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A Study of Effect of Multiple Doses of LOXO-305 on the Pharmacokinetics of Single Oral Doses of CYP1A2, CYP2C9, CYP2C19 Substrates in Healthy Participants

A Phase I, Open-label, Fixed-sequence, Drug Interaction Study to Investigate the Effect of Multiple Oral Doses of LOXO-305 on CYP1A2, CYP2C9, and CYP2C19 Substrates Using a Probe Drug Cocktail in Healthy Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06215430
Enrollment
16
Registered
2024-01-22
Start date
2021-01-11
Completion date
2021-04-15
Last updated
2025-03-10

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 LOXO-305 on single oral dose of caffeine cytochrome P450 1A2 (CYP1A2) substrate, S-warfarin (CYP2C9 substrate), and omeprazole (CYP2C19 substrate) when administered as multiple doses by collecting the blood samples and conducting the blood tests to measure how much LOXO-305 is in the bloodstream and how the body handles and eliminates LOXO-305 in adult healthy participants. The study will also evaluate the safety and tolerability of LOXO-305. The study will be conducted in two periods. Participants will stay in this study for up to 67 days, including screening.

Interventions

Administered orally.

Administered orally.

DRUGWarfarin tablet

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/m\^2), 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 23-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
Area Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): CaffeinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)Area under the concentration time curve (AUC) from hour 0 to 24 hours post-dose (AUC0-24) of caffeine was reported.
Area Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): ParaxanthinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)AUC0-24 of Paraxanthine was reported.
Area Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): OmeprazolePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)AUC0-24 of Omeprazole was reported.
Area Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): WarfarinPeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)AUC(0-24) of Warfarin was reported.
Area Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): PirtobrutinibPeriod 2, Day 15 (0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours Post dose)AUC0-24 of Pirtobrutinib was reported.
Area Under the Concentration-time Curve (AUC), From Hour 0 to the Last Measurable Concentration (AUC0-t): CaffeinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)AUC from hour 0 to the last measurable concentration (AUC0-t) of caffeine was reported.
Area Under the Concentration-time Curve (AUC), From Hour 0 to the Last Measurable Concentration (AUC0-t): ParaxanthinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)AUC0-t of Paraxanthine was reported.
Area Under the Concentration Time Curve (AUC) From Hour 0 to the Last Measurable Concentration (AUC0-t): OmeprazolePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)AUC0-t of Omeprazole was reported.
Area Under the Concentration Time Curve (AUC) From Hour 0 to the Last Measurable Concentration (AUC0-t): WarfarinPeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)AUC0-t of Warfarin was reported.
Area Under the Concentration Time Curve (AUC) From Hour 0 to the Last Measurable Concentration (AUC0-t): PirtobrutinibPeriod 2, Day 15 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, and 192 hours postdose)AUC0-t of Pirtobrutinib was reported.
Area Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): CaffeinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)AUC from hour 0 extrapolated to infinity (AUC0-inf) of Caffeine was reported.
Area Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): ParaxanthinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)AUC0-inf of Paraxanthine was reported.
Area Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): OmeprazolePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)AUC0-inf of omeprazole was reported.
Percentage Extrapolation for AUC0-inf (%AUCextrap): ParaxanthinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)AUC0-inf (%AUCextrap) of Paraxanthine was reported.
Area Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): WarfarinPeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)AUC0-inf of Warfarin was reported.
Percentage Extrapolation for AUC0-inf (%AUCextrap): CaffeinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)AUC0-inf (%AUCextrap) of caffeine was reported.
Percentage Extrapolation for AUC0-inf (%AUCextrap): OmeprazolePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)%AUCextrap of omeprazole was reported.
Percentage Extrapolation for AUC0-inf (%AUCextrap): WarfarinPeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)%AUCextrap of Warfarin was reported.
Apparent Systemic Clearance (CL/F): CaffeinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)CL/F for caffeine was reported.
Apparent Systemic Clearance (CL/F): OmeprazolePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)CL/F of omeprazole was reported.
