Healthy
Conditions
Brief summary
The main objective of this trial is to investigate the basic pharmacokinetics of BI 1358894 and its metabolites, total radioactivity, including mass balance, excretion pathways and metabolism following a single oral dose of \[14C\] BI 1358894 in Part 1 and to investigate the pharmacokinetics of BI 1358894 and its metabolite(s) following multiple-dose treatment over 21 days with non- radiolabelled compound of BI 1358894 in Part 2.
Interventions
Part 1
Part 2
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy male subjects according to the assessment of the investigator, as based on a complete medical history including a physical examination, vital signs (BP, PR), 12-lead ECG, and clinical laboratory tests * Age of 18 to 65 years (inclusive) * BMI of 18.5 to 29.9 kg/m2 (inclusive) * Signed and dated written informed consent prior to admission to the study, in accordance with GCP and local legislation * Male subjects who meet any of the following criteria from screening until 90 days after trial completion: * Use of adequate contraception of the female partner, e.g. any of the following methods plus condom: implants, injectables, combined oral or vaginal contraceptives, intrauterine device that started at least two months prior to first study drug administration or barrier method (e.g. diaphragm with spermicide) or, * Sexually abstinent or, * A vasectomy performed at least 1 year prior to screening (with medical assessment of the surgical success) or, * Surgically sterilised female partner (including hysterectomy, bilateral tubal occlusion, or bilateral oophorectomy) or, * Postmenopausal female partner, defined as at least 1 year of spontaneous amenorrhea (in questionable cases a blood sample with levels of follicle-stimulating Hormone (FSH) above 40 U/L and estradiol below 30 ng/L is confirmatory)
Exclusion criteria
* Any finding in the medical examination (including BP, PR or ECG) deviating from normal and assessed as clinically relevant by the investigator * Repeated measurement of systolic blood pressure outside the range of 90 to 140 mmHg, diastolic blood pressure outside the range of 50 to 90 mmHg, or pulse rate outside the range of 40 to 100 bpm * Any laboratory value outside the reference range that the investigator considers to be of clinical relevance * C-reactive protein (CRP) \> upper limit of normal (ULN), liver or kidney parameter above ULN * Any evidence of a concomitant disease assessed as clinically relevant by the investigator * Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders * Cholecystectomy or other surgery of the gastrointestinal tract that could interfere with the pharmacokinetics of the trial medication (except appendectomy or simple hernia repair) * Diseases of the central nervous system (including but not limited to any kind of seizures or stroke), and other relevant neurological or psychiatric disorders * For Part 1 only: * Participation in another absorption, distribution, metabolism, and excretion (ADME) pharmacokinetics study with a radiation burden of \>0.1 millisievert (mSv) in the period of 1 year prior to screening * Exposure to radiation for diagnostic reasons (except dental X-rays and plain X-rays of thorax and bony skeleton (excluding spinal column)) in the period of 1 year prior to screening * Irregular defecation pattern (less than a mean of one bowel movement every 1 or 2 days) In addition, the following Severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) specific exclusion criterion apply: * A positive test indicating an ongoing infection with SARS-CoV-2 and clinical symptoms suggestive of the disease * Further
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Part 1: Mass Balance and Recoveries of [14C] BI 1358894 Total Radioactivity in Urine and Faeces After Single Oral Dose (Fe0-tz) | From within 2 hours predose up to 50 days after dosing. For detailed time frames please refer to the intervals given under measure description above. | Mass balance and recoveries of \[14C\] BI 1358894 total radioactivity in urine and faeces after single oral dose as percentage of the administered dose over the time interval from 0 to tz, where tz is the latest quantifiable data point across all participants. Urine collection intervals were within 2 hours (h) predose, 0-4, 4-8, 8-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264, 264-288, 288-312, 312-336 h after dosing on Day 1 and to be continued in 24 h intervals, on days 21-22, 28-29, 35-36, 42-43, and 49-50, if necessary. Faeces collection intervals were started from approximately -48 h before drug administration and 0-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264, 264-288, 288-312, 312-336 h after dosing on Day 1 and to be continued in 24 h intervals, on days 21-22, 28-29, 35-36, 42-43, and 49-50, if necessary. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Part 1: Maximum Measured Concentration of the Analyte in Plasma (Cmax) | At 2 hours (h) before first drug administration and at 20 minutes (min), 40min, 1h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h, 72h, 96h, 120h, 144h, 192h, 240h, 288h, 336h, 485h, 653h after first drug administration. | Maximum measured concentration of the analyte in plasma (Cmax) determined for total \[14C\] BI 1358894 and non-radiolabeled BI 1358894 after single dose administration. |
