ClinicalTrials.gg
CompletedNCT04274075Updated Apr 28, 2021Results posted

Evaluation of the Relative Bioavailability and Food Effect of GDC-9545 in Healthy Females of Non-Childbearing Potential

A Phase 1 interventional study of GDC-9545 Tablet, Fasted: Treatment A and GDC-9545 Capsule, Fasted: Treatment B in Healthy Volunteers, sponsored by Genentech, Inc.. Completed at 1 site in United States. Open to female participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-04-28.

Sponsored by Genentech, Inc. (part of Hoffmann-La Roche) · Phase 1, Interventional, and Basic science

Phase
Phase 1
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
Female
01

Study summary

This study will be an open-label, randomized, three-period, six-sequence crossover study of GDC-9545 administered to healthy females of non-childbearing potential to determine the relative bioavailability of the Phase 3 capsule formulation to the Phase 1 tablet formulation in the fasted state and the effect of food on the Phase 3 capsule formulation.

02

Conditions studied

  • Healthy Volunteers
03

In context

Lead sponsor

Genentech, Inc. is the lead sponsor of 517 studies on the registry; 22 are open to participants now.

Of its 95 completed or terminated interventional studies of FDA-regulated products, 52 (55%) have results posted.

First submitted after Genentech, Inc. became part of Hoffmann-La Roche.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Female
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

  • Females of non-childbearing potential including non-pregnant, non-lactating, and either postmenopausal or surgically sterile for at least 90 days prior to screening, as defined in the protocol
  • Body mass index (BMI) from 18.5 to 30.0 kilograms per square metre of body surface area (kg/m\^2) at screening
  • In good health, determined by no clinically significant findings from medical history, 12-lead ECG, or vital signs
  • Clinical laboratory evaluations within the reference range for the test laboratory, unless deemed not clinically significant by the investigator
  • Negative test for selected drugs of abuse at Screening (does not include alcohol) and at Check-in (Day -1) for Period 1 (does include alcohol)
  • Negative hepatitis panel (hepatitis B surface antigen and hepatitis C virus antibody) and negative human immunodeficiency virus (HIV) antibody screens
  • Subject must receive an explanation of the mandatory Research Biosample Repository (RBR) component of the study and be able to comprehend and willing to sign an Informed Consent Form (ICF)

Exclusion criteria

Exclusion Criteria:

  • Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal (GI), neurological, or psychiatric disorder (as determined by the investigator)
  • History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the investigator
  • History of allergy to GDC-9545 or any of its excipients
  • History of stomach or intestinal surgery (including cholecystectomy) or resection that would potentially alter absorption and/or excretion of orally administered drugs (except that appendectomy and hernia repair will be allowed)
  • History or presence of an abnormal ECG that, in the investigator's opinion, is clinically significant including complete left bundle branch block; right bundle branch block; first-, second-, or third-degree heart block; sick sinus syndrome; or evidence of prior myocardial infarction
  • Having a QTc interval greater than (>)470 milliseconds (msec), PR interval >210 msec, or QRS complex >120 msec
  • Confirmed (e.g., 2 consecutive measurements) baseline heart rate ≤50 beats per minute (bpm) prior to enrollment
  • History of alcoholism or drug addiction within 1 year prior to Check-in (Day -1) of Period 1
  • The use of tobacco- or nicotine-containing products within 6 months prior to Check-in (Day -1) of Period 1
  • History of active or latent tuberculosis (TB), regardless of treatment history
  • History of previous use of tamoxifen, aromatase inhibitors, or any other endocrine agent for the treatment of breast cancer
  • The use of hormone replacement therapy or selective ER modulators (SERMs; e.g., raloxifene) within 1 year prior to Check-in (Day -1) of Period 1
  • The use of oral antibiotics within 4 weeks or intravenous antibiotics within 8 weeks prior to Check-in (Day -1) of Period 1
  • The use or intent to use any medications/products known to alter drug absorption, metabolism, or elimination processes, including St. John's wort, within 30 days prior to Check-in (Day -1) of Period 1
  • The participation in any other investigational study drug trial in which receipt of an investigational study drug occurred within 5 half-lives or 30 days, whichever is longer, prior to Check-in (Day -1) of Period 1
  • The use of drugs of abuse (including opioids) within 4 weeks of Screening
  • The use of any prescription medications/products within 14 days prior to Check-in (Day -1) of Period 1, unless deemed acceptable by the investigator
  • The use of any over-the-counter, non-prescription preparations (including vitamins; minerals; and phytotherapeutic-, herbal-, and plant-derived preparations) within 7 days prior to Check-in (Day -1) of Period 1, unless deemed acceptable by the investigator
  • The use of poppy seed-containing foods or beverages within 7 days prior to Check-in (Day -1) of Period 1, unless deemed acceptable by the investigator
  • The use of alcohol- or caffeine-containing foods or beverages within 72 hours prior to Check-in (Day -1) of Period 1, unless deemed acceptable by the investigator
  • Not refraining from strenuous exercise from 7 days prior to Check-in (Day -1) of Period 1
  • The need to follow a special diet and unable to consume the high-fat meal
  • Poor peripheral venous access
  • History of malignancy, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or Stage I uterine cancer (must be cancer-free for at least 5 years)
  • Donation of blood from 90 days prior to Screening through Follow-up, inclusive, or of plasma from 2 weeks prior to Screening
  • Receipt of blood products within 2 months prior to Check-in (Day -1) of Period 1
  • Any acute or chronic condition that, in the opinion of the investigator, would limit the subject's ability to complete and/or participate in this clinical study
  • In the opinion of the investigator or Sponsor, are unsuitable for inclusion in the study
05