Apparent Systemic Clearance (CL/F): WarfarinPeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)CL/F of warfarin was reported.
Apparent Systemic Clearance (CL/F): PirtobrutinibPeriod 2, Day 15 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, and 192 hours postdose)CL/F of Pirtobrutinib was reported.
Maximum Observed Plasma Concentration (Cmax): CaffeinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)Cmax of caffeine was reported.
Maximum Observed Plasma Concentration (Cmax): ParaxanthinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)Cmax of Paraxanthine was reported.
Maximum Observed Plasma Concentration (Cmax): OmeprazolePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)Cmax of omeprazole was reported.
Mean Residence Time (MRT): ParaxanthinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)MRT of Paraxanthine was reported.
Maximum Observed Plasma Concentration (Cmax): WarfarinPeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)Cmax of warfarin was reported.
Maximum Observed Plasma Concentration (Cmax): PirtobrutinibPeriod 2, Day 15 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, and 192 hours postdose)Cmax of Pirtobrutinib was reported.
Time to Maximum Observed Plasma Concentration (Tmax): CaffeinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)Tmax of caffeine was reported.
Time to Maximum Observed Plasma Concentration (Tmax): ParaxanthinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)Tmax of Paraxanthine was reported.
Time to Maximum Observed Plasma Concentration (Tmax): OmeprazolePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)Tmax of omeprazole was reported.
Time to Maximum Observed Plasma Concentration (Tmax): WarfarinPeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)Tmax of warfarin was reported.
Time to Maximum Observed Plasma Concentration (Tmax): PirtobrutinibPeriod 2, Day 15 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, and 192 hours postdose)Tmax of Pirtobrutinib was reported.
Apparent Terminal Elimination Rate Constant (λZ): CaffeinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)λZ of caffeine was reported.
Apparent Terminal Elimination Rate Constant (λZ): ParaxanthinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)λZ of Paraxanthine was reported.
Apparent Terminal Elimination Rate Constant (λZ): OmeprazolePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)λZ of omeprazole was reported.
Apparent Terminal Elimination Rate Constant (λZ): WarfarinPeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)λZ of warfarin was reported.
Apparent Volume of Distribution at Terminal Phase (Vz/F): CaffeinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)Vz/F of caffeine was reported.
Apparent Volume of Distribution at Terminal Phase (Vz/F): OmeprazolePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)Vz/F of omeprazole was reported.
Apparent Volume of Distribution at Terminal Phase (Vz/F): WarfarinPeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)Vz/F of Warfarin was reported.
Metabolite to Parent Drug AUC Ratio (MRAUC): AUC Ratio of Paraxanthine to CaffeinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)AUC Ratio of paraxanthine (Metabolite) to caffeine (Parent drug) was reported.
Mean Residence Time (MRT): CaffeinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)MRT of caffeine was reported.
Mean Residence Time (MRT): OmeprazolePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)MRT of omeprazole was reported.
Mean Residence Time (MRT): WarfarinPeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)MRT of warfarin was reported.
Apparent Terminal Elimination Half-Life (t1/2): CaffeinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)t1/2 of caffeine was reported.
Apparent Terminal Elimination Half-Life (t1/2): ParaxanthinePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)t1/2 of Paraxanthine was reported.
Apparent Terminal Elimination Half-Life (t1/2): OmeprazolePeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)t1/2 of omeprazole was reported.
Apparent Terminal Elimination Half-Life (t1/2): WarfarinPeriod 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)t1/2 of warfarin was reported.

Countries

United States

Participant flow

Participants by arm

ArmCount
Overall Study Participants
* Period 1: Participants received 200 milligrams (mg) caffeine tablet, 40 mg omeprazole capsule, and 10 mg warfarin tablet as a single dose of probe drug cocktail, along with 10 mg vitamin K tablet on Day 1. * Period 2: Participants received oral dose of 200 mg Pirtobrutinib once daily (QD) from Day 6 to Day 19. On Day 15, Pirtobrutinib was co-administered with 200 mg caffeine tablet, 40 mg omeprazole capsule, and 10 mg warfarin tablet as a single dose of probe drug cocktail, along with 10 mg vitamin K tablet. * There was a 5-day washout period between the probe drug cocktail on Day 1 (Period 1) and the first dose of Pirtobrutinib on Day 6 (Period 2).
16
Total16

