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This study will assess the effect of a Proton Pump Inhibitor (PPI) (rabeprazole) on the pharmacokinetics (PK) of PC14586 and the effect of an H2-receptor antagonist (famotidine) on the PK of PC14586
PC14586 is a first-in-class, oral, small molecule p53 reactivator that is selective for the TP53 Y220C mutation. This study will investigate the effects of acid reducing agents on the pharmacokinetics of PC14586.
This is a 2-part, open-label, two-period, fixed-sequence study in healthy participants with each participant used as his/her own control to assess the effect of rabeprazole (Part 1) or famotidine (Part 2) on the PK of PC14586. The results from Part 1 will be analyzed before deciding to, if applicable, progress to Part 2. Part 2 of the study will only be initiated if the findings from Part 1 show an interaction or are inconclusive.
Approximately 25 participants will be enrolled in Part 1 and approximately 25 participants will be enrolled in Part 2. The Study timelines reflect both Part 1 and Part 2.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: PC14586 and rabeprazole | Experimental | Healthy participants will receive a single, oral dose of PC14586 on day 1. On days 11-13, participants will receive an oral daily dose of rabeprazole. On day 14, participants will receive a co-administration dose of rabeprazole and PC14586. Rabeprazole will be given 1 hour prior to PC14586. Participants will be given a low-fat meal 30 minutes prior to PC14586 dosing. |
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| Part 2: PC14586 and famotidine | Experimental | Healthy participants will receive a single, oral dose of PC14586 on day 1. On days 11-13, participants will receive a twice daily, oral dose of famotidine. On day 14, participants will receive PC14586 two hours before a dose of famotidine. Participants will be given a low-fat meal 30 minutes prior to PC14586 dosing. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PC14586 | Drug | Part 1 and Part 2: Single, oral dose of PC14586 on day 1 and single, oral dose of PC14586 on day 14. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Characterize the Maximum Plasma Concentration (Cmax) of PC14586 when co-administered with rabeprazole. | Determine the Cmax of PC14586 when co-administered with rabeprazole in plasma. | 20 days |
| Part 1: Characterize the total drug exposure to the last measurable concentration (AUC0-last) of PC14586 when co-administered with rabeprazole. | Determine the AUC0-last of PC14586 when co-administered with rabeprazole in plasma. | 20 days |
| Part 1: Characterize the total drug exposure (AUC0-inf) of PC14586 when co-administered with rabeprazole. | Determine the AUC0-inf of PC14586 when co-administered with rabeprazole in plasma. | 20 days |
| Part 1: Characterize the time to peak drug concentration (Tmax) of PC14586 when co-administered with rabeprazole. | Determine the Tmax of PC14586 when co-administered with rabeprazole in plasma. | 20 days |
| Part 2: Characterize the Maximum Plasma Concentration (Cmax) of PC14586 when co-administered with famotidine. | Determine the Cmax of PC14586 when co-administered with famotidine in plasma. | 20 days |
| Part 2: Characterize the total drug exposure to the last measurable concentration (AUC0-last) of PC14586 when co-administered with famotidine. | Determine the AUC0-last of PC14586 when co-administered with famotidine in plasma. | 20 days |
| Part 2: Characterize the total drug exposure (AUC0-inf) of PC14586 when co-administered with famotidine. |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Characterize the total drug exposure from time zero to 24 hours (AUC0-24) for PC14586 when co-administered with rabeprazole. | Determine the AUC0-24 of PC14586 when co-administered with rabeprazole in plasma. | 20 days |
| Part 1: Characterize the total drug exposure from time zero to 96 hours (AUC0-96) for PC14586 when co-administered rabeprazole. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Parexel International | Baltimore | Maryland | 21225 | United States |
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| ID | Term |
|---|---|
| D064750 | Rabeprazole |
| D015738 | Famotidine |
| ID | Term |
|---|---|
| D053799 | 2-Pyridinylmethylsulfinylbenzimidazoles |
| D013454 | Sulfoxides |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
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The treatment duration will be up to: 1 day for Treatment Period 1 (PC14586) and 4 days for Treatment Period 2 (PC14586 + ARA) for Parts 1 and 2.