Study design

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

Study arms

  • Experimental
    GDC-9545 Treatment Sequence A, B, and C

    Participants randomized to this arm will receive one dose of GDC-9545 at the start of each of three periods according to the treatment sequence A, B, and C (refer to the intervention descriptions). The washout period between doses will be a minimum of 10 days.

    Drug: GDC-9545 Tablet, Fasted: Treatment A · Drug: GDC-9545 Capsule, Fasted: Treatment B · Drug: GDC-9545 Capsule, Fed: Treatment C

  • Experimental
    GDC-9545 Treatment Sequence B, C, and A

    Participants randomized to this arm will receive one dose of GDC-9545 at the start of each of three periods according to the treatment sequence B, C, and A (refer to the intervention descriptions). The washout period between doses will be a minimum of 10 days.

    Drug: GDC-9545 Tablet, Fasted: Treatment A · Drug: GDC-9545 Capsule, Fasted: Treatment B · Drug: GDC-9545 Capsule, Fed: Treatment C

  • Experimental
    GDC-9545 Treatment Sequence C, A, and B

    Participants randomized to this arm will receive one dose of GDC-9545 at the start of each of three periods according to the treatment sequence C, A, and B (refer to the intervention descriptions). The washout period between doses will be a minimum of 10 days.

    Drug: GDC-9545 Tablet, Fasted: Treatment A · Drug: GDC-9545 Capsule, Fasted: Treatment B · Drug: GDC-9545 Capsule, Fed: Treatment C

  • Experimental
    GDC-9545 Treatment Sequence A, C, and B

    Participants randomized to this arm will receive one dose of GDC-9545 at the start of each of three periods according to the treatment sequence A, C, and B (refer to the intervention descriptions). The washout period between doses will be a minimum of 10 days.

    Drug: GDC-9545 Tablet, Fasted: Treatment A · Drug: GDC-9545 Capsule, Fasted: Treatment B · Drug: GDC-9545 Capsule, Fed: Treatment C

  • Experimental
    GDC-9545 Treatment Sequence B, A, and C

    Participants randomized to this arm will receive one dose of GDC-9545 at the start of each of three periods according to the treatment sequence B, A, and C (refer to the intervention descriptions). The washout period between doses will be a minimum of 10 days.

    Drug: GDC-9545 Tablet, Fasted: Treatment A · Drug: GDC-9545 Capsule, Fasted: Treatment B · Drug: GDC-9545 Capsule, Fed: Treatment C

  • Experimental
    GDC-9545 Treatment Sequence C, B, and A

    Participants randomized to this arm will receive one dose of GDC-9545 at the start of each of three periods according to the treatment sequence C, B, and A (refer to the intervention descriptions). The washout period between doses will be a minimum of 10 days.

