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A Study of Effects of Selpercatinib (LY3527723) on Repaglinide in Healthy Participants

An Open-Label, Fixed-Sequence Study to Evaluate the Effect of Multiple Doses of LOXO-292 on the Single Dose Pharmacokinetics of Repaglinide in Healthy Adult Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05469113
Enrollment
16
Registered
2022-07-21
Start date
2019-01-29
Completion date
2019-03-05
Last updated
2025-12-11

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 assess the effect of selpercatinib on how fast repaglinide gets into the blood stream and how long it takes the body to remove it when administered in healthy participants. Information about safety and tolerability will be collected. The study will last up to 12 days.

Interventions

DRUGRepaglinide

Administered orally.

DRUGSelpercatinib

Administered orally.

Sponsors

Loxo Oncology, Inc.
CollaboratorINDUSTRY
Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

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

Inclusion criteria

* Body mass index (BMI) ≥ 18.0 and ≤ 32.0 kilograms per meter squared (kg/m²) and had a minimum weight of at least 50 kg at screening * Have normal blood pressure, pulse rate, electrocardiogram (ECG), and blood and urine laboratory test results that are acceptable for the study * Hemoglobin (Hb) A1c value \< 6.5 % at screening and fasting glucose ≤ 126 mg/dL. * Males who are capable of fathering a child must agree to use one of the following methods of contraception from the time of the dose administration through 6 months after the last dose * Female of non-childbearing potential only or must have undergone sterilization procedures at least 6months prior to the first dosing

Exclusion criteria

* History or presence of diabetes or history of prior episode(s) of hypoglycemia. * Estimated creatinine clearance \<90 mL/min at Screening or Check-in (Day -1, Period 1) * Unable to refrain from or anticipates the use of any drug, including prescription and non prescription medications, herbal remedies, or vitamin supplements for 14 days prior to the first dosing and through EOT or ET. After first dosing, acetaminophen (up to 2 g per 24 hours) may be administered at the discretion of the PI or designee

Design outcomes

Primary

MeasureTime frameDescription
PK: Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of RepaglinidePeriod 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
Pharmacokinetics (PK): Area Under the Concentration-time Curve, From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of RepaglinidePeriod 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Area Under the Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) of RepaglinidePeriod 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Percent of AUC0-inf Extrapolated (AUC%Extrap) of RepaglinidePeriod 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Maximum Observed Concentration (Cmax) of RepaglinidePeriod 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Time to Reach Maximum Observed Concentration (Tmax) of RepaglinidePeriod 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Apparent Terminal Elimination Rate Constant (Kel) of RepaglindidePeriod 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Apparent First-order Terminal Elimination Half-life (t½) of RepaglinidePeriod 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Apparent Total Plasma Clearance After Oral (Extravascular) Administration (CL/F) of RepaglinidePeriod 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)PK: CL/F of Repaglinide

Secondary

MeasureTime frame
PK: Area Under the Concentration-time Curve During a Dosing Interval (Tau) at Steady State (AUCtau) of SelpercatinibPeriod 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Area Under the Concentration-time Curve, From Time 0 to the 12 Hour (AUC0-12) of SelpercatinibPeriod 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Area Under the Concentration-time Curve, From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of SelpercatinibPeriod 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Maximum Observed Concentration (Cmax) of SelpercatinibPeriod 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Time to Reach Maximum Observed Concentration (Tmax) of SelpercatinibPeriod 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Maximum Observed Concentration at Steady-state (Cmax,ss) of SelpertcatinibPeriod 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Concentration Observed at the End of the Dosing Interval (Ctrough) of SelpercatinibPeriod 2: Predose at Day 1, Day 2, Day 3, Day 4, Day 5, Day 6, Day 7, Day 8, Day 9
PK: Time to Reach Maximum Observed Concentration at Steady-state (Tmax,ss) of SelpercatinibPeriod 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Apparent Total Plasma Clearance at Steady State After Oral/Extravascular Administration (CL,ss/F) of SelpercatinibPeriod 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)

Countries

United States

Participant flow

Participants by arm

ArmCount
All Participants
* Period 1: Participants received single dose of 0.5 mg Repaglinide tablet on Day 1. * Period 2: Participants received 160 mg Selpercatinib capsule twice daily (BID) from Day 1-10, and on Day 10 it was co-administered with a single oral dose of 0.5 mg Repaglinide tablet on the morning of Day 10.
16
Total16

