Healthy
Conditions
Keywords
Evobrutinib, Pharmacokinetics, Relative Bioavailability, Crossover
Brief summary
The main purpose of the study is to compare the Pharmacokinetics (PK), safety and tolerability of different manufacturing batches of M2951 tablet formulation relative to a reference batch under fasted conditions in healthy participants.
Interventions
Participants will receive single dose of Treatment A in treatment period 1, 2, 3 or 4 under fasted conditions.
Participants will receive single dose of Treatment B in treatment period 1, 2, 3 or 4 under fasted conditions.
Participants will receive single dose of Treatment C in treatment period 1, 2, 3 or 4 under fasted conditions.
Participants will receive single dose of Treatment D in treatment period 1, 2, 3 or 4 under fasted conditions.
Sponsors
Study design
Eligibility
Inclusion criteria
* Participants who are overtly healthy as determined by medical evaluation, including no clinically significant abnormality identified on physical examination or laboratory evaluation and no active clinically significant disorder, condition, infection, or disease that would pose a risk to participant safety or interfere with the study evaluation, procedures, or completion * Participants who have a body weight within 50.0 and 100.0 kilogram (kg) (inclusive) and Body Mass Index within the range 19.0 and 30.0 kg/ meter square (m2) (inclusive) * Female participant who agrees to use appropriate contraception and barrier methods. * Male participants: No contraception needed * Participants who are capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the ICF and this protocol * Participants who are stable non-smokers for at least 3 months preceding Screening * Other protocol defined inclusion criteria could apply
Exclusion criteria
* Participants with history or presence of clinically relevant respiratory, gastrointestinal, renal, hepatic, hematological, lymphatic, neurological, cardiovascular, musculoskeletal, genitourinary, immunological, dermatological, connective tissue, psychiatric (due to rare risk of hallucinations, agitation and activation of psychosis), and other diseases or disorders, and epilepsy, as determined by medical evaluation * Participants with diagnosis of hemochromatosis, Wilson´s disease, alpha 1 antitrypsin deficiency, or any other chronic liver disease including Gilbert's disease will be excluded from the study * Participants with prior history of cholecystectomy or splenectomy, and any clinically relevant surgery within 6 months prior to the first administration of study intervention * Participants with history of any malignancy * Participants with history of seizures * Participants with history of pharmacologically treated psychiatric disease * Participants with history of chronic or recurrent acute infection or any bacterial, viral, parasitic or fungal infections within 30 days prior to Screening and at any time between Screening and admission, or hospitalization due to infection within 6 months prior to the first administration of study intervention * Participants with history of shingles within 12 months prior to Screening * Participants with history of drug hypersensitivity * Participants with history of residential exposure to tuberculosis, or a positive QuantiFERON® test within 4 weeks prior to or at the time of Screening * Participants positive for 1. hepatitis B surface antigen, hepatitis B core antibody, hepatitis C antibody, or Human Immunodeficiency Virus (HIV) I and II tests at Screening 2. severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) at Screening and Day -1 * Participants with any condition, including findings in the laboratory tests, medical history (example heart failure, hypokalemia, family history of Long QT Syndrome), or other Screening assessments, that in the opinion of the Investigator constitutes an inappropriate risk or a contraindication for participation in the study or that could interfere with the study's objectives, conduct, or evaluation * Participants with history of administration of live vaccines or live-attenuated virus vaccines within 3 months prior to Day 1. * Participants with history of administration of other types of vaccines is allowed until 14 days before the first administration of study intervention, thereafter it is prohibited until the end of the study. * Participants with Moderate or strong inhibitors or inducers of Cytochrome P450 3A4 (CYP3A4)/5 or Pgp within 4 weeks prior to the first administration of study intervention * Participants with use of any prescribed medicine or over-the-counter drug or dietary supplement, including herbal remedies, vitamins, and minerals, antacids and dietary supplements such as fish oils within 2 weeks or 5 times the half-life of the respective drug, whichever is longer, prior to the first administration of study intervention * Participants with