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| Rabeprazole | Drug | Part 1: Daily oral dose of rabeprazole on days 11-14. |
|
| Famotidine | Drug | Part 2: Twice daily oral dose of famotidine on days 11-13. Single, oral dose of famotidine on day 14. |
|
Determine the AUC0-inf of PC14586 when co-administered with famotidine in plasma. |
| 20 days |
| Part 2: Characterize the time to peak drug concentration (Tmax) of PC14586 when co-administered with famotidine. | Determine the Tmax of PC14586 when co-administered with famotidine in plasma. | 20 days |
Determine the AUC0-96 of PC14586 when co-administered with rabeprazole in plasma. |
| 20 days |
| Part 1: Characterize the percent AUCinf due to extrapolation beyond tlast (AUC%extrap) for PC14586 when co-administered with rabeprazole. | Determine the AUC%extrap of PC14586 when co-administered with rabeprazole in plasma. | 20 days |
| Part 1: Characterize the half-life (t1/2) for PC14586 when co-administered with rabeprazole. | Determine the t1/2 of PC14586 when co-administered with rabeprazole in plasma. | 20 days |
| Part 1: Characterize the clearance (CL/F) for PC14586 when co-administered orally with rabeprazole. | Determine the CL/F of PC14586 when co-administered orally with rabeprazole in plasma. | 20 days |
| Part 1: Characterize the volume of distribution (Vz/F) for PC14586 when co-administered orally with rabeprazole. | Determine the Vz/F of PC14586 when co-administered orally with rabeprazole in plasma. | 20 days |
| Part 1: Characterize the apparent terminal elimination rate (lambda Z) for PC14586 when co-administered orally with rabeprazole. | Determine the lambda Z of PC14586 when co-administered orally with rabeprazole in plasma. | 20 days |
| Part 1: Identification of the Incidence of treatment emergent adverse events (TEAE) for PC14586 alone or when co-administered with rabeprazole. | Identify the incidence of TEAEs of PC14586 alone or when co-administered orally with rabeprazole in plasma. | 20 days |
| Part 1: Identification of vital sign abnormalities after administration of PC14586 alone or when co-administered with rabeprazole. | Number of participants with abnormal vital signs. | 20 days |
| Part 1: Identification of 12-lead electrocardiogram (ECG) abnormalities after administration of PC14586 alone or when co-administered with rabeprazole. | Number of participants with abnormal ECG results. | 20 days |
| Part 1: Identification of laboratory abnormalities based on hematology and clinical chemistry after administration of PC14586 alone or when co-administered with rabeprazole. | Number of participants with an incidence of laboratory abnormalities in test results. | 20 days |
| Part 2: Characterize the total drug exposure from time zero to 24 hours (AUC0-24) for PC14586 when co-administered with famotidine. | Determine the AUC0-24 of PC14586 when co-administered with famotidine in plasma. | 20 days |
| Part 2: Characterize the total drug exposure from time zero to 96 hours (AUC0-96) for PC14586 when co-administered with famotidine. | Determine the AUC0-96 of PC14586 when co-administered with famotidine in plasma. | 20 days |
| Part 2: Characterize the percent AUCinf due to extrapolation beyond tlast (AUC%extrap) for PC14586 when co-administered with famotidine. | Determine the AUC%extrap of PC14586 when co-administered with famotidine in plasma. | 20 days |
| Part 2: Characterize the half-life (t1/2) for PC14586 when co-administered with famotidine. | Determine the t1/2 of PC14586 when co-administered with famotidine in plasma. | 20 days |
| Part 2: Characterize the clearance (CL/F) for PC14586 when co-administered orally with famotidine. | Determine the CL/F of PC14586 when co-administered orally with famotidine in plasma. | 20 days |
| Part 2: Characterize the volume of distribution (Vz/F) for PC14586 when co-administered orally with famotidine. | Determine the Vz/F of PC14586 when co-administered orally with famotidine in plasma. | 20 days |
| Part 2: Characterize the apparent terminal elimination rate (lambda Z) for PC14586 when co-administered orally with famotidine. | Determine the lambda Z of PC14586 when co-administered orally with famotidine in plasma. | 20 days |
| Part 2: Identification of the Incidence of treatment emergent adverse events (TEAE) for PC14586 alone or when co-administered with famotidine. | Identify the incidence of TEAEs of PC14586 alone or when co-administered orally with famotidine in plasma. | 20 days |
| Part 2: Identification of vital sign abnormalities after administration of PC14586 alone or when co-administered with famotidine. | Number of participants with abnormal vital signs. | 20 days |
| Part 2: Identification of 12-lead electrocardiogram (ECG) abnormalities after administration of PC14586 alone or when co-administered with famotidine. | Number of participants with abnormal ECG results. | 20 days |
| Part 2: Identification of laboratory abnormalities based on hematology and clinical chemistry after administration of PC14586 alone or when co-administered with famotidine. | Number of participants with an incidence of laboratory abnormalities in test results. | 20 days |
| D011725 |
| Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D001562 | Benzimidazoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D013844 | Thiazoles |
| D001393 | Azoles |