search
Back to results

Single Dose Bioavailability and Ethnobridging PK Study in Healthy Subjects

Primary Purpose

Intestinal Disorder, Bowel Diseases, Inflammatory

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
TD-1473 [Tablet A]
TD-1473 [Tablet B]
Sponsored by
Theravance Biopharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Intestinal Disorder focused on measuring Healthy Caucasian Subjects, Healthy Chinese Subjects, Ethnobridging

Eligibility Criteria

19 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subject is a non-smoking male or female adult
  • Subject (females) must be of non-childbearing potential or if of childbearing potential, subject must not be pregnant or breastfeeding, and must agree to use highly effective birth control and must not donate ova through 30 days after last dose of study drug.
  • Subject (males) must agree to use contraception to prevent pregnancy/partner exposure and must not donate sperm through 30 days after last dose of study drug.
  • Subject has a body mass index (BMI) 19 to 30 kg/m^2, inclusive and weighs at least 50 kg
  • Subject is healthy as determined by the Principal Investigator or designee based on medical history and physical examinations performed at Screening and Day -1 of Period 1
  • Subject must be willing and able to comply with the study diet, willing to abstain from strenuous physical activity which could cause muscle aches or injury, including contact sports for a period of 48 hours prior to study and through follow-up visit.
  • Subject must be willing and able to give and understand written informed consent, communicate well with the PI, and comply with the study procedures, requirements and restrictions
  • Part B: subject was born in China, with 2 Chinese biological parents and 4 Chinese grandparents as confirmed by interview, has lived no longer than 10 years outside of China, and has had no significant change in lifestyle, including diet, since leaving China

Exclusion Criteria:

  • Subject is planning to conceive a child during the study or within 1 month after the last dose of TD 1473
  • Subject has evidence or history of clinically significant allergic disease, hematological, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, or neurological disease
  • Subject has history of venous thrombosis
  • Subject has any clinically significant abnormalities in the results of laboratory evaluations, or liver function tests exceeding the upper limit of normal in the screening or pre-dose period
  • Subject has creatinine clearance as calculated by Cockcroft-Gault formula <90mL/min at screening or pre-dose period.
  • Subject has any medical condition possibly affecting drug absorption
  • Subject has history of lymphoma, leukemia, or other types of malignancy
  • Subject previously participated in a study for TD 1473 and/or subject has previously taken tofacitinib or other JAK inhibitors.
  • Subject participated in another clinical trial of an investigational drug (or medical device) within 30 days
  • Subject is unwilling to abstain from ingestion of caffeine or xanthine-containing products
  • Subject is unwilling to abstain from alcohol beginning 24 hours prior to study start
  • Subject has history of alcoholism or drug abuse
  • Female subject who is pregnant and/or lactating
  • Subject has positive results at Screening for human immunodeficiency virus (HIV), hepatitis A virus (HAV) antibodies, hepatitis B virus antigen (HBsAg), hepatitis B core antibodies (HBcAb), or hepatitis C virus (HCV) antibody
  • Subject has confirmed or suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (COVID-19)
  • Subject consumed grapefruit/Seville orange and/or grapefruit juice within 14 days prior to study
  • Subject consumed cruciferous vegetables (e.g., kale, broccoli, watercress, collard greens, kohlrabi, Brussels sprouts, mustard greens) or charbroiled meats beginning 7 days prior to study start and is unwilling to abstain from consuming such vegetables during the study
  • Subject uses or has used nicotine-containing products within 6 months prior to study start
  • Subject has acute illness (GI illness, infection (e.g., influenza) or know inflammatory process) at screening or pre-dose period.
  • Subject has poor venous access that limits phlebotomy
  • Subject donated blood or had significant blood loss within 56 days prior to study start
  • Subject donated plasma within 7 days prior to study start
  • Subject has abnormal screening ECG based on certain parameters or designated by the PI or designee to be clinically significant.
  • Subject has personal or known family history of congenital long QT syndrome or known family history of sudden death
  • Subject has history of hypersensitivity to drugs with a clinically significant reaction or any clinically significant hypersensitivities
  • Subject has known hypersensitivity to contents of the study drug including excipients, or drugs from a similar chemical class as TD-1473
  • Subject has history of severe allergic reaction or severe hypersensitivity or idiosyncratic reaction to any food, medication, insect or bee sting, or previous status asthmaticus (e.g., acute severe asthma attacks)
  • Subject has history of latent or active tuberculosis
  • Subject received a live viral vaccine within 8 weeks of study start
  • Subject, who, for any reason, is deemed by the Principal Investigator, designee, or Sponsor to be inappropriate for this study or have any condition which would confound or interfere with the evaluation of the safety, tolerability, and PK of the investigational drug or prevent compliance with the study protocol

