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A Study of Absorption, Metabolism, Excretion, and Absolute Bioavailability of Carbon-14-Labelled [14C] Selpercatinib (LY3527723) in Healthy Male Participants

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: [14C]-Selpercatinib
Registration Number
NCT05630287
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to compare the amount of selpercatinib that gets into the blood stream and how long it takes the body to get rid of it and also to assess the pharmacokinetics (PK), metabolism, and routes and extent of elimination of selpercatinib in healthy male participants. The study will last up to 59 days (Part 1) or 46 days (Part 2) including screening and 7-day safety follow-up.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
12
Inclusion Criteria
  • Body mass index (BMI) ≥ 18.0 and ≤ 32.0 kilograms per meter squared (kg/m²)
  • Have normal blood pressure, pulse rate, electrocardiogram (ECG), and blood and urine laboratory test results that are acceptable for the study
  • Participants will be surgically sterile for at least 90 days prior to Check in or, when sexually active with female partners of childbearing potential, will agree to use effective contraception methods or abstain from sexual intercourse from the time of first dose through 90 days after study drug administration
Exclusion Criteria
  • Participation in any other radiolabeled investigational study drug trial within 12 months prior to Check-in
  • Exposure to significant radiation (eg, serial x-ray or computed tomography scans, barium meal, current employment in a job requiring radiation exposure monitoring) within 12 months prior to Check-in
  • Use or intention to use any medications/products known strong inducers or inhibitors of Cytochrome P450 3A4 enzymes, including St. John's wort, within 30 days prior to Check-in, unless deemed acceptable by the Investigator (or designee)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Carbon-14-labelled [14C]-Selpercatinib - Part 1[14C]-SelpercatinibParticipants received a single oral dose of 165 milligram (mg) of \[14C\]-Selpercatinib (containing approximately 40 µCi).
Selpercatinib and [14C]-Selpercatinib - Part 2SelpercatinibParticipants received a single oral dose of 160 mg Selpercatinib followed by single dose of \<100 µg of \[14C\]-Selpercatinib (containing approximately 1 µCi) administered intravenously (IV).
Selpercatinib and [14C]-Selpercatinib - Part 2[14C]-SelpercatinibParticipants received a single oral dose of 160 mg Selpercatinib followed by single dose of \<100 µg of \[14C\]-Selpercatinib (containing approximately 1 µCi) administered intravenously (IV).
Primary Outcome Measures
NameTimeMethod
PK: AUClast of [14C] Selpercatinib in Plasma and Whole Blood (Part 1) for Total RadioactivityPK: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: AUClast of \[14C\] Selpercatinib in plasma and whole blood

PK: Apparent First-order Terminal Elimination Half-life (t½) of Selpercatinib in Plasma (Part 1)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: t½ of Selpercatinib in plasma

PK: t½ of [14C] Selpercatinib in Plasma and Whole Blood (Part 1) for Total RadioactivityPredose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: t½ of \[14C\] Selpercatinib in plasma and whole blood

PK: Apparent Systemic Clearance (CL/F) of Selpercatinibin Plasma (Part 1)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: CL/F of Selpercatinib in plasma

PK: Apparent Volume of Distribution During the Terminal Phase (Vz/F) of Selpercatinib in Plasma (Part 1)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: Vz/F of Selpercatinib in plasma

PK: Plasma Selpercatinib/Total Radioactivity AUC0-24 Ratio (Part 1)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours postdose

PK: AUC0-24 of Selpercatinib in plasma/AUC0-24 of total radioactivity in plasma

PK: Blood/Plasma Total Radioactivity AUC0-24 Ratio (Part 1)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours post dose

PK: AUC0-24 of total radioactivity in whole blood/AUC0-24 of total radioactivity in whole blood

PK: AUClast of Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: AUClast of Selpercatinib in plasma

PK: AUClast of [14C] Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: AUClast of \[14C\] Selpercatinib in plasma

PK: AUC0-inf of Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: AUC0-inf of Selpercatinib in plasma

PK: AUC0-inf of [14C] Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: AUC0-inf of \[14C\] Selpercatinib in plasma

PK: Cmax of Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: Cmax of Selpercatinib in plasma

PK: Cmax of [14C] Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: Cmax of \[14C\] Selpercatinib in plasma

PK: Tmax of Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: Tmax of Selpercatinib in plasma

PK: Tmax of [14C] Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: Tmax of \[14C\] Selpercatinib in plasma

PK: t½ of Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: t½ of Selpercatinib in plasma

PK: t½ of [14C] Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: t½ of \[14C\] Selpercatinib in plasma

PK: CL/F of Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: CL/F of Selpercatinib in plasma

PK: Systemic Clearance (CL) of [14C] Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: CL of \[14C\] Selpercatinib in plasma

PK: Vz/F of Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: Vz/F of Selpercatinib in plasma

PK: Volume of Distribution During the Terminal Phase (Vz) of [14C] Selpercatinib in Plasma (Part 2)Pre-dose up to 168 hour post-dose

PK: Vz of \[14C\] Selpercatinib in plasma

PK: Volume of Distribution at Steady State (Vss) of [14C] Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: Vss of \[14C\] Selpercatinib in plasma

Pharmacokinetics (PK): Area Under the Concentration-time Curve, From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Selpercatinib in Plasma (Part 1)PK: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: AUClast of Selpercatinib in plasma

PK: Area Under the Concentration-time Curve, From Time 0 Extrapolated to Infinity (AUC0-inf) of Selpercatinib in Plasma (Part 1)PK: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: AUC0-inf of Selpercatinib in plasma

PK: AUC0-inf of [14C] Selpercatinib in Plasma and Whole Blood (Part 1) for Total RadioactivityPredose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: AUC0-inf of \[14C\] Selpercatinib in plasma and whole blood

PK: Area Under the Concentration-time Curve, From Time 0 to Hour 24 (AUC0-24) of Selpercatinib in Plasma (Part 1)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours post dose

PK: AUC0-24 of Selpercatinib in plasma

PK: (AUC0-24) of [14C] Selpercatinib in Plasma and Whole Blood (Part 1) for Total RadioactivityPredose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 hours post dose

PK: AUC0-24 of \[14C\] Selpercatinib in plasma and whole blood

PK: Maximum Observed Concentration (Cmax) of Selpercatinib in Plasma (Part 1)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: Cmax of Selpercatinib in plasma

PK: Cmax of [14C] Selpercatinib in Plasma and Whole Blood (Part 1) for Total RadioactivityPredose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: Cmax of \[14C\] Selpercatinib in plasma and whole blood

PK: Time to Reach Cmax (Tmax) of Selpercatinib in Plasma (Part 1)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: Tmax of Selpercatinib in plasma

PK: Tmax of [14C] Selpercatinib in Plasma and Whole Blood (Part 1) for Total RadioactivityPredose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

PK: Tmax of \[14C\] Selpercatinib in plasma and whole blood

PK: Absolute Bioavailability (F) of Selpercatinib in Plasma (Part 2)Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, 96, 120, 144, and 168 hours postdose

Absolute bioavailability was determined by comparing the plasma exposure of LOXO-292 following oral dosing with the plasma exposure of \[14C\]-LOXO-292 following IV dosing.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

LabCorp CRU, Inc.

🇺🇸

Madison, Wisconsin, United States

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