Baseline characteristics

CharacteristicOverall Study Participants
Age, Continuous39.1 years
STANDARD_DEVIATION 9.46
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 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
7 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
9 Participants
Region of Enrollment
United States
16 participants
Sex: Female, Male
Female
4 Participants
Sex: Female, Male
Male
12 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
3 / 168 / 161 / 16
serious
Total, serious adverse events
0 / 160 / 160 / 16

Outcome results

Primary

Apparent Systemic Clearance (CL/F): Caffeine

CL/F for caffeine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Systemic Clearance (CL/F): Caffeine4.70 Liter per hour (L/h)Geometric Coefficient of Variation 39.7
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Systemic Clearance (CL/F): Caffeine5.00 Liter per hour (L/h)Geometric Coefficient of Variation 37.5
Primary

Apparent Systemic Clearance (CL/F): Omeprazole

CL/F of omeprazole was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Systemic Clearance (CL/F): Omeprazole20.0 L/hGeometric Coefficient of Variation 101
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Systemic Clearance (CL/F): Omeprazole12.8 L/hGeometric Coefficient of Variation 61.6
Primary

Apparent Systemic Clearance (CL/F): Pirtobrutinib

CL/F of Pirtobrutinib was reported.

Time frame: Period 2, Day 15 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, and 192 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Systemic Clearance (CL/F): Pirtobrutinib1.68 L/hGeometric Coefficient of Variation 24.4
Primary

Apparent Systemic Clearance (CL/F): Warfarin

CL/F of warfarin was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Systemic Clearance (CL/F): Warfarin0.497 L/hGeometric Coefficient of Variation 21.1
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Systemic Clearance (CL/F): Warfarin0.447 L/hGeometric Coefficient of Variation 21.9
Primary

Apparent Terminal Elimination Half-Life (t1/2): Caffeine

t1/2 of caffeine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Terminal Elimination Half-Life (t1/2): Caffeine5.96 hour (h)Geometric Coefficient of Variation 37.8
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Terminal Elimination Half-Life (t1/2): Caffeine5.47 hour (h)Geometric Coefficient of Variation 34.6
Primary

Apparent Terminal Elimination Half-Life (t1/2): Omeprazole

t1/2 of omeprazole was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Terminal Elimination Half-Life (t1/2): Omeprazole1.13 hour (h)Geometric Coefficient of Variation 48.4
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Terminal Elimination Half-Life (t1/2): Omeprazole1.20 hour (h)Geometric Coefficient of Variation 37.2
Primary

Apparent Terminal Elimination Half-Life (t1/2): Paraxanthine

t1/2 of Paraxanthine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed. Here 'overall number of participants analyzed' signifies participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Terminal Elimination Half-Life (t1/2): Paraxanthine7.17 hour (h)Geometric Coefficient of Variation 24
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Terminal Elimination Half-Life (t1/2): Paraxanthine5.79 hour (h)Geometric Coefficient of Variation 21.8
Primary

Apparent Terminal Elimination Half-Life (t1/2): Warfarin

t1/2 of warfarin was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Terminal Elimination Half-Life (t1/2): Warfarin43.2 hour (h)Geometric Coefficient of Variation 17.1
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Terminal Elimination Half-Life (t1/2): Warfarin42.0 hour (h)Geometric Coefficient of Variation 16.4
Primary

Apparent Terminal Elimination Rate Constant (λZ): Caffeine

λZ of caffeine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_LEAST_SQUARES_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Terminal Elimination Rate Constant (λZ): Caffeine0.116 1/hour (1/h)Geometric Coefficient of Variation 37.8
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Terminal Elimination Rate Constant (λZ): Caffeine0.127 1/hour (1/h)Geometric Coefficient of Variation 34.6
Primary

Apparent Terminal Elimination Rate Constant (λZ): Omeprazole

λZ of omeprazole was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Terminal Elimination Rate Constant (λZ): Omeprazole0.611 1/hour (1/h)Geometric Coefficient of Variation 48.4
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Terminal Elimination Rate Constant (λZ): Omeprazole0.578 1/hour (1/h)Geometric Coefficient of Variation 37.2
Primary