| Part 2: Area Under the Concentration-time Curve of Non-radiolabeled BI 1358894 in Plasma Over the Time Interval From 0 to 24 (AUC0-24) | At 2 hours (h) before first drug administration and at 30 minutes (min), 1h, 2h, 4h, 5h, 6h, 7h, 8h, 10h, 12h, 14h and 24h after first drug administration. | Area under the concentration-time curve of the analyte in plasma over the time interval from 0 to 24 hours(AUC0-24) was determined for non-radiolabeled BI 1358894. |
| Part 1: Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (AUC0-tz) | At 2 hours (h) before first drug administration and at 20 minutes (min), 40min, 1h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h, 72h, 96h, 120h, 144h, 192h, 240h, 288h, 336h, 485h, 653h after first drug administration. | Area under the concentration-time curve of the analyte in plasma over the time interval from 0 to the last quantifiable data point (AUC0-tz) were determined for total \[14C\] BI 1358894 and non-radiolabeled BI 1358894 after single dose administration. |
| Part 2: Area Under the Concentration-time Curve of Non-radiolabeled BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ (AUCτ,ss) | At 480h, 480.5h, 481h, 482h, 484h, 485h, 486h, 487h,488h, 490h, 492h, 494h and 504h after first drug administration. | Area under the concentration-time curve of the analyte in plasma at steady state over a uniform dosing interval τ (AUCτ,ss) was determined for non-radiolabeled BI 1358894. Tau = 24 hours. |
| Part 2: Maximum Measured Concentration of Non-radiolabeled BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ (Cmax,ss) | At 480h, 480.5h, 481h, 482h, 484h, 485h, 486h, 487h,488h, 490h, 492h, 494h and 504h after first drug administration. | Maximum measured concentration of the analyte in plasma at steady state over a uniform dosing interval τ (Cmax,ss) was determined for non-radiolabeled BI 1358894. Tau = 24 hours. |
| Part 2: Maximum Measured Concentration of Non-radiolabeled BI 1358894 in Plasma (Cmax) | At 2 hours (h) before first drug administration and at 30 minutes (min), 1h, 2h, 4h, 5h, 6h, 7h, 8h, 10h, 12h, 14h and 24h after first drug administration. | Maximum measured concentration of the analyte in plasma (Cmax) was determined for non-radiolabeled BI 1358894. |
Countries
Netherlands
Participant flow
Recruitment details
This is a phase I, open-label trial to investigate metabolism and pharmacokinetics of a single dose of \[14C\] BI 1358894 administered as oral solution (Part1) and multiple doses of BI 1358894 administered as film-coated tablets (Part 2) in healthy male volunteers.
Pre-assignment details
All subjects were screened for eligibility prior to participation in the trial. Subjects attended a specialist site which ensured that they (the subjects) strictly met all inclusion and none of the exclusion criteria. Subjects were not to be allocated to a treatment group if any of the entry criteria were violated.
Participants by arm
| Arm | Count |
|---|---|
| 100 mg [14C]-Radiolabeled BI 1358894 (Part 1) Single dose (SD) of 100 milligram (mg) of radiolabeled BI 1358894 was administered as oral solution on Day 1. Oral solution contained a mixture of Carbon 14-radiolabelled BI 1358894 (\[14C\] BI 1358894) corresponding to a radioactive dose of 3.7 megabecquerels (MBq) (100 microcuries (μCi)) in a solution of 10 milliliter (mL) volume (concentration of BI 1358894 10 mg/mL). | 8 |
| 100 mg BI 1358894 (Part 2) Multiple doses (MD) of 2 non-radiolabeled film-coated tablets of 50 milligram (mg) BI 1358894 were administered orally once daily (QD) from Day 1 to Day 21 with 240 milliliter (mL) of water . | 7 |
| Total | 15 |
Baseline characteristics
| Characteristic | 100 mg BI 1358894 (Part 2) | Total | 100 mg [14C]-Radiolabeled BI 1358894 (Part 1) |
|---|---|---|---|
| Age, Continuous | 39.1 Years STANDARD_DEVIATION 20 | 40.3 Years STANDARD_DEVIATION 18.9 | 41.4 Years STANDARD_DEVIATION 19.2 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 1 Participants | 1 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 7 Participants | 14 Participants | 7 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 1 Participants | 2 Participants | 1 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 5 Participants | 11 Participants | 6 Participants |
| Sex: Female, Male Female | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Male | 7 Participants | 15 Participants | 8 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 8 | 0 / 7 |
| other Total, other adverse events | 5 / 8 | 7 / 7 |
| serious Total, serious adverse events | 0 / 8 | 0 / 7 |
Outcome results
Part 1: Mass Balance and Recoveries of [14C] BI 1358894 Total Radioactivity in Urine and Faeces After Single Oral Dose (Fe0-tz)
Mass balance and recoveries of \[14C\] BI 1358894 total radioactivity in urine and faeces after single oral dose as percentage of the administered dose over the time interval from 0 to tz, where tz is the latest quantifiable data point across all participants. Urine collection intervals were within 2 hours (h) predose, 0-4, 4-8, 8-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264, 264-288, 288-312, 312-336 h after dosing on Day 1 and to be continued in 24 h intervals, on days 21-22, 28-29, 35-36, 42-43, and 49-50, if necessary. Faeces collection intervals were started from approximately -48 h before drug administration and 0-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264, 264-288, 288-312, 312-336 h after dosing on Day 1 and to be continued in 24 h intervals, on days 21-22, 28-29, 35-36, 42-43, and 49-50, if necessary.