use of any investigational drug in any clinical study within 60 days prior to Day 1 administration, or have used an experimental monoclonal antibody within the past 1 year prior to Day 1, or have participated in a study evaluating a Bruton Tyrosine Kinase (BTK) inhibitor within 60 days, or are on extended follow-up in a clinical study, even if last administration of a study intervention was more than 60 days ago, or 5 half-lives of the investigational drug, whichever is longer, prior to the first administration of study intervention * Participants with a medical history and physical examination results that include any ongoing clinically relevant findings as judged by the Investigator * Participants with clinically relevant findings (excluding minor, not clinically relevant excursions from normal ranges, as judged by the Investigator) at Screening in biochemistry, hematology, coagulation, and urinalysis examinations for the age of the participant, as judged by the Investigator: * Alanine aminotransferase, aspartate aminotransferase: above upper limit of normal (ULN) * Creatinine: above normal limits * Absolute lymphocyte count, absolute neutrophil count: below limit of reference range. * Amylase and lipase above normal ranges; minor deviations are allowed, if not clinically relevant. * Participants with estimated glomerular rate (eGFR) according to the Chronic Kidney Disease Epidemiology Collaboration Creatinine Equation (2009) \< 90 milliliters/minute(mL/min) at Screening. In case of a borderline result between ≥ 80 and \< 90 mL/min, Cystatin C will be determined in addition, and the participant will only be included if the Cystatin C value is below the upper limit of normal * Participants with semi-supine systolic blood pressure \> 140 mmHg or \< 90 millimeters of mercury (mmHg), diastolic blood pressure \> 90 mmHg or \< 50 mmHg, and pulse rate \> 90 or \< 50 beats per minute (bpm) at Screening. * Participants with consumption of alcohol from 48 hours prior to first administration of study intervention. * Other protocol defined
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Evobrutinib | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7 | AUC0-inf was calculated by combining AUC0-t and AUCextra. AUCextra represents an extrapolated value obtained by Clast pred/Lambda z, where Clast pred was the calculated plasma concentration at the last sampling time point at which the measured plasma concentration is at or above the Lower Limit of quantification (LLOQ) and Lambda z was the apparent terminal rate constant determined by log-linear regression analysis of the measured plasma concentrations of the terminal log-linear phase. |
| Maximum Observed Plasma Concentration (Cmax) of Evobrutinib | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7 | Cmax was obtained directly from the concentration versus time curve. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood Pressure | Baseline (Pre-dose), 2 hours post-dose | Diastolic blood pressure and systolic blood pressure were measured after at least 5 minutes of rest for the participant in a quiet sitting without distractions. |
| Change From Baseline in Vital Signs: Temperature | Baseline (Pre-dose), 2 hours post-dose | Temperature was measured after at least 5 minutes of rest for the participant in a quiet sitting without distractions. |
| Change From Baseline in Vital Signs: Pulse Rate | Baseline (Pre-dose), 2 hours post-dose | Pulse rate was measured after at least 5 minutes of rest for the participant in a quiet sitting without distractions. |
| Change From Baseline in Vital Signs: Respiratory Rate | Baseline (Pre-dose), 2 hours post-dose | Respiratory rate was measured after at least 5 minutes of rest for the participant in a quiet sitting without distractions. |
| Change From Baseline in Electrocardiograms (ECGs) Parameter: Heart Rate | Baseline (Pre-dose), 2 hours post-dose | Heart rate was measured after at least 5 minutes of rest for the participant in a quiet sitting without distractions |
| Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | Baseline (Pre-dose), 2 hours post-dose | RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration was measured after at least 5 minutes of rest for the participant in a quiet sitting without distractions. |
| Number of Participants With Treatment- Emergent Adverse Events (TEAEs) | Up to 34 days | An adverse event (AE) is defined as any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether considered related to the study intervention or not. A serious AE was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. TEAEs were defined as events with onset date or worsening during the on-treatment period. TEAEs included both serious and non-serious TEAEs. |
