Effect of Omeprazole on Pharmacokinetics of SHR2554 in Healthy Subjects

NCT06093945 | Completed Phase 1

• 1 other identifier: SHR2554-112
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The study aimed to assess the effects of omeprazole on single-dose SHR2554 in healthy subjects, exploring the pharmacokinetic changes of SHR2554 and ensuring the safety when SHR2554 is co-administered with omeprazole.

Conditions

Malignant Tumor

Outcome Measures

Primary Outcomes (7)

• Cmax of SHR2554: Rate and extent of absorption of SHR2554 following single oral doses of SHR2554 by assessment of maximum plasma concentration.

  PK samples collected in both period 1 and 2 at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, and 48 hours post SHR2554 dose

• AUC0-t of SHR2554: Assessment of the PK of SHR2554 using area under the plasma concentration curve from zero extrapolated to o the time of the last quantifiable concentration.

  PK samples collected in both period 1 and 2 at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, and 48 hours post SHR2554 dose

• AUC0-∞ of SHR2554: Assessment of the PK of SHR2554 using area under the plasma concentration-time curve from zero to infinity.

  PK samples collected in both period 1 and 2 at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, and 48 hours post SHR2554 dose

• Tmax of SHR2554: Assessment of the PK of SHR2554 using time to reach maximum plasma concentration.

  PK samples collected in both period 1 and 2 at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, and 48 hours post SHR2554 dose

• t1/2 of SHR2554: Assessment of the PK of SHR2554 using the terminal half-life.

  PK samples collected in both period 1 and 2 at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, and 48 hours post SHR2554 dose

• CL/F of SHR2554: Assessment of the PK of SHR2554 using the apparent plasma clearance.

  PK samples collected in both period 1 and 2 at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, and 48 hours post SHR2554 dose

• Vz/F of SHR2554: Assessment of the PK of AZD9291 using the apparent volume of distribution.

  PK samples collected in both period 1 and 2 at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, and 48 hours post SHR2554 dose

Secondary Outcomes (2)

• Incidence and severity of adverse events/serious adverse events

  From Day 1 to Day 15

• Change in Fridericia-corrected QTc interval (QTcF) relative to baseline (ΔQTcF)

  ECG samples collected in period 1 at pre-dose,1, 2, 3, 4, 6, 8, 12, and 24 hours post SHR2554 dose

Study Arms (1)

SHR2554 and omeprazole

EXPERIMENTAL

Sequential treatments of SHR2554 alone followed by SHR2554+ omeprazole, with a washout period in between.

Drug: SHR2554 tablet dosing; Drug: Omeprazole tablet dosing

Interventions

SHR2554 tablet dosing DRUG

SHR2554 350mg taken on Day 1 and Day 10

SHR2554 and omeprazole

Omeprazole tablet dosing DRUG

Omeprazole taken from Days 5 to Day 10

SHR2554 and omeprazole

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Sign an informed consent form before the trial and have a full understanding of the trial's content, procedures, and potential adverse reactions.
• Be able to complete the study according to the trial protocol.
• Healthy male and female subjects aged 18 to 45 (inclusive) on the day of signing the informed consent form.
• Female subjects of childbearing potential must use effective contraception for 1 month from the date of signing the informed consent form until the last dose. Serum HCG testing before dosing must be negative. Male subjects with partners of childbearing potential must agree to use effective contraception measures and avoid sperm donation during the trial and for 1 month after the last administration of SHR2554.
• Male subjects must weigh at least 50 kg, and female subjects must weigh at least 45 kg, with a body mass index (BMI) ranging from 19 kg/m2 to 26 kg/m2 (inclusive).
• Health Condition: No history of heart, liver, kidney, gastrointestinal, neurological, psychiatric abnormalities, or metabolic disorders.
• Normal or clinically insignificant findings in vital signs, physical examination, routine laboratory tests (complete blood count, blood biochemistry, urinalysis, coagulation function, myocardial enzyme profile, thyroid function), echocardiography, posteroanterior chest X-ray, and abdominal ultrasound.
• Fridericia-corrected QT interval (QTcF) of males should ≤ 430 ms, and ≤ 450 ms for females. Left ventricular ejection fraction (LVEF) should ≥ 50%.

You may not qualify if:

• Positive results on screening tests for hepatitis B surface antigen, hepatitis C antibodies, syphilis spirochete antibodies, or HIV antibodies.
• History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, or history of hypersensitivity to SHR2554, its excipients, or drugs with a similar chemical structure or class.
• Poorly controlled clinical heart symptoms or diseases such as: (1) NYHA Class 2 or higher heart failure; (2) Unstable angina; (3) Myocardial infarction within the past year; (4) Any supraventricular or ventricular arrhythmia requiring treatment or intervention.
• Occurrence of any of the following conditions within the past 6 months before screening: Myocardial infarction, severe/unstable angina, NYHA Class II-IV heart failure, continuous arrhythmias of ≥ Grade 2 (graded based on NCI CTCAE 5.0), heart failure, second or third-degree atrioventricular block, complete left bundle branch block, any grade of atrial fibrillation, coronary/peripheral artery bypass grafting or stent implantation, cerebrovascular accident (including transient ischemic attack), pulmonary embolism, deep vein thrombosis.
• Use of any medication within the 4 weeks prior to the initial dose that carries a risk of prolonged QT/QTc interval or causing torsades de pointes (TdP) arrhythmia; a history of congenital QT interval prolongation syndrome or a family history of QT interval prolongation; presence of an implanted pacemaker or automated implantable cardioverter-defibrillator; uncorrected electrolyte disturbances, or any factors affecting QT/QTc studies.
• Pulmonary diseases, including infiltrative lung diseases, pneumonia, and respiratory distress.
• Chronic kidney disease, renal insufficiency, or a history of renal anemia.
• History of difficulty swallowing or any gastrointestinal disorders that affect drug absorption.
• Any uncontrolled digestive ulcers, colitis, pancreatitis, etc.
• Other primary diseases of important organs, such as neurological, cardiovascular, urological, digestive, respiratory, metabolic, and musculoskeletal system disorders, which makes the investigator believes it is unsuitable for participation in this study.
• Subjects who have undergone any surgery within 3 months prior to screening that could affect drug absorption, distribution, metabolism, or elimination.
• Subjects who have undergone any surgery within 6 months prior to screening.
• Subjects who have taken hepatotoxic drugs (such as acetaminophen, erythromycin, fluconazole, ketoconazole, rifampin, etc.) within 6 months prior to screening.
• Subjects who have participated in a clinical trial within 3 months prior to screening.
• Subjects who have taken known CYP3A or CYP2C19 inducers/inhibitors (see Appendices 2 and 3) within 28 days prior to the first administration of SHR2554.

Sponsors & Collaborators

• Jiangsu HengRui Medicine Co., Ltd.: lead

Study Sites (1)

The Second Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, Zhejiang, 318000, China

Location

MeSH Terms

Conditions

Neoplasms

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Model Details: Open-label, single-dose, two-period, fixed sequence, self-controlled study

Study Record Dates

• First Submitted: October 17, 2023
• First Posted: October 23, 2023
• Study Start: November 6, 2023
• Primary Completion: November 29, 2023
• Study Completion: November 29, 2023
• Last Updated: December 5, 2023

Record last verified: 2023-12

Locations

CN (1)