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Pharmacokinetic Study of Lurasidone After Multiple Oral Administration in Healthy Human Subjects

Pharmacokinetic Study of Lurasidone After Multiple Oral Administration in Healthy Human Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02174523
Enrollment
14
Registered
2014-06-25
Start date
2014-04-30
Completion date
2014-04-30
Last updated
2019-04-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Schizophrenia

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

DRUGplacebo

Sponsors

Xuhui Central Hospital, Shanghai
CollaboratorOTHER
Sumitomo Pharma (Suzhou) Co., Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
MALE
Age
18 Years to 40 Years
Healthy volunteers
Yes

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

MeasureTime frameDescription
Lurasidone Cmaxpre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-doseMaximum (peak) observed drug serum concentration.
Lurasidone AUC 0-24pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Lurasidone AUC 0-τpre-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 Tmaxpre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Lurasidone λzpre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Lurasidone t1/2pre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Lurasidone MRTpre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Lurasidone CL/Fpre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
CLss/FDay8 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/Fpre-dose, 0.5,1,1.5,2,3,4,6,8,12,24,36,48 hours post-dose
Lurasidone Vzss/FDay 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 5Pre-dose (-0.5h) of Day4 and Day5
Summary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 6 and Day 7Pre-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

ArmCount
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
Total14

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyWithdrawal by Subject10

Baseline characteristics

Characteristic40mg LurasidonePlaceboTotal
Age, Continuous27.7 years
STANDARD_DEVIATION 3.74
26.5 years
STANDARD_DEVIATION 5.07
27.4 years
STANDARD_DEVIATION 3.99
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
10 Participants4 Participants14 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
10 / 101 / 4
serious
Total, serious adverse events
0 / 100 / 4

Outcome results

Primary

Accumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ,

Time frame: Day 8/Day 1

ArmMeasureGroupValue (MEAN)
40mg LurasidoneAccumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ,Ratio of Cmax0.94 Ratios
40mg LurasidoneAccumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ,Ratio of AUC0-∞1.74 Ratios
40mg LurasidoneAccumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ,Ratio of AUC0-τ1.25 Ratios
40mg LurasidoneAccumulation Ratios Lurasidone,Ratio of Cmax,Ratio of AUC0-∞,Ratio of AUC0-τ,Ratio of Cτ2.52 Ratios
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneCLss/F211 L/hGeometric Coefficient of Variation 27.9
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone AUC0-∞314 ng・h/mLGeometric Coefficient of Variation 26.6
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone AUC0-∞179 ng・h/mLStandard Deviation 29.9
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone AUC 0-24190 ng・h/mLGeometric Coefficient of Variation 27.9
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone AUC 0-24152 ng・h/mLGeometric Coefficient of Variation 33.2
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone AUC 0-τ234 ng・h/mLGeometric Coefficient of Variation 27.4
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone AUC 0-τ166 ng・h/mLGeometric Coefficient of Variation 32.4
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone CL/F223 L/hGeometric Coefficient of Variation 29.9
Primary

Lurasidone Cmax

Maximum (peak) observed drug serum concentration.

Time frame: Day8

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone Cmax48.5 ng/mLGeometric Coefficient of Variation 49.4
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone Cmax50.2 ng/mLGeometric Coefficient of Variation 44.3
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone MRT22.0 hGeometric Coefficient of Variation 19
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone MRT12.2 hGeometric Coefficient of Variation 22.7
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone t1/219.3 hGeometric Coefficient of Variation 20.8
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone t1/234.9 hGeometric Coefficient of Variation 20.2
Primary

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.

ArmMeasureValue (MEDIAN)
40mg LurasidoneLurasidone Tmax1.75 h
Primary

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.

ArmMeasureValue (MEDIAN)
40mg LurasidoneLurasidone Tmax1.50 h
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone Vz/F6198 LGeometric Coefficient of Variation 47.9
Primary

Lurasidone Vzss/F

Time frame: Day 8

Population: All subjects with evaluable PK data were included in PK data analysis.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone Vzss/F10618 LGeometric Coefficient of Variation 38.6
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone λz0.0360 1/hGeometric Coefficient of Variation 20.8
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneLurasidone λz0.0199 1/hGeometric Coefficient of Variation 20.2
Primary

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

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneSummary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 4 and Day 5Day4 Pre-dose (-0.5h)0.277 ng/mlGeometric Coefficient of Variation 31.5
40mg LurasidoneSummary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 4 and Day 5Day5Pre-dose (-0.5h)1.15 ng/mlGeometric Coefficient of Variation 28.7
Primary

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

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
40mg LurasidoneSummary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 6 and Day 7Day6 Pre-dose (-0.5h)1.56 ng/mlGeometric Coefficient of Variation 27.1
40mg LurasidoneSummary of Concentration (ng/mL) of Lurasidone - PK Population the Mean (SD) of Day 6 and Day 7Day7 Pre-dose (-0.5h)2.00 ng/mlGeometric Coefficient of Variation 27.3

Source: ClinicalTrials.gov · Data processed: Mar 9, 2026