| Area Under the Plasma Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Evobrutinib | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7 | The AUC from time zero (= dosing time) to the last sampling time (tlast) at which the concentration is at or above the lower limit of quantification (LLOQ). Calculated using the mixed log-linear trapezoidal rule (linear up, log down). |
| Time to Reach Maximum Observed Plasma Concentration (Tmax) of Evobrutinib | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7 | Time to reach the maximum observed plasma concentration (Tmax) was obtained directly from the concentration versus time curve. |
| Terminal Half Life (T1/2) of Evobrutinib | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7 | Terminal half-life was calculated as log2 divided by lambda z. Lambda z was terminal elimination rate constant determined from the terminal slope of the log-transformed plasma concentration curve. |
| Apparent Total Body Clearance (CL/f) of Evobrutinib | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7 | Apparent total body clearance of drug from plasma following extravascular administration, calculated as dose/AUC0-infinity for Evobrutinib. |
| Apparent Volume of Distribution During Terminal Phase (VZ/f) of Evobrutinib | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7 | Vz/f is defined as the apparent volume of distribution during the terminal phase following extravascular administration for Evobrutinib. |
| Relative Bioavailability Based on Area Under the Plasma Concentration Curve From Time Zero Extrapolated to Infinity [Frel(AUC0-inf)] of Evobrutinib (Treatment B, C and D) Compared to Evobrutinib Reference Treatment A | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7 | Relative Bioavailability in percentage of each treatment (B, C, and D) in relation to the reference Treatment (A) was calculated as Frel = 100 multiplied by (AUC0-inf \[treatment B, C, D\]) multiplied by Dose \[treatment A\] divided by (AUC0-inf \[treatment A\]) multiplied by Dose \[treatment B, C, D\]. Treatment A to determine relative bioavailability. |
| Number of Participants With Clinically Significant Changes in Laboratory Parameters | Screening up to Day 8 | Laboratory investigation included hematology, biochemistry and urinalysis. The number of participants with clinically significant changes from baseline in laboratory parameters were reported. Clinical significance was determined by the investigator. |
| Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity | Up to 34 days | The Investigator assessed the severity of each AE and SAE reported during the study and assign it to one of the following categories: Mild: An event that is easily tolerated by the participant, causing minimal discomfort and not interfering with everyday activities; Moderate: An event that causes sufficient discomfort and interferes with normal everyday activities; Severe: An event that prevents normal everyday activities. Do not confuse an AE that is assessed as severe with a SAE. Severe is a category used to rate the intensity of an event; both AEs and SAEs can be assessed as severe. |
Countries
Germany
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Sequence 1: Treatment A-B-C-D Participants received single oral dose of reference treatment (treatment A) of Evobrutinib (45 milligrams \[mg\]) on Day 1 in period 1, followed by single oral dose of lower dissolution bound batch (treatment B) of Evobrutinib (45 mg) on Day 3 in period 2, followed by single oral dose of upper dissolution bound batch (treatment C) of Evobrutinib (45 mg) on Day 5 in period 3 and followed by single oral dose of hammer milled batch (treatment D) of Evobrutinib (45 mg) on Day 7 under fasted condition in period 4. A washout period of 48 hours was maintained between 4 treatment periods. | 7 |
| Sequence 2: Treatment B-D-A-C Participants received single oral dose of lower dissolution bound batch (treatment B) of Evobrutinib (45 mg) on Day 1 in period 1, followed by single oral dose of hammer milled batch (treatment D) of Evobrutinib (45 mg) on Day 3 in period 2, followed by single oral dose of reference treatment (treatment A) of Evobrutinib (45 (mg) on Day 5 in period 3 and followed by single oral dose of upper dissolution bound batch (treatment C) of Evobrutinib (45 mg) on Day 7 under fasted condition in period 4. A washout period of 48 hours was maintained between 4 treatment periods. | 7 |
| Sequence 3: Treatment C-A-D-B Participants received single oral dose of upper dissolution bound batch (treatment C) of Evobrutinib (45 mg) on Day 1 in period 1, followed by single oral dose of reference treatment (treatment A) of Evobrutinib (45 (mg) on Day 3 in period 2, followed by single oral dose of hammer milled batch (treatment D) of Evobrutinib (45 mg) on Day 5 in period 3 and followed by single oral dose of lower dissolution bound batch (treatment B) of Evobrutinib (45 mg) on Day 7 under fasted condition in period 4. A washout period of 48 hours was maintained between 4 treatment periods. | 7 |