Apparent Terminal Elimination Rate Constant (λZ): Paraxanthine

λZ of Paraxanthine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed. Here 'overall number of participants analyzed' signifies participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Terminal Elimination Rate Constant (λZ): Paraxanthine0.0966 1/hour (1/h)Geometric Coefficient of Variation 24
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Terminal Elimination Rate Constant (λZ): Paraxanthine0.120 1/hour (1/h)Geometric Coefficient of Variation 21.8
Primary

Apparent Terminal Elimination Rate Constant (λZ): Warfarin

λZ of warfarin was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Terminal Elimination Rate Constant (λZ): Warfarin0.0160 1/hour (1/h)Geometric Coefficient of Variation 17.1
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Terminal Elimination Rate Constant (λZ): Warfarin0.0165 1/hour (1/h)Geometric Coefficient of Variation 16.4
Primary

Apparent Volume of Distribution at Terminal Phase (Vz/F): Caffeine

Vz/F of caffeine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Volume of Distribution at Terminal Phase (Vz/F): Caffeine40.4 Litre (L)Geometric Coefficient of Variation 16.8
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Volume of Distribution at Terminal Phase (Vz/F): Caffeine39.4 Litre (L)Geometric Coefficient of Variation 18.1
Primary

Apparent Volume of Distribution at Terminal Phase (Vz/F): Omeprazole

Vz/F of omeprazole was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Volume of Distribution at Terminal Phase (Vz/F): Omeprazole32.8 Litre (L)Geometric Coefficient of Variation 45.7
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Volume of Distribution at Terminal Phase (Vz/F): Omeprazole22.2 Litre (L)Geometric Coefficient of Variation 33.6
Primary

Apparent Volume of Distribution at Terminal Phase (Vz/F): Warfarin

Vz/F of Warfarin was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)

Population: All participants who received a dose of study drug had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailApparent Volume of Distribution at Terminal Phase (Vz/F): Warfarin31.0 Litre (L)Geometric Coefficient of Variation 18.4
Period 2: Pirtobrutinib + Probe Drug CocktailApparent Volume of Distribution at Terminal Phase (Vz/F): Warfarin27.1 Litre (L)Geometric Coefficient of Variation 21
Primary

Area Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): Caffeine

AUC from hour 0 extrapolated to infinity (AUC0-inf) of Caffeine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): Caffeine42600 h*ng/mLGeometric Coefficient of Variation 39.7
Period 2: Pirtobrutinib + Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): Caffeine40000 h*ng/mLGeometric Coefficient of Variation 37.5
Primary

Area Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): Omeprazole

AUC0-inf of omeprazole was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)

Population: All participants who received a dose of study drug had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): Omeprazole2000 h*ng/mLGeometric Coefficient of Variation 101
Period 2: Pirtobrutinib + Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): Omeprazole3120 h*ng/mLGeometric Coefficient of Variation 61.6
Primary

Area Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): Paraxanthine

AUC0-inf of Paraxanthine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed. Here 'overall number of participants analyzed' signifies participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): Paraxanthine23100 h*ng/mLGeometric Coefficient of Variation 10.1
Period 2: Pirtobrutinib + Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): Paraxanthine20300 h*ng/mLGeometric Coefficient of Variation 17.4
Primary

Area Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): Warfarin

AUC0-inf of Warfarin was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): Warfarin20100 h*ng/mLGeometric Coefficient of Variation 21.1
Period 2: Pirtobrutinib + Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 Extrapolated to Infinity (AUC0-inf): Warfarin22400 h*ng/mLGeometric Coefficient of Variation 21.9
Primary

Area Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Caffeine

Area under the concentration time curve (AUC) from hour 0 to 24 hours post-dose (AUC0-24) of caffeine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Caffeine39100 hour*nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 31.8
Period 2: Pirtobrutinib + Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Caffeine37400 hour*nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 31.8
Primary

Area Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Omeprazole

AUC0-24 of Omeprazole was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Omeprazole2000 h*ng/mLGeometric Coefficient of Variation 100.9
Period 2: Pirtobrutinib + Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Omeprazole3120 h*ng/mLGeometric Coefficient of Variation 61.6
Primary

Area Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Paraxanthine

AUC0-24 of Paraxanthine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed. Here 'overall number of participants analyzed' signifies participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Paraxanthine20600 h*ng/mLGeometric Coefficient of Variation 12.1
Period 2: Pirtobrutinib + Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Paraxanthine18600 h*ng/mLGeometric Coefficient of Variation 17.7
Primary

Area Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Pirtobrutinib

AUC0-24 of Pirtobrutinib was reported.