    Drug: GDC-9545 Tablet, Fasted: Treatment A · Drug: GDC-9545 Capsule, Fasted: Treatment B · Drug: GDC-9545 Capsule, Fed: Treatment C

Interventions

  • One dose of the GDC-9545 Phase 1 reference tablet formulation (three 10-mg tablets) administered orally with approximately 240 mL room temperature water after at least an 8-hour fast.

    Also known as: Giredestrant, RO7197597, RG6171

  • One dose of the GDC-9545 Phase 3 capsule formulation (one 30-mg capsule) administered orally with approximately 240 mL room temperature water after at least an 8-hour fast.

    Also known as: Giredestrant, RO7197597, RG6171

  • One dose of the GDC-9545 Phase 3 capsule formulation (one 30-mg capsule) administered orally with approximately 240 mL room temperature water within 30 minutes of eating a high-fat meal.

    Also known as: Giredestrant, RO7197597, RG6171

06

What researchers measure

Primary outcomes

  1. Maximum Observed Plasma Concentration (Cmax) of GDC-9545

    The pharmacokinetics (PK) parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin. The PK parameters Cmax, AUC0-t, and AUC0-∞ for GDC-9545 were analyzed to evaluate the relative bioavailability of GDC-9545 as a Phase 3 capsule formulation compared to a Phase 1 tablet formulation under fasted conditions (Treatment B vs. Treatment A) and to assess the food effect on GDC-9545 PK for a Phase 3 capsule formulation (Treatment C vs. Treatment B). The mixed-effect analysis of variance model for three-period crossover design was used for formulation comparison and fasted state and fed state comparison of capsule. The model included sequence, formulation, and period as fixed effects and a random effect for subject within sequence. An unstructured covariance structure was to be used; however, if it failed to converge, an alternative covariance structure may have been applied.

    Time frame: Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)

  2. Time to Maximum Observed Plasma Concentration (Tmax) of GDC-9545

    The pharmacokinetics (PK) parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin. The parameter tmax was analyzed nonparametrically using the Wilcoxon signed-rank test. The median difference between the test and reference investigational products (GDC-9545 Phase 3 capsule formulation compared to a Phase 1 tablet formulation under fasted conditions \[Treatment B vs. Treatment A\] and the food effect on GDC-9545 PK for a Phase 3 capsule formulation \[Treatment C vs. Treatment B\]) and the corresponding 90% confidence interval were calculated.

    Time frame: Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)

  3. Time of Last Quantifiable Plasma Concentration (Tlast) of GDC-9545

    The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin.

    Time frame: Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)

  4. Time to First Quantifiable Plasma Concentration (Tlag) of GDC-9545

    The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin.

    Time frame: Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)

  5. Area Under the Plasma Concentration-Time Curve From Hour 0 to the Last Measurable Concentration (AUC0-t) of GDC-9545

    The pharmacokinetics (PK) parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin. The PK parameters Cmax, AUC0-t, and AUC0-∞ for GDC-9545 were analyzed to evaluate the relative bioavailability of GDC-9545 as a Phase 3 capsule formulation compared to a Phase 1 tablet formulation under fasted conditions (Treatment B vs. Treatment A) and to assess the food effect on GDC-9545 PK for a Phase 3 capsule formulation (Treatment C vs. Treatment B). The mixed-effect analysis of variance model for three-period crossover design was used for formulation comparison and fasted state and fed state comparison of capsule. The model included sequence, formulation, and period as fixed effects and a random effect for subject within sequence. An unstructured covariance structure was to be used; however, if it failed to converge, an alternative covariance structure may have been applied.

    Time frame: Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)

  6. Area Under the Plasma Concentration-Time Curve From Hour 0 Extrapolated to Infinity (AUC0-∞) of GDC-9545

    The pharmacokinetics (PK) parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin. The PK parameters Cmax, AUC0-t, and AUC0-∞ for GDC-9545 were analyzed to evaluate the relative bioavailability of GDC-9545 as a Phase 3 capsule formulation compared to a Phase 1 tablet formulation under fasted conditions (Treatment B vs. Treatment A) and to assess the food effect on GDC-9545 PK for a Phase 3 capsule formulation (Treatment C vs. Treatment B). The mixed-effect analysis of variance model for three-period crossover design was used for formulation comparison and fasted state and fed state comparison of capsule. The model included sequence, formulation, and period as fixed effects and a random effect for subject within sequence. An unstructured covariance structure was to be used; however, if it failed to converge, an alternative covariance structure may have been applied.

