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A Study of the Effects of Pirtobrutinib (LOXO-305) on Repaglinide (CYP2C8 Substrate) in Healthy Participants

A Phase I, Open-label, Fixed-sequence, Drug Interaction Study to Investigate the Effect of Multiple Oral Doses of Pirtobrutinib (LOXO-305) on the Pharmacokinetics of Repaglinide (CYP2C8 Substrate) in Healthy Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06165146
Enrollment
16
Registered
2023-12-11
Start date
2020-11-10
Completion date
2020-12-30
Last updated
2025-03-17

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 pirtobrutinib (LOXO-305) on single oral dose of repaglinide (CYP2C8 substrate) when administered as multiple doses by conducting the blood tests to measure how much pirtobrutinib (LOXO-305) is in the bloodstream and how the body handles and eliminates pirtobrutinib (LOXO-305) in adult healthy participants. The study will also evaluate the safety and tolerability of pirtobrutinib (LOXO-305). The study is conducted in two periods. Participants will stay in this study for up to 54 days.

Interventions

DRUGRepaglinide

Administered orally.

DRUGPirtobrutinib

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

* Must have Body mass index (BMI) within the range of 18.0 to 32.0 kilograms per square meter (kg/m²), inclusive * Male and female participants in good health, determined by no clinically significant findings from medical history, 12-lead Electrocardiogram (ECG), vital sign measurements, or clinical laboratory evaluations as assessed by the investigator * Female participants of non-childbearing potential and male participants who follow standard contraceptive methods * Must have comply with all study procedures, including the 16-night stay at the Clinical Research Unit (CRU) and follow-up phone call

Exclusion criteria

* History or presence of any diseases or conditions of clinical significance by the Investigator (or designee) and/or Sponsor * Known ongoing alcohol and/or drug abuse within 2 years prior to Screening * History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the Investigator (or designee)

Design outcomes

Primary

MeasureTime frameDescription
Pharmacokinetics (PK): Area Under the Concentration-time Curve, From Time 0 to the Last Measurable Concentration (AUC0-t) of RepaglinidePeriod 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)PK: AUC(0-t) of repaglinide was reported.
PK: Area Under the Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) of RepaglinidePeriod 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)PK: AUC(0-inf) of repaglinide was reported.
PK: Percentage of AUC0-inf Extrapolated (AUC%Extrap) of RepaglinidePeriod 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)PK: AUC-inf (%extrap) of repaglinide was reported.
PK: Maximum Observed Concentration (Cmax) of RepaglinidePeriod 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)PK: Cmax of repaglinide was reported.
PK: Time to Reach Maximum Observed Plasma Concentration (Tmax) of RepaglinidePeriod 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)PK: Tmax of repaglinide was reported.
PK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinidePeriod 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)PK: Lambda Z of repaglinide was reported.
PK: Apparent Systemic Clearance (CL/F) of RepaglinidePeriod 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)PK: CL/F of repaglinide was reported.
PK: Apparent Plasma Terminal Elimination Half-life (t½) of RepaglinidePeriod 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)PK: t½ of repaglinide was reported.
PK: Apparent Volume of Distribution (Vz/F) of RepaglinidePeriod 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)PK: Vz/F of repaglinide was reported.
PK: Area Under the Concentration-time Curve, From Time 0 to the Last Measurable Concentration (AUC0-t) of PirtobrutinibPeriod 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16, 24, 42, 78 and 100 hours post-dose)PK: AUC0-t of pirtobrutinib was reported.
PK: Area Under the Concentration-time Curve During a Dosing Interval (AUCtau) of PirtobrutinibPeriod 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16, 24, 42, 78 and 100 hours post-dose)PK: AUCtau of pirtobrutinib was reported.
PK: Maximum Observed Concentration (Cmax) of PirtobrutinibPeriod 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16, 24, 42, 78 and 100 hours post-dose)PK: Cmax of pirtobrutinib was reported.
PK: Concentration Observed at the End of the Dosing Interval (Ctrough) of PirtobrutinibPeriod 2: 24-hour post-dose on Day 12PK: Ctrough of pirtobrutinib was reported.
PK: Time to Reach Maximum Observed Plasma Concentration (Tmax) of PirtobrutinibPeriod 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16, 24, 42, 78 and 100 hours post-dose)PK: Tmax of pirtobrutinib was reported.
PK: Apparent Systemic Clearance (CL/F) at Steady State of PirtobrutinibPeriod 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16, 24, 42, 78 and 100 hours post-dose)PK: CL/F at steady state of pirtobrutinib was reported.

