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The primary purpose of this study is to determine the routes, rates of elimination, mass balance of total radioactivity and metabolite profiles following a single oral dose of [14C]-tebapivat. To characterize the PK of tebapivat and [13C2,15N3]-tebapivat and determine the absolute bioavailability following single oral dose of [14C]-tebapivat relative to single intravenous microdose of [13C2,15N3]-tebapivat to healthy male participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| [14C]-tebapivat and [13C2,15N3]-tebapivat | Experimental | Participants will receive a single oral dose of 10 milligrams (mg) [14C]-tebapivat containing 200 microcurie [μCi] of radiocarbon in a capsule followed by a single intravenous (IV) microdose of 0.1 mg [13C2,15N3]-tebapivat on Day 1. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| [14C]-tebapivat | Drug | Oral Capsule |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Radioactive Dose Excreted in Urine Over a Time Interval (feut1-t2) of [14C]-Tebapivat | Up to Day 42 | |
| Percentage of Radioactive Dose Excreted in Feces Over a Time Interval (fef t1-t2) of [14C]-Tebapivat | Up to Day 42 | |
| Cumulative Percentage of Radioactive Dose Excreted in Urine Over a Time Interval (Cum feut1-t2) of [14C]-Tebapivat | Up to Day 42 | |
| Cumulative Percentage of Radioactive Dose Excreted in Feces Over a Time Interval (Cum fef t1-t2) of [14C]-Tebapivat | Up to Day 42 | |
| Percentage of Total Radioactivity in Total Excreta (Feces + Urine) (Cum fe) of [14C]-Tebapivat | Up to Day 42 | |
| Amount of Drug Excreted in Urine (Aeu) of [14C]-Tebapivat | Up to Day 42 | |
| Cumulative Amount of Drug Excreted in Urine (Cum Aeu) of [14C]-Tebapivat | Up to Day 42 | |
| Renal Clearance (CLR) of [14C]-Tebapivat | Up to Day 42 | |
| Area Under the Concentration-Time Curve (AUC) From Time 0 to 168 Hours Postdose (AUC0-168) in Plasma for [14C]-Tebapivat and [13C2,15N3]-Tebapivat | Up to Day 7 | |
| AUC0-168 in Plasma and Whole Blood for Total Radioactivity |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with Adverse Events (AEs) by Type, Severity, and Relationship to Study Drug | Up to Day 28 | |
| Number of Participants With Clinically Significant Change From Baseline in Clinical Laboratory Assessments | Baseline up to Day 28 |
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Inclusion Criteria:
Male, of any race, between 18 and 55 years of age, inclusive.
a. Males must agree to use contraception.
Body mass index between 18.0 and 30.0 kilograms per meter square (kg/m2), inclusive, and a body weight between 50 and 100 kilograms (kg), inclusive.
In good health, as determined by no clinically significant findings from medical history, 12-lead ECG and vital signs measurements, and clinical laboratory evaluations (congenital nonhemolytic hyperbilirubinemia [e.g., suspicion of Gilbert's syndrome based on total and direct bilirubin] is not acceptable) at screening and check-in, and from the physical examination at check-in, as assessed by the investigator or designee.
History of a minimum of 1 bowel movement per day.
Able to comprehend and are willing to sign the informed consent form (ICF) and abide by the study restrictions.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Taha El-Shahat | Madison | Wisconsin | 53704 | United States |
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| [13C2,15N3]-tebapivat |
| Drug |
Intravenous Solution |
|
| Up to Day 7 |
| AUC From Time 0 to the Time of the Last Quantifiable Concentration (AUC0-t) in Plasma for [14C]-Tebapivat and [13C2,15N3]-Tebapivat | Up to Day 21 |
| AUC0-t in Plasma and Whole Blood for Total Radioactivity | Up to Day 42 |
| AUC Extrapolated to Infinity (AUC0-inf) in Plasma for [14C]-Tebapivat and [13C2,15N3]-Tebapivat | Up to Day 21 |
| (AUC0-inf) in Plasma and Whole Blood for Total Radioactivity | Up to Day 42 |
| Maximum Observed Plasma Concentration (Cmax) for [14C]-Tebapivat and [13C2,15N3]-Tebapivat | Up to Day 21 |
| Cmax in Plasma and Whole Blood for Total Radioactivity | Up to Day 42 |
| Time to Reach Cmax (Tmax) for [14C]-Tebapivat and [13C2,15N3]-Tebapivat | Up to Day 21 |
| Tmax in Plasma and Whole Blood for Total Radioactivity | Up to Day 42 |
| Terminal Elimination Half-Life (t1/2) in Plasma for [14C]-Tebapivat and [13C2,15N3]-Tebapivat | Up to Day 21 |
| T1/2 in Plasma and Whole Blood for Total Radioactivity | Up to Day 42 |
| Ratio of AUC0-inf for Tebapivat to AUC0-inf for Total Radioactivity in Plasma | Up to Day 42 |
| Ratio of AUC0-inf for Total Radioactivity in Whole Blood to AUC0-inf for Total Radioactivity in Plasma | Up to Day 42 |
| Total Clearance Following IV Administration (CL) of [13C2,15N3]-Tebapivat | Up to Day 21 |
| Apparent Volume of Distribution During the Terminal Phase Following IV Administration (Vz) of [13C2,15N3]-Tebapivat | Up to Day 21 |
| Apparent Volume of Distribution at Steady State Following IV Administration (Vss) of [13C2,15N3]-Tebapivat | Up to Day 21 |
| Ratio of Dose-Normalized AUC0-inf of Oral Administration of [14C]-Tebapivat Relative to IV Administration of [13C2,15N3]-Tebapivat | Up to Day 21 |
| Quantitation of Major Metabolites of [14C]-Tebapivat in Plasma After Oral Administration | Quantification of major metabolites of [14C]-tebapivat in plasma. | Up to Day 21 |
| Quantitation of Major Metabolites of [14C]-Tebapivat in Excreta After Oral Administration | Quantification of major metabolites of [14C]-tebapivat in excreta. | Up to Day 42 |
| Identification of Chemical Structure of Major Metabolites of [14C]-Tebapivat in Plasma After Oral Administration | Identification of the chemical structures of major metabolites of [14C]-tebapivat in plasma. | Up to Day 21 |
| Identification of Chemical Structure of Major Metabolites of [14C]-Tebapivat in Excreta After Oral Administration | Identification of the chemical structures of major metabolites of [14C]-tebapivat in excreta. | Up to Day 42 |
| Number of Participants With Clinically Significant Change From Baseline in Abnormal 12-Lead Electrocardiogram (ECG) Parameters | Baseline up to Day 28 |
| Number of Participants With Clinically Significant Change From Baseline in Abnormal Vital Signs Measurements | Baseline up to Day 28 |