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The purpose of this Phase I, open-label study is to evaluate the absorption, distribution, metabolism, excretion, absolute bioavailability, and to characterize the metabolites of AG-881 in healthy male participants following administration of a single oral dose of [14C] AG-881 and a concomitant intravenous microdose of [13C315N3] AG-881.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AG881 | Experimental | On Day 1, after fasting for 10 hours participants, will receive an oral capsule of [14C]AG-881 followed 2 hours later by a single intravenous (IV) infusion of [13C315N3]AG-881. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AG-881 | Drug | Single oral dose of approximately 50 mg AG-881 (free form) containing approximately 100 microcuries (μCi) of [14C]AG-881. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Amount of AG-881 Excreted in Urine (Aeu) | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks | |
| Cumulative Aeu (Cum Aeu) of AG-881 | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks | |
| Percentage of AG-881 excreted in Urine and Feces (feu and fef, Respectively) | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks | |
| Cumulative Percentage of AG-881 Excreted in Urine (Cum feu) | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks | |
| Cumulative Percentage of AG-881 Excreted in Feces (Cum fef) | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks | |
| Renal Clearance (CLR) of AG-881 | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks | |
| Renal Clearance Expressed as a Percentage of Total Clearance (CLR/CL) of AG-881 | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks | |
| Percentage of Total Radioactivity in Total Excreta Calculated as Cumulative Percentage of AG-881 Excreted in Urine and Feces (Cum fe) |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants with Adverse Events (AEs), Graded by Severity | AEs will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE; Version 4.03) | Up to approximately 12 weeks |
| Percentage of Participants with Laboratory Abnormalities |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Affairs | Agios Pharmaceuticals, Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Covance Clinical Research Unit Inc. | Madison | Wisconsin | 53704 | United States |
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| [13C315N3]AG-881 | Drug | Single IV microdose of approximately 100 μg. |
|
| At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| Area Under the Concentration-time Curve from Time Zero to the Last Measurable Concentration (AUC0-last) of AG-881 | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| Area Under the Concentration-time Curve from Time Zero to 72 hours (AUC0-72) of AG-881 | Up to 72 hours |
| Partial Area Under the Concentration-time Curve from Time Zero to Common Time Point (AUC0-t) of AG-881 | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| Area Under the Concentration-time Curve from Time Zero to Infinity (AUC0-∞) of AG-881 Calculated Using the Observed Value of the Last Quantifiable Concentration | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| Maximum Observed Plasma Concentration (Cmax) of AG-881 | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| Time to Maximum Observed Plasma Concentration (Tmax) of AG-881 | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| Apparent Terminal Elimination Half-life (t½) of AG-881 | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| AUC0-∞ or AUC0-t of AG-881 in Plasma/AUC0-∞ or AUC0-t of Total Radioactivity in Plasma (AUC Plasma AG-881/Total Radioactivity Ratio) | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| AUC0-∞ of Total Radioactivity in Whole Blood to AUC0-∞ of Total Radioactivity in Plasma (AUC Blood/Plasma Ratio), Calculated Using the Observed Value of the Last Quantifiable Concentration | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| Total Clearance of AG-881 Following Intravenous (IV) Administration (CL) | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| Apparent Clearance Following Oral Administration of AG-881 (CL/F) | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| Volume of Distribution of AG-881 at Steady-state Following IV Administration (Vss) | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| Apparent Volume of Distribution During the Terminal Phase Following Oral Administration of AG-881 (Vz/F) | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| Absolute bioavailability (F) for AG-881 Calculated as the Ratio of Dose-normalized AUC0-∞ of Oral/Intravenous Dosing | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| Metabolic Profiles of AG-881 in Plasma, Urine, and Feces, When Possible | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
| Structures of AG-881 Metabolites in Plasma, Urine, and, Where Possible, Feces | At multiple time points daily from Day -1 to Day 14; then at 24-hour intervals until discharge (up to 29 days); then weekly up to approximately 8 weeks |
Laboratory assessments will include parameters assessing clinical chemistry, hematology, coagulation, urinalysis, and serology. |
| Up to approximately 8 weeks |
| Percentage of Participants with Abnormalities in 12-lead Electrocardiogram (ECG) | Up to approximately 8 weeks |
| Percentage of Participants with Abnormalities in Vital Signs Measurements | Vital signs will include supine blood pressure, supine pulse rate, and oral body temperature. | Up to approximately 8 weeks |
| Percentage of Participants with Abnormalities in Physical Examinations | Up to approximately 8 weeks |