Time frame: Period 2, Day 15 (0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours Post dose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Pirtobrutinib119000 h*ng/mLGeometric Coefficient of Variation 24.4
Primary

Area Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Warfarin

AUC(0-24) of Warfarin was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Warfarin7320 h*ng/mLGeometric Coefficient of Variation 19.7
Period 2: Pirtobrutinib + Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to 24 Hours Post-Dose (AUC0-24): Warfarin7880 h*ng/mLGeometric Coefficient of Variation 18.3
Primary

Area Under the Concentration-time Curve (AUC), From Hour 0 to the Last Measurable Concentration (AUC0-t): Caffeine

AUC from hour 0 to the last measurable concentration (AUC0-t) of caffeine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration-time Curve (AUC), From Hour 0 to the Last Measurable Concentration (AUC0-t): Caffeine39100 h*ng/mLGeometric Coefficient of Variation 31.8
Period 2: Pirtobrutinib + Probe Drug CocktailArea Under the Concentration-time Curve (AUC), From Hour 0 to the Last Measurable Concentration (AUC0-t): Caffeine37400 h*ng/mLGeometric Coefficient of Variation 31.7
Primary

Area Under the Concentration Time Curve (AUC) From Hour 0 to the Last Measurable Concentration (AUC0-t): Omeprazole

AUC0-t of Omeprazole was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to the Last Measurable Concentration (AUC0-t): Omeprazole1990 h*ng/mLGeometric Coefficient of Variation 101
Period 2: Pirtobrutinib + Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to the Last Measurable Concentration (AUC0-t): Omeprazole3110 h*ng/mLGeometric Coefficient of Variation 61.7
Primary

Area Under the Concentration-time Curve (AUC), From Hour 0 to the Last Measurable Concentration (AUC0-t): Paraxanthine

AUC0-t of Paraxanthine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration-time Curve (AUC), From Hour 0 to the Last Measurable Concentration (AUC0-t): Paraxanthine20600 h*ng/mLGeometric Coefficient of Variation 12.1
Period 2: Pirtobrutinib + Probe Drug CocktailArea Under the Concentration-time Curve (AUC), From Hour 0 to the Last Measurable Concentration (AUC0-t): Paraxanthine19400 h*ng/mLGeometric Coefficient of Variation 14
Primary

Area Under the Concentration Time Curve (AUC) From Hour 0 to the Last Measurable Concentration (AUC0-t): Pirtobrutinib

AUC0-t of Pirtobrutinib was reported.

Time frame: Period 2, Day 15 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, and 192 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to the Last Measurable Concentration (AUC0-t): Pirtobrutinib119000 h*ng/mLGeometric Coefficient of Variation 24.4
Primary

Area Under the Concentration Time Curve (AUC) From Hour 0 to the Last Measurable Concentration (AUC0-t): Warfarin

AUC0-t of Warfarin was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to the Last Measurable Concentration (AUC0-t): Warfarin17300 h*ng/mLGeometric Coefficient of Variation 19.1
Period 2: Pirtobrutinib + Probe Drug CocktailArea Under the Concentration Time Curve (AUC) From Hour 0 to the Last Measurable Concentration (AUC0-t): Warfarin19200 h*ng/mLGeometric Coefficient of Variation 20
Primary

Maximum Observed Plasma Concentration (Cmax): Caffeine

Cmax of caffeine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailMaximum Observed Plasma Concentration (Cmax): Caffeine5060 ng/mLGeometric Coefficient of Variation 17.6
Period 2: Pirtobrutinib + Probe Drug CocktailMaximum Observed Plasma Concentration (Cmax): Caffeine4990 ng/mLGeometric Coefficient of Variation 14.5
Primary

Maximum Observed Plasma Concentration (Cmax): Omeprazole

Cmax of omeprazole was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)

