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Bioequivalence of TF3 and TF2 and Effect of Food on the PK of Tepotinib

Phase 1, Open-label, 3-Parts Study With Crossover Design in Each Part to Investigate the Bioequivalence of the Tablet Formulation of TF3 Compared to TF2 (Part A), and to Investigate the Influence of Food on the PK of Each TF2 (Part B) and TF3 (Part C) of Tepotinib in Healthy Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03629223
Enrollment
66
Registered
2018-08-14
Start date
2018-08-23
Completion date
2019-01-25
Last updated
2023-10-10

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

Conditions

Healthy

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

DRUGTepotinib TF2

Participants received a single oral dose of 500 mg Tepotinib TF2 under fasting or fed conditions in treatment period 1 or 2.

DRUGTepotinib TF3

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

Merck KGaA, Darmstadt, Germany
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

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

MeasureTime frameDescription
Part A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of TepotinibPre-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 periodArea 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 TepotinibPre-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 periodAUC0-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 TepotinibPre-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 periodCmax was obtained directly from the concentration versus time curve.

Secondary

MeasureTime frameDescription
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 periodVz/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 TEAEsTime 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 TepotinibPre-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 periodTime 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) FindingsTime 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 SignsTime 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 ValuesTime 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 TepotinibPre-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 periodTerminal 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 periodClearance 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

ArmCount
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
Total66

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Treatment Period 1 (21 Days)Adverse Event000100
Treatment Period 1 (21 Days)Benzodiazepines positive010000
Treatment Period 1 (21 Days)Lost to Follow-up000100
Treatment Period 1 (21 Days)Toothache treatment010000
Treatment Period 2 (21 Days)Did not attend the ambulatory visits100000

Baseline characteristics

CharacteristicPart A: All ParticipantsPart B: All ParticipantsPart C: All ParticipantsTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
40 Participants14 Participants12 Participants66 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants0 Participants0 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
39 Participants14 Participants12 Participants65 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Black or African American
1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
38 Participants14 Participants12 Participants64 Participants
Sex: Female, Male
Female
4 Participants1 Participants0 Participants5 Participants
Sex: Female, Male
Male
36 Participants13 Participants12 Participants61 Participants

Adverse events

Event typeEG000
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 / 380 / 400 / 120 / 140 / 120 / 12
other
Total, other adverse events
18 / 3814 / 405 / 129 / 146 / 126 / 12
serious
Total, serious adverse events
0 / 380 / 400 / 121 / 140 / 120 / 12

