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A Study of Imlunestrant (LY3484356) in Female Healthy Participants

The Effect of Imlunestrant on CYP2C8, CYP2C19, CYP2D6, P-gp, and BCRP Activity and the Effect of P-gp Inhibition on Imlunestrant Pharmacokinetics in Healthy Women of Non-childbearing Potential

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05444556
Enrollment
113
Registered
2022-07-06
Start date
2022-07-07
Completion date
2022-11-02
Last updated
2025-12-12

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

Conditions

Healthy

Brief summary

The main purpose of this study is to evaluate the effect of imlunestrant on repaglinide, omeprazole and dextromethorphan, and rosuvastatin and digoxin. The study will also investigate the effect of quinidine on imlunestrant in female healthy participants of non-childbearing potential. The safety and tolerability of imlunestrant will be investigated in female healthy participants of non-childbearing potential. The study will last approximately up to 32 days for each participant excluding the screening period.

Interventions

Administered orally.

DRUGRepaglinide

Administered orally.

DRUGOmeprazole

Administered orally.

DRUGDextromethorphan

Administered orally.

DRUGQuinidine

Administered orally.

DRUGRosuvastatin

Administered orally.

DRUGDigoxin

Administered orally.

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Participants who are overtly healthy as determined by medical assessment * Body mass index (BMI) within the range 18.0 to 35.0 kilograms per meter squared (kg/m²) * Female participants of non childbearing potential.

Exclusion criteria

* Have known allergies to imlunestrant, related compounds or any components of the formulation, repaglinide, omeprazole, dextromethorphan, quinidine, rosuvastatin, or digoxin, as appropriate, or history of significant atopy. * Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder, as determined by the investigator * Use or intend to use any medications/products known to alter drug absorption, metabolism, or elimination processes, including St. John's wort, within 30 days prior to dosing * Use or intend to use any prescription medications/products within 14 days prior to first dose until completion of the follow-up visit, unless deemed acceptable by the investigator (or designee), including but not limited to medications that inhibit or induce cytochrome P450 (CYP) 2C8, CYP2C19, CYP2D6, P-glycoprotein (P-gp) or breast cancer resistance protein (BCRP).

Design outcomes

Primary

MeasureTime frameDescription
PK: Cmax of Omeprazole (Cohort 2)Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdosePK: Cmax of Omeprazole
PK: AUC[0-∞] of Omeprazole Metabolite: 5-hydroxyomeprazole (Cohort 2)Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdose5-hydroxyomeprazole is a major metabolite of omeprazole.
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC[0-∞]) of Repaglinide (Cohort 1)Day 1 and Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours post-dosePK: AUC\[0-∞\] of Repaglinide
PK: Maximum Observed Concentration (Cmax) of Repaglinide (Cohort 1)Day 1 and Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours post-dosePK: Cmax of Repaglinide
PK: AUC[0-∞] of Omeprazole (Cohort 2)Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdosePK: AUC\[0-∞\] of Omeprazole
PK: Cmax of Omeprazole Metabolite: 5-hydroxyomeprazole (Cohort 2)Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdose5-hydroxyomeprazole is a major metabolite of omeprazole.
PK: AUC[0-∞] of Dextromethorphan (Cohort 2)Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdosePK: AUC\[0-∞\] of Dextromethorphan
PK: Cmax of Dextromethorphan (Cohort 2)Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdosePK: Cmax of Dextromethorphan
PK: Area Under the Concentration Versus Time Curve (AUC) From Time Zero to Tlast (AUC[0-tlast]) of Dextromethorphan Metabolite: Dextrorphan (Cohort 2)Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdoseDextrorphan is a major metabolite of Dextromethorphan.
PK: Cmax of Dextromethorphan Metabolite: Dextrorphan (Cohort 2)Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdoseDextrorphan is a major metabolite of Dextromethorphan.
PK: AUC[0-∞] of Imlunestrant (Cohort 3)Day 1 and Day 18: Predose, 1, 2, 3, 4, 5, 6 ,8, 12, 24, 36, 48, 72, 96, 120, 144, and 168 h post dosePK: AUC\[0-∞\] of Imlunestrant
PK: Cmax of Imlunestrant (Cohort 3)Day 1 and Day 18: Predose, 1, 2, 3, 4, 5, 6 ,8, 12, 24, 36, 48, 72, 96, 120, 144, and 168 h post dosePK: Cmax of Imlunestrant
PK: AUC[0-∞] of Rosuvastatin (Cohort 4)Day 1: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 h post dose; Day 10: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, 96, and 120 h post dosePK: AUC\[0-∞\] of Rosuvastatin
PK: Cmax of Rosuvastatin (Cohort 4)Day 1: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 h post dose; Day 10: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, 96, and 120 h post dosePK: Cmax of Rosuvastatin
PK: AUC[0-∞] of Digoxin (Cohort 4)Day 1: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 h post dose; Day 10: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, 96, and 120 h post dosePK: AUC\[0-∞\] of Digoxin
PK: Cmax of Digoxin (Cohort 4)Day 1: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 h post dose; Day 10: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, 96, and 120 h post dosePK: Cmax of Digoxin

