Schizophrenia
Conditions
Keywords
pharmacokinetic, lurasidone, multiple dose
Brief summary
To evaluate the pharmacokinetic (PK) characteristics after multiple oral administration of 40 mg lurasidone in healthy Chinese subjects. To evaluate the safety and tolerance after multiple oral administration of 40 mg lurasidone in healthy Chinese subjects.
Detailed description
Single oral administration of 40 mg study drug lurasidone or placebo after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone or placebo, once daily between Day 4 and Day 8.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. After detailed explanations of study objectives, methods and procedures, anticipated efficacy, pharmacologic actions, risks and other relevant contents, subjects are aware of all relevant information related to this study and have signed the informed consent form voluntarily. 2. Male subjects are 18≤ age \<40 years of age when signing the informed consent. 3. Subjects with body weight of 50.0≤ and ≤80.0 kg and BMI (body mass index) of 19.0≤ and \<24.0 at screening examination. 4. Subjects are able to comply with all requirements during this study period, receive various physical and laboratory examinations per study protocol, and report subjective symptoms.
Exclusion criteria
1. Based on the examination results during screening period, various physical and laboratory examinations performed 1 day before medication (Day -1) and before administration of study drug on the medication day, there are certain medical concerns on subject's health status in principal investigator's or study supervising physician's opinions (certain treatment or medical observation are deemed necessary). 2. Subjects with past diabetic history. 3. Subjects has an HbA1c level of \>6.2% at screening. 4. Subjects with history of gastrointestinal operations (excluding appendectomy). 5. Because of subjects' past medical history of cardiovascular diseases, liver diseases, renal diseases, endocrine disorders, digestive diseases, hematologic diseases, respiratory diseases, mental illness, neurological disorders (especially epilepsy and other convulsive disorders) and other diseases, subjects are unsuitable to participate in this study in the principal investigator's or study supervising physician's opinions. 6. Subjects with past history of allergy to drugs. 7. Subjects have consumed grapefruit or food containing grapefruit ingredients between 7 days before medication (Day\_-7) and before administration of study drug on the medication day (Day 1). Subjects have consumed food containing hypericum perforatum L. ingredients between 14 days before medication (Day\_-14) and administration of study drug on the medication day (Day 1). 8. Subjects have taken any drugs (including over-the-counter drugs) between 7 days before medication (Day\_-7) and before administration of study drug on medication day. 9. Regular drinker (criteria are mean daily consumption ≥2 bottles of 640 mL beers or Chinese liquor≥150 mL). 10. Subjects are used to drink large amount (criteria are daily consumption\>1.8 L) of caffeine-containing beverages (e.g. coffee, black tea, green tea, coca cola or nutritional oral solution, etc). 11. Subjects have history of drug abuse or positive urine drug tests. 12. Subjects with positive immunologic test results. 13. Average amount of daily smoking\>20 cigarettes. 14. Subjects have taken other study drugs within 3 months (Day\_-90\ Day 1) before medication. 15. Subjects received lurasidone orally before. 16. Subjects have history of blood donations of 400 mL within 3 months (Day\_-90\ Day 1) before medication; 200 mL within 1 month (Day\_-30\ Day 1) before medication; or donation of blood components within 2 weeks (Day\_-14\ Day 1) before medication. 17. Subjects have consumed alcohol-containing food between 3 days before medication 3 (Day\_-3) and before administration of study drug on medication day. 18. Subjects can not tolerate venipuncture or have poor peripheral venous access. 19. Subjects are unwilling to abstain from vigorous exercise from Day\_-1 until discharge. 20. Other subjects who are unsuitable to participate in this study in principal investigator's or study supervising physician's opinions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lurasidone Cmax | pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose | Maximum (peak) observed drug serum concentration. |
| Lurasidone AUC 0-24 | pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose | — |
| Lurasidone AUC 0-τ | pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose | — |
| Lurasidone AUC0-∞ | pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose | — |
| Lurasidone Tmax | pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose | — |
| Lurasidone λz | pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose | — |
| Lurasidone t1/2 | pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose | — |
| Lurasidone MRT | pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose | — |
| Lurasidone CL/F | pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose | — |
| CLss/F | Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8 | — |
| Lurasidone Vz/F | pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose | — |
| Lurasidone Vzss/F | Day 8 | — |
| Accumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ, | Day 8/Day 1 | — |
| Summary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 4 and Day 5 | Pre-dose (-0.5h) of Day4 and Day5 | — |
| Summary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 6 and Day 7 | Pre-dose (-0.5h) of Day6 and Day7 | — |
Countries
China
Participant flow
Recruitment details
Total 27 subjects were screened at the clinical site after obtaining informed consent. A total 14 subjects were enrolled into the study and were randomized to lurasidone group (10) and placebo group (4). The data of informed consent from the first subject was 8th April 2014(and that from the last subject was 15th April 2014).
