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The purpose of the study is to determine absorption, metabolism, and excretion of a single oral dose of [14C]-xevinapant. This information will enable assessment of absorption and clearance mechanisms of [14C]-xevinapant as well as identify metabolites. In addition, the study will allow to determine absolute bioavailability of xevinapant and understand its intravenous pharmacokinetics.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Radiolabeled Xevinapant Oral Solution | Experimental | Participants will receive: • single oral dose of [14C]-xevinapant, as an oral solution |
|
| Radiolabeled Xevinapant Intravenous Solution + Xevinapant Oral Solution | Experimental | Participants will receive: • single oral dose of xevinapant, as an oral solution followed by an IV bolus of [14C]-xevinapant, solution for infusion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Radiolabelled Xevinapant 200 mg (Oral Solution) | Drug | [14C]-Xevinapant 200 mg administered as an oral solution on Day 1 of Part 1, containing approximately 100 microcurie (μCi) [3.7 megabecquerel (MBq)] in fasted conditions. |
| Measure | Description | Time Frame |
|---|---|---|
| Mass Balance Recovery Measured Through Total Radioactivity Excreted in Expired Air, Urine and Feces | Up to Day 29 | |
| Area Under Concentration-Time Curve From Time Zero to Infinity (AUC0-infinity); Time 0 to 24 Hours (AUC0-24); Time 0 to Last Quantifiable Concentration (AUC0-last) of Total Radioactivity in Blood and Plasma, and of Xevinapant and Metabolite in Plasma | Up to Day 29 | |
| Maximum Observed Concentration (Cmax) of Total Radioactivity in Blood and Plasma, and of Xevinapant and Metabolite in Plasma | Up to Day 29 | |
| Time to Maximum Observed Concentration (Tmax) of Total Radioactivity in Blood and Plasma, and of Xevinapant and Metabolite in Plasma | Up to Day 29 | |
| Apparent Terminal Elimination Half-life (T1/2) of Total Radioactivity in Blood and Plasma, and of Xevinapant and Metabolite in Plasma | Up to Day 29 | |
| Apparent Volume of Distribution During Terminal Phase (Vz/F) of Total Radioactivity in Blood and Plasma, and of Xevinapant and Metabolite in Plasma | Up to Day 29 | |
| Apparent Total Clearance (CL/F) of Total Radioactivity in Blood and Plasma and of Xevinapant and Metabolite in Plasma | Up to Day 29 | |
| Renal Clearance (CLr) of Total Radioactivity, Xevinapant and Metabolite | Up to Day 29 | |
| Xevinapant Metabolite Concentrations in Urine, Feces, Blood and Plasma |
| Measure | Description | Time Frame |
|---|---|---|
| Blood to Plasma Ratio of Xevinapant and Metabolite | Up to Day 8 | |
| Plasma Protein Binding Expressed as Fraction unbound, fu of Xevinapant | Up to Day 8 | |
| Safety and Tolerability as Measured by Number of Participants With Treatment-Emergent Adverse Events |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Labcorp Clinical Research Unit | Leeds | LS2 9LH | United Kingdom |
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| Radiolabelled Xevinapant 100 μg (IV Solution) | Drug | 100 μg [14C]-xevinapant single dose administered as an IV bolus on Day 1, containing approximately 0.2 μCi [7.4 kilobecquerel (kBq)]. |
|
| Xevinapant 200 mg (Oral Solution) | Drug | Xevinapant 200 mg administered as an oral solution on Day 1 of Part 2 in fasted conditions |
|
| Up to Day 8 |
| Absolute Bioavailability (F) of Xevinapant in Plasma | Absolute Bioavailability (F) = (AUC0-infinity [oral]/ dose [oral]) /(AUC0-infinity [IV]/ dose [IV]) | Up to Day 5 |
| Up to Day 29 |
| Safety and Tolerability as Measured by Number of Participants With Clinically significant Laboratory Abnormalities | Up to Day 29 |
| Safety and Tolerability as Measured by Number of Participants With Clinically significant 12-lead ECG Parameters Abnormalities | Up to Day 29 |
| Safety and Tolerability as Measured by Number of Participants With Clinically significant Vital Signs Abnormalities | Up to Day 29 |
| Safety and Tolerability as Measured by Number of Participants With Clinically significant Physical Examination Abnormalities | Up to Day 29 |
| ID | Term |
|---|---|
| D012996 | Solutions |
| D007262 | Infusions, Intravenous |
| ID | Term |
|---|---|
| D004364 | Pharmaceutical Preparations |
| D061605 | Administration, Intravenous |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
| D007263 | Infusions, Parenteral |
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