| Sequence 4: Treatment D-C-B-A Participants received single oral dose of hammer milled batch (treatment D) of Evobrutinib (45 mg) on Day 1 in period 1, followed by single oral dose of upper dissolution bound batch (treatment C) of Evobrutinib (45 mg) on Day 3 in period 2, followed by single oral dose of lower dissolution bound batch (treatment B) of Evobrutinib (45 mg) on Day 5 in period 3 and followed by single oral dose of reference treatment (treatment A) of Evobrutinib (45 (mg) on Day 7 under fasted condition in period 4. A washout period of 48 hours was maintained between 4 treatment periods. | 7 |
| Total | 28 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Overall Study | Adverse Event | 0 | 0 | 1 | 0 |
| Overall Study | DROPPED OUT ON DAY 5; PRIVATE REASONS | 0 | 1 | 0 | 0 |
Baseline characteristics
| Characteristic | Total | Sequence 1: Treatment A-B-C-D | Sequence 2: Treatment B-D-A-C | Sequence 3: Treatment C-A-D-B | Sequence 4: Treatment D-C-B-A |
|---|---|---|---|---|---|
| Age, Continuous | 35 Years STANDARD_DEVIATION 9.9 | 30 Years STANDARD_DEVIATION 5.6 | 37 Years STANDARD_DEVIATION 10.1 | 37 Years STANDARD_DEVIATION 12.8 | 35 Years STANDARD_DEVIATION 10.4 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 27 Participants | 7 Participants | 6 Participants | 7 Participants | 7 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 28 Participants | 7 Participants | 7 Participants | 7 Participants | 7 Participants |
| Sex: Female, Male Female | 17 Participants | 4 Participants | 5 Participants | 3 Participants | 5 Participants |
| Sex: Female, Male Male | 11 Participants | 3 Participants | 2 Participants | 4 Participants | 2 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 26 | 0 / 27 | 0 / 27 | 0 / 27 |
| other Total, other adverse events | 2 / 26 | 1 / 27 | 1 / 27 | 5 / 27 |
| serious Total, serious adverse events | 0 / 26 | 0 / 27 | 1 / 27 | 0 / 27 |
Outcome results
Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Evobrutinib
AUC0-inf was calculated by combining AUC0-t and AUCextra. AUCextra represents an extrapolated value obtained by Clast pred/Lambda z, where Clast pred was the calculated plasma concentration at the last sampling time point at which the measured plasma concentration is at or above the Lower Limit of quantification (LLOQ) and Lambda z was the apparent terminal rate constant determined by log-linear regression analysis of the measured plasma concentrations of the terminal log-linear phase.
Time frame: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7
Population: Pharmacokinetic (PK) Analysis Set was a subset of the Safety Analysis Set and included all participants who receive at least one dose of active investigational medicinal product (IMP) and provide at least one measurable post-dose concentration.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Treatment A | Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Evobrutinib | 198 hour×nanogram per milliliter (h×ng/mL) | Geometric Coefficient of Variation 44 |
| Treatment B | Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Evobrutinib | 164 hour×nanogram per milliliter (h×ng/mL) | Geometric Coefficient of Variation 45.1 |
| Treatment C | Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Evobrutinib | 207 hour×nanogram per milliliter (h×ng/mL) | Geometric Coefficient of Variation 44.6 |
| Treatment D | Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Evobrutinib | 205 hour×nanogram per milliliter (h×ng/mL) | Geometric Coefficient of Variation 38.3 |
Maximum Observed Plasma Concentration (Cmax) of Evobrutinib
Cmax was obtained directly from the concentration versus time curve.
Time frame: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7
Population: Pharmacokinetic (PK) Analysis Set was a subset of the Safety Analysis Set and included all participants who receive at least one dose of active investigational medicinal product (IMP) and provide at least one measurable post-dose concentration.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Treatment A | Maximum Observed Plasma Concentration (Cmax) of Evobrutinib | 111 nanogram per milliliter (ng/mL) | Geometric Coefficient of Variation 69.9 |
| Treatment B | Maximum Observed Plasma Concentration (Cmax) of Evobrutinib | 84.5 nanogram per milliliter (ng/mL) | Geometric Coefficient of Variation 71.9 |
| Treatment C | Maximum Observed Plasma Concentration (Cmax) of Evobrutinib | 117 nanogram per milliliter (ng/mL) | Geometric Coefficient of Variation 62.6 |
| Treatment D | Maximum Observed Plasma Concentration (Cmax) of Evobrutinib | 121 nanogram per milliliter (ng/mL) | Geometric Coefficient of Variation 64.7 |
Apparent Total Body Clearance (CL/f) of Evobrutinib
Apparent total body clearance of drug from plasma following extravascular administration, calculated as dose/AUC0-infinity for Evobrutinib.