Time frame: From within 2 hours predose up to 50 days after dosing. For detailed time frames please refer to the intervals given under measure description above.
Population: Pharmacokinetic set (PKS) Part 1: This subject set included all subjects in treated set (TS) who provided at least one primary or secondary PK parameter that was not excluded according to description above. Thus, a subject was included in PKS, even if he/she contributed only one pharmacokinetics (PK) parameter value to the statistical assessment. Only subjects with available data were included in the analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 100 mg [14C]-Radiolabeled BI 1358894 (Part 1) | Part 1: Mass Balance and Recoveries of [14C] BI 1358894 Total Radioactivity in Urine and Faeces After Single Oral Dose (Fe0-tz) | 85.8 Percentage of administered dose | Geometric Coefficient of Variation 3.42 |
Part 1: Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (AUC0-tz)
Area under the concentration-time curve of the analyte in plasma over the time interval from 0 to the last quantifiable data point (AUC0-tz) were determined for total \[14C\] BI 1358894 and non-radiolabeled BI 1358894 after single dose administration.
Time frame: At 2 hours (h) before first drug administration and at 20 minutes (min), 40min, 1h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h, 72h, 96h, 120h, 144h, 192h, 240h, 288h, 336h, 485h, 653h after first drug administration.
Population: Pharmacokinetic set (PKS) Part 1: This subject set included all subjects in the TS who provided at least one primary or secondary PK parameter that was not excluded according to the description above. Thus, a subject was included in the PKS, even if he/she contributed only one PK parameter value to the statistical assessment.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| 100 mg [14C]-Radiolabeled BI 1358894 (Part 1) | Part 1: Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (AUC0-tz) | BI 1358894 | 13000 Hours * nanomol / Liter | Geometric Coefficient of Variation 30.9 |
| 100 mg [14C]-Radiolabeled BI 1358894 (Part 1) | Part 1: Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (AUC0-tz) | [14C] BI 1358894-EQ | 73200 Hours * nanomol / Liter | Geometric Coefficient of Variation 26.8 |
Part 1: Maximum Measured Concentration of the Analyte in Plasma (Cmax)
Maximum measured concentration of the analyte in plasma (Cmax) determined for total \[14C\] BI 1358894 and non-radiolabeled BI 1358894 after single dose administration.
Time frame: At 2 hours (h) before first drug administration and at 20 minutes (min), 40min, 1h, 2h, 3h, 4h, 6h, 8h, 10h, 12h, 24h, 36h, 48h, 72h, 96h, 120h, 144h, 192h, 240h, 288h, 336h, 485h, 653h after first drug administration.
