ClinicalTrials.gg
CompletedNCT04143477Updated Oct 21, 2024

A Study to Evaluate the Pharmacokinetics and Safety of ASP015K in Healthy Chinese Subjects

A Phase 1 interventional study of peficitinib in Healthy Volunteers, sponsored by Astellas Pharma China, Inc.. Completed at 1 site in China. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-10-21.

Sponsored by Astellas Pharma China, Inc. (part of Astellas Pharma Inc) · Phase 1, Interventional, and Basic science

Phase
Phase 1
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the pharmacokinetics and safety of ASP015K after single-dose and multiple-dose administration in healthy Chinese participants.

02

Conditions studied

  • Healthy Volunteers

Keywords

  • peficitinib
  • ASP015K
  • pharmacokinetics
03

In context

Lead sponsor

Astellas Pharma China, Inc. is the lead sponsor of 24 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Normal Body Mass index (BMI) and weight: BMI[= weight kg/(height m)\^2] > 19 kg/m\^2 and ≤ 24 kg/m\^2, the weight is no less than 50 kg for male and 45 kg for female at screening.
  • Female subject must either: Be of non-childbearing potential, postmenopausal (defined as at least 1 year without any menses) prior to screening, or documented surgically sterile. Or, if of childbearing potential: agree not to try to become pregnant during the study and for 60 days after the final study drug administration, must have a negative pregnancy at Screening and Day -1, and if heterosexually active, agree to consistently use 1 form of highly effective birth control starting at Screening and throughout the study period, and for 60 days after the final study drug administration.
  • Female subject must agree not to breastfeed starting at Screening and throughout the study period, and for 60 days after the final study drug administration.
  • Female subject must not donate ova starting at Screening and throughout the study period, and for 60 days after the final study drug administration.
  • Male subject and female spouse/partners who are of childbearing potential must be using 1 form of highly effective birth control starting at Screening and throughout the study period, and for 90 days after the final study drug administration.
  • Male subject must not donate sperm starting at Screening and throughout the study period, and for 90 days after the final study drug administration.
  • Subject agrees not to participate in another interventional study while participating in the present study, defined as signing the informed consent form until completion of the last study visit.

Exclusion criteria

Exclusion Criteria:

  • Female subject who has been pregnant within 6 months prior to screening or breast feeding within 3 months prior to screening.
  • Subject has a known or suspected hypersensitivity to ASP015K, or any components of the formulation used.
  • Subject has any of the liver chemistry tests (aspartate aminotransferase [AST], alanine aminotransferase [ALT], alkaline phosphatase [ALP], gamma-glutamyl transferase [GGT] and total bilirubin [TBL]) above the upper limit of normal on Day -1. In such a case, the assessment may be repeated once.
  • Subjects who meet any of the following criterion for laboratory tests on Day -1. Normal ranges of each test specified at the study site or test/assay organization will be used as the normal ranges in this study. In such a case, the assessment may be repeated once.

