Healthy
Conditions
Keywords
Tepotinib, Pharmacokinetics, Bioequivalence
Brief summary
The main purpose of the study was to demonstrate bioequivalence between the new tablet formulation (TF3, test treatment) and the tablet formulation used in clinical studies (TF2, reference treatment) and to investigate effect of food on pharmacokinetics (PK) of tepotinib.
Interventions
Participants received a single oral dose of 500 mg Tepotinib TF2 under fasting or fed conditions in treatment period 1 or 2.
Participants received single oral dose of 500 mg (2 x 250 mg)Tepotinib TF3 under fasting or fed conditions in treatment period 1 or 2.
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy participants of non-child bearing potential * Body weight between 50 to 100 kilogram (kg) * Body mass index (BMI) between 18.5 and 29.9 kilogram per meter square (kg/m\^2) * Other protocol defined inclusion criteria could apply
Exclusion criteria
* Participation in a clinical study within 60 days prior to first drug administration * Whole blood donation or loss of greater than 450 milliliter (mL) within 60 days prior to first drug administration * Any surgical or medical condition, or any other significant disease that could interfere with the study objectives, conduct, or evaluation * Other protocol defined
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib | Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period | Area under the plasma concentration versus time curve from time zero to the last sampling time t at which the concentration was at or above the lower limit of quantification (LLOQ). AUC0-t was to be calculated according to the mixed log-linear trapezoidal rule. |
| Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib | Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period | AUC0-inf was calculated by combining AUC0-t and AUCextra. AUC extra represents an extrapolated value obtained by Clast/ lambda z, where Clast is the calculated plasma concentration at the last sampling time point at which the measured plasma concentration is at or above the Lower Limit of quantification (LLOQ) and lambda z is the apparent terminal rate constant determined by log-linear regression analysis of the measured plasma concentrations of the terminal log-linear phase. |
| Part A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib | Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period | Cmax was obtained directly from the concentration versus time curve. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Part A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f) | Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period | Vz/f was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/f) is influenced by the fraction absorbed and was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Vz/f after oral dose is influenced by the fraction absorbed. |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Time from date of informed consent signature up to end of study (assessed up to 7 weeks) | An Adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. An AE was considered as 'treatment emergent' if it occurred after the first drug administration of each period or if it was present prior to drug administration but exacerbated after the drug administration. TEAEs included both serious TEAEs and non-serious TEAEs. |
| Part A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib | Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period | Time to reach the maximum plasma concentration (Tmax) was obtained directly from the concentration versus time curve. |
| Number of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings | Time from date of informed consent signature up to end of study (assessed up to 7 weeks) | The 12-lead ECG recordings were obtained after 5 minutes of rest in a semi-supine position. ECG recordings included rhythm, ventricular rate, PR interval, QRS duration, QT and QTc intervals. Number of participants with clinically significant abnormalities in 12-lead ECG findings were reported. Clinically significance was decided by investigator. |
| Number of Participants With Clinically Significant Abnormalities in Vital Signs | Time from date of informed consent signature up to end of study (assessed up to 7 weeks) | Vital sign assessment included blood pressure, pulse rate and body temperature. Number of participants with clinically significant abnormalities in vital signs were reported. Clinically significance was decided by investigator. |
| Number of Participants With Clinically Significant Abnormalities in Laboratory Values | Time from date of informed consent signature up to end of study (assessed up to 7 weeks) | The laboratory measurements included hematology, blood chemistry and urinalysis. Number of participants with clinically significant abnormalities in laboratory values were reported. Clinically Significance was decided by investigator. |
| Part A, B and C: Terminal Half-Life (t1/2) of Tepotinib | Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period | Terminal half-life is the time measured for the concentration to decrease by one half. Terminal half-life calculated by natural log 2 divided by lambda z. Lambda z is the terminal rate constant determined from the terminal slope of the log-transformed plasma concentration curve using linear regression on terminal data points of the curve. |
| Part A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f) | Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period | Clearance of a drug was a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. |
Countries
Germany
Participant flow
Pre-assignment details
Overall 142 participants were screened in this study. Out of which 66 participants were randomized into the study.