Time frame: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7
Population: Pharmacokinetic (PK) Analysis Set was a subset of the Safety Analysis Set and included all participants who receive at least one dose of active investigational medicinal product (IMP) and provide at least one measurable post-dose concentration.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Treatment A | Apparent Total Body Clearance (CL/f) of Evobrutinib | 227 Liter per hour | Geometric Coefficient of Variation 44 |
| Treatment B | Apparent Total Body Clearance (CL/f) of Evobrutinib | 275 Liter per hour | Geometric Coefficient of Variation 45.1 |
| Treatment C | Apparent Total Body Clearance (CL/f) of Evobrutinib | 217 Liter per hour | Geometric Coefficient of Variation 44.6 |
| Treatment D | Apparent Total Body Clearance (CL/f) of Evobrutinib | 219 Liter per hour | Geometric Coefficient of Variation 38.3 |
Apparent Volume of Distribution During Terminal Phase (VZ/f) of Evobrutinib
Vz/f is defined as the apparent volume of distribution during the terminal phase following extravascular administration for Evobrutinib.
Time frame: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7
Population: Pharmacokinetic (PK) Analysis Set was a subset of the Safety Analysis Set and included all participants who receive at least one dose of active investigational medicinal product (IMP) and provide at least one measurable post-dose concentration.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Treatment A | Apparent Volume of Distribution During Terminal Phase (VZ/f) of Evobrutinib | 627 Liters | Geometric Coefficient of Variation 84.1 |
| Treatment B | Apparent Volume of Distribution During Terminal Phase (VZ/f) of Evobrutinib | 843 Liters | Geometric Coefficient of Variation 111.4 |
| Treatment C | Apparent Volume of Distribution During Terminal Phase (VZ/f) of Evobrutinib | 658 Liters | Geometric Coefficient of Variation 89.2 |
| Treatment D | Apparent Volume of Distribution During Terminal Phase (VZ/f) of Evobrutinib | 522 Liters | Geometric Coefficient of Variation 74.2 |
Area Under the Plasma Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Evobrutinib
The AUC from time zero (= dosing time) to the last sampling time (tlast) at which the concentration is at or above the lower limit of quantification (LLOQ). Calculated using the mixed log-linear trapezoidal rule (linear up, log down).
Time frame: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7
Population: Pharmacokinetic (PK) Analysis Set was a subset of the Safety Analysis Set and included all participants who receive at least one dose of active investigational medicinal product (IMP) and provide at least one measurable post-dose concentration.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Treatment A | Area Under the Plasma Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Evobrutinib | 194 h×ng/mL | Geometric Coefficient of Variation 44.5 |
| Treatment B | Area Under the Plasma Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Evobrutinib | 160 h×ng/mL | Geometric Coefficient of Variation 46.3 |
| Treatment C | Area Under the Plasma Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Evobrutinib | 204 h×ng/mL | Geometric Coefficient of Variation 45.1 |
| Treatment D | Area Under the Plasma Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Evobrutinib | 202 h×ng/mL | Geometric Coefficient of Variation 39.2 |
Change From Baseline in Electrocardiograms (ECGs) Parameter: Heart Rate
Heart rate was measured after at least 5 minutes of rest for the participant in a quiet sitting without distractions
Time frame: Baseline (Pre-dose), 2 hours post-dose
Population: Safety (SAF) analysis set included all participants, who were administered any dose of any study intervention.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment A | Change From Baseline in Electrocardiograms (ECGs) Parameter: Heart Rate | -4 beats per minute | Standard Deviation 6.1 |
| Treatment B | Change From Baseline in Electrocardiograms (ECGs) Parameter: Heart Rate | -2 beats per minute | Standard Deviation 4 |
| Treatment C | Change From Baseline in Electrocardiograms (ECGs) Parameter: Heart Rate | -2 beats per minute | Standard Deviation 6.6 |
| Treatment D | Change From Baseline in Electrocardiograms (ECGs) Parameter: Heart Rate | -1 beats per minute | Standard Deviation 4.7 |
Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration
RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration was measured after at least 5 minutes of rest for the participant in a quiet sitting without distractions.