    • Hematology: a deviation of +20% from the upper limit or -20% from the lower limit of the normal range, and clinically significant.
    • Blood biochemistry: a deviation from the normal range regarding serum creatinine, serum electrolytes (Na, K, and Cl), or fasting blood glucose; a deviation of +20% from the upper limit or -20% from the lower limit of the normal range regarding laboratory test items other than above, and clinically significant. However, the lower limit of the normal range will not be established for lactate dehydrogenase (LD), creatinine kinase (CK), total cholesterol, triglyceride, urea, serum creatinine, and uric acid, whose deviation from the lower limit is considered not clinically significant.
    • Urinalysis: a deviation from the normal range of each urinalysis test item.
  • Subject has any clinically significant history of allergic conditions (including drug allergies, asthma, eczema, or anaphylactic reactions, but excluding untreated, asymptomatic, seasonal allergies at time of dosing).
  • Subject has any history or evidence of any clinically significant cardiovascular, gastrointestinal endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, respiratory,pulmonary, neurologic, cerebrovascular, lymphatic, dermatologic, psychiatric, renal, and/or other major disease or malignancy.
  • Subject has/had febrile illness or symptomatic, viral, bacterial (including upper respiratory infection), or fungal (noncutaneous) infection within 1 week prior to Day -1.
  • Subject has any clinically significant abnormality in the physical examination, 12-lead electrocardiogram (ECG) and protocol defined clinical laboratory tests at Screening or Day -1.
  • Subject has a pulse rate \< 45 or > 100 bpm; systolic blood pressure (SBP) > 140 mmHg; diastolic blood pressure (DBP) > 90 mmHg (measurements taken after subject has been resting in sit position for 5 min; pulse will be measured automatically) at screening or on Day -1. If the pulse rate or blood pressure exceeds the limits above, 1 additional test can be taken.
  • Subjects with abnormal body temperature, defined as axillary temperature >37.3 ºC or \<35.0 ºC at Screening or Day -1.
  • Subject has a corrected QT interval (QTcF) of > 430 ms (for males) and > 450 ms (for females) at screen or on Day -1(at screen and on Day-1, will be performed). If the QTcF exceeds the limits above on Day-1, 1 additional ECG test can be taken.
  • Subject has any history or evidence of congenital short QT syndrome(defined as QTc \< 330 ms).
  • Subject has any history of gastrointestinal resection (excepted appendectomy)..
  • Subject has developed upper gastrointestinal symptoms within 1 week prior to Day -1.
  • Subject applies to any of the following concerns with regard to tuberculosis.

    • History of active tuberculosis
    • Abnormalities detected in a chest X-ray test at Screening
    • Contact with infectious tuberculous patients
    • T-spot or Quantiferon Gold test show tuberculosisinfection positive.
  • Subject applies to any of the following concerns with regard to infection other than tuberculosis.

    • Complication or history of severe herpes zoster or herpes zoster disseminated.
    • At least twice of relapse of localized herpes zoster
    • Inpatient hospital care for severe infectious diseases within 90 days prior to Day -1
    • Treatment with intravenous antibiotics within 90 days prior to Day -1 (prophylactic antibiotics are not applicable).
    • Other than above, with a high risk of developing infectious disease (subjects with urethral catheterisation etc.).
  • Subject has vaccination of live vaccines or live attenuated vaccines within 56 days prior to Day -1 (inactivated vaccines such as influenza vaccine and pneumococcal vaccines are not applicable.).
  • Subject has used any prescribed or nonprescribed drugs (including vitamins or natural and herbal remedies, e.g. St. John's Wort) in the 2 weeks prior to study drug administration.
  • Subject has a history of smoking more than 10 cigarettes (or equivalent amount of tobacco) per day within 3 months prior to admission to the clinical unit.
  • Subject has a history of drinking more than 21 units of alcohol per week (1 unit = 10 g pure alcohol = 250 mL of beer [5%] or 35 mL of spirits [35%] or 100 mL of wine [12%]) (> 14units of alcohol for female subjects) within 3 months prior to admission to the clinical unit or the subject tests positive for alcohol or drugs of abuse at Screening or Day -1 (amphetamines,barbiturates, benzodiazepines, cannabinoids, cocaine, and opiates).
  • Subject has used any drugs of abuse within 3 months prior to admission to the clinical unit.
  • Subject has had significant blood loss, donated 1 unit (450 mL) of blood or more, or received a transfusion of any blood or blood products within 60 days or donated plasma within 7 days prior to Day -1.
  • Subject has a positive serology test for hepatitis B surface antigen (HBsAg), antihepatitis A virus (immunodeficiency virus [Ig]M), anti-hepatitis C virus, anti-hepatitis B core or antihuman immunodeficiency virus (HIV) at Screening.
  • Subject has participated in any clinical study or has been treated with any investigational drugs within 3 moths prior to screening.
  • Subject has any condition which makes the subject unsuitable for study participation.
  • Subject is an employee of the Astellas Group, Clinical Research Organization (CRO) or the clinical unit.
05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    Peficitinib 50 mg

    Participants will receive a single dose of 50 milligrams (mg) under fasted condition Day 1, followed by multiple doses of 50 mg under fed condition once daily in the morning from Day 8 till Day 13.

