A Phase 1, Open-label, Randomised, Crossover Study to Determine the Comparative Bioavailability of 20 mg Lomitapide Where the Contents Have Been Opened and Sprinkled in Applesauce or Mashed Banana ("Sprinkled Contents") to a Single Oral Capsule Dose of 20 mg Lomitapide ("Intact Capsule") in Healthy Subjects
Trial Snapshot
- Phase
- Phase 1
- Status
- Completed
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- AUC0-t
Study Overview
Brief Summary
To compare the relative bioavailability of lomitapide when administered by sprinkling the contents of a 20 mg capsule of lomitapide in applesauce or in mashed banana to a single oral intact capsule dose of 20 mg lomitapide in healthy subjects.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 40 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Subject is a non-smoking healthy male or female, aged between 18 and 40 years of age.
- •Subject has a BMI of 18.5 - 25 kg/m
- •Subject has total body weight between > 50 kg to ≤ 100 kg.
- •Subjects must agree to use acceptable methods of contraception.
- •All females, regardless of childbearing potential, must have a negative serum beta human chorionic gonadotropin pregnancy test at Screening and on admission.
- •In good health, determined by no clinically significant or relevant abnormalities identified by a detailed medical history & full physical examination.
- •No known history of hypersensitivity or previous intolerance to lomitapide, applesauce, and/or banana.
- •Subjects must be capable of understanding and complying with the requirements of the protocol and must have signed the informed consent form prior to undergoing any study-related procedures.
Exclusion Criteria
- •Subject has a clinically significant disease or any condition or disease that might affect drug absorption, distribution or excretion.
- •History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs.
- •Any clinically significant abnormal laboratory, vital signs or other safety findings as determined by medical history, physical examination or other evaluations.
- •History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the Investigator;
- •Electrocardiogram (ECG) abnormalities in the standard 12-lead ECG (at screening) such as a QTcF interval of >450 msec, a history of a prolonged QTc interval or Brugada syndrome.
- •History or current evidence of any clinically relevant cardiovascular, pulmonary, hepatic, renal, gastrointestinal, haematological, endocrinological, allergic, dermatological, metabolic, neurological, psychiatric or other disease.
- •History or laboratory evidence of Gilbert's syndrome.
- •Positive results in any of the serology tests for Hepatitis B Surface Antigen (HbsAg), anti-Hepatitis core antibody (anti-HBc Ig G [and anti-HBc IgM if IgG is positive], Hepatitis C antibodies (anti-HCV), and HIV 1 and 2 antibodies, (anti-HIV 1/2).
- •Use of any drugs of abuse within 6 months prior to admission.
- •Confirmed positive results from urine drug screen (amphetamines, benzodiazepines, cocaine, cannabinoids, opiates, barbiturates and methadone) or from the alcohol breath test at screening and on admission (Day -1).
- •History or clinical evidence of alcohol or drug abuse within one year prior to admission.
- •Mentally handicapped.
- •Participation in a drug trial within 90 days prior to first drug administration.
- •Use of any prescription medication within 2 weeks prior to admission (Day -1), with the exception of the oral contraceptive pill.
- •Use of any substance inducing or inhibiting CYP3A4 enzymes within 30 days prior to admission (Day -1).
- •Use of any over-the-counter (OTC) medication (including vitamins, minerals, and phytotherapeutic/herbal/plant-derived preparations) within 7 days prior to admission (Day -1), unless deemed acceptable by the Investigator and Sponsor.
- •Use of alcohol-, grapefruit-, starfruit-, or caffeine-containing foods or beverages within 72 hours prior to admission and through Study Completion.
- •Donation of more than 500 mL of blood within 90 days prior to drug administration.
- •Receipt of blood products within 2 months prior to admission.
- •Poor peripheral venous access.
- •Use of any tobacco- or nicotine-containing products within 6 months prior to admission (Day -1).
- •Any acute or chronic condition, scheduled hospitalisation (inclusive of elective surgery during study), or scheduled travel prior to completion of all study procedures.
- •Any circumstances or conditions, which, in the opinion of the PI, may affect full participation in the trial or compliance with the protocol.
- •Legal incapacity or limited legal capacity at screening.
- •Subjects who are vegetarians, vegans or have any dietary restrictions conflicting with the study standardised menus.
Arms & Interventions
lomitapide sprinkled in applesauce
Contents of single 20 mg capsule of lomitapide sprinkled in applesauce
Intervention: lomitapide (Drug)
lomitapide sprinkled in mashed banana
Contents of single 20 mg capsule of lomitapide sprinkled in mashed banana
Intervention: lomitapide (Drug)
lomitapide (intact)
Intact capsule of 20 mg lomitapide
Intervention: lomitapide (Drug)
Outcomes
Primary Outcomes
AUC0-t
Time Frame: predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 168 hours post-dose
Area under the concentration-time curve from hour 0 to the last measurable concentration of lomitapide and its metabolites (M1\& M3).
Cmax
Time Frame: predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 168 hours post-dose
Maximum observed concentration of lomitapide and its metabolites (M1\& M3).
Tmax
Time Frame: predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 168 hours post-dose
Time to reach maximum plasma concentration of lomitapide and its metabolites (M1\& M3).
t1/2
Time Frame: predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 168 hours post-dose
Terminal elimination half-life of lomitapide and its metabolites (M1\& M3).
AUC0-∞
Time Frame: predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 168 hours post-dose
Area under the plasma concentration vs time curve from zero to infinity of lomitapide and its metabolites (M1\& M3).
λz
Time Frame: predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 48, 72, 96, 120, 144, and 168 hours post-dose
Elimination rate constant estimated from individual linear regression of the terminal part of the log concentration vs time curve of lomitapide and its metabolites (M1\& M3).
Secondary Outcomes
No secondary outcomes reported