Sites / Locations

  • Theravance Biopharma Investigational Site
  • Theravance Biopharma Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Part A, Sequence 1

Part A, Sequence 2

Part A, Sequence 3

Part A, Sequence 4

Part A, Sequence 5

Part A, Sequence 6

Part A, Sequence 7

Part A, Sequence 8

Part B,Treatment A

Arm Description

Part A, Sequence 1 = Treatment (Tx) C, Tx A, Tx C, Tx A Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout between treatments

Part A, Sequence 2: Tx D, Tx B, Tx D, Tx B Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments

Part A, Sequence 3: Tx C, Tx A, Tx D, Tx B Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments

Part A, Sequence 4: Tx D, Tx B, Tx C, Tx A Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments

Part A, Sequence 5: Tx A, Tx C, Tx A, Tx C Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments

Part A, Sequence 6: Tx B, Tx D, Tx B, Tx D Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments

Part A, Sequence 7: Tx A, Tx C, Tx B, Tx D Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments

Part A, Sequence 8: Tx B, Tx D, Tx A, Tx C Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments

Single oral dose of Treatment A on Day 1

Outcomes

Primary Outcome Measures

AUC0-t
Area under the concentration-time curve, from time 0 to the last observed non-zero concentration (AUC0-t) of TD-1473 in Plasma
AUC0-inf
Area under the concentration-time curve, from time 0 extrapolated to infinity (AUC0-inf) of TD-1473 in Plasma
Cmax
Maximum observed concentration (Cmax) of TD-1473 in Plasma

Secondary Outcome Measures

Adverse events
Number and severity of treatment emergent adverse events.

Full Information

First Posted
October 7, 2020
Last Updated
April 8, 2021
Sponsor
Theravance Biopharma
search

1. Study Identification

Unique Protocol Identification Number
NCT04587713
Brief Title
Single Dose Bioavailability and Ethnobridging PK Study in Healthy Subjects
Official Title
A Phase 1, Two-Part, Open-Label Study to Assess the Relative Bioavailability of Two TD-1473 Tablet Formulations Under Fasted and Fed Conditions in Healthy Subjects and the Pharmacokinetics of TD-1473 in Healthy Chinese Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Completed
Study Start Date
October 16, 2020 (Actual)
Primary Completion Date
December 24, 2020 (Actual)
Study Completion Date
December 27, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Theravance Biopharma

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase 1, 2-part, open-label study. Part A will be a formulation bridging and food effect study in healthy adult subjects. Part B will be an assessment of pharmacokinetics (PK) in healthy adult Chinese subjects.
Detailed Description
In study Part A, healthy adult subjects will receive the following treatments in a cross-over design with a ≥10-day washout period between doses: Treatment A: Single dose of [Tablet A] TD-1473 proposed commercial tablet formulation on Day 1 in a fasted state; Treatment B: Single dose of [Tablet A] TD-1473 proposed commercial tablet formulation on Day 1 in a fed state; Treatment C: Single dose of [Tablet B] TD-1473 current clinical tablet formulation on Day 1 in a fasted state; Treatment D: Single dose of [Tablet B] TD-1473 current clinical tablet formulation on Day 1 in a fed state. In study Part B, healthy adult Chinese subjects will receive Treatment A: Single dose of [Tablet A] TD-1473 proposed commercial tablet formulation on Day 1 in a fasted state.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Intestinal Disorder, Bowel Diseases, Inflammatory
Keywords
Healthy Caucasian Subjects, Healthy Chinese Subjects, Ethnobridging