    Drug: peficitinib

  • Experimental
    Peficitinib 100 mg

    Participants will receive a single dose of 100 mg under fasted condition Day 1, followed by multiple doses of 100 mg under fed condition once daily in the morning from Day 8 till Day 13.

    Drug: peficitinib

  • Experimental
    Peficitinib 150 mg

    Participants will receive a single dose of 150 mg under fasted condition Day 1, followed by multiple doses of 150 mg under fed condition once daily in the morning from Day 8 till Day 13.

    Drug: peficitinib

Interventions

06

What researchers measure

Primary outcomes

  1. Number of participants with adverse events (AEs)

    An AE is defined as any untoward medical occurrence in a participant administered a study drug or who has undergone study procedures and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a study drug, whether or not related to the study drug. An AE is considered "serious" if, in the view of either the investigator or Sponsor, it results in any of the following outcomes: Death, life-threatening, persistent or significant disability/incapacity, congenital anomaly or birth defect, hospitalization, or medically important event.

    Time frame: Up to Day 20

  2. Number of participants with laboratory value abnormalities and/or AEs

    Number of participants with potentially clinically significant laboratory values.

    Time frame: Up to Day 20

  3. Number of participants with vital sign abnormalities and/or AEs

    Number of participants with potentially clinically significant vital sign values.

    Time frame: Up to Day 20

  4. Number of participants with 12-lead electrocardiogram (ECG) abnormalities and/or AEs

    Number of participants with potentially clinically significant 12-ECG values.

    Time frame: Up to Day 20

  5. Number of participants with physical examination abnormalities and/or AEs

    Number of participants with potentially clinically significant physical examination observations.

    Time frame: Up to Day 20

  6. Pharmacokinetics (PK) of peficitinib: Area under the concentration-time curve (AUC) from the time of dosing extrapolated to time infinity (AUCinf)

    AUCinf will be recorded from the PK serum samples collected.

    Time frame: On Day 1

  7. PK of peficitinib: AUC from the time of dosing to the last measurable concentration (AUClast)

    AUClast will be recorded from the PK serum samples collected.

    Time frame: On Day 1 and 8

  8. PK of peficitinib: AUC from the time of dosing to 24 hours post dose (AUC24h)

    AUC24h will be recorded from the PK serum samples collected.

    Time frame: On Day 1, 8 and 13

  9. PK of peficitinib: Apparent total systemic clearance after extravascular dosing (CL/F)

    CL/F will be recorded from the PK serum samples collected.

    Time frame: On Day 1 and 13

  10. PK of peficitinib: Maximum concertation (Cmax)

    Cmax will be recorded from the PK serum samples collected.

    Time frame: On Day 1, 8 and 13

  11. PK of peficitinib: Terminal elimination rate constant (Lambdaz)

    Lambdaz will be recorded from the PK serum samples collected.

    Time frame: On Day 1 and 13

  12. PK of peficitinib: Terminal elimination half-life (t1/2)

    t1/2 will be recorded from the PK serum samples collected.

    Time frame: On Day 1 and 13

  13. PK of peficitinib: Time of the maximum concentration (tmax)

    tmax will be recorded from the PK serum samples collected.

    Time frame: On Day 1, 8 and 13

  14. PK of peficitinib: Apparent volume of distribution during the terminal elimination phase after single extravascular dosing (VzF)

    VzF will be recorded from the PK serum samples collected.

    Time frame: On Day 1

  15. PK of peficitinib: Concentration immediately prior to dosing at multiple dosing (Ctrough)

    Ctrough will be recorded from the PK serum samples collected.

    Time frame: On Day 9 to 12 and 13

  16. PK of peficitinib: Concentration at 24 hours post dosing (C24h)

    C24h will be recorded from the PK serum samples collected.