Countries

United States

Participant flow

Participants by arm

ArmCount
Imlunestrant + Repaglinide (Cohort 1)
Participants received: Day 1: A single oral dose of 0.5 mg repaglinide administered alone. Day 3: A single oral dose of 800 mg imlunestrant, followed approximately 2 hours later by 0.5 mg repaglinide, both administered orally.
27
Imlunestrant + Omeprazole & Dextromethorphan (Cohort 2)
Participants received: Day 1: A single oral dose of 20 mg omeprazole and 30 mg dextromethorphan, administered in the morning. Day 3: A single oral dose of 800 mg imlunestrant, followed immediately by 20 mg omeprazole and 30 mg dextromethorphan, all administered orally.
27
Imlunestrant + Quinidine (Cohort 3)
Participants received: Day 1: A single oral dose of 400 mg imlunestrant, administered in the morning. Days 15 to 17 and 19 to 24: Twice-daily oral doses of 200 mg quinidine, administered alone. Day 18: A single oral dose of 400 mg imlunestrant administered in combination with 200 mg quinidine (quinidine was dosed twice on this day as part of the regular regimen).
32
Imlunestrant + Rosuvastatin & Digoxin (Cohort 4)
Participants received: Day 1: A single oral dose of 10 mg rosuvastatin and 0.25 mg digoxin, administered in the morning. Day 10: A single oral dose of 400 mg imlunestrant, administered in combination with 10 mg rosuvastatin and 0.25 mg digoxin, all administered orally.
27
Total113

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyWithdrawal by Subject0021

Baseline characteristics

CharacteristicTotalImlunestrant + Repaglinide (Cohort 1)Imlunestrant + Omeprazole & Dextromethorphan (Cohort 2)Imlunestrant + Quinidine (Cohort 3)Imlunestrant + Rosuvastatin & Digoxin (Cohort 4)
Age, Continuous54.1 years
STANDARD_DEVIATION 7.4
53.3 years
STANDARD_DEVIATION 8.2
52.6 years
STANDARD_DEVIATION 8.2
55.9 years
STANDARD_DEVIATION 6.3
54.1 years
STANDARD_DEVIATION 7.1
Ethnicity (NIH/OMB)
Hispanic or Latino
78 Participants22 Participants19 Participants23 Participants14 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
35 Participants5 Participants8 Participants9 Participants13 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants1 Participants1 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
19 Participants3 Participants5 Participants4 Participants7 Participants
Race (NIH/OMB)
More than one race
2 Participants0 Participants0 Participants1 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
90 Participants23 Participants21 Participants27 Participants19 Participants
Region of Enrollment
United States
113 Participants27 Participants27 Participants32 Participants27 Participants
Sex: Female, Male
Female
113 Participants27 Participants27 Participants32 Participants27 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants0 Participants0 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
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
deaths
Total, all-cause mortality
0 / 270 / 270 / 270 / 270 / 320 / 320 / 310 / 310 / 270 / 26
other
Total, other adverse events
2 / 270 / 273 / 273 / 279 / 323 / 320 / 314 / 310 / 271 / 26
serious
Total, serious adverse events
0 / 270 / 270 / 270 / 270 / 320 / 320 / 310 / 310 / 270 / 26

Outcome results

Primary

Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC[0-∞]) of Repaglinide (Cohort 1)

PK: AUC\[0-∞\] of Repaglinide

Time frame: Day 1 and Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours post-dose

Population: All participants in Cohort 1 who received at least one dose of repaglinide and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC[0-∞]) of Repaglinide (Cohort 1)13.0 nanogram*hour per milliliter (ng*hr/mL)Geometric Coefficient of Variation 31
800 mg Imlunestrant + 0.5 mg RepaglinidePharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC[0-∞]) of Repaglinide (Cohort 1)13.6 nanogram*hour per milliliter (ng*hr/mL)Geometric Coefficient of Variation 31
Primary

PK: Area Under the Concentration Versus Time Curve (AUC) From Time Zero to Tlast (AUC[0-tlast]) of Dextromethorphan Metabolite: Dextrorphan (Cohort 2)

Dextrorphan is a major metabolite of Dextromethorphan.