Outcome results

Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A: TF2, FastedPart A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib16728 ng*h/mLGeometric Coefficient of Variation 23.9
Part A: TF3, FastedPart A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib19316 ng*h/mLGeometric Coefficient of Variation 21.3
Part B: TF2, FastedPart A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib13037 ng*h/mLGeometric Coefficient of Variation 38.2
Part B: TF2, FedPart A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib24443 ng*h/mLGeometric Coefficient of Variation 25.9
Part C: TF3, FastedPart A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib18447 ng*h/mLGeometric Coefficient of Variation 20
Part C: TF3, FedPart A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Tepotinib30118 ng*h/mLGeometric Coefficient of Variation 25.5
90% CI: [108.51, 122.6]
90% CI: [163.78, 212.77]
90% CI: [146.09, 182.46]
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A: TF2, FastedPart A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib16146 nanograms*hour per milliliter (ng*h/mL)Geometric Coefficient of Variation 23.4
Part A: TF3, FastedPart A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib18645 nanograms*hour per milliliter (ng*h/mL)Geometric Coefficient of Variation 21
Part B: TF2, FastedPart A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib12609 nanograms*hour per milliliter (ng*h/mL)Geometric Coefficient of Variation 38.1
Part B: TF2, FedPart A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib23457 nanograms*hour per milliliter (ng*h/mL)Geometric Coefficient of Variation 25.1
Part C: TF3, FastedPart A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib17964 nanograms*hour per milliliter (ng*h/mL)Geometric Coefficient of Variation 19.8
Part C: TF3, FedPart A, B and C: Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Tepotinib29307 nanograms*hour per milliliter (ng*h/mL)Geometric Coefficient of Variation 25
90% CI: [108.55, 122.58]
90% CI: [163.61, 212.28]
90% CI: [146.17, 182.1]
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A: TF2, FastedPart A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib253 ng/mLGeometric Coefficient of Variation 20.6
Part A: TF3, FastedPart A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib288 ng/mLGeometric Coefficient of Variation 22.5
Part B: TF2, FastedPart A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib199 ng/mLGeometric Coefficient of Variation 29.5
Part B: TF2, FedPart A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib476 ng/mLGeometric Coefficient of Variation 19.6
Part C: TF3, FastedPart A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib280 ng/mLGeometric Coefficient of Variation 15.3
Part C: TF3, FedPart A, B and C: Maximum Observed Plasma Concentration (Cmax) of Tepotinib559 ng/mLGeometric Coefficient of Variation 17
90% CI: [107.62, 119.85]
90% CI: [215.69, 259.34]
90% CI: [176.44, 225.82]
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A: TF2, FastedNumber of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings0 Participants
Part A: TF3, FastedNumber of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings0 Participants
Part B: TF2, FastedNumber of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings0 Participants
Part B: TF2, FedNumber of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings0 Participants
Part C: TF3, FastedNumber of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings0 Participants
Part C: TF3, FedNumber of Participants With Clinically Significant Abnormalities in 12-lead Electrocardiogram (ECG) Findings0 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A: TF2, FastedNumber of Participants With Clinically Significant Abnormalities in Laboratory Values0 Participants
Part A: TF3, FastedNumber of Participants With Clinically Significant Abnormalities in Laboratory Values0 Participants
Part B: TF2, FastedNumber of Participants With Clinically Significant Abnormalities in Laboratory Values0 Participants
Part B: TF2, FedNumber of Participants With Clinically Significant Abnormalities in Laboratory Values0 Participants
Part C: TF3, FastedNumber of Participants With Clinically Significant Abnormalities in Laboratory Values0 Participants
Part C: TF3, FedNumber of Participants With Clinically Significant Abnormalities in Laboratory Values0 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A: TF2, FastedNumber of Participants With Clinically Significant Abnormalities in Vital Signs0 Participants
Part A: TF3, FastedNumber of Participants With Clinically Significant Abnormalities in Vital Signs0 Participants
Part B: TF2, FastedNumber of Participants With Clinically Significant Abnormalities in Vital Signs0 Participants
Part B: TF2, FedNumber of Participants With Clinically Significant Abnormalities in Vital Signs0 Participants
Part C: TF3, FastedNumber of Participants With Clinically Significant Abnormalities in Vital Signs0 Participants
Part C: TF3, FedNumber of Participants With Clinically Significant Abnormalities in Vital Signs0 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A: TF2, FastedNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs18 Participants
Part A: TF2, FastedNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs0 Participants
Part A: TF3, FastedNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs14 Participants
Part A: TF3, FastedNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs0 Participants
Part B: TF2, FastedNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs5 Participants
Part B: TF2, FastedNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs0 Participants
Part B: TF2, FedNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs9 Participants
Part B: TF2, FedNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs1 Participants
Part C: TF3, FastedNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs6 Participants
Part C: TF3, FastedNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs0 Participants
Part C: TF3, FedNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs6 Participants
Part C: TF3, FedNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs0 Participants
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A: TF2, FastedPart A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f)26.9 liter per hourGeometric Coefficient of Variation 23.9
Part A: TF3, FastedPart A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f)23.3 liter per hourGeometric Coefficient of Variation 21.3
Part B: TF2, FastedPart A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f)34.5 liter per hourGeometric Coefficient of Variation 38.2
Part B: TF2, FedPart A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f)18.4 liter per hourGeometric Coefficient of Variation 25.9
Part C: TF3, FastedPart A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f)24.4 liter per hourGeometric Coefficient of Variation 20
Part C: TF3, FedPart A, B and C: Apparent Total Body Clearance of Tepotinib From Plasma Following Oral Administration (CL/f)14.9 liter per hourGeometric Coefficient of Variation 25.5
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A: TF2, FastedPart A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f)1232 literGeometric Coefficient of Variation 28.5
Part A: TF3, FastedPart A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f)1038 literGeometric Coefficient of Variation 24.3
Part B: TF2, FastedPart A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f)1531 literGeometric Coefficient of Variation 40.8
Part B: TF2, FedPart A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f)797 literGeometric Coefficient of Variation 27
Part C: TF3, FastedPart A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f)1027 literGeometric Coefficient of Variation 24.9
Part C: TF3, FedPart A, B and C: Apparent Volume of Distribution of Tepotinib During the Terminal Phase Following Extravascular Administration (Vz/f)644 literGeometric Coefficient of Variation 26.3
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A: TF2, FastedPart A, B and C: Terminal Half-Life (t1/2) of Tepotinib31.8 hoursGeometric Coefficient of Variation 17.8
Part A: TF3, FastedPart A, B and C: Terminal Half-Life (t1/2) of Tepotinib30.9 hoursGeometric Coefficient of Variation 15.3
Part B: TF2, FastedPart A, B and C: Terminal Half-Life (t1/2) of Tepotinib30.8 hoursGeometric Coefficient of Variation 11.6
Part B: TF2, FedPart A, B and C: Terminal Half-Life (t1/2) of Tepotinib30.0 hoursGeometric Coefficient of Variation 12.9
Part C: TF3, FastedPart A, B and C: Terminal Half-Life (t1/2) of Tepotinib29.2 hoursGeometric Coefficient of Variation 14.7
Part C: TF3, FedPart A, B and C: Terminal Half-Life (t1/2) of Tepotinib29.9 hoursGeometric Coefficient of Variation 14.5
Secondary

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.

ArmMeasureValue (MEDIAN)
Part A: TF2, FastedPart A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib14.1 hours
Part A: TF3, FastedPart A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib12.0 hours
Part B: TF2, FastedPart A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib24.0 hours
Part B: TF2, FedPart A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib12.0 hours
Part C: TF3, FastedPart A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib12.0 hours
Part C: TF3, FedPart A, B and C: Time to Reach the Maximum Plasma Concentration (Tmax) of Tepotinib8.0 hours

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026