    Time frame: On Day 13

  17. PK of peficitinib: Peak trough ratio (PTR)

    PTR will be recorded from the PK serum samples collected.

    Time frame: On Day 13

  18. PK of peficitinib: Accumulation ratio calculated using AUC (Rac(AUC24h))

    Rac(AUC) will be recorded from the PK serum samples collected.

    Time frame: On Day 13

  19. PK of peficitinib: Accumulation ratio calculated using the maximum concentration (Rac (Cmax))

    Rac(Cmax)will be recorded from the PK serum samples collected.

    Time frame: On Day 13

  20. PK of peficitinib metabolite: AUCinf

    AUCinf will be recorded from the PK serum samples collected.

    Time frame: On Day 1

  21. PK of peficitinib metabolite: AUClast

    AUClast will be recorded from the PK serum samples collected.

    Time frame: On Day 1 and 8

  22. PK of peficitinib metabolite: AUC24h

    AUC24h will be recorded from the PK serum samples collected.

    Time frame: On Day 1, 8 and 13

  23. PK of peficitinib metabolite: Cmax

    Cmax will be recorded from the PK serum samples collected.

    Time frame: On Day 1, 8 and 13

  24. PK of peficitinib metabolite: Lambdaz

    Lambdaz will be recorded from the PK serum samples collected.

    Time frame: On Day 1 and 13

  25. PK of peficitinib metabolite: t1/2

    t1/2 will be recorded from the PK serum samples collected.

    Time frame: On Day 1 and 13

  26. PK of peficitinib metabolite: tmax

    tmax will be recorded from the PK serum samples collected.

    Time frame: On Day 1, 8 and 13

  27. PK of peficitinib metabolite: Ctrough

    Ctrough will be recorded from the PK serum samples collected.

    Time frame: On Day 9 to 12 and 13

  28. PK of peficitinib metabolite: C24h

    C24h will be recorded from the PK serum samples collected.

    Time frame: On Day 13

  29. PK of peficitinib metabolite: PTR

    PTR will be recorded from the PK serum samples collected.

    Time frame: On Day 13

  30. PK of peficitinib metabolite: Rac(AUC24h)

    Rac(AUC24h) will be recorded from the PK serum samples collected.

    Time frame: On Day 13

  31. PK of peficitinib metabolite: Rac(Cmax)

    Rac(Cmax) will be recorded from the PK serum samples collected.

    Time frame: On Day 13

  32. PK of peficitinib metabolite: Metabolite to parent ratio of the area under the concentration-time curve corrected by the molecular weight ratio of parent to metabolite (MPR)

    MPR will be recorded from the PK serum samples collected.

    Time frame: On Day 1, 8 and 13

07

Study locations

1 site
  • Site CN86001
    Beijing, China
08

References and documents

Publications

  • Gao X, He X, Oshima H, Miyatake D, Otsuka Y, Kato K, Cai C, Wojtkowski T, Song N, Kaneko Y, Shi A. Pharmacokinetics and Safety of Single and Multiple Doses of Peficitinib (ASP015K) in Healthy Chinese Subjects. Drug Des Devel Ther. 2022 May 9;16:1365-1381. doi: 10.2147/DDDT.S359501. eCollection 2022. PubMed 35586186 ↗

Individual participant data

Plan to share: No — Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2019 to primary completion in Dec 2020, 12 months.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 27, 2019
First posted
Oct 29, 2019
StartActual
Dec 5, 2019
Primary completionActual
Dec 21, 2020
CompletionActual
Dec 21, 2020
Last update
Oct 21, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04143477
Responsible party
Sponsor
First posted
Oct 29, 2019
Start date
Dec 5, 2019
Primary completion
Dec 21, 2020
Completion
Dec 21, 2020
Last update
Oct 21, 2024

Study contacts

Medical Moniter, Senior Manager
study director · Astellas Pharma China, Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Peficitinib

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