Countries

United States

Participant flow

Pre-assignment details

A total of 16 participants were enrolled in two period. In Period 1, participants received repaglinide only and in Period 2, participants received pirtobrutinib only followed by pirtobrutinib + repaglinide.

Participants by arm

ArmCount
Period 1: 0.5 mg Repaglinide
Participants received a single oral dose of 0.5 mg repaglinide tablet, in the morning on Day 1.
16
Total16

Baseline characteristics

CharacteristicPeriod 1: 0.5 mg Repaglinide
Age, Continuous39.1 years
STANDARD_DEVIATION 9.2
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 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
3 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
13 Participants
Region of Enrollment
United States
16 Participants
Sex: Female, Male
Female
5 Participants
Sex: Female, Male
Male
11 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 160 / 160 / 16
other
Total, other adverse events
2 / 166 / 161 / 16
serious
Total, serious adverse events
0 / 160 / 160 / 16

Outcome results

Primary

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

PK: AUC(0-t) of repaglinide was reported.

Time frame: Period 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)

Population: The PK Population included all participants who received a dose of Repaglinide, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: 0.5 mg RepaglinidePharmacokinetics (PK): Area Under the Concentration-time Curve, From Time 0 to the Last Measurable Concentration (AUC0-t) of Repaglinide9.59 hour*nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 36.9
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePharmacokinetics (PK): Area Under the Concentration-time Curve, From Time 0 to the Last Measurable Concentration (AUC0-t) of Repaglinide22.2 hour*nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 56.1
Primary

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

PK: t½ of repaglinide was reported.

Time frame: Period 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)

Population: The PK Population included all participants who received a dose of Repaglinide, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: 0.5 mg RepaglinidePK: Apparent Plasma Terminal Elimination Half-life (t½) of Repaglinide4.86 hourGeometric Coefficient of Variation 34.6
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Plasma Terminal Elimination Half-life (t½) of Repaglinide4.11 hourGeometric Coefficient of Variation 30
Primary

PK: Apparent Systemic Clearance (CL/F) at Steady State of Pirtobrutinib

PK: CL/F at steady state of pirtobrutinib was reported.

Time frame: Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16, 24, 42, 78 and 100 hours post-dose)

Population: The PK Population included all participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: 0.5 mg RepaglinidePK: Apparent Systemic Clearance (CL/F) at Steady State of Pirtobrutinib1.91 Liter per hour (L/h)Geometric Coefficient of Variation 18
Primary

PK: Apparent Systemic Clearance (CL/F) of Repaglinide

PK: CL/F of repaglinide was reported.

Time frame: Period 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)

Population: The PK Population included all participants who received a dose of Repaglinide, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: 0.5 mg RepaglinidePK: Apparent Systemic Clearance (CL/F) of Repaglinide51.1 Liter per hour (L/h)Geometric Coefficient of Variation 36.5
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Systemic Clearance (CL/F) of Repaglinide22.2 Liter per hour (L/h)Geometric Coefficient of Variation 55.7
Primary

PK: Apparent Terminal Elimination Rate Constant (Lambda Z) of Repaglinide

PK: Lambda Z of repaglinide was reported.

Time frame: Period 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)

Population: The PK Population included all participants who received a dose of Repaglinide, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureGroupValue (NUMBER)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 10.128 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 20.130 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 30.228 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 40.0847 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 50.0809 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 60.126 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 70.138 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 80.219 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 90.183 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 100.197 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 110.147 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 120.139 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 130.181 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 140.105 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 150.221 one per hour (1/h)
Period 1: 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 160.0966 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 160.325 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 10.152 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 90.208 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 20.150 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 130.148 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 30.151 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 100.218 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 40.157 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 150.220 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 50.139 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 110.118 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 60.141 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 140.170 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 70.247 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 120.174 one per hour (1/h)
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Terminal Elimination Rate Constant (Lambda Z) of RepaglinideParticipant 80.0995 one per hour (1/h)
Primary

PK: Apparent Volume of Distribution (Vz/F) of Repaglinide

PK: Vz/F of repaglinide was reported.