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
58 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part A, Sequence 1
Arm Type
Experimental
Arm Description
Part A, Sequence 1 = Treatment (Tx) C, Tx A, Tx C, Tx A Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout between treatments
Arm Title
Part A, Sequence 2
Arm Type
Experimental
Arm Description
Part A, Sequence 2: Tx D, Tx B, Tx D, Tx B Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Arm Title
Part A, Sequence 3
Arm Type
Experimental
Arm Description
Part A, Sequence 3: Tx C, Tx A, Tx D, Tx B Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Arm Title
Part A, Sequence 4
Arm Type
Experimental
Arm Description
Part A, Sequence 4: Tx D, Tx B, Tx C, Tx A Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Arm Title
Part A, Sequence 5
Arm Type
Experimental
Arm Description
Part A, Sequence 5: Tx A, Tx C, Tx A, Tx C Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Arm Title
Part A, Sequence 6
Arm Type
Experimental
Arm Description
Part A, Sequence 6: Tx B, Tx D, Tx B, Tx D Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Arm Title
Part A, Sequence 7
Arm Type
Experimental
Arm Description
Part A, Sequence 7: Tx A, Tx C, Tx B, Tx D Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Arm Title
Part A, Sequence 8
Arm Type
Experimental
Arm Description
Part A, Sequence 8: Tx B, Tx D, Tx A, Tx C Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Arm Title
Part B,Treatment A
Arm Type
Experimental
Arm Description
Single oral dose of Treatment A on Day 1
Intervention Type
Drug
Intervention Name(s)
TD-1473 [Tablet A]
Intervention Description
TD-1473 [Tablet A] (1 Tablet = Dose A) proposed commercial tablet formulation
Intervention Type
Drug
Intervention Name(s)
TD-1473 [Tablet B]
Intervention Description
TD-1473 [Tablet B] (2 Tablets = Dose A) current clinical tablet formulation
Primary Outcome Measure Information:
Title
AUC0-t
Description
Area under the concentration-time curve, from time 0 to the last observed non-zero concentration (AUC0-t) of TD-1473 in Plasma
Time Frame
Predose and at prespecified time points up to 5 days after dosing on Day 1 of each period
Title
AUC0-inf
Description
Area under the concentration-time curve, from time 0 extrapolated to infinity (AUC0-inf) of TD-1473 in Plasma
Time Frame
Predose and at prespecified time points up to 5 days after dosing on Day 1 of each period
Title
Cmax
Description
Maximum observed concentration (Cmax) of TD-1473 in Plasma
Time Frame
Predose and at prespecified time points up to 5 days after dosing on Day 1 of each period
Secondary Outcome Measure Information:
Title
Adverse events
Description
Number and severity of treatment emergent adverse events.
Time Frame
Day 1 through Day 7 of each period