Time frame: Baseline (Pre-dose), 2 hours post-dose
Population: Safety (SAF) analysis set included all participants, who were administered any dose of any study intervention.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Treatment A | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | PR Duration | -5 millisecond (msec) | Standard Deviation 7.8 |
| Treatment A | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | QT Duration | 9 millisecond (msec) | Standard Deviation 10.9 |
| Treatment A | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | QRS Duration | -0 millisecond (msec) | Standard Deviation 4.9 |
| Treatment A | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | QTcF Duration | 1 millisecond (msec) | Standard Deviation 11.8 |
| Treatment A | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | RR Duration | 52 millisecond (msec) | Standard Deviation 84.6 |
| Treatment B | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | QTcF Duration | 1 millisecond (msec) | Standard Deviation 9.5 |
| Treatment B | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | PR Duration | -1 millisecond (msec) | Standard Deviation 6.1 |
| Treatment B | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | QRS Duration | -1 millisecond (msec) | Standard Deviation 4.9 |
| Treatment B | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | QT Duration | 6 millisecond (msec) | Standard Deviation 9.8 |
| Treatment B | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | RR Duration | 36 millisecond (msec) | Standard Deviation 61.3 |
| Treatment C | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | QTcF Duration | 4 millisecond (msec) | Standard Deviation 8.9 |
| Treatment C | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | RR Duration | 44 millisecond (msec) | Standard Deviation 106.4 |
| Treatment C | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | QT Duration | 10 millisecond (msec) | Standard Deviation 10.7 |
| Treatment C | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | PR Duration | -0 millisecond (msec) | Standard Deviation 8 |
| Treatment C | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | QRS Duration | 1 millisecond (msec) | Standard Deviation 4.8 |
| Treatment D | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | PR Duration | 0 millisecond (msec) | Standard Deviation 5.8 |
| Treatment D | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | QT Duration | 4 millisecond (msec) | Standard Deviation 10.1 |
| Treatment D | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | RR Duration | 18 millisecond (msec) | Standard Deviation 70.3 |
| Treatment D | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | QTcF Duration | 2 millisecond (msec) | Standard Deviation 8.7 |
| Treatment D | Change From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS Duration | QRS Duration | -1 millisecond (msec) | Standard Deviation 4.6 |
Change From Baseline in Vital Signs: Pulse Rate
Pulse rate was measured after at least 5 minutes of rest for the participant in a quiet sitting without distractions.
Time frame: Baseline (Pre-dose), 2 hours post-dose
Population: Safety (SAF) analysis set included all participants, who were administered any dose of any study intervention.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment A | Change From Baseline in Vital Signs: Pulse Rate | -2 beats per minute | Standard Deviation 8.5 |
| Treatment B | Change From Baseline in Vital Signs: Pulse Rate | -1 beats per minute | Standard Deviation 8.6 |
| Treatment C | Change From Baseline in Vital Signs: Pulse Rate | -3 beats per minute | Standard Deviation 8.3 |
| Treatment D | Change From Baseline in Vital Signs: Pulse Rate | -2 beats per minute | Standard Deviation 7.3 |
Change From Baseline in Vital Signs: Respiratory Rate
Respiratory rate was measured after at least 5 minutes of rest for the participant in a quiet sitting without distractions.
Time frame: Baseline (Pre-dose), 2 hours post-dose
Population: Safety (SAF) analysis set included all participants, who were administered any dose of any study intervention.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment A | Change From Baseline in Vital Signs: Respiratory Rate | 0 breaths per minute | Standard Deviation 2.5 |
| Treatment B | Change From Baseline in Vital Signs: Respiratory Rate | -1 breaths per minute | Standard Deviation 2 |
| Treatment C | Change From Baseline in Vital Signs: Respiratory Rate | -1 breaths per minute | Standard Deviation 1.9 |
| Treatment D | Change From Baseline in Vital Signs: Respiratory Rate | -0 breaths per minute | Standard Deviation 2 |
Change From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood Pressure
Diastolic blood pressure and systolic blood pressure were measured after at least 5 minutes of rest for the participant in a quiet sitting without distractions.