Time frame: Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdose

Population: All Cohort 2 participants who received at least one dose of dextromethorphan and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: Area Under the Concentration Versus Time Curve (AUC) From Time Zero to Tlast (AUC[0-tlast]) of Dextromethorphan Metabolite: Dextrorphan (Cohort 2)11.8 ng*hr/mLGeometric Coefficient of Variation 62
800 mg Imlunestrant + 0.5 mg RepaglinidePK: Area Under the Concentration Versus Time Curve (AUC) From Time Zero to Tlast (AUC[0-tlast]) of Dextromethorphan Metabolite: Dextrorphan (Cohort 2)11.9 ng*hr/mLGeometric Coefficient of Variation 75
Primary

PK: AUC[0-∞] of Dextromethorphan (Cohort 2)

PK: AUC\[0-∞\] of Dextromethorphan

Time frame: Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdose

Population: All Cohort 2 participants who received at least one dose of dextromethorphan and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: AUC[0-∞] of Dextromethorphan (Cohort 2)14.7 ng*hr/mLGeometric Coefficient of Variation 127
800 mg Imlunestrant + 0.5 mg RepaglinidePK: AUC[0-∞] of Dextromethorphan (Cohort 2)16.1 ng*hr/mLGeometric Coefficient of Variation 111
Primary

PK: AUC[0-∞] of Digoxin (Cohort 4)

PK: AUC\[0-∞\] of Digoxin

Time frame: Day 1: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 h post dose; Day 10: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, 96, and 120 h post dose

Population: All cohort 4 participants who received at least one dose of digoxin and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: AUC[0-∞] of Digoxin (Cohort 4)20.2 ng*hr/mLGeometric Coefficient of Variation 23
800 mg Imlunestrant + 0.5 mg RepaglinidePK: AUC[0-∞] of Digoxin (Cohort 4)28.0 ng*hr/mLGeometric Coefficient of Variation 19
Primary

PK: AUC[0-∞] of Imlunestrant (Cohort 3)

PK: AUC\[0-∞\] of Imlunestrant

Time frame: Day 1 and Day 18: Predose, 1, 2, 3, 4, 5, 6 ,8, 12, 24, 36, 48, 72, 96, 120, 144, and 168 h post dose

Population: All cohort 3 participants who received at least one dose of imlunestrant and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: AUC[0-∞] of Imlunestrant (Cohort 3)1970 ng*hr/mLGeometric Coefficient of Variation 66
800 mg Imlunestrant + 0.5 mg RepaglinidePK: AUC[0-∞] of Imlunestrant (Cohort 3)1870 ng*hr/mLGeometric Coefficient of Variation 87
Primary

PK: AUC[0-∞] of Omeprazole (Cohort 2)

PK: AUC\[0-∞\] of Omeprazole

Time frame: Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdose

Population: All participants in Cohort 2, who received at least one dose of omeprazole and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: AUC[0-∞] of Omeprazole (Cohort 2)703 ng*hr/mLGeometric Coefficient of Variation 77
800 mg Imlunestrant + 0.5 mg RepaglinidePK: AUC[0-∞] of Omeprazole (Cohort 2)825 ng*hr/mLGeometric Coefficient of Variation 74
Primary

PK: AUC[0-∞] of Omeprazole Metabolite: 5-hydroxyomeprazole (Cohort 2)

5-hydroxyomeprazole is a major metabolite of omeprazole.

Time frame: Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdose

Population: All participants in Cohort 2, who received at least one dose of omeprazole and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: AUC[0-∞] of Omeprazole Metabolite: 5-hydroxyomeprazole (Cohort 2)571 ng*hr/mLGeometric Coefficient of Variation 26
800 mg Imlunestrant + 0.5 mg RepaglinidePK: AUC[0-∞] of Omeprazole Metabolite: 5-hydroxyomeprazole (Cohort 2)592 ng*hr/mLGeometric Coefficient of Variation 19
Primary

PK: AUC[0-∞] of Rosuvastatin (Cohort 4)

PK: AUC\[0-∞\] of Rosuvastatin

Time frame: Day 1: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 h post dose; Day 10: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, 96, and 120 h post dose

Population: All cohort 4 participants who received at least one dose of rosuvastatin and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: AUC[0-∞] of Rosuvastatin (Cohort 4)29.0 ng*hr/mLGeometric Coefficient of Variation 47
800 mg Imlunestrant + 0.5 mg RepaglinidePK: AUC[0-∞] of Rosuvastatin (Cohort 4)44.9 ng*hr/mLGeometric Coefficient of Variation 51
Primary

PK: Cmax of Dextromethorphan (Cohort 2)

PK: Cmax of Dextromethorphan

Time frame: Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdose

Population: All Cohort 2 participants who received at least one dose of dextromethorphan and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: Cmax of Dextromethorphan (Cohort 2)0.864 ng/mLGeometric Coefficient of Variation 124
800 mg Imlunestrant + 0.5 mg RepaglinidePK: Cmax of Dextromethorphan (Cohort 2)1.13 ng/mLGeometric Coefficient of Variation 124
Primary

PK: Cmax of Dextromethorphan Metabolite: Dextrorphan (Cohort 2)

Dextrorphan is a major metabolite of Dextromethorphan.

