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To evaluate the PK profile of the newly developed CC-292 SDD formulation compared to CC-292 P22 tablet.
This is a single center, open-label, randomized, seven-treatment, seven-period, crossover design. The study will consist of a screening phase, a treatment phase, and a follow-up phone call. Approximately 24 healthy adult subjects (male or female) will be enrolled.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CC-292 SDD (Spray Dried Dispersion)300mg - Fasted Condition | Experimental | Single oral dose of 300 mg CC-292 SDD under fasted conditions (100 mg SDD x 3 tablets) |
|
| CC-292 SDD 300mg - Fed Condition | Experimental | Single oral dose of 300 mg CC-292 SDD under fed conditions (100 mg SDD x 3 tablets) |
|
| 375mg P22 - Fasted condition | Experimental | Single oral dose of 375 mg P22 under fasted conditions (125 mg P22 x 3) |
|
| 375mg P22 Fed Condition | Experimental | Single oral dose of 375 mg P22 under fed conditions (125 mg P22 x 3) |
|
| CC-292 SDD 100 mg Fasted Condition | Experimental | Single oral dose of 100 mg CC-292 SDD under fasted conditions |
|
| SDD plus OMP (Oral Omeprazole) | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CC-292 | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics - Cmax | Maximum observed concentration in plasma | 48 hours |
| Pharmacokinetics - AUC 0-t | Area under the plasma concentration-time curve from time zero to the last measured time point | 48 hours |
| Pharmacokinetics - AUC 0-24 | Area under the plasma concentration-time curve to 24 hours post dose | 48 hours |
| Pharmacokinetics - AUC 0-∞ | Area under the plasma concentration-time curve from time zero extrapolated to infinity | 48 hours |
| Pharmacokinetics - %AUCextrap | Percent Area under the plasma concentration-time curve extrapolated | 48 hours |
| Pharmacokinetics - Frel | Relative bioavailability of the CC-292 SDD formulation compared to the reference P22 formulation | 48 hours |
| Pharmacokinetics - Tmax | Time to Cmax | 48 hours |
| Pharmacokinetics - λz | Terminal disposition rate constant | 48 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events (AEs) | Number of subjects with adverse events | Approximatly 52 days |
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Inclusion Criteria:
Must understand and voluntarily sign a written Informed Consent Form (ICF) prior to any study-related assessments/procedures being conducted.
Must be able to communicate with the Investigator, understand, and comply with the requirements of the study, and agree to adhere to restrictions and examination schedules.
Must be a male or female subject from any race between 18 to 65 years of age (inclusive) at the time of signing the ICF, and in good health as determined by Physical Examinations (PE).
Must comply with the following acceptable forms of contraception:
Male subjects (including those who have had a vasectomy) who engage in activity in which conception is possible must use barrier contraception with male condoms NOT made out of natural animal membrane (e.g., latex or polyurethane condoms are acceptable) while on study drug, and for at least 90 days after the last dose of study drug.
Females of childbearing potential (FCBP) 1 must have a negative pregnancy test at Screening and at Baseline (i.e., on Day -1). FCBP who engage in activity in which conception is possible must agree to use one of the following forms of contraception during their entire participation in the study and for at least 30 days after administration of the last dose of study drug:
Note: All other females must have been surgically sterilized for at least 6 months before Screening (proper documentation required), or be postmenopausal (defined as 24 months without menses before Screening, and an estradiol level of < 30 pg/mL and a plasma Follicle Stimulating Hormone (FSH) level > 40 IU/L at Screening).
Must have a Body Mass Index (BMI) between 18 and 33 kg/m2 (inclusive).
No clinically significant laboratory test results, as determined by the Investigator.
Must be afebrile, with supine systolic BP of 90 to 140 mmHg, a supine diastolic Blood Pressure (BP) of 60 to 90 mmHg, and pulse rate of 40 to 110 bpm.
Must have a normal or clinically acceptable 12-lead Electrocardiogram (ECG) at Screening. Male subjects must have a QTcF value ≤ 430 msec. Female subjects must have a QTcF value ≤ 450 msec.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniel Weiss, MD | Celgene Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Covance Clinical Research unit | Evansville | Indiana | 47710 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35657581 | Derived | Cheng Y, Liu L, Xue Y, Zhou S, Li Y. An Open Label, Phase 1, Randomized, Seven-treatment, Seven-period, Crossover Study to Assess the Relative Bioavailability, pH Effect, Food Effect, and Dose Proportionality of CC-292, a Potent and Orally Available Bruton's Tyrosine Kinase Inhibitor. Eur J Drug Metab Pharmacokinet. 2022 Jul;47(4):579-592. doi: 10.1007/s13318-022-00776-7. Epub 2022 Jun 3. |
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| ID | Term |
|---|---|
| C583568 | spebrutinib |
| D009853 | Omeprazole |
| ID | Term |
|---|---|
| D053799 | 2-Pyridinylmethylsulfinylbenzimidazoles |
| D013454 | Sulfoxides |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
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Single oral dose of 300 mg CC-292 SDD under fasted conditions (100 mg SDD x 3 tablets) in the presence of 40 mg
|
| P22 plus OMP | Experimental | Single oral dose of 375 mg P22 under fasted conditions (125 mg P22 x 3) in the presence of 40 mg oral OMP |
|
| Oral Omeprazole (OMP) | Drug |
|
| Pharmacokinetics - t1/2 |
Terminal half-life |
| 48 hours |
| Pharmacokinetics - CL/F | Apparent clearance | 48 hours |
| Pharmacokinetics - Vz/F | Apparent volume of distribution | 48 hours |
| D011725 |
| Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D001562 | Benzimidazoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |