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Relative Bioavailability of Evobrutinib Tablet Batches

A Phase I, Open-Label Study of the Relative Bioavailability of Evobrutinib Tablet Manufacturing Batches in Healthy Participants

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07214922
Enrollment
28
Registered
2025-10-09
Start date
2023-01-18
Completion date
2023-02-24
Last updated
2025-12-23

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

Conditions

Healthy

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

DRUGTreatment A

Participants will receive single dose of Treatment A in treatment period 1, 2, 3 or 4 under fasted conditions.

DRUGTreatment B

Participants will receive single dose of Treatment B in treatment period 1, 2, 3 or 4 under fasted conditions.

DRUGTreatment C

Participants will receive single dose of Treatment C in treatment period 1, 2, 3 or 4 under fasted conditions.

DRUGTreatment D

Participants will receive single dose of Treatment D in treatment period 1, 2, 3 or 4 under fasted conditions.

Sponsors

Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE

Eligibility

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

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

MeasureTime frameDescription
Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of EvobrutinibPre-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 7AUC0-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 EvobrutinibPre-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 7Cmax was obtained directly from the concentration versus time curve.

Secondary

MeasureTime frameDescription
Change From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood PressureBaseline (Pre-dose), 2 hours post-doseDiastolic 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: TemperatureBaseline (Pre-dose), 2 hours post-doseTemperature 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 RateBaseline (Pre-dose), 2 hours post-dosePulse 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 RateBaseline (Pre-dose), 2 hours post-doseRespiratory 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 RateBaseline (Pre-dose), 2 hours post-doseHeart 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 DurationBaseline (Pre-dose), 2 hours post-doseRR 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 daysAn 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 EvobrutinibPre-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 7The 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 EvobrutinibPre-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 7Time to reach the maximum observed plasma concentration (Tmax) was obtained directly from the concentration versus time curve.
Terminal Half Life (T1/2) of EvobrutinibPre-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 7Terminal 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 EvobrutinibPre-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 7Apparent 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 EvobrutinibPre-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 7Vz/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 APre-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 7Relative 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 ParametersScreening up to Day 8Laboratory 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 SeverityUp to 34 daysThe 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

ArmCount
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
Total28

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event0010
Overall StudyDROPPED OUT ON DAY 5; PRIVATE REASONS0100

Baseline characteristics

CharacteristicTotalSequence 1: Treatment A-B-C-DSequence 2: Treatment B-D-A-CSequence 3: Treatment C-A-D-BSequence 4: Treatment D-C-B-A
Age, Continuous35 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 Participants0 Participants1 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
27 Participants7 Participants6 Participants7 Participants7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
28 Participants7 Participants7 Participants7 Participants7 Participants
Sex: Female, Male
Female
17 Participants4 Participants5 Participants3 Participants5 Participants
Sex: Female, Male
Male
11 Participants3 Participants2 Participants4 Participants2 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 260 / 270 / 270 / 27
other
Total, other adverse events
2 / 261 / 271 / 275 / 27
serious
Total, serious adverse events
0 / 260 / 271 / 270 / 27

