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A Two-Part Phase 1 Study to Investigate A) Safety and Tolerability of Supratherapeutic dose of Zanubrutinib (BGB-3111) and B) Effect of Zanubrutinib on Cardiac Repolarization in Healthy Subjects
This is a Two-Part Phase 1 Study.
Part A: This is a randomized, placebo-controlled, double blind, single dose study to evaluate the safety and tolerability of a single oral supratherapeutic dose of zanubrutinib in eight (8) subjects.
Part B: This is a randomized, placebo and positive-controlled, double-blind, 4-way crossover study being conducted in about 28 subjects to investigate the effect of a single therapeutic dose of zanubrutinib, a supratherapeutic dose of zanubrutinib and placebo on cardiac repolarization. Open-label Moxifloxacin (400 mg), a fluoroquinolone broad spectrum antibiotic will be used as a positive control.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: BGB-3111 | Experimental |
| |
| Part A: Placebo | Placebo Comparator |
| |
| Part B: BGB-3111, Placebo, and Moxifloxicin | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BGB-3111 | Drug | Subjects will receive BGB-3111 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Incidence of treatment-emergent adverse events (safety and tolerability) | Incidence of treatment-emergent adverse events reported for zanubrutinib compared with placebo | Up to 8 days |
| Part B: Corrected QT interval [QTc] | Evaluate the effects of single doses of zanubrutinib on the corrected QT interval [QTc] using the Fridericia correction [QTcF]) compared with placebo | Up to 2 days |
| Measure | Description | Time Frame |
|---|---|---|
| Part A: PK Parameters | Plasma concentrations of zanubrutinib to evaluate protocol specified PK parameters | Up to 3 days |
| Part B: Heart Rate (HR) | Evaluate the effects of a single dose of zanubrutinib and a single supratherapeutic dose of zanubrutinib on heart rate (HR) |
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Inclusion Criteria: All subjects
Exclusion Criteria: All subjects
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| Name | Affiliation | Role |
|---|---|---|
| William Novotny, MD | BeiGene | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Frontage Clinical Services, Inc. | Secaucus | New Jersey | 07094 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32144955 | Result | Mu S, Darpo B, Tang Z, Novotny W, Tawashi M, Xue H, Willett M, Lin L, Sahasranaman S, Ou YC. No QTc Prolongation With Zanubrutinib: Results of Concentration-QTc Analysis From a Thorough QT Study in Healthy Subjects. Clin Transl Sci. 2020 Sep;13(5):923-931. doi: 10.1111/cts.12779. Epub 2020 Apr 8. |
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Part A: Single Group Part B: Crossover
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Part A: zanubrutinib and placebo will be double-blind Part B: zanubrutinib and placebo will be double-blind; Moxifloxacin will be open-label
| Placebo | Drug | Subjects will receive Placebo |
|
| Moxifloxacin | Drug | Subjects will receive Moxifloxicin |
|
|
| Up to 2 days |
| Part B: PR Intervals | Evaluate the effects of a single dose of zanubrutinib and a single supratherapeutic dose of zanubrutinib on PR | Up to 2 days |
| Part B: QRS Intervals | Evaluate the effects of a single dose of zanubrutinib and a single supratherapeutic dose of zanubrutinib on QRS Intervals | Up to 2 days |
| Part B: PK Parameters | Plasma concentrations of zanubrutinib to evaluate protocol specified PK parameters | Up to 2 days |
| Part B: Incidence of treatment-emergent adverse events (safety and tolerability) | Incidence of treatment-emergent adverse events reported for zanubrutinib | Up to 16 days |
| ID | Term |
|---|---|
| C000629551 | zanubrutinib |
| D000077266 | Moxifloxacin |
| ID | Term |
|---|---|
| D024841 | Fluoroquinolones |
| D042462 | 4-Quinolones |
| D015363 | Quinolones |
| D011804 | Quinolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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