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A Study to Evaluate Safety, Pharmacokinetics, Pharmacodynamics, Food Effects, and Drug-drug Interactions of ACP-196 in Healthy Participants

Acerta Pharma logo

Acerta Pharma

Status and phase

Completed
Phase 1

Conditions

Healthy Participants

Treatments

Drug: Itraconazole
Drug: ACP-196

Study type

Interventional

Funder types

Industry

Identifiers

NCT04901923
ACE-HV-001

Details and patient eligibility

About

This study is to evaluate the safety, pharmacokinetics/pharmacodynamics (PK/PD), food-effect, and drug-drug interaction study of ACP-196 in healthy participants.

Full description

The study is divided into 3 parts. Part 1 will include 5 cohorts (Cohorts [C] 1 to 5) and participants will receive oral ACP-196 2.5 to 50 mg twice daily (BID) and 100 mg once daily (QD) on Day 1. In Part 2 (Cohort 6), participants will receive a single oral dose of 75.0 mg QD in a fasting and a fed state, with a 7-day washout period between the 2 doses. In Part 3 (Cohort 7), participants will receive a single oral dose of 50.0 mg QD alone on Day 1 and in combination with itraconazole on Day 9. Itraconazole 200 mg will be given twice daily (12 hours apart) with meals on Days 4 to 8 and once on Day 9 with ACP-196 under a fasting state in the morning.

Enrollment

59 patients

Sex

All

Ages

18 to 65 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Body mass index (BMI) >=18.0 and <=30.0 kg/m^2.
  • Healthy as determined by medical history and physical examination.
  • Nonsmoker
  • Normal clinical laboratory test results and ECG, or results with minor deviations which are not considered to be clinically significant in the judgment of the investigator.
  • Men of and women of childbearing potential to follow protocol defined contraception methods.
  • Women must have negative urine pregnancy test.
  • Willingness and ability to swallow study drug capsules.

Exclusion criteria

  • Prior or ongoing clinically significant illness, medical condition, medical history, physical findings, ECG findings, or laboratory abnormality that, in the investigator's opinion, could affect the safety of the subject; alter the absorption, distribution, metabolism, or excretion of the study drug; or impair the assessment of study results.
  • Evidence of ongoing systemic bacterial, fungal, or viral infection (including upper respiratory tract infections).
  • Women cannot be pregnant or breast feeding.
  • Significant history of drug or alcohol abuse or addiction within 3 years before study screening or as evidenced by continuing medical complications of prior drug or alcohol use.
  • History of blood or plasma donation within 90 days before first study drug administration.
  • Currently drinking over 21 units/week of ethanol
  • Drug toxicology screen positive for any prohibited drugs, illicit substances, or alcohol.
  • Anticipated need for alcohol, tobacco, or any drug during the study drug administration and immediate follow-up periods.
  • Relative to admission has any of the following exposures: has taken a prescription systemic medication within 14 days; has used an over-the counter systemic medication (other than acetaminophen) within 7 days; has ingested calcium supplements or calcium-containing vitamins within 7 days; has ingested grapefruit, grapefruit juice, or grapefruit-containing products within 7 days; has consumed alcohol within 48 hours; has taken acetaminophen within 24 hours.
  • Positive test for human immunodeficiency virus (HIV) antibody, hepatitis B surface antigen or hepatitis B core antibody, or hepatitis C antibody.
  • Unwillingness to avoid vigorous physical activity during inpatient clinic confinements.
  • Part 2 only - Inability or unwillingness to eat all of the ingredients of the high-fat, high-calorie meal as specified in the protocol.
  • Part 3 only - Known allergy to itraconazole or other azole compounds.

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Sequential Assignment

Masking

None (Open label)

59 participants in 7 patient groups

Part 1 Cohort 1
Experimental group
Description:
Participants will receive ACP-196 2.5 mg capsule orally BID on Day 1.
Treatment:
Drug: ACP-196
Part 1 Cohort 2
Experimental group
Description:
Participants will receive ACP-196 5 mg (2 x 2.5 mg capsules) orally BID on Day 1.
Treatment:
Drug: ACP-196
Part 1 Cohort 3
Experimental group
Description:
Participants will receive ACP-196 25 mg capsule orally BID on Day 1.
Treatment:
Drug: ACP-196
Part 1 Cohort 4
Experimental group
Description:
Participants will receive ACP-196 50 mg (2 x 25 mg capsules) orally BID on Day 1.
Treatment:
Drug: ACP-196
Part 1 Cohort 5
Experimental group
Description:
Participants will receive ACP-196 100 mg (4 x 25 mg capsules) orally QD on Day 1.
Treatment:
Drug: ACP-196
Part 2 Cohort 6
Experimental group
Description:
Participants will receive ACP-196 75 mg (3 x 25 mg capsules) orally QD on Day 1 and Day 8.
Treatment:
Drug: ACP-196
Part 3 Cohort 7
Experimental group
Description:
Participants will receive ACP-196 50 mg (2 x 25 mg capsules) orally QD on Day 1, itraconazole 200 mg capsules BID from Days 4 to 8 with meals and then ACP-196 50 mg (2 x 25 mg capsules) along with itraconazole 200 mg capsule QD on Day 9 under fasting state.
Treatment:
Drug: ACP-196
Drug: Itraconazole

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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