Outcome results

Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment AArea Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Evobrutinib198 hour×nanogram per milliliter (h×ng/mL)Geometric Coefficient of Variation 44
Treatment BArea Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Evobrutinib164 hour×nanogram per milliliter (h×ng/mL)Geometric Coefficient of Variation 45.1
Treatment CArea Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Evobrutinib207 hour×nanogram per milliliter (h×ng/mL)Geometric Coefficient of Variation 44.6
Treatment DArea Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Evobrutinib205 hour×nanogram per milliliter (h×ng/mL)Geometric Coefficient of Variation 38.3
Primary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment AMaximum Observed Plasma Concentration (Cmax) of Evobrutinib111 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 69.9
Treatment BMaximum Observed Plasma Concentration (Cmax) of Evobrutinib84.5 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 71.9
Treatment CMaximum Observed Plasma Concentration (Cmax) of Evobrutinib117 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 62.6
Treatment DMaximum Observed Plasma Concentration (Cmax) of Evobrutinib121 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 64.7
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment AApparent Total Body Clearance (CL/f) of Evobrutinib227 Liter per hourGeometric Coefficient of Variation 44
Treatment BApparent Total Body Clearance (CL/f) of Evobrutinib275 Liter per hourGeometric Coefficient of Variation 45.1
Treatment CApparent Total Body Clearance (CL/f) of Evobrutinib217 Liter per hourGeometric Coefficient of Variation 44.6
Treatment DApparent Total Body Clearance (CL/f) of Evobrutinib219 Liter per hourGeometric Coefficient of Variation 38.3
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment AApparent Volume of Distribution During Terminal Phase (VZ/f) of Evobrutinib627 LitersGeometric Coefficient of Variation 84.1
Treatment BApparent Volume of Distribution During Terminal Phase (VZ/f) of Evobrutinib843 LitersGeometric Coefficient of Variation 111.4
Treatment CApparent Volume of Distribution During Terminal Phase (VZ/f) of Evobrutinib658 LitersGeometric Coefficient of Variation 89.2
Treatment DApparent Volume of Distribution During Terminal Phase (VZ/f) of Evobrutinib522 LitersGeometric Coefficient of Variation 74.2
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment AArea Under the Plasma Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Evobrutinib194 h×ng/mLGeometric Coefficient of Variation 44.5
Treatment BArea Under the Plasma Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Evobrutinib160 h×ng/mLGeometric Coefficient of Variation 46.3
Treatment CArea Under the Plasma Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Evobrutinib204 h×ng/mLGeometric Coefficient of Variation 45.1
Treatment DArea Under the Plasma Concentration Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Evobrutinib202 h×ng/mLGeometric Coefficient of Variation 39.2
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Treatment AChange From Baseline in Electrocardiograms (ECGs) Parameter: Heart Rate-4 beats per minuteStandard Deviation 6.1
Treatment BChange From Baseline in Electrocardiograms (ECGs) Parameter: Heart Rate-2 beats per minuteStandard Deviation 4
Treatment CChange From Baseline in Electrocardiograms (ECGs) Parameter: Heart Rate-2 beats per minuteStandard Deviation 6.6
Treatment DChange From Baseline in Electrocardiograms (ECGs) Parameter: Heart Rate-1 beats per minuteStandard Deviation 4.7
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Treatment AChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationPR Duration-5 millisecond (msec)Standard Deviation 7.8
Treatment AChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationQT Duration9 millisecond (msec)Standard Deviation 10.9
Treatment AChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationQRS Duration-0 millisecond (msec)Standard Deviation 4.9
Treatment AChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationQTcF Duration1 millisecond (msec)Standard Deviation 11.8
Treatment AChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationRR Duration52 millisecond (msec)Standard Deviation 84.6
Treatment BChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationQTcF Duration1 millisecond (msec)Standard Deviation 9.5
Treatment BChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationPR Duration-1 millisecond (msec)Standard Deviation 6.1
Treatment BChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationQRS Duration-1 millisecond (msec)Standard Deviation 4.9
Treatment BChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationQT Duration6 millisecond (msec)Standard Deviation 9.8
Treatment BChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationRR Duration36 millisecond (msec)Standard Deviation 61.3
Treatment CChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationQTcF Duration4 millisecond (msec)Standard Deviation 8.9
Treatment CChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationRR Duration44 millisecond (msec)Standard Deviation 106.4
Treatment CChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationQT Duration10 millisecond (msec)Standard Deviation 10.7
Treatment CChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationPR Duration-0 millisecond (msec)Standard Deviation 8
Treatment CChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationQRS Duration1 millisecond (msec)Standard Deviation 4.8
Treatment DChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationPR Duration0 millisecond (msec)Standard Deviation 5.8
Treatment DChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationQT Duration4 millisecond (msec)Standard Deviation 10.1
Treatment DChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationRR Duration18 millisecond (msec)Standard Deviation 70.3
Treatment DChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationQTcF Duration2 millisecond (msec)Standard Deviation 8.7
Treatment DChange From Baseline in Electrocardiograms (ECGs) Parameter: RR Duration, QT Duration, QTcF Duration, PR Duration, QRS DurationQRS Duration-1 millisecond (msec)Standard Deviation 4.6