    Time frame: Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)

  7. Percentage of Area Under the Plasma Concentration-Time Curve (AUC) That is Due to Extrapolation From Last Measurable Concentration to Infinity (%AUCextrap) of GDC-9545

    The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin.

    Time frame: Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)

  8. Apparent Terminal Elimination Rate Constant (λz) of GDC-9545

    The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin. The apparent terminal elimination rate constant (λz) is the magnitude of the slope of the linear regression of the log concentration versus time profile during the terminal phase.

    Time frame: Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)

  9. Apparent Terminal Elimination Half-Life (t1/2) of GDC-9545

    The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin.

    Time frame: Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)

  10. Apparent Total Clearance (CL/F) of GDC-9545

    The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin.

    Time frame: Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)

  11. Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of GDC-9545

    The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin.

    Time frame: Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)

Secondary outcomes

  1. Number of Participants Who Experienced at Least One Adverse Event by Severity, According to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI-CTCAE v5.0)

    The investigator sought information on adverse events (AEs) at each contact with a participant. All AEs, whether reported by the participant or noted by study personnel, were recorded. All AEs were assigned a severity grade (from 1 to 5) using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE v5.0). Severity refers to the intensity of an AE. The following is the severity grading scale used for AEs that are not specifically listed in the NCI-CTCAE: Grade 1 is mild; Grade 2 is moderate; Grade 3 is severe or medically significant; Grade 4 is life-threatening; and Grade 5 is death related to an AE.

    Time frame: From first dose of study drug until 14 days after the last dose of study drug (up to 41 days)

  2. Number of Participants With Clinically Significant Abnormalities in Clinical Chemistry, Hematology, and Urinalysis Laboratory Tests

    Participants provided blood and urine samples at the specified timepoints for laboratory analysis of clinical chemistry, hematology, and urinalysis parameters (please refer to Appendix A of the protocol for a complete list of parameters). Any of the laboratory test results that were outside of the reference range were considered abnormalities. Not every laboratory abnormality qualified as an adverse event (AE). A laboratory test result was reported as an AE if it met any of the following criteria: was accompanied by clinical symptoms; resulted in a change in study treatment; resulted in a medical intervention or a change in concomitant therapy; or was clinically significant in the investigator's judgment. All AEs were assigned a severity grade (from 1 to 5) using the NCI-CTCAE v5.0; for AEs not specifically listed in the NCI-CTCAE: Grade 1 is mild; Grade 2 is moderate; Grade 3 is severe or medically significant; Grade 4 is life-threatening; and Grade 5 is death related to an AE.

    Time frame: Baseline, Days 2 and 8 of Period 1-3, and 12-14 days after last dose (up to 34 days)

  3. Change From Baseline in Systolic Blood Pressure Over Time

    Vital signs (including oral temperature, respiratory rate, and supine blood pressure and pulse rate) were obtained at the specified timepoints. Supine blood pressure was obtained after the participant had been supine for at least 5 minutes. When vital signs were scheduled at the same time as blood draws, the blood draws were obtained at the scheduled timepoint, and the vital signs were obtained as close to the scheduled blood draw as possible, but prior to the blood draw. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The normal reference range for supine systolic blood pressure was 90-140 millimetres of mercury (mmHg).

    Time frame: Baseline and post-dose on Days 1 to 8 of Periods 1-3 (up to 27 days)

  4. Change From Baseline in Diastolic Blood Pressure Over Time

    Vital signs (including oral temperature, respiratory rate, and supine blood pressure and pulse rate) were obtained at the specified timepoints. Supine blood pressure was obtained after the participant had been supine for at least 5 minutes. When vital signs were scheduled at the same time as blood draws, the blood draws were obtained at the scheduled timepoint, and the vital signs were obtained as close to the scheduled blood draw as possible, but prior to the blood draw. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The normal reference range for supine diastolic blood pressure was 50-90 mmHg.