Time frame: Baseline (Pre-dose), 2 hours post-dose
Population: Safety (SAF) analysis set included all participants, who were administered any dose of any study intervention.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Treatment A | Change From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood Pressure | Systolic Blood Pressure | 0 millimeters of mercury (mmHg) | Standard Deviation 10.4 |
| Treatment A | Change From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood Pressure | Diastolic Blood Pressure | -1 millimeters of mercury (mmHg) | Standard Deviation 5.8 |
| Treatment B | Change From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood Pressure | Diastolic Blood Pressure | -1 millimeters of mercury (mmHg) | Standard Deviation 5.8 |
| Treatment B | Change From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood Pressure | Systolic Blood Pressure | -1 millimeters of mercury (mmHg) | Standard Deviation 7.3 |
| Treatment C | Change From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood Pressure | Systolic Blood Pressure | -1 millimeters of mercury (mmHg) | Standard Deviation 6.9 |
| Treatment C | Change From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood Pressure | Diastolic Blood Pressure | 0 millimeters of mercury (mmHg) | Standard Deviation 6 |
| Treatment D | Change From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood Pressure | Systolic Blood Pressure | -1 millimeters of mercury (mmHg) | Standard Deviation 7 |
| Treatment D | Change From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood Pressure | Diastolic Blood Pressure | -1 millimeters of mercury (mmHg) | Standard Deviation 4.7 |
Change From Baseline in Vital Signs: Temperature
Temperature was measured after at least 5 minutes of rest for the participant in a quiet sitting without distractions.
Time frame: Baseline (Pre-dose), 2 hours post-dose
Population: Safety (SAF) analysis set included all participants, who were administered any dose of any study intervention.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment A | Change From Baseline in Vital Signs: Temperature | 0.2 degree Celsius | Standard Deviation 0.27 |
| Treatment B | Change From Baseline in Vital Signs: Temperature | 0.2 degree Celsius | Standard Deviation 0.34 |
| Treatment C | Change From Baseline in Vital Signs: Temperature | 0.0 degree Celsius | Standard Deviation 0.24 |
| Treatment D | Change From Baseline in Vital Signs: Temperature | 0.0 degree Celsius | Standard Deviation 0.27 |
Number of Participants With Clinically Significant Changes in Laboratory Parameters
Laboratory investigation included hematology, biochemistry and urinalysis. The number of participants with clinically significant changes from baseline in laboratory parameters were reported. Clinical significance was determined by the investigator.
Time frame: Screening up to Day 8
Population: Safety (SAF) analysis set included all participants, who were administered any dose of any study intervention.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment A | Number of Participants With Clinically Significant Changes in Laboratory Parameters | 0 Participants |
| Treatment B | Number of Participants With Clinically Significant Changes in Laboratory Parameters | 0 Participants |
| Treatment C | Number of Participants With Clinically Significant Changes in Laboratory Parameters | 0 Participants |
| Treatment D | Number of Participants With Clinically Significant Changes in Laboratory Parameters | 0 Participants |
Number of Participants With Treatment- Emergent Adverse Events (TEAEs)
An adverse event (AE) is defined as any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether considered related to the study intervention or not. A serious AE was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. TEAEs were defined as events with onset date or worsening during the on-treatment period. TEAEs included both serious and non-serious TEAEs.
Time frame: Up to 34 days
Population: Safety (SAF) analysis set included all participants, who were administered any dose of any study intervention.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment A | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) | 2 Participants |
| Treatment B | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) | 1 Participants |
| Treatment C | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) | 2 Participants |
| Treatment D | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) | 5 Participants |
Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity
The Investigator assessed the severity of each AE and SAE reported during the study and assign it to one of the following categories: Mild: An event that is easily tolerated by the participant, causing minimal discomfort and not interfering with everyday activities; Moderate: An event that causes sufficient discomfort and interferes with normal everyday activities; Severe: An event that prevents normal everyday activities. Do not confuse an AE that is assessed as severe with a SAE. Severe is a category used to rate the intensity of an event; both AEs and SAEs can be assessed as severe.