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Treatment AChange From Baseline in Vital Signs: Pulse Rate-2 beats per minuteStandard Deviation 8.5
Treatment BChange From Baseline in Vital Signs: Pulse Rate-1 beats per minuteStandard Deviation 8.6
Treatment CChange From Baseline in Vital Signs: Pulse Rate-3 beats per minuteStandard Deviation 8.3
Treatment DChange From Baseline in Vital Signs: Pulse Rate-2 beats per minuteStandard Deviation 7.3
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Treatment AChange From Baseline in Vital Signs: Respiratory Rate0 breaths per minuteStandard Deviation 2.5
Treatment BChange From Baseline in Vital Signs: Respiratory Rate-1 breaths per minuteStandard Deviation 2
Treatment CChange From Baseline in Vital Signs: Respiratory Rate-1 breaths per minuteStandard Deviation 1.9
Treatment DChange From Baseline in Vital Signs: Respiratory Rate-0 breaths per minuteStandard Deviation 2
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Treatment AChange From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood PressureSystolic Blood Pressure0 millimeters of mercury (mmHg)Standard Deviation 10.4
Treatment AChange From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood PressureDiastolic Blood Pressure-1 millimeters of mercury (mmHg)Standard Deviation 5.8
Treatment BChange From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood PressureDiastolic Blood Pressure-1 millimeters of mercury (mmHg)Standard Deviation 5.8
Treatment BChange From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood PressureSystolic Blood Pressure-1 millimeters of mercury (mmHg)Standard Deviation 7.3
Treatment CChange From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood PressureSystolic Blood Pressure-1 millimeters of mercury (mmHg)Standard Deviation 6.9
Treatment CChange From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood PressureDiastolic Blood Pressure0 millimeters of mercury (mmHg)Standard Deviation 6
Treatment DChange From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood PressureSystolic Blood Pressure-1 millimeters of mercury (mmHg)Standard Deviation 7
Treatment DChange From Baseline in Vital Signs: Systolic Blood Pressure and Diastolic Blood PressureDiastolic Blood Pressure-1 millimeters of mercury (mmHg)Standard Deviation 4.7
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Treatment AChange From Baseline in Vital Signs: Temperature0.2 degree CelsiusStandard Deviation 0.27
Treatment BChange From Baseline in Vital Signs: Temperature0.2 degree CelsiusStandard Deviation 0.34
Treatment CChange From Baseline in Vital Signs: Temperature0.0 degree CelsiusStandard Deviation 0.24
Treatment DChange From Baseline in Vital Signs: Temperature0.0 degree CelsiusStandard Deviation 0.27
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Treatment ANumber of Participants With Clinically Significant Changes in Laboratory Parameters0 Participants
Treatment BNumber of Participants With Clinically Significant Changes in Laboratory Parameters0 Participants
Treatment CNumber of Participants With Clinically Significant Changes in Laboratory Parameters0 Participants
Treatment DNumber of Participants With Clinically Significant Changes in Laboratory Parameters0 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Treatment ANumber of Participants With Treatment- Emergent Adverse Events (TEAEs)2 Participants
Treatment BNumber of Participants With Treatment- Emergent Adverse Events (TEAEs)1 Participants
Treatment CNumber of Participants With Treatment- Emergent Adverse Events (TEAEs)2 Participants
Treatment DNumber of Participants With Treatment- Emergent Adverse Events (TEAEs)5 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Treatment ANumber of Participants With Treatment- Emergent Adverse Events (TEAEs) by SeverityMild2 Participants
Treatment ANumber of Participants With Treatment- Emergent Adverse Events (TEAEs) by SeveritySevere0 Participants
Treatment ANumber of Participants With Treatment- Emergent Adverse Events (TEAEs) by SeverityModerate0 Participants
Treatment BNumber of Participants With Treatment- Emergent Adverse Events (TEAEs) by SeverityMild0 Participants
Treatment BNumber of Participants With Treatment- Emergent Adverse Events (TEAEs) by SeveritySevere0 Participants
Treatment BNumber of Participants With Treatment- Emergent Adverse Events (TEAEs) by SeverityModerate1 Participants
Treatment CNumber of Participants With Treatment- Emergent Adverse Events (TEAEs) by SeverityModerate1 Participants
Treatment CNumber of Participants With Treatment- Emergent Adverse Events (TEAEs) by SeverityMild0 Participants
Treatment CNumber of Participants With Treatment- Emergent Adverse Events (TEAEs) by SeveritySevere1 Participants
Treatment DNumber of Participants With Treatment- Emergent Adverse Events (TEAEs) by SeverityMild4 Participants
Treatment DNumber of Participants With Treatment- Emergent Adverse Events (TEAEs) by SeveritySevere0 Participants
Treatment DNumber of Participants With Treatment- Emergent Adverse Events (TEAEs) by SeverityModerate1 Participants
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)
Treatment ARelative 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 A84.0 percentage bioavailability
Treatment BRelative 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 A105 percentage bioavailability
Treatment CRelative 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 A106 percentage bioavailability
Secondary

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.

ArmMeasureValue (MEDIAN)
Treatment ATerminal Half Life (T1/2) of Evobrutinib1.64 hours
Treatment BTerminal Half Life (T1/2) of Evobrutinib1.78 hours
Treatment CTerminal Half Life (T1/2) of Evobrutinib1.72 hours
Treatment DTerminal Half Life (T1/2) of Evobrutinib1.37 hours
Secondary

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.

ArmMeasureValue (MEDIAN)
Treatment ATime to Reach Maximum Observed Plasma Concentration (Tmax) of Evobrutinib1.00 hours
Treatment BTime to Reach Maximum Observed Plasma Concentration (Tmax) of Evobrutinib1.00 hours
Treatment CTime to Reach Maximum Observed Plasma Concentration (Tmax) of Evobrutinib1.00 hours
Treatment DTime to Reach Maximum Observed Plasma Concentration (Tmax) of Evobrutinib1.00 hours

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