Population: All participants who received a dose of study drug had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailMaximum Observed Plasma Concentration (Cmax): Omeprazole901 ng/mLGeometric Coefficient of Variation 58
Period 2: Pirtobrutinib + Probe Drug CocktailMaximum Observed Plasma Concentration (Cmax): Omeprazole1350 ng/mLGeometric Coefficient of Variation 42.3
Primary

Maximum Observed Plasma Concentration (Cmax): Paraxanthine

Cmax of Paraxanthine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailMaximum Observed Plasma Concentration (Cmax): Paraxanthine1200 ng/mLGeometric Coefficient of Variation 14.3
Period 2: Pirtobrutinib + Probe Drug CocktailMaximum Observed Plasma Concentration (Cmax): Paraxanthine1150 ng/mLGeometric Coefficient of Variation 14.6
Primary

Maximum Observed Plasma Concentration (Cmax): Pirtobrutinib

Cmax of Pirtobrutinib was reported.

Time frame: Period 2, Day 15 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, and 192 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailMaximum Observed Plasma Concentration (Cmax): Pirtobrutinib9430 ng/mLGeometric Coefficient of Variation 24.6
Primary

Maximum Observed Plasma Concentration (Cmax): Warfarin

Cmax of warfarin was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailMaximum Observed Plasma Concentration (Cmax): Warfarin585 ng/mLGeometric Coefficient of Variation 26.1
Period 2: Pirtobrutinib + Probe Drug CocktailMaximum Observed Plasma Concentration (Cmax): Warfarin595 ng/mLGeometric Coefficient of Variation 25.2
Primary

Mean Residence Time (MRT): Caffeine

MRT of caffeine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailMean Residence Time (MRT): Caffeine8.58 hour (h)Geometric Coefficient of Variation 35.8
Period 2: Pirtobrutinib + Probe Drug CocktailMean Residence Time (MRT): Caffeine8.03 hour (h)Geometric Coefficient of Variation 30.9
Primary

Mean Residence Time (MRT): Omeprazole

MRT of omeprazole was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)

Population: All participants who received a dose of study drug had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailMean Residence Time (MRT): Omeprazole3.22 hour (h)Geometric Coefficient of Variation 32.4
Period 2: Pirtobrutinib + Probe Drug CocktailMean Residence Time (MRT): Omeprazole3.58 hour (h)Geometric Coefficient of Variation 20.1
Primary

Mean Residence Time (MRT): Paraxanthine

MRT of Paraxanthine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailMean Residence Time (MRT): Paraxanthine12.8 hour (h)Geometric Coefficient of Variation 18.3
Period 2: Pirtobrutinib + Probe Drug CocktailMean Residence Time (MRT): Paraxanthine10.9 hour (h)Geometric Coefficient of Variation 14.8
Primary

Mean Residence Time (MRT): Warfarin

MRT of warfarin was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)

Population: All participants who received a dose of study drug had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailMean Residence Time (MRT): Warfarin56.8 hour (h)Geometric Coefficient of Variation 18.9
Period 2: Pirtobrutinib + Probe Drug CocktailMean Residence Time (MRT): Warfarin57.9 hour (h)Geometric Coefficient of Variation 18.7
Primary

Metabolite to Parent Drug AUC Ratio (MRAUC): AUC Ratio of Paraxanthine to Caffeine

AUC Ratio of paraxanthine (Metabolite) to caffeine (Parent drug) was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailMetabolite to Parent Drug AUC Ratio (MRAUC): AUC Ratio of Paraxanthine to Caffeine0.528 RatioGeometric Coefficient of Variation 29.1
Period 2: Pirtobrutinib + Probe Drug CocktailMetabolite to Parent Drug AUC Ratio (MRAUC): AUC Ratio of Paraxanthine to Caffeine0.518 RatioGeometric Coefficient of Variation 27.8
Primary

Percentage Extrapolation for AUC0-inf (%AUCextrap): Caffeine

AUC0-inf (%AUCextrap) of caffeine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailPercentage Extrapolation for AUC0-inf (%AUCextrap): Caffeine5.20 percentage of AUCextrapGeometric Coefficient of Variation 130.6
Period 2: Pirtobrutinib + Probe Drug CocktailPercentage Extrapolation for AUC0-inf (%AUCextrap): Caffeine4.17 percentage of AUCextrapGeometric Coefficient of Variation 149.3
Primary

