A Randomized, Double-Blind, Placebo-Controlled, Multiple-Ascending Dose and Single Dose Food Effect Study to Assess the Safety, Tolerability, and Pharmacokinetics of E2730 in Healthy Subjects
Overview
- Phase
- Phase 1
- Intervention
- E2730
- Conditions
- Healthy Volunteers
- Sponsor
- Eisai Inc.
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Part A, tmax: Time at Which the Highest Drug Plasma Concentration Occurs for E2730
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The primary purpose of the study is to evaluate the safety, tolerability, and pharmacokinetics (PK) of E2730 of multiple ascending oral doses in healthy adult participants and to assess the differences in PK, safety, and tolerability of E2730 between healthy Japanese and non-Japanese participants following multiple doses. This study will also determine the effect of food on PK of E2730.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Non-smoking, healthy male or female, age greater than or equal to (\>=) 18 years and \<55 years old at the time of informed consent. To be considered non-smokers, Participants must have discontinued smoking for at least 4 weeks before dosing
- •Japanese Participants must have been born in Japan of Japanese parents and Japanese grandparents, must have lived no more than 5 years outside of Japan, and must not have changed their life style or habits, including diet, while living outside of Japan
- •Body mass index (BMI) \>=18 and \<30 kilograms per meter square (kg/m\^2) at Screening
Exclusion Criteria
- •Females who are breastfeeding or pregnant at Screening or Baseline (as documented by a positive beta-human chorionic gonadotropin \[β-hCG\] test). A separate baseline assessment is required if a negative screening pregnancy test was obtained more than 72 hours before the first dose of study drug
- •Females of childbearing potential who:
- •Within 28 days before study entry, did not use a highly effective method of contraception, which includes any of the following:
- •Total abstinence (if it is their preferred and usual lifestyle)
- •An intrauterine device or intrauterine hormone-releasing system (IUS)
- •A contraceptive implant
- •An oral contraceptive (Participant must have been on a stable dose of the same oral contraceptive product for at least 28 days before dosing and must agree to stay on the same dose of the oral contraceptive throughout the study and for 28 days after study drug discontinuation)
- •Have a vasectomized partner with confirmed azoospermia
- •Do not agree to use a highly effective method of contraception throughout the entire study period and for 28 days after study drug discontinuation
- •Males who have not had a successful vasectomy (confirmed azoospermia) if their female partners meet the exclusion criteria above (that is, the female partners are of childbearing potential and are not willing to use a highly effective contraceptive method throughout the study period and for 5 times the half-life of the study drug plus 90 days after study drug discontinuation)
Arms & Interventions
Part A, Cohort 4: E2730 80 mg or Placebo
Healthy Japanese and non-Japanese participants will receive E2730 80 mg or E2730-matched placebo, capsules, orally, once daily for 18 days under fasted conditions.
Intervention: E2730
Part A, Cohort 4: E2730 80 mg or Placebo
Healthy Japanese and non-Japanese participants will receive E2730 80 mg or E2730-matched placebo, capsules, orally, once daily for 18 days under fasted conditions.
Intervention: E2730-matched placebo
Part B, E2730 80 mg: Fasted + Fed
Participants will receive a single treatment of E2730 (80 mg capsule) in fasted condition on Day 1 treatment period 1 followed by E2730 80 mg capsule in fed condition on Day 1 of treatment period 2. A washout period of at least 21 days will be maintained between the 2 treatments.
Intervention: E2730
Part A, Cohort 1: E2730 20 Milligram (mg) or Placebo
Healthy Japanese and non-Japanese participants will receive E2730 20 mg or E2730-matched placebo, capsules, orally, once daily for 18 days under fasted conditions.
Intervention: E2730
Part A, Cohort 1: E2730 20 Milligram (mg) or Placebo
Healthy Japanese and non-Japanese participants will receive E2730 20 mg or E2730-matched placebo, capsules, orally, once daily for 18 days under fasted conditions.
Intervention: E2730-matched placebo
Part A, Cohort 2: E2730 40 mg or Placebo
Healthy Japanese and non-Japanese participants will receive E2730 40 mg or E2730-matched placebo, capsules, orally, once daily for 18 days under fasted conditions.
Intervention: E2730
Part A, Cohort 2: E2730 40 mg or Placebo
Healthy Japanese and non-Japanese participants will receive E2730 40 mg or E2730-matched placebo, capsules, orally, once daily for 18 days under fasted conditions.
Intervention: E2730-matched placebo
Part A, Cohort 3: E2730 60 mg or Placebo
Healthy Japanese and non-Japanese participants will receive E2730 60 mg or E2730-matched placebo, capsules, orally, once daily for 18 days under fasted conditions.
Intervention: E2730
Part A, Cohort 3: E2730 60 mg or Placebo
Healthy Japanese and non-Japanese participants will receive E2730 60 mg or E2730-matched placebo, capsules, orally, once daily for 18 days under fasted conditions.
Intervention: E2730-matched placebo
Part B, E2730 80 mg: Fed + Fasted
Participants will receive a single treatment of E2730 80 mg capsule in fed condition on Day 1 of treatment period 1 followed by E2730 80 mg capsule in fasted condition on Day 1 of treatment period 2. A washout period of at least 21 days will be maintained between the 2 treatments.
