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This study is designed to evaluate the relative bioavailability, or the degree and rate at which the drug is absorbed by the body of two cenobamate formulations (200 mg Oral Suspension and a 200 mg Oral Tablet) and to assess the effect of food on the oral bioavailability of the 200 mg Oral Suspension. This study will also look at the safety and tolerability of the oral suspension and the oral tablet under both fasted and fed conditions.
This study is an open-label, randomized, single-dose, single-center, three-period, six-sequence, balanced crossover study in healthy male and female subjects to assess the relative bioavailability of 200 mg of cenobamate given as an oral tablet or oral suspension and to evaluate the effect of food on the bioavailability of a 200 mg dose of cenobamate given as an oral suspension in fasting and fed conditions.
The study consists of a 28-day screening period, followed by single dose administration of cenobamate (tablet or suspension) on Day 1, Day 22, and Day 43, an assessment period of 62 days and a follow-up visit on Day 69. All subjects will be confined to the clinical site from Day -1 (the day before period 1 dosing) until the morning of Day 4, Day 20 (the day of the last PK sampling for period 1) until the morning of Day 25, and Day 41 (the day of the last PK sampling for period 2) until the morning of Day 46. Outpatient visits will be performed regularly until the 456-hour PK sampling for each period. The follow-up visit will occur on Day 69 (±1 day).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment A | Experimental | Treatment A: Oral Dose of cenobamate administered as a single 200 mg tablet under fasted conditions |
|
| Treatment B | Experimental | Treatment B: Oral Dose of cenobamate administered as a single 200 mg/20 mL suspension under fasted conditions |
|
| Treatment C | Experimental | Treatment C: Oral Dose of cenobamate administered at a single 200 mg/20 mL suspension under fed conditions |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cenobamate 200Mg Tab Fasted | Drug | Cenobamate (YKP3089) is a small molecule approved in the United States (US) for the treatment of partial onset seizures (POS) in adult patients. |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax | Maximum observed plasma concentration of cenobamate | 120, 192, 264, 360, 456, hours post-dose |
| Tmax | Time to reach Maximum observed plasma concentration of cenobamate | 120, 192, 264, 360, 456 hour post-dose |
| Area Under the Concentration Curve to Last Measurable Concentration | AUC from the time of dosing to the time of the last measurable concentration of cenobamate | 120, 192, 264, 360, 456 hour post-dose |
| Area Under the Concentration Curve From 0 to Infinity | Area Under the Concentration Curve (AUC) from time 0 extrapolated to infinity | 120, 192, 264, 360, 456 hour post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events | To evaluate the safety and tolerability of each cenobamate formulation administered under either fed (Oral Dose of cenobamate administered at a single 200 mg/20 mL suspension ) or fasted (Both tablet and oral suspension formulations) incidence of treatment-emergent adverse events will be monitored. | Day 1 to Day 69 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Stephen Greene, PharmD | SK Life Science, Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PRA Health Sciences Salt Lake City | Millcreek | Utah | 84124 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Sequence 1 | Treatment ABC, with 21 day washout periods between each dose. Treatment A: Oral Dose of cenobamate administered as a single 200 mg tablet under fasted conditions Treatment B: Oral Dose of cenobamate administered as a single 200 mg/20 mL suspension under fasted conditions Treatment C: Oral Dose of cenobamate administered at a single 200 mg/20 mL suspension under fed conditions |
| FG001 | Sequence 2 | Treatment BCA, with 21 day washout periods between each dose. Treatment A: Oral Dose of cenobamate administered as a single 200 mg tablet under fasted conditions Treatment B: Oral Dose of cenobamate administered as a single 200 mg/20 mL suspension under fasted conditions Treatment C: Oral Dose of cenobamate administered at a single 200 mg/20 mL suspension under fed conditions |
| FG002 | Sequence 3 | Treatment CAB, with 21 day washout periods between each dose. Treatment A: Oral Dose of cenobamate administered as a single 200 mg tablet under fasted conditions Treatment B: Oral Dose of cenobamate administered as a single 200 mg/20 mL suspension under fasted conditions Treatment C: Oral Dose of cenobamate administered at a single 200 mg/20 mL suspension under fed conditions |
| FG003 | Sequence 4 | Treatment ACB, with 21 day washout periods between each dose. Treatment A: Oral Dose of cenobamate administered as a single 200 mg tablet under fasted conditions Treatment B: Oral Dose of cenobamate administered as a single 200 mg/20 mL suspension under fasted conditions Treatment C: Oral Dose of cenobamate administered at a single 200 mg/20 mL suspension under fed conditions |
| FG004 | Sequence 5 | Treatment BAC, with 21 day washout periods between each dose. Treatment A: Oral Dose of cenobamate administered as a single 200 mg tablet under fasted conditions Treatment B: Oral Dose of cenobamate administered as a single 200 mg/20 mL suspension under fasted conditions Treatment C: Oral Dose of cenobamate administered at a single 200 mg/20 mL suspension under fed conditions |
| FG005 | Sequence 6 | Treatment CBA, with 21 day washout periods between each dose. Treatment A: Oral Dose of cenobamate administered as a single 200 mg tablet under fasted conditions Treatment B: Oral Dose of cenobamate administered as a single 200 mg/20 mL suspension under fasted conditions Treatment C: Oral Dose of cenobamate administered at a single 200 mg/20 mL suspension under fed conditions |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Sequence 1 | Treatment ABC, with 21 day washout periods between each dose. Treatment A: cenobamate 200 mg oral tablet fasted Treatment B: cenobamate 200 mg/20 mL oral suspension fasted Treatment C: cenobamate 200 mg/20 mL oral suspension fed |
| BG001 | Sequence 2 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Cmax | Maximum observed plasma concentration of cenobamate | Posted | Median | Full Range | (μg/mL) | 120, 192, 264, 360, 456, hours post-dose |
|
69 days