Withdrawals & dropouts

PeriodReasonFG000FG001
Period 2Adverse Event03

Baseline characteristics

CharacteristicAll Participants
Age, Continuous37.2 years
STANDARD_DEVIATION 10.62
Ethnicity (NIH/OMB)
Hispanic or Latino
9 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
1 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
15 Participants
Region of Enrollment
United States
16 Participants
Sex: Female, Male
Female
3 Participants
Sex: Female, Male
Male
13 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 160 / 160 / 13
other
Total, other adverse events
7 / 167 / 1611 / 13
serious
Total, serious adverse events
0 / 160 / 160 / 13

Outcome results

Primary

Pharmacokinetics (PK): Area Under the Concentration-time Curve, From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of Repaglinide

Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePharmacokinetics (PK): Area Under the Concentration-time Curve, From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of Repaglinide9.409 nanogram*hour per milliliter (ng*h/mL)Geometric Coefficient of Variation 57.1
Period 2: Selpercatinib + RepaglinidePharmacokinetics (PK): Area Under the Concentration-time Curve, From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of Repaglinide26.87 nanogram*hour per milliliter (ng*h/mL)Geometric Coefficient of Variation 53.2
Primary

PK: Apparent First-order Terminal Elimination Half-life (t½) of Repaglinide

Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Apparent First-order Terminal Elimination Half-life (t½) of Repaglinide2.881 hoursGeometric Coefficient of Variation 27.9
Period 2: Selpercatinib + RepaglinidePK: Apparent First-order Terminal Elimination Half-life (t½) of Repaglinide3.405 hoursGeometric Coefficient of Variation 36.2
Primary

PK: Apparent Terminal Elimination Rate Constant (Kel) of Repaglindide

Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Apparent Terminal Elimination Rate Constant (Kel) of Repaglindide0.2406 One per hour (1/h)Geometric Coefficient of Variation 27.9
Period 2: Selpercatinib + RepaglinidePK: Apparent Terminal Elimination Rate Constant (Kel) of Repaglindide0.2036 One per hour (1/h)Geometric Coefficient of Variation 36.2
Primary

PK: Apparent Total Plasma Clearance After Oral (Extravascular) Administration (CL/F) of Repaglinide

PK: CL/F of Repaglinide

Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Apparent Total Plasma Clearance After Oral (Extravascular) Administration (CL/F) of Repaglinide49.26 Liter per Hour (L/h)Geometric Coefficient of Variation 51.3
Period 2: Selpercatinib + RepaglinidePK: Apparent Total Plasma Clearance After Oral (Extravascular) Administration (CL/F) of Repaglinide18.31 Liter per Hour (L/h)Geometric Coefficient of Variation 53.6
Primary

PK: Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of Repaglinide

Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of Repaglinide204.8 Liter (L)Geometric Coefficient of Variation 53.6
Period 2: Selpercatinib + RepaglinidePK: Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of Repaglinide89.92 Liter (L)Geometric Coefficient of Variation 64.9
Primary

PK: Area Under the Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) of Repaglinide

Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Area Under the Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) of Repaglinide10.15 nanogram*hour per milliliter (ng*h/mL)Geometric Coefficient of Variation 51.3
Period 2: Selpercatinib + RepaglinidePK: Area Under the Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) of Repaglinide27.31 nanogram*hour per milliliter (ng*h/mL)Geometric Coefficient of Variation 53.6
Primary

PK: Maximum Observed Concentration (Cmax) of Repaglinide

Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Maximum Observed Concentration (Cmax) of Repaglinide6.600 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 77.4
Period 2: Selpercatinib + RepaglinidePK: Maximum Observed Concentration (Cmax) of Repaglinide12.11 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 42.7
Primary

PK: Percent of AUC0-inf Extrapolated (AUC%Extrap) of Repaglinide

Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Percent of AUC0-inf Extrapolated (AUC%Extrap) of Repaglinide1.256 percent AUC extrapolationGeometric Coefficient of Variation 43.8
Period 2: Selpercatinib + RepaglinidePK: Percent of AUC0-inf Extrapolated (AUC%Extrap) of Repaglinide1.258 percent AUC extrapolationGeometric Coefficient of Variation 85.8
Primary

PK: Time to Reach Maximum Observed Concentration (Tmax) of Repaglinide

Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Time to Reach Maximum Observed Concentration (Tmax) of Repaglinide0.623 hoursGeometric Coefficient of Variation 47.3
Period 2: Selpercatinib + RepaglinidePK: Time to Reach Maximum Observed Concentration (Tmax) of Repaglinide0.854 hoursGeometric Coefficient of Variation 42.5
Secondary