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject is a non-smoking male or female adult Subject (females) must be of non-childbearing potential or if of childbearing potential, subject must not be pregnant or breastfeeding, and must agree to use highly effective birth control and must not donate ova through 30 days after last dose of study drug. Subject (males) must agree to use contraception to prevent pregnancy/partner exposure and must not donate sperm through 30 days after last dose of study drug. Subject has a body mass index (BMI) 19 to 30 kg/m^2, inclusive and weighs at least 50 kg Subject is healthy as determined by the Principal Investigator or designee based on medical history and physical examinations performed at Screening and Day -1 of Period 1 Subject must be willing and able to comply with the study diet, willing to abstain from strenuous physical activity which could cause muscle aches or injury, including contact sports for a period of 48 hours prior to study and through follow-up visit. Subject must be willing and able to give and understand written informed consent, communicate well with the PI, and comply with the study procedures, requirements and restrictions Part B: subject was born in China, with 2 Chinese biological parents and 4 Chinese grandparents as confirmed by interview, has lived no longer than 10 years outside of China, and has had no significant change in lifestyle, including diet, since leaving China Exclusion Criteria: Subject is planning to conceive a child during the study or within 1 month after the last dose of TD 1473 Subject has evidence or history of clinically significant allergic disease, hematological, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, or neurological disease Subject has history of venous thrombosis Subject has any clinically significant abnormalities in the results of laboratory evaluations, or liver function tests exceeding the upper limit of normal in the screening or pre-dose period Subject has creatinine clearance as calculated by Cockcroft-Gault formula <90mL/min at screening or pre-dose period. Subject has any medical condition possibly affecting drug absorption Subject has history of lymphoma, leukemia, or other types of malignancy Subject previously participated in a study for TD 1473 and/or subject has previously taken tofacitinib or other JAK inhibitors. Subject participated in another clinical trial of an investigational drug (or medical device) within 30 days Subject is unwilling to abstain from ingestion of caffeine or xanthine-containing products Subject is unwilling to abstain from alcohol beginning 24 hours prior to study start Subject has history of alcoholism or drug abuse Female subject who is pregnant and/or lactating Subject has positive results at Screening for human immunodeficiency virus (HIV), hepatitis A virus (HAV) antibodies, hepatitis B virus antigen (HBsAg), hepatitis B core antibodies (HBcAb), or hepatitis C virus (HCV) antibody Subject has confirmed or suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (COVID-19) Subject consumed grapefruit/Seville orange and/or grapefruit juice within 14 days prior to study Subject consumed cruciferous vegetables (e.g., kale, broccoli, watercress, collard greens, kohlrabi, Brussels sprouts, mustard greens) or charbroiled meats beginning 7 days prior to study start and is unwilling to abstain from consuming such vegetables during the study Subject uses or has used nicotine-containing products within 6 months prior to study start Subject has acute illness (GI illness, infection (e.g., influenza) or know inflammatory process) at screening or pre-dose period. Subject has poor venous access that limits phlebotomy Subject donated blood or had significant blood loss within 56 days prior to study start Subject donated plasma within 7 days prior to study start Subject has abnormal screening ECG based on certain parameters or designated by the PI or designee to be clinically significant. Subject has personal or known family history of congenital long QT syndrome or known family history of sudden death Subject has history of hypersensitivity to drugs with a clinically significant reaction or any clinically significant hypersensitivities Subject has known hypersensitivity to contents of the study drug including excipients, or drugs from a similar chemical class as TD-1473 Subject has history of severe allergic reaction or severe hypersensitivity or idiosyncratic reaction to any food, medication, insect or bee sting, or previous status asthmaticus (e.g., acute severe asthma attacks) Subject has history of latent or active tuberculosis Subject received a live viral vaccine within 8 weeks of study start Subject, who, for any reason, is deemed by the Principal Investigator, designee, or Sponsor to be inappropriate for this study or have any condition which would confound or interfere with the evaluation of the safety, tolerability, and PK of the investigational drug or prevent compliance with the study protocol
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
Theravance Biopharma
Official's Role
Study Director
Facility Information:
Facility Name
Theravance Biopharma Investigational Site
City
Cypress
State/Province
California
ZIP/Postal Code
90630
Country
United States
Facility Name
Theravance Biopharma Investigational Site
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68502
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Theravance Biopharma, Inc. will not be sharing individual de-identified participant data or other relevant study documents.

Learn more about this trial

Single Dose Bioavailability and Ethnobridging PK Study in Healthy Subjects

We'll reach out to this number within 24 hrs