Time frame: Period 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)

Population: The PK Population included all participants who received a dose of Repaglinide, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: 0.5 mg RepaglinidePK: Apparent Volume of Distribution (Vz/F) of Repaglinide358 LiterGeometric Coefficient of Variation 39.3
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Apparent Volume of Distribution (Vz/F) of Repaglinide131 LiterGeometric Coefficient of Variation 66
Primary

PK: Area Under the Concentration-time Curve During a Dosing Interval (AUCtau) of Pirtobrutinib

PK: AUCtau of pirtobrutinib was reported.

Time frame: Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16, 24, 42, 78 and 100 hours post-dose)

Population: The PK Population included all participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: 0.5 mg RepaglinidePK: Area Under the Concentration-time Curve During a Dosing Interval (AUCtau) of Pirtobrutinib105000 h*ng/mLGeometric Coefficient of Variation 18
Primary

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

PK: AUC(0-inf) of repaglinide was reported.

Time frame: Period 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)

Population: The PK Population included all participants who received a dose of Repaglinide, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: 0.5 mg RepaglinidePK: Area Under the Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) of Repaglinide9.79 h*ng/mLGeometric Coefficient of Variation 36.5
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Area Under the Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) of Repaglinide22.5 h*ng/mLGeometric Coefficient of Variation 55.7
Primary

PK: Area Under the Concentration-time Curve, From Time 0 to the Last Measurable Concentration (AUC0-t) of Pirtobrutinib

PK: AUC0-t of pirtobrutinib was reported.

Time frame: Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16, 24, 42, 78 and 100 hours post-dose)

Population: The PK Population included all participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: 0.5 mg RepaglinidePK: Area Under the Concentration-time Curve, From Time 0 to the Last Measurable Concentration (AUC0-t) of Pirtobrutinib184000 h*ng/mLGeometric Coefficient of Variation 22.1
Primary

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

PK: Ctrough of pirtobrutinib was reported.

Time frame: Period 2: 24-hour post-dose on Day 12

Population: The PK Population included all participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: 0.5 mg RepaglinidePK: Concentration Observed at the End of the Dosing Interval (Ctrough) of Pirtobrutinib3050 ng/mLGeometric Coefficient of Variation 21.8
Primary

PK: Maximum Observed Concentration (Cmax) of Pirtobrutinib

PK: Cmax of pirtobrutinib was reported.

Time frame: Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16, 24, 42, 78 and 100 hours post-dose)

Population: The PK Population included all participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: 0.5 mg RepaglinidePK: Maximum Observed Concentration (Cmax) of Pirtobrutinib7220 ng/mLGeometric Coefficient of Variation 15
Primary

PK: Maximum Observed Concentration (Cmax) of Repaglinide

PK: Cmax of repaglinide was reported.

Time frame: Period 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)

Population: The PK Population included all participants who received a dose of Repaglinide, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: 0.5 mg RepaglinidePK: Maximum Observed Concentration (Cmax) of Repaglinide6.88 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 59.3
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Maximum Observed Concentration (Cmax) of Repaglinide13.6 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 47.4
Primary

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

PK: AUC-inf (%extrap) of repaglinide was reported.

Time frame: Period 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)

Population: The PK Population included all participants who received a dose of Repaglinide, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: 0.5 mg RepaglinidePK: Percentage of AUC0-inf Extrapolated (AUC%Extrap) of Repaglinide1.94 percentage of AUC0-inf extrapolatedGeometric Coefficient of Variation 41.8
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Percentage of AUC0-inf Extrapolated (AUC%Extrap) of Repaglinide1.10 percentage of AUC0-inf extrapolatedGeometric Coefficient of Variation 60.6
Primary

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

PK: Tmax of pirtobrutinib was reported.

Time frame: Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16, 24, 42, 78 and 100 hours post-dose)

Population: The PK Population included all participants who received a dose of pirtobrutinib, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (MEDIAN)
Period 1: 0.5 mg RepaglinidePK: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Pirtobrutinib1.00 hour
Primary

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

PK: Tmax of repaglinide was reported.

Time frame: Period 1, Day 1 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose); Period 2, Day 12 (Pre-dose, 0.17, 0.33, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 and 24 hours post-dose)

Population: The PK Population included all participants who received a dose of Repaglinide, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter was computed.

ArmMeasureValue (MEDIAN)
Period 1: 0.5 mg RepaglinidePK: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Repaglinide0.625 hour
Period 2: 200 mg Pirtobrutinib QD + 0.5 mg RepaglinidePK: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Repaglinide0.750 hour

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