Intervention: E2730
Outcomes
Primary Outcomes
Part A, tmax: Time at Which the Highest Drug Plasma Concentration Occurs for E2730
Time Frame: Day 1: 0-24 hours; Day 18: 0-336 hours
Part A, Css,av: Average Steady State Plasma Concentration at Steady State for E2730
Time Frame: Time Frame: Day 18: 0-24 hours
Part A, Rac: Accumulation Ratio for Cmax and AUC for E2730
Time Frame: Day 1: 0-24 hours; Day 18: 0-24 hours
Part B, AUC(0-24h): Area Under the Plasma Concentration-time Curve From Zero Time to 24 Hours After Dosing for E2730
Time Frame: Day 1: 0-24 hours; Day 22: 0-24 hours
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Time Frame: Screening up to Day 32 (approximately 60 days)
Safety assessments will consist of monitoring and recording all adverse events (AEs); laboratory evaluation for hematology, clinical chemistry, and urinalysis; periodic measurement of vital signs, electrocardiograms (ECGs), electroencephalogram (EEGs), corrected QT (QTc) interval and blood pressure.
Part A, Css,min: Minimum Observed Plasma Concentration at Steady State for E2730
Time Frame: Time Frame: Day 18: 0-24 hours
Part A, AUC(0-24h): Area Under the Plasma Concentration-time Curve From Zero Time to 24 Hours After Dosing for E2730
Time Frame: Day 1: 0-24 hours; Day 18: 0-24 hours
Part A, t1/2: Terminal Elimination Phase Half-life Following Last day of Dosing for E2730
Time Frame: Day 18: 0-336 hours
Part A, CLss/F: Apparent Total Clearance Following Extravascular Administration at Steady State for E2730
Time Frame: Day 18: 0-336 hours
Part A, Cmax: Maximum Observed Plasma Concentration for E2730
Time Frame: Day 1: 0-24 hours; Day 18: 0-336 hours
Part A, Vz/F: Apparent Volume of Distribution at Terminal Phase
Time Frame: Day 18: 0-336 hours
Part B, Cmax: Maximum Observed Plasma Concentration for E2730
Time Frame: Day 1: 0-288 hours; Day 22: 0-288 hours
Part A: Geometric Mean Ratio of Cmax Between the Healthy Japanese and non-Japanese Participants for E2730
Time Frame: Day 1: 0-24 hours; Day 18: 0-336 hours
Part A: Geometric Mean Ratio of AUC(0-24) Between the Healthy Japanese and non-Japanese Participants for E2730
Time Frame: Day 1: 0-24 hours; Day 18: 0-24 hours
Part B: Geometric Mean Ratio of AUC(0-inf) Between the Fasted and fed State for E2730
Time Frame: Day 1: 0-288 hours; Day 22: 0-288 hours
Part A, PTF: Peak-trough Fluctuation for E2730
Time Frame: Day 18: 0-24 hours
Part B, tmax: Time at Which the Highest Drug Plasma Concentration Occurs for E2730
Time Frame: Day 1: 0-288 hours; Day 22: 0-288 hours
Part B, AUC(0-t): Area Under the Plasma Concentration-time Curve From Zero Time to Time of Last Quantifiable Concentration for E2730
Time Frame: Day 1: 0-288 hours; Day 22: 0-288 hours
Part B, AUC(0-72h): Area Under the Plasma Concentration-time Curve From Zero Time to 72 Hours After Dosing for E2730
Time Frame: Day 1: 0-72 hours; Day 22: 0-72 hours
Part B, t1/2: Terminal Elimination Phase Half-life for E2730
Time Frame: Day 1: 0-288 hours; Day 22: 0-288 hours
Part B: Geometric Mean Ratio of AUC(0-72h) Between the Fasted and fed State for E2730
Time Frame: Day 1: 0-72 hours; Day 22: 0-72 hours
Part B, AUC(0-inf): Area Under the Plasma Concentration-time Curve From Zero Time Extrapolated to Infinite Time for E2730
Time Frame: Day 1: 0-288 hours; Day 22: 0-288 hours
Part B: Geometric Mean Ratio of Cmax Between the Fasted and fed State for E2730
Time Frame: Day 1: 0-288 hours; Day 22: 0-288 hours
Part B: Geometric Mean Ratio of AUC(0-t) Between the Fasted and fed State for E2730
Time Frame: Day 1: 0-288 hours; Day 22: 0-288 hours
Secondary Outcomes
- Number of Participants With T-wave Morphology Changes(Baseline up to Day 32)
- Placebo Corrected Change From Baseline in SBP and DBP(Baseline, Day 32)
- Change From Baseline in QT Interval by Fridericia (QTcF)(Baseline, Day 32)
- Number of Participants With Categorical Outliers for QTcF, HR, PR, and QRS(Baseline, Day 32)
- Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)(Baseline, Day 32)
- Change From Baseline in Heart Rate (HR)(Baseline, Day 32)
- Change From Baseline in PR Interval of the ECG (PR), QRS Interval of the ECG (QRS)(Baseline, Day 32)
- Placebo Corrected Change From Baseline in QTcF, PR and QRS(Baseline, Day 32)
- Number of Participants With Presence of Abnormal U-wave(Baseline up to Day 32)
- Placebo Corrected Change From Baseline in HR(Baseline, Day 32)
- Number of Participants With Categorical Outliers for SBP and DBP(Baseline up to Day 32)