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Treatment A | Treatment A: Oral Dose of cenobamate administered as a single 200 mg tablet under fasted conditions |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Paraesthesia Oral | Gastrointestinal disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Executive Director and Head, Clinical Pharmacology | SK Life Science, Inc. | 862-271-2645 | vvashi@sklsi.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Nov 30, 2020 | Feb 17, 2022 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jul 26, 2021 | Feb 17, 2022 | SAP_001.pdf |
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| ID | Term |
|---|---|
| C000654784 | Cenobamate |
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• This study is an open-label, randomized, single-dose, single-center, three-period, six-sequence, balanced crossover study in healthy male and female subjects to assess the relative bioavailability of 200 mg of cenobamate given as an oral tablet or oral suspension and to evaluate the effect of food on the bioavailability of a 200 mg dose of cenobamate given as an oral suspension in fasting and fed conditions
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|
| Cenobamate Oral Suspension Fed | Drug | Cenobamate (YKP3089) is a small molecule approved in the United States (US) for the treatment of partial onset seizures (POS) in adult patients. |
|
|
| Cenobomate Oral Suspension Fasted | Drug | Cenobamate (YKP3089) is a small molecule approved in the United States (US) for the treatment of partial onset seizures (POS) in adult patients. |
|
|
| Adverse Event |
|
| Positive urine drug screen test |
|
Treatment BCA, with 21 day washout periods between each dose. Treatment A: cenobamate 200 mg oral tablet fasted Treatment B: cenobamate 200 mg/20 mL oral suspension fasted Treatment C: cenobamate 200 mg/20 mL oral suspension fed |
| BG002 | Sequence 3 | Treatment CAB, with 21 day washout periods between each dose. Treatment A: cenobamate 200 mg oral tablet fasted Treatment B: cenobamate 200 mg/20 mL oral suspension fasted Treatment C: cenobamate 200 mg/20 mL oral suspension fed |
| BG003 | Sequence 4 | Treatment CBA, with 21 day washout periods between each dose. Treatment A: cenobamate 200 mg oral tablet fasted Treatment B: cenobamate 200 mg/20 mL oral suspension fasted Treatment C: cenobamate 200 mg/20 mL oral suspension fed |
| BG004 | Sequence 5 | Treatment ACB, with 21 day washout periods between each dose. Treatment A: cenobamate 200 mg oral tablet fasted Treatment B: cenobamate 200 mg/20 mL oral suspension fasted Treatment C: cenobamate 200 mg/20 mL oral suspension fed |
| BG005 | Sequence 6 | Treatment BAC, with 21 day washout periods between each dose. Treatment A: cenobamate 200 mg oral tablet fasted Treatment B: cenobamate 200 mg/20 mL oral suspension fasted Treatment C: cenobamate 200 mg/20 mL oral suspension fed |
| BG006 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Weight | Mean | Standard Deviation | kg |
|
| Height | Mean | Standard Deviation | cm |
|
| Body Mass Index (BMI) | Mean | Standard Deviation | kg/m2 |
|
|
|
| Primary | Tmax | Time to reach Maximum observed plasma concentration of cenobamate | Posted | Median | Full Range | (h) | 120, 192, 264, 360, 456 hour post-dose |
|
|
|
| Primary | Area Under the Concentration Curve to Last Measurable Concentration | AUC from the time of dosing to the time of the last measurable concentration of cenobamate | Posted | Median | Full Range | (μg•h/mL) | 120, 192, 264, 360, 456 hour post-dose |
|
|
|
| Primary | Area Under the Concentration Curve From 0 to Infinity | Area Under the Concentration Curve (AUC) from time 0 extrapolated to infinity | Posted | Median | Full Range | (μg•h/mL) | 120, 192, 264, 360, 456 hour post-dose |
|
|
|
| Secondary | Number of Participants With Treatment-Emergent Adverse Events | To evaluate the safety and tolerability of each cenobamate formulation administered under either fed (Oral Dose of cenobamate administered at a single 200 mg/20 mL suspension ) or fasted (Both tablet and oral suspension formulations) incidence of treatment-emergent adverse events will be monitored. | Posted | Count of Participants | Participants | Day 1 to Day 69 |
|
|
|
| 0 |
| 25 |
| 0 |
| 25 |
| 8 |
| 25 |
| EG001 | Treatment B | Treatment B: Oral Dose of cenobamate administered as a single 200 mg/20 mL suspension under fasted conditions | 0 | 24 | 0 | 24 | 8 | 24 |
| EG002 | Treatment C | Treatment C: Oral Dose of cenobamate administered at a single 200 mg/20 mL suspension under fed conditions | 0 | 25 | 0 | 25 | 7 | 25 |
| Catheter Site Related Reaction | General disorders | Non-systematic Assessment |
|
| Covid-19 | Infections and infestations | Systematic Assessment |
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| Sunburn | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
| Back Pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
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| Neck Pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
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| Dizziness | Nervous system disorders | Non-systematic Assessment |
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| Headache | Nervous system disorders | Non-systematic Assessment |
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| Presyncope | Nervous system disorders | Non-systematic Assessment |
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| Somnolence | Nervous system disorders | Non-systematic Assessment |
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| Euphoric Mood | Psychiatric disorders | Non-systematic Assessment |
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| Oropharyngeal Pain | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
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| Nasal Congestion | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
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| Dermatitis Contact | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
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| Ecchymosis | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Eczema | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Hyperhidrosis | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Pruitus | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Pseudofolliculitis | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Skin Lesion | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Phlebitis | Vascular disorders | Systematic Assessment |
|
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