Participants by arm
| Arm | Count |
|---|---|
| Part A: All Participants All participants who received a single oral dose of 500 mg Tepotinib TF2 (reference treatment) (1\*500 mg) or a single oral dose of Tepotinib TF3 (test treatment) (2\*250 mg tablet) on Day 1 of either treatment period 1 or 2 under fasted conditions. | 40 |
| Part B: All Participants All participants who received a single oral dose of 500 mg Tepotinib TF2 (reference treatment) on Day 1 of either treatment period 1 or 2 under fasted or fed conditions. | 14 |
| Part C: All Participants All participants who received a single oral dose of 500 mg (2 x 250 mg) Tepotinib TF3 (test treatment) on Day 1 of either treatment period 1 or 2 under fasted or fed conditions. | 12 |
| Total | 66 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 |
|---|---|---|---|---|---|---|---|
| Treatment Period 1 (21 Days) | Adverse Event | 0 | 0 | 0 | 1 | 0 | 0 |
| Treatment Period 1 (21 Days) | Benzodiazepines positive | 0 | 1 | 0 | 0 | 0 | 0 |
| Treatment Period 1 (21 Days) | Lost to Follow-up | 0 | 0 | 0 | 1 | 0 | 0 |
| Treatment Period 1 (21 Days) | Toothache treatment | 0 | 1 | 0 | 0 | 0 | 0 |
| Treatment Period 2 (21 Days) | Did not attend the ambulatory visits | 1 | 0 | 0 | 0 | 0 | 0 |
Baseline characteristics
| Characteristic | Part A: All Participants | Part B: All Participants | Part C: All Participants | Total |
|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 40 Participants | 14 Participants | 12 Participants | 66 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 39 Participants | 14 Participants | 12 Participants | 65 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Black or African American | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 38 Participants | 14 Participants | 12 Participants | 64 Participants |
| Sex: Female, Male Female | 4 Participants | 1 Participants | 0 Participants | 5 Participants |
| Sex: Female, Male Male | 36 Participants | 13 Participants | 12 Participants | 61 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk |
|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 38 | 0 / 40 | 0 / 12 | 0 / 14 | 0 / 12 | 0 / 12 |
| other Total, other adverse events | 18 / 38 | 14 / 40 | 5 / 12 | 9 / 14 | 6 / 12 | 6 / 12 |
| serious Total, serious adverse events | 0 / 38 | 0 / 40 | 0 / 12 | 1 / 14 | 0 / 12 | 0 / 12 |
Outcome results
Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib
AUC0-inf was calculated by combining AUC0-t and AUCextra. AUC extra represents an extrapolated value obtained by Clast/ lambda z, where Clast is the calculated plasma concentration at the last sampling time point at which the measured plasma concentration is at or above the Lower Limit of quantification (LLOQ) and lambda z is the apparent terminal rate constant determined by log-linear regression analysis of the measured plasma concentrations of the terminal log-linear phase.
Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period
Population: PK Analysis Set included participants without any relevant protocol deviations with respect to PK and absence of factors likely to affect comparability of PK results, with adequate trial medication compliance, who had valid primary endpoints for both treatments for Part A; and who had at least 3 post-dose concentration measurements for Part B; C.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part A: TF2, Fasted | Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib | 16728 ng*h/mL | Geometric Coefficient of Variation 23.9 |
| Part A: TF3, Fasted | Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib | 19316 ng*h/mL | Geometric Coefficient of Variation 21.3 |
| Part B: TF2, Fasted | Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib | 13037 ng*h/mL | Geometric Coefficient of Variation 38.2 |
| Part B: TF2, Fed | Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib | 24443 ng*h/mL | Geometric Coefficient of Variation 25.9 |
| Part C: TF3, Fasted | Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib | 18447 ng*h/mL | Geometric Coefficient of Variation 20 |
| Part C: TF3, Fed | Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib | 30118 ng*h/mL | Geometric Coefficient of Variation 25.5 |
Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib
Area under the plasma concentration versus time curve from time zero to the last sampling time t at which the concentration was at or above the lower limit of quantification (LLOQ). AUC0-t was to be calculated according to the mixed log-linear trapezoidal rule.
Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period
Population: Pharmacokinetic.(PK) Analysis Set included participants without any relevant protocol deviations with respect to PK and absence of factors likely to affect comparability of PK results, with adequate trial medication compliance, who had valid primary endpoints for both treatments for Part A; and who had at least 3 post-dose concentration measurements for Part B; C.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part A: TF2, Fasted | Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib | 16146 nanograms*hour per milliliter (ng*h/mL) | Geometric Coefficient of Variation 23.4 |
| Part A: TF3, Fasted | Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib | 18645 nanograms*hour per milliliter (ng*h/mL) | Geometric Coefficient of Variation 21 |
| Part B: TF2, Fasted | Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib | 12609 nanograms*hour per milliliter (ng*h/mL) | Geometric Coefficient of Variation 38.1 |
| Part B: TF2, Fed | Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib | 23457 nanograms*hour per milliliter (ng*h/mL) | Geometric Coefficient of Variation 25.1 |
| Part C: TF3, Fasted | Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib | 17964 nanograms*hour per milliliter (ng*h/mL) | Geometric Coefficient of Variation 19.8 |
| Part C: TF3, Fed | Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib | 29307 nanograms*hour per milliliter (ng*h/mL) | Geometric Coefficient of Variation 25 |
Part A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib
Cmax was obtained directly from the concentration versus time curve.
Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period
Population: PK Analysis Set included participants without any relevant protocol deviations with respect to PK and absence of factors likely to affect comparability of PK results, with adequate trial medication compliance, who had valid primary endpoints for both treatments for Part A; and who had at least 3 post-dose concentration measurements for Part B; C.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part A: TF2, Fasted | Part A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib | 253 ng/mL | Geometric Coefficient of Variation 20.6 |
| Part A: TF3, Fasted | Part A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib | 288 ng/mL | Geometric Coefficient of Variation 22.5 |
| Part B: TF2, Fasted | Part A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib | 199 ng/mL | Geometric Coefficient of Variation 29.5 |
| Part B: TF2, Fed | Part A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib | 476 ng/mL | Geometric Coefficient of Variation 19.6 |
| Part C: TF3, Fasted | Part A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib | 280 ng/mL | Geometric Coefficient of Variation 15.3 |
| Part C: TF3, Fed | Part A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib | 559 ng/mL | Geometric Coefficient of Variation 17 |
Number of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings
The 12-lead ECG recordings were obtained after 5 minutes of rest in a semi-supine position. ECG recordings included rhythm, ventricular rate, PR interval, QRS duration, QT and QTc intervals. Number of participants with clinically significant abnormalities in 12-lead ECG findings were reported. Clinically significance was decided by investigator.
Time frame: Time from date of informed consent signature up to end of study (assessed up to 7 weeks)
Population: The Safety analysis set included all participants who had received at least 1 dose of planned study drug in the respective parts.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Part A: TF2, Fasted | Number of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings | 0 Participants |
| Part A: TF3, Fasted | Number of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings | 0 Participants |
| Part B: TF2, Fasted | Number of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings | 0 Participants |
| Part B: TF2, Fed | Number of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings | 0 Participants |
| Part C: TF3, Fasted | Number of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings | 0 Participants |
| Part C: TF3, Fed | Number of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings | 0 Participants |
Number of Participants With Clinically Significant Abnormalities in Laboratory Values
The laboratory measurements included hematology, blood chemistry and urinalysis. Number of participants with clinically significant abnormalities in laboratory values were reported. Clinically Significance was decided by investigator.