Time frame: Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdose

Population: All Cohort 2 participants who received at least one dose of dextromethorphan and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: Cmax of Dextromethorphan Metabolite: Dextrorphan (Cohort 2)1.79 ng/mLGeometric Coefficient of Variation 50
800 mg Imlunestrant + 0.5 mg RepaglinidePK: Cmax of Dextromethorphan Metabolite: Dextrorphan (Cohort 2)1.97 ng/mLGeometric Coefficient of Variation 56
Primary

PK: Cmax of Digoxin (Cohort 4)

PK: Cmax of Digoxin

Time frame: Day 1: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 h post dose; Day 10: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, 96, and 120 h post dose

Population: All cohort 4 participants who received at least one dose of digoxin and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: Cmax of Digoxin (Cohort 4)1.17 ng/mLGeometric Coefficient of Variation 39
800 mg Imlunestrant + 0.5 mg RepaglinidePK: Cmax of Digoxin (Cohort 4)1.88 ng/mLGeometric Coefficient of Variation 38
Primary

PK: Cmax of Imlunestrant (Cohort 3)

PK: Cmax of Imlunestrant

Time frame: Day 1 and Day 18: Predose, 1, 2, 3, 4, 5, 6 ,8, 12, 24, 36, 48, 72, 96, 120, 144, and 168 h post dose

Population: All cohort 3 participants who received at least one dose of imlunestrant and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: Cmax of Imlunestrant (Cohort 3)61.0 ng/mLGeometric Coefficient of Variation 82
800 mg Imlunestrant + 0.5 mg RepaglinidePK: Cmax of Imlunestrant (Cohort 3)54.3 ng/mLGeometric Coefficient of Variation 81
Primary

PK: Cmax of Omeprazole (Cohort 2)

PK: Cmax of Omeprazole

Time frame: Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdose

Population: All participants in Cohort 2, who received at least one dose of omeprazole and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: Cmax of Omeprazole (Cohort 2)316 ng/mLGeometric Coefficient of Variation 73
800 mg Imlunestrant + 0.5 mg RepaglinidePK: Cmax of Omeprazole (Cohort 2)405 ng/mLGeometric Coefficient of Variation 57
Primary

PK: Cmax of Omeprazole Metabolite: 5-hydroxyomeprazole (Cohort 2)

5-hydroxyomeprazole is a major metabolite of omeprazole.

Time frame: Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, and 24 h postdose; Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, and 48 h postdose

Population: All participants in Cohort 2, who received at least one dose of omeprazole and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: Cmax of Omeprazole Metabolite: 5-hydroxyomeprazole (Cohort 2)200 ng/mLGeometric Coefficient of Variation 52
800 mg Imlunestrant + 0.5 mg RepaglinidePK: Cmax of Omeprazole Metabolite: 5-hydroxyomeprazole (Cohort 2)230 ng/mLGeometric Coefficient of Variation 42
Primary

PK: Cmax of Rosuvastatin (Cohort 4)

PK: Cmax of Rosuvastatin

Time frame: Day 1: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 h post dose; Day 10: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, 96, and 120 h post dose

Population: All cohort 4 participants who received at least one dose of rosuvastatin and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: Cmax of Rosuvastatin (Cohort 4)2.99 ng/mLGeometric Coefficient of Variation 53
800 mg Imlunestrant + 0.5 mg RepaglinidePK: Cmax of Rosuvastatin (Cohort 4)5.08 ng/mLGeometric Coefficient of Variation 59
Primary

PK: Maximum Observed Concentration (Cmax) of Repaglinide (Cohort 1)

PK: Cmax of Repaglinide

Time frame: Day 1 and Day 3: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours post-dose

Population: All participants in Cohort 1 who received at least one dose of repaglinide and had evaluable PK data for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
0.5 mg RepaglinidePK: Maximum Observed Concentration (Cmax) of Repaglinide (Cohort 1)10.5 nanogram per millilitre (ng/mL)Geometric Coefficient of Variation 38
800 mg Imlunestrant + 0.5 mg RepaglinidePK: Maximum Observed Concentration (Cmax) of Repaglinide (Cohort 1)9.84 nanogram per millilitre (ng/mL)Geometric Coefficient of Variation 44

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