Population: Pharmacokinetic set (PKS): This subject set included all subjects in the TS who provided at least one primary or secondary PK parameter that was not excluded according to the description above. Thus, a subject was included in the PKS, even if he/she contributed only one PK parameter value to the statistical assessment.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| 100 mg [14C]-Radiolabeled BI 1358894 (Part 1) | Part 1: Maximum Measured Concentration of the Analyte in Plasma (Cmax) | BI 1358894 | 657 nanomol / Liter | Geometric Coefficient of Variation 43.2 |
| 100 mg [14C]-Radiolabeled BI 1358894 (Part 1) | Part 1: Maximum Measured Concentration of the Analyte in Plasma (Cmax) | [14C] BI 1358894-EQ | 2070 nanomol / Liter | Geometric Coefficient of Variation 28.4 |
Part 2: Area Under the Concentration-time Curve of Non-radiolabeled BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ (AUCτ,ss)
Area under the concentration-time curve of the analyte in plasma at steady state over a uniform dosing interval τ (AUCτ,ss) was determined for non-radiolabeled BI 1358894. Tau = 24 hours.
Time frame: At 480h, 480.5h, 481h, 482h, 484h, 485h, 486h, 487h,488h, 490h, 492h, 494h and 504h after first drug administration.
Population: Pharmacokinetic set (PKS) Part 2: This subject set included all subjects in the TS who provided at least one primary or secondary PK parameter that was not excluded according to the description above. Thus, a subject was included in the PKS, even if he/she contributed only one PK parameter value to the statistical assessment.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 100 mg [14C]-Radiolabeled BI 1358894 (Part 1) | Part 2: Area Under the Concentration-time Curve of Non-radiolabeled BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ (AUCτ,ss) | 14400 Hours * nanomol / Liter | Geometric Coefficient of Variation 11.1 |
Part 2: Area Under the Concentration-time Curve of Non-radiolabeled BI 1358894 in Plasma Over the Time Interval From 0 to 24 (AUC0-24)
Area under the concentration-time curve of the analyte in plasma over the time interval from 0 to 24 hours(AUC0-24) was determined for non-radiolabeled BI 1358894.
Time frame: At 2 hours (h) before first drug administration and at 30 minutes (min), 1h, 2h, 4h, 5h, 6h, 7h, 8h, 10h, 12h, 14h and 24h after first drug administration.
Population: Pharmacokinetic set (PKS) Part 2: This subject set included all subjects in the TS who provided at least one primary or secondary PK parameter that was not excluded according to the description above. Thus, a subject was included in the PKS, even if he/she contributed only one PK parameter value to the statistical assessment.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 100 mg [14C]-Radiolabeled BI 1358894 (Part 1) | Part 2: Area Under the Concentration-time Curve of Non-radiolabeled BI 1358894 in Plasma Over the Time Interval From 0 to 24 (AUC0-24) | 5200 Hours*nanomol / Liter | Geometric Coefficient of Variation 20.1 |
Part 2: Maximum Measured Concentration of Non-radiolabeled BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ (Cmax,ss)
Maximum measured concentration of the analyte in plasma at steady state over a uniform dosing interval τ (Cmax,ss) was determined for non-radiolabeled BI 1358894. Tau = 24 hours.
Time frame: At 480h, 480.5h, 481h, 482h, 484h, 485h, 486h, 487h,488h, 490h, 492h, 494h and 504h after first drug administration.
Population: Pharmacokinetic set (PKS) Part 2: This subject set included all subjects in the TS who provided at least one primary or secondary PK parameter that was not excluded according to the description above. Thus, a subject was included in the PKS, even if he/she contributed only one PK parameter value to the statistical assessment.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 100 mg [14C]-Radiolabeled BI 1358894 (Part 1) | Part 2: Maximum Measured Concentration of Non-radiolabeled BI 1358894 in Plasma at Steady State Over a Uniform Dosing Interval τ (Cmax,ss) | 1030 nanomol / Liter | Geometric Coefficient of Variation 16.5 |
Part 2: Maximum Measured Concentration of Non-radiolabeled BI 1358894 in Plasma (Cmax)
Maximum measured concentration of the analyte in plasma (Cmax) was determined for non-radiolabeled BI 1358894.
Time frame: At 2 hours (h) before first drug administration and at 30 minutes (min), 1h, 2h, 4h, 5h, 6h, 7h, 8h, 10h, 12h, 14h and 24h after first drug administration.
Population: Pharmacokinetic set (PKS): This subject set included all subjects in the TS who provided at least one primary or secondary PK parameter that was not excluded according to the description above. Thus, a subject was included in the PKS, even if he/she contributed only one PK parameter value to the statistical assessment.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| 100 mg [14C]-Radiolabeled BI 1358894 (Part 1) | Part 2: Maximum Measured Concentration of Non-radiolabeled BI 1358894 in Plasma (Cmax) | 551 nanomol / Liter | Geometric Coefficient of Variation 39.1 |