Time frame: Time from date of informed consent signature up to end of study (assessed up to 7 weeks)
Population: The Safety analysis set included all participants who had received at least 1 dose of planned study drug in the respective parts.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Part A: TF2, Fasted | Number of Participants With Clinically Significant Abnormalities in Laboratory Values | 0 Participants |
| Part A: TF3, Fasted | Number of Participants With Clinically Significant Abnormalities in Laboratory Values | 0 Participants |
| Part B: TF2, Fasted | Number of Participants With Clinically Significant Abnormalities in Laboratory Values | 0 Participants |
| Part B: TF2, Fed | Number of Participants With Clinically Significant Abnormalities in Laboratory Values | 0 Participants |
| Part C: TF3, Fasted | Number of Participants With Clinically Significant Abnormalities in Laboratory Values | 0 Participants |
| Part C: TF3, Fed | Number of Participants With Clinically Significant Abnormalities in Laboratory Values | 0 Participants |
Number of Participants With Clinically Significant Abnormalities in Vital Signs
Vital sign assessment included blood pressure, pulse rate and body temperature. Number of participants with clinically significant abnormalities in vital signs were reported. Clinically significance was decided by investigator.
Time frame: Time from date of informed consent signature up to end of study (assessed up to 7 weeks)
Population: The Safety analysis set included all participants who had received at least 1 dose of planned study drug in the respective parts.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Part A: TF2, Fasted | Number of Participants With Clinically Significant Abnormalities in Vital Signs | 0 Participants |
| Part A: TF3, Fasted | Number of Participants With Clinically Significant Abnormalities in Vital Signs | 0 Participants |
| Part B: TF2, Fasted | Number of Participants With Clinically Significant Abnormalities in Vital Signs | 0 Participants |
| Part B: TF2, Fed | Number of Participants With Clinically Significant Abnormalities in Vital Signs | 0 Participants |
| Part C: TF3, Fasted | Number of Participants With Clinically Significant Abnormalities in Vital Signs | 0 Participants |
| Part C: TF3, Fed | Number of Participants With Clinically Significant Abnormalities in Vital Signs | 0 Participants |
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
An Adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. An AE was considered as 'treatment emergent' if it occurred after the first drug administration of each period or if it was present prior to drug administration but exacerbated after the drug administration. TEAEs included both serious TEAEs and non-serious TEAEs.
Time frame: Time from date of informed consent signature up to end of study (assessed up to 7 weeks)
Population: The Safety analysis set included all participants who had received at least 1 dose of planned study drug in the respective parts.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Part A: TF2, Fasted | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with TEAEs | 18 Participants |
| Part A: TF2, Fasted | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with Serious TEAEs | 0 Participants |
| Part A: TF3, Fasted | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with TEAEs | 14 Participants |
| Part A: TF3, Fasted | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with Serious TEAEs | 0 Participants |
| Part B: TF2, Fasted | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with TEAEs | 5 Participants |
| Part B: TF2, Fasted | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with Serious TEAEs | 0 Participants |
| Part B: TF2, Fed | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with TEAEs | 9 Participants |
| Part B: TF2, Fed | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with Serious TEAEs | 1 Participants |
| Part C: TF3, Fasted | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with TEAEs | 6 Participants |
| Part C: TF3, Fasted | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with Serious TEAEs | 0 Participants |
| Part C: TF3, Fed | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with TEAEs | 6 Participants |
| Part C: TF3, Fed | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | Participants with Serious TEAEs | 0 Participants |
Part A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f)
Clearance of a drug was a measure of the rate at which a drug is metabolized or eliminated by normal biological processes.
Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period
Population: PK Analysis Set included participants without any relevant protocol deviations with respect to PK and absence of factors likely to affect comparability of PK results, with adequate trial medication compliance, who had valid primary endpoints for both treatments for Part A; and who had at least 3 post-dose concentration measurements for Part B; C.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part A: TF2, Fasted | Part A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f) | 26.9 liter per hour | Geometric Coefficient of Variation 23.9 |
| Part A: TF3, Fasted | Part A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f) | 23.3 liter per hour | Geometric Coefficient of Variation 21.3 |
| Part B: TF2, Fasted | Part A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f) | 34.5 liter per hour | Geometric Coefficient of Variation 38.2 |
| Part B: TF2, Fed | Part A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f) | 18.4 liter per hour | Geometric Coefficient of Variation 25.9 |
| Part C: TF3, Fasted | Part A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f) | 24.4 liter per hour | Geometric Coefficient of Variation 20 |
| Part C: TF3, Fed | Part A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f) | 14.9 liter per hour | Geometric Coefficient of Variation 25.5 |
Part A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f)
Vz/f was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/f) is influenced by the fraction absorbed and was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Vz/f after oral dose is influenced by the fraction absorbed.
Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period
Population: PK Analysis Set included participants without any relevant protocol deviations with respect to PK and absence of factors likely to affect comparability of PK results, with adequate trial medication compliance, who had valid primary endpoints for both treatments for Part A; and who had at least 3 post-dose concentration measurements for Part B; C.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part A: TF2, Fasted | Part A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f) | 1232 liter | Geometric Coefficient of Variation 28.5 |
| Part A: TF3, Fasted | Part A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f) | 1038 liter | Geometric Coefficient of Variation 24.3 |
| Part B: TF2, Fasted | Part A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f) | 1531 liter | Geometric Coefficient of Variation 40.8 |
| Part B: TF2, Fed | Part A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f) | 797 liter | Geometric Coefficient of Variation 27 |
| Part C: TF3, Fasted | Part A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f) | 1027 liter | Geometric Coefficient of Variation 24.9 |
| Part C: TF3, Fed | Part A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f) | 644 liter | Geometric Coefficient of Variation 26.3 |
Part A, B and C: Terminal Half-Life (t1/2) of Tepotinib
Terminal half-life is the time measured for the concentration to decrease by one half. Terminal half-life calculated by natural log 2 divided by lambda z. Lambda z is the terminal rate constant determined from the terminal slope of the log-transformed plasma concentration curve using linear regression on terminal data points of the curve.
Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period
Population: PK Analysis Set included participants without any relevant protocol deviations with respect to PK and absence of factors likely to affect comparability of PK results, with adequate trial medication compliance, who had valid primary endpoints for both treatments for Part A; and who had at least 3 post-dose concentration measurements for Part B; C.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part A: TF2, Fasted | Part A, B and C: Terminal Half-Life (t1/2) of Tepotinib | 31.8 hours | Geometric Coefficient of Variation 17.8 |
| Part A: TF3, Fasted | Part A, B and C: Terminal Half-Life (t1/2) of Tepotinib | 30.9 hours | Geometric Coefficient of Variation 15.3 |
| Part B: TF2, Fasted | Part A, B and C: Terminal Half-Life (t1/2) of Tepotinib | 30.8 hours | Geometric Coefficient of Variation 11.6 |
| Part B: TF2, Fed | Part A, B and C: Terminal Half-Life (t1/2) of Tepotinib | 30.0 hours | Geometric Coefficient of Variation 12.9 |
| Part C: TF3, Fasted | Part A, B and C: Terminal Half-Life (t1/2) of Tepotinib | 29.2 hours | Geometric Coefficient of Variation 14.7 |
| Part C: TF3, Fed | Part A, B and C: Terminal Half-Life (t1/2) of Tepotinib | 29.9 hours | Geometric Coefficient of Variation 14.5 |
Part A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib
Time to reach the maximum plasma concentration (Tmax) was obtained directly from the concentration versus time curve.
Time frame: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144 and 168 hours post-dose on Day 1 of each treatment period
Population: PK Analysis Set included participants without any relevant protocol deviations with respect to PK and absence of factors likely to affect comparability of PK results, with adequate trial medication compliance, who had valid primary endpoints for both treatments for Part A; and who had at least 3 post-dose concentration measurements for Part B; C.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Part A: TF2, Fasted | Part A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib | 14.1 hours |
| Part A: TF3, Fasted | Part A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib | 12.0 hours |
| Part B: TF2, Fasted | Part A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib | 24.0 hours |
| Part B: TF2, Fed | Part A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib | 12.0 hours |
| Part C: TF3, Fasted | Part A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib | 12.0 hours |
| Part C: TF3, Fed | Part A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib | 8.0 hours |