Participants by arm
| Arm | Count |
|---|---|
| 40mg Lurasidone Single oral administration of 40 mg study drug lurasidone after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg study drug lurasidone, once daily between Day 4 and Day 8. | 10 |
| Placebo Single oral administration of 40 mg study drug placebo after the over 350 kcal breakfast on Day 1. Administration was suspended on Days 2 and 3. Continuous oral administration of 40 mg placebo, once daily between Day 4 and Day 8. | 4 |
| Total | 14 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Withdrawal by Subject | 1 | 0 |
Baseline characteristics
| Characteristic | 40mg Lurasidone | Placebo | Total |
|---|---|---|---|
| Age, Continuous | 27.7 years STANDARD_DEVIATION 3.74 | 26.5 years STANDARD_DEVIATION 5.07 | 27.4 years STANDARD_DEVIATION 3.99 |
| Sex: Female, Male Female | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Male | 10 Participants | 4 Participants | 14 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 10 / 10 | 1 / 4 |
| serious Total, serious adverse events | 0 / 10 | 0 / 4 |
Outcome results
Accumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ,
Time frame: Day 8/Day 1
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| 40mg Lurasidone | Accumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ, | Ratio of Cmax | 0.94 Ratios |
| 40mg Lurasidone | Accumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ, | Ratio of AUC0-∞ | 1.74 Ratios |
| 40mg Lurasidone | Accumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ, | Ratio of AUC0-τ | 1.25 Ratios |
| 40mg Lurasidone | Accumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ, | Ratio of Cτ | 2.52 Ratios |
CLss/F
Time frame: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | CLss/F | 211 L/h | Geometric Coefficient of Variation 27.9 |
Lurasidone AUC0-∞
Time frame: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone AUC0-∞ | 314 ng・h/mL | Geometric Coefficient of Variation 26.6 |
Lurasidone AUC0-∞
Time frame: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone AUC0-∞ | 179 ng・h/mL | Standard Deviation 29.9 |
Lurasidone AUC 0-24
Time frame: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone AUC 0-24 | 190 ng・h/mL | Geometric Coefficient of Variation 27.9 |
Lurasidone AUC 0-24
Time frame: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone AUC 0-24 | 152 ng・h/mL | Geometric Coefficient of Variation 33.2 |
Lurasidone AUC 0-τ
Time frame: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone AUC 0-τ | 234 ng・h/mL | Geometric Coefficient of Variation 27.4 |
Lurasidone AUC 0-τ
Time frame: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone AUC 0-τ | 166 ng・h/mL | Geometric Coefficient of Variation 32.4 |
Lurasidone CL/F
Time frame: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone CL/F | 223 L/h | Geometric Coefficient of Variation 29.9 |
Lurasidone Cmax
Maximum (peak) observed drug serum concentration.
Time frame: Day8
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone Cmax | 48.5 ng/mL | Geometric Coefficient of Variation 49.4 |
Lurasidone Cmax
Maximum (peak) observed drug serum concentration.
Time frame: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone Cmax | 50.2 ng/mL | Geometric Coefficient of Variation 44.3 |
Lurasidone MRT
Time frame: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone MRT | 22.0 h | Geometric Coefficient of Variation 19 |
Lurasidone MRT
Time frame: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone MRT | 12.2 h | Geometric Coefficient of Variation 22.7 |
Lurasidone t1/2
Time frame: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone t1/2 | 19.3 h | Geometric Coefficient of Variation 20.8 |
Lurasidone t1/2
Time frame: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone t1/2 | 34.9 h | Geometric Coefficient of Variation 20.2 |
Lurasidone Tmax
Time frame: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| 40mg Lurasidone | Lurasidone Tmax | 1.75 h |
Lurasidone Tmax
Time frame: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| 40mg Lurasidone | Lurasidone Tmax | 1.50 h |
Lurasidone Vz/F
Time frame: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone Vz/F | 6198 L | Geometric Coefficient of Variation 47.9 |
Lurasidone Vzss/F
Time frame: Day 8
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone Vzss/F | 10618 L | Geometric Coefficient of Variation 38.6 |
Lurasidone λz
Time frame: pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone λz | 0.0360 1/h | Geometric Coefficient of Variation 20.8 |
Lurasidone λz
Time frame: Day8 0.5hours pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose in day 8
Population: All subjects with evaluable PK data were included in PK data analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 40mg Lurasidone | Lurasidone λz | 0.0199 1/h | Geometric Coefficient of Variation 20.2 |
Summary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 4 and Day 5
Time frame: Pre-dose (-0.5h) of Day4 and Day5
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| 40mg Lurasidone | Summary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 4 and Day 5 | Day4 Pre-dose (-0.5h) | 0.277 ng/ml | Geometric Coefficient of Variation 31.5 |
| 40mg Lurasidone | Summary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 4 and Day 5 | Day5Pre-dose (-0.5h) | 1.15 ng/ml | Geometric Coefficient of Variation 28.7 |
Summary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 6 and Day 7
Time frame: Pre-dose (-0.5h) of Day6 and Day7
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| 40mg Lurasidone | Summary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 6 and Day 7 | Day6 Pre-dose (-0.5h) | 1.56 ng/ml | Geometric Coefficient of Variation 27.1 |
| 40mg Lurasidone | Summary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 6 and Day 7 | Day7 Pre-dose (-0.5h) | 2.00 ng/ml | Geometric Coefficient of Variation 27.3 |