PK: Apparent Total Plasma Clearance at Steady State After Oral/Extravascular Administration (CL,ss/F) of Selpercatinib

Time frame: Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Apparent Total Plasma Clearance at Steady State After Oral/Extravascular Administration (CL,ss/F) of Selpercatinib4.711 Liter per Hours (L/h)Geometric Coefficient of Variation 45
Secondary

PK: Area Under the Concentration-time Curve During a Dosing Interval (Tau) at Steady State (AUCtau) of Selpercatinib

Time frame: Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Area Under the Concentration-time Curve During a Dosing Interval (Tau) at Steady State (AUCtau) of Selpercatinib33960 ng*h/mLGeometric Coefficient of Variation 45
Secondary

PK: Area Under the Concentration-time Curve, From Time 0 to the 12 Hour (AUC0-12) of Selpercatinib

Time frame: Period 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Area Under the Concentration-time Curve, From Time 0 to the 12 Hour (AUC0-12) of Selpercatinib8424 ng*h/mLGeometric Coefficient of Variation 56.6
Secondary

PK: Area Under the Concentration-time Curve, From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of Selpercatinib

Time frame: Period 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Area Under the Concentration-time Curve, From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of Selpercatinib8396 ng*h/mLGeometric Coefficient of Variation 56.7
Secondary

PK: Concentration Observed at the End of the Dosing Interval (Ctrough) of Selpercatinib

Time frame: Period 2: Predose at Day 1, Day 2, Day 3, Day 4, Day 5, Day 6, Day 7, Day 8, Day 9

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome. 'Number analyzed' signifies participants with available data at specified timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Period 1: RepaglinidePK: Concentration Observed at the End of the Dosing Interval (Ctrough) of SelpercatinibDay 1983.2 ng/mLStandard Deviation 225.43
Period 1: RepaglinidePK: Concentration Observed at the End of the Dosing Interval (Ctrough) of SelpercatinibDay 21509 ng/mLStandard Deviation 362.03
Period 1: RepaglinidePK: Concentration Observed at the End of the Dosing Interval (Ctrough) of SelpercatinibDay 41842 ng/mLStandard Deviation 657.65
Period 1: RepaglinidePK: Concentration Observed at the End of the Dosing Interval (Ctrough) of SelpercatinibDay 51971 ng/mLStandard Deviation 642.36
Period 1: RepaglinidePK: Concentration Observed at the End of the Dosing Interval (Ctrough) of SelpercatinibDay 62039 ng/mLStandard Deviation 780.35
Period 1: RepaglinidePK: Concentration Observed at the End of the Dosing Interval (Ctrough) of SelpercatinibDay 72160 ng/mLStandard Deviation 771.22
Period 1: RepaglinidePK: Concentration Observed at the End of the Dosing Interval (Ctrough) of SelpercatinibDay 82034 ng/mLStandard Deviation 635.04
Period 1: RepaglinidePK: Concentration Observed at the End of the Dosing Interval (Ctrough) of SelpercatinibDay 92085 ng/mLStandard Deviation 762.09
Period 1: RepaglinidePK: Concentration Observed at the End of the Dosing Interval (Ctrough) of SelpercatinibDay 31664 ng/mLStandard Deviation 529.6
Secondary

PK: Maximum Observed Concentration at Steady-state (Cmax,ss) of Selpertcatinib

Time frame: Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Maximum Observed Concentration at Steady-state (Cmax,ss) of Selpertcatinib4082 ng/mLGeometric Coefficient of Variation 40.8
Secondary

PK: Maximum Observed Concentration (Cmax) of Selpercatinib

Time frame: Period 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Maximum Observed Concentration (Cmax) of Selpercatinib1476 ng/mLGeometric Coefficient of Variation 66.3
Secondary

PK: Time to Reach Maximum Observed Concentration at Steady-state (Tmax,ss) of Selpercatinib

Time frame: Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile for this outcome.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Time to Reach Maximum Observed Concentration at Steady-state (Tmax,ss) of Selpercatinib1.888 hoursGeometric Coefficient of Variation 29.6
Secondary

PK: Time to Reach Maximum Observed Concentration (Tmax) of Selpercatinib

Time frame: Period 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: RepaglinidePK: Time to Reach Maximum Observed Concentration (Tmax) of Selpercatinib1.553 hoursGeometric Coefficient of Variation 25.9

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