Percentage Extrapolation for AUC0-inf (%AUCextrap): Omeprazole

%AUCextrap of omeprazole was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailPercentage Extrapolation for AUC0-inf (%AUCextrap): Omeprazole0.421 percentage of AUCextrapGeometric Coefficient of Variation 84.3
Period 2: Pirtobrutinib + Probe Drug CocktailPercentage Extrapolation for AUC0-inf (%AUCextrap): Omeprazole0.302 percentage of AUCextrapGeometric Coefficient of Variation 97.8
Primary

Percentage Extrapolation for AUC0-inf (%AUCextrap): Paraxanthine

AUC0-inf (%AUCextrap) of Paraxanthine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed. Here 'overall number of participants analyzed' signifies participants with available data for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailPercentage Extrapolation for AUC0-inf (%AUCextrap): Paraxanthine12.0 percentage of AUCextrapGeometric Coefficient of Variation 58.3
Period 2: Pirtobrutinib + Probe Drug CocktailPercentage Extrapolation for AUC0-inf (%AUCextrap): Paraxanthine7.45 percentage of AUCextrapGeometric Coefficient of Variation 63.6
Primary

Percentage Extrapolation for AUC0-inf (%AUCextrap): Warfarin

%AUCextrap of Warfarin was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Period 1: Probe Drug CocktailPercentage Extrapolation for AUC0-inf (%AUCextrap): Warfarin13.1 percentage of AUCextrapGeometric Coefficient of Variation 33.5
Period 2: Pirtobrutinib + Probe Drug CocktailPercentage Extrapolation for AUC0-inf (%AUCextrap): Warfarin13.4 percentage of AUCextrapGeometric Coefficient of Variation 32.7
Primary

Time to Maximum Observed Plasma Concentration (Tmax): Caffeine

Tmax of caffeine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (MEDIAN)
Period 1: Probe Drug CocktailTime to Maximum Observed Plasma Concentration (Tmax): Caffeine0.500 hour (h)
Period 2: Pirtobrutinib + Probe Drug CocktailTime to Maximum Observed Plasma Concentration (Tmax): Caffeine0.750 hour (h)
Primary

Time to Maximum Observed Plasma Concentration (Tmax): Omeprazole

Tmax of omeprazole was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours postdose)

Population: All participants who received a dose of study drug had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (MEDIAN)
Period 1: Probe Drug CocktailTime to Maximum Observed Plasma Concentration (Tmax): Omeprazole2.00 hour (h)
Period 2: Pirtobrutinib + Probe Drug CocktailTime to Maximum Observed Plasma Concentration (Tmax): Omeprazole2.50 hour (h)
Primary

Time to Maximum Observed Plasma Concentration (Tmax): Paraxanthine

Tmax of Paraxanthine was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (MEDIAN)
Period 1: Probe Drug CocktailTime to Maximum Observed Plasma Concentration (Tmax): Paraxanthine10.0 hour (h)
Period 2: Pirtobrutinib + Probe Drug CocktailTime to Maximum Observed Plasma Concentration (Tmax): Paraxanthine8.01 hour (h)
Primary

Time to Maximum Observed Plasma Concentration (Tmax): Pirtobrutinib

Tmax of Pirtobrutinib was reported.

Time frame: Period 2, Day 15 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, and 192 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (MEDIAN)
Period 1: Probe Drug CocktailTime to Maximum Observed Plasma Concentration (Tmax): Pirtobrutinib2.50 hour (h)
Primary

Time to Maximum Observed Plasma Concentration (Tmax): Warfarin

Tmax of warfarin was reported.

Time frame: Period 1, Day 1 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose); Period 2, Day 15 (Predose and 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours postdose)

Population: All participants who received a dose of study drug, had at least 1 quantifiable plasma concentration, and for whom at least 1 PK parameter could be computed.

ArmMeasureValue (MEDIAN)
Period 1: Probe Drug CocktailTime to Maximum Observed Plasma Concentration (Tmax): Warfarin1.50 hour (h)
Period 2: Pirtobrutinib + Probe Drug CocktailTime to Maximum Observed Plasma Concentration (Tmax): Warfarin1.50 hour (h)

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