6219 soft gelatine capsule given in fasted state.
Intervention: FOR-6219 tablet formulation
Outcomes
Primary Outcomes
Ratio of Area under the plasma concentration versus time curve (AUC) after single dose of FOR-6219 tablet (fasted) over soft gelatine capsule (fasted) for FOR-6219.
Time Frame: Up to 48 hours postdose
Ratio of Peak Plasma Concentration (Cmax) after single dose of FOR-6219 tablet (fed) over tablet (fasted) for FOR-6219.
Time Frame: Up to 48 hours postdose
Ratio of Area under the plasma concentration versus time curve (AUC) after single dose of FOR-6219 tablet (fed) over tablet (fasted) for FOR-6219.
Time Frame: Up to 48 hours postdose
Ratio of Peak Plasma Concentration (Cmax) after single dose of FOR-6219 tablet (fasted) over soft gelatine capsule (fasted) for FOR-6219.
Time Frame: Up to 48 hours postdose
Secondary Outcomes
- Peak plasma concentration (Cmax)(Blood sampling up to the end of each treatment period: Up to 48 hours after the FOR-6219 dose in Period 1 and Period 2 and up to 96 hours after the FOR-6219 dose in Period 3)
- Apparent total plasma clearance (CL/f)(Blood sampling up to the end of each treatment period: Up to 48 hours after the FOR-6219 dose in Period 1 and Period 2 and up to 96 hours after the FOR-6219 dose in Period 3)
- Time to peak plasma concentration (Tmax)(Blood sampling up to the end of each treatment period: Up to 48 hours after the FOR-6219 dose in Period 1 and Period 2 and up to 96 hours after the FOR-6219 dose in Period 3)
- Terminal half-life (t½)(Blood sampling up to the end of each treatment period: Up to 48 hours after the FOR-6219 dose in Period 1 and Period 2 and up to 96 hours after the FOR-6219 dose in Period 3)
- Area under the plasma concentration versus time curve (AUC)(Blood sampling up to the end of each treatment period: Up to 48 hours after the FOR-6219 dose in Period 1 and Period 2 and up to 96 hours after the FOR-6219 dose in Period 3)
- Proportion of participants with clinically significant changes in Electrocardiogram (ECG) PR time interval(From Day -1 until 96 hours after the last FOR-6219 dose)
- Proportion of participants with clinically significant changes in Electrocardiogram (ECG) QRS time interval(From Day -1 until 96 hours after the last FOR-6219 dose)
- Proportion of participants with morphological or rhythm abnormalities on Electrocardiograms (ECGs)(From Day -1 until 96 hours after the last FOR-6219 dose)
- Proportion of participants with clinically significant changes in Electrocardiogram (ECG) QT time interval(From Day -1 until 96 hours after the last FOR-6219 dose)
- Proportion of participants with clinically significant changes in laboratory safety tests(From Day -1 until 96 hours after the last FOR-6219 dose)
- Proportion of participants with clinically significant changes in diastolic blood pressure(From Day -1 until 96 hours after the last FOR-6219 dose)
- Proportion of participants with clinically significant changes in pulse rate(From Day -1 until 96 hours after the last FOR-6219 dose)
- Apparent volume of distribution during terminal phase (Vz/f)(Blood sampling up to the end of each treatment period: Up to 48 hours after the FOR-6219 dose in Period 1 and Period 2 and up to 96 hours after the FOR-6219 dose in Period 3)
- Incidence of Treatment Emergent Adverse Events (TEAE)(Adverse Events will be monitored from screening to 96 hours after the last FOR-6219 dose)
- Proportion of participants with clinically significant changes in Electrocardiogram (ECG) QTc interval(From Day -1 until 96 hours after the last FOR-6219 dose)
- Proportion of participants with clinically significant changes in systolic blood pressure(From Day -1 until 96 hours after the last FOR-6219 dose)