Time frame: Up to 34 days
Population: Safety (SAF) analysis set included all participants, who were administered any dose of any study intervention.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Treatment A | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity | Mild | 2 Participants |
| Treatment A | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity | Severe | 0 Participants |
| Treatment A | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity | Moderate | 0 Participants |
| Treatment B | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity | Mild | 0 Participants |
| Treatment B | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity | Severe | 0 Participants |
| Treatment B | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity | Moderate | 1 Participants |
| Treatment C | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity | Moderate | 1 Participants |
| Treatment C | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity | Mild | 0 Participants |
| Treatment C | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity | Severe | 1 Participants |
| Treatment D | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity | Mild | 4 Participants |
| Treatment D | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity | Severe | 0 Participants |
| Treatment D | Number of Participants With Treatment- Emergent Adverse Events (TEAEs) by Severity | Moderate | 1 Participants |
Relative Bioavailability Based on Area Under the Plasma Concentration Curve From Time Zero Extrapolated to Infinity [Frel(AUC0-inf)] of Evobrutinib (Treatment B, C and D) Compared to Evobrutinib Reference Treatment A
Relative Bioavailability in percentage of each treatment (B, C, and D) in relation to the reference Treatment (A) was calculated as Frel = 100 multiplied by (AUC0-inf \[treatment B, C, D\]) multiplied by Dose \[treatment A\] divided by (AUC0-inf \[treatment A\]) multiplied by Dose \[treatment B, C, D\]. Treatment A to determine relative bioavailability.
Time frame: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7
Population: Pharmacokinetic (PK) Analysis Set was a subset of the Safety Analysis Set and included all participants who receive at least one dose of active investigational medicinal product (IMP) and provide at least one measurable post-dose concentration.
| Arm | Measure | Value (GEOMETRIC_MEAN) |
|---|---|---|
| Treatment A | Relative Bioavailability Based on Area Under the Plasma Concentration Curve From Time Zero Extrapolated to Infinity [Frel(AUC0-inf)] of Evobrutinib (Treatment B, C and D) Compared to Evobrutinib Reference Treatment A | 84.0 percentage bioavailability |
| Treatment B | Relative Bioavailability Based on Area Under the Plasma Concentration Curve From Time Zero Extrapolated to Infinity [Frel(AUC0-inf)] of Evobrutinib (Treatment B, C and D) Compared to Evobrutinib Reference Treatment A | 105 percentage bioavailability |
| Treatment C | Relative Bioavailability Based on Area Under the Plasma Concentration Curve From Time Zero Extrapolated to Infinity [Frel(AUC0-inf)] of Evobrutinib (Treatment B, C and D) Compared to Evobrutinib Reference Treatment A | 106 percentage bioavailability |
Terminal Half Life (T1/2) of Evobrutinib
Terminal half-life was calculated as log2 divided by lambda z. Lambda z was terminal elimination rate constant determined from the terminal slope of the log-transformed plasma concentration curve.
Time frame: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7
Population: Pharmacokinetic (PK) Analysis Set was a subset of the Safety Analysis Set and included all participants who receive at least one dose of active investigational medicinal product (IMP) and provide at least one measurable post-dose concentration.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Treatment A | Terminal Half Life (T1/2) of Evobrutinib | 1.64 hours |
| Treatment B | Terminal Half Life (T1/2) of Evobrutinib | 1.78 hours |
| Treatment C | Terminal Half Life (T1/2) of Evobrutinib | 1.72 hours |
| Treatment D | Terminal Half Life (T1/2) of Evobrutinib | 1.37 hours |
Time to Reach Maximum Observed Plasma Concentration (Tmax) of Evobrutinib
Time to reach the maximum observed plasma concentration (Tmax) was obtained directly from the concentration versus time curve.
Time frame: Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose on Days 1, 3, 5 and 7
Population: Pharmacokinetic (PK) Analysis Set was a subset of the Safety Analysis Set and included all participants who receive at least one dose of active investigational medicinal product (IMP) and provide at least one measurable post-dose concentration.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Treatment A | Time to Reach Maximum Observed Plasma Concentration (Tmax) of Evobrutinib | 1.00 hours |
| Treatment B | Time to Reach Maximum Observed Plasma Concentration (Tmax) of Evobrutinib | 1.00 hours |
| Treatment C | Time to Reach Maximum Observed Plasma Concentration (Tmax) of Evobrutinib | 1.00 hours |
| Treatment D | Time to Reach Maximum Observed Plasma Concentration (Tmax) of Evobrutinib | 1.00 hours |