    Time frame: Baseline and Days 1 to 8 of Periods 1-3 (up to 27 days)

  5. Change From Baseline in Pulse Rate Over Time

    Vital signs (including oral temperature, respiratory rate, and supine blood pressure and pulse rate) were obtained at the specified timepoints. Supine pulse rate was obtained after the participant had been supine for at least 5 minutes. When vital signs were scheduled at the same time as blood draws, the blood draws were obtained at the scheduled timepoint, and the vital signs were obtained as close to the scheduled blood draw as possible, but prior to the blood draw. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The normal reference range for supine pulse rate was 40-100 beats per minute.

    Time frame: Baseline and Days 1 to 8 of Periods 1-3 (up to 27 days)

  6. Change From Baseline in Respiratory Rate Over Time

    Vital signs (including oral temperature, respiratory rate, and supine blood pressure and pulse rate) were obtained at the specified timepoints. When vital signs were scheduled at the same time as blood draws, the blood draws were obtained at the scheduled timepoint, and the vital signs were obtained as close to the scheduled blood draw as possible, but prior to the blood draw. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The normal reference range for respiratory rate was 10-24 breaths per minute.

    Time frame: Baseline and Days 1 to 8 of Periods 1-3 (up to 27 days)

  7. Change From Baseline in Oral Body Temperature Over Time

    Vital signs (including oral temperature, respiratory rate, and supine blood pressure and pulse rate) were obtained at the specified timepoints. When vital signs were scheduled at the same time as blood draws, the blood draws were obtained at the scheduled timepoint, and the vital signs were obtained as close to the scheduled blood draw as possible, but prior to the blood draw. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The normal reference range for oral body temperature was 35.5-37.8 degrees Celsius (C).

    Time frame: Baseline and Days 1 to 8 of Periods 1-3 (up to 27 days)

  8. Change From Baseline in Duration of PR, RR, QRS, QT, QTcB, and QTcF Intervals Over Time, as Measured by Electrocardiogram

    A single 12-lead electrocardiogram (ECG) was obtained at the specified timepoints. To minimize variability in autonomic tone and heart rate, participants rested quietly and in a supine position for at least 5 minutes prior to recording the ECG. Blood draws, other procedures, activity, and environmental distractions (e.g., television, radio, conversation) were to be avoided during the pre-ECG resting period and between ECG recordings to minimize variability due to the effects of activity and stress on cardiac electrophysiology. Whenever possible, ECG tracings for each participant were to be obtained from the same type of machine throughout the study. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The following are the normal reference ranges for ECG interval durations in milliseconds (msec): PR \[120-210 msec\]; QRS \[upper limit: \<120 msec\]; QT, QTcB, and QTcF \[upper limit: \<470 msec\].

    Time frame: Baseline, and pre-dose and 4 hours post-dose on Day 1, and post-dose on Days 2, and 8 of Periods 1-3 (up to 27 days)

  9. Change From Baseline in Heart Rate Over Time, as Measured by Electrocardiogram

    A single 12-lead electrocardiogram (ECG) was obtained at the specified timepoints. To minimize variability in autonomic tone and heart rate, participants rested quietly and in a supine position for at least 5 minutes prior to recording the ECG. Blood draws, other procedures, activity, and environmental distractions (e.g., television, radio, conversation) were to be avoided during the pre-ECG resting period and between ECG recordings to minimize variability due to the effects of activity and stress on cardiac electrophysiology. Whenever possible, ECG tracings for each participant were to be obtained from the same type of machine throughout the study. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The normal reference range for heart rate was 50-100 beats per minute.

    Time frame: Baseline, and post-dose on Days 1, 2, and 8 of Periods 1-3 (up to 27 days)

07

Results

Posted Apr 28, 2021
Limitations and caveats
Caution should be used when interpreting results from the statistical analyses conducted in this study because the sample size is not based on power calculations.

Participant flow

Participant flow — Overall Study
MilestoneGDC-9545 Treatment Sequence A, B, and CGDC-9545 Treatment Sequence B, C, and AGDC-9545 Treatment Sequence C, A, and BGDC-9545 Treatment Sequence A, C, and BGDC-9545 Treatment Sequence B, A, and CGDC-9545 Treatment Sequence C, B, and A
Started333333
Completed treatment period 1 (9 days)333333
Completed treatment period 2 (9 days)333333
Completed treatment period 3 (9 days)333333
Completed follow-up visit333333
Completed333333
Not completed000000

Outcome measures

PrimaryMaximum Observed Plasma Concentration (Cmax) of GDC-9545

The pharmacokinetics (PK) parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin. The PK parameters Cmax, AUC0-t, and AUC0-∞ for GDC-9545 were analyzed to evaluate the relative bioavailability of GDC-9545 as a Phase 3 capsule formulation compared to a Phase 1 tablet formulation under fasted conditions (Treatment B vs. Treatment A) and to assess the food effect on GDC-9545 PK for a Phase 3 capsule formulation (Treatment C vs. Treatment B). The mixed-effect analysis of variance model for three-period crossover design was used for formulation comparison and fasted state and fed state comparison of capsule. The model included sequence, formulation, and period as fixed effects and a random effect for subject within sequence. An unstructured covariance structure was to be used; however, if it failed to converge, an alternative covariance structure may have been applied.

Time frame:
Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Geometric mean · nanograms per millilitre (ng/mL)
Maximum Observed Plasma Concentration (Cmax) of GDC-9545
nanograms per millilitre (ng/mL)GDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Maximum Observed Plasma Concentration (Cmax) of GDC-9545126 ± 29.6129 ± 27.7102 ± 27.3
Statistical analysis
  • GDC-9545 Tablet, Fasted: Treatment A vs GDC-9545 Capsule, Fasted: Treatment B · Geometric mean ratio: 1.03 · 90% CI 0.945 to 1.12The geometric mean ratio was calculated as Treatment B versus Treatment A.
  • GDC-9545 Capsule, Fasted: Treatment B vs GDC-9545 Capsule, Fed: Treatment C · Geometric mean ratio: 0.790 · 90% CI 0.726 to 0.859The geometric mean ratio was calculated as Treatment C versus Treatment B.
PrimaryTime to Maximum Observed Plasma Concentration (Tmax) of GDC-9545

The pharmacokinetics (PK) parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin. The parameter tmax was analyzed nonparametrically using the Wilcoxon signed-rank test. The median difference between the test and reference investigational products (GDC-9545 Phase 3 capsule formulation compared to a Phase 1 tablet formulation under fasted conditions \[Treatment B vs. Treatment A\] and the food effect on GDC-9545 PK for a Phase 3 capsule formulation \[Treatment C vs. Treatment B\]) and the corresponding 90% confidence interval were calculated.

Time frame:
Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Median · Hours
Time to Maximum Observed Plasma Concentration (Tmax) of GDC-9545
HoursGDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Time to Maximum Observed Plasma Concentration (Tmax) of GDC-95452.25 (1.00 to 5.00)2.28 (1.50 to 5.00)5.00 (3.00 to 6.00)
Statistical analysis
  • GDC-9545 Tablet, Fasted: Treatment A vs GDC-9545 Capsule, Fasted: Treatment B · Median difference (net): 0.525 · 90% CI -0.225 to 1.50The Hodges-Lehmann estimate of median difference was calculated as Treatment B versus Treatment A.
  • GDC-9545 Capsule, Fasted: Treatment B vs GDC-9545 Capsule, Fed: Treatment C · Median difference (net): 1.98 · 90% CI 1.26 to 2.45The Hodges-Lehmann estimate of median difference was calculated as Treatment C versus Treatment B.
PrimaryTime of Last Quantifiable Plasma Concentration (Tlast) of GDC-9545

The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin.

Time frame:
Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Median · Hours
Time of Last Quantifiable Plasma Concentration (Tlast) of GDC-9545
HoursGDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Time of Last Quantifiable Plasma Concentration (Tlast) of GDC-9545168 (168 to 168)168 (168 to 168)168 (168 to 168)
PrimaryTime to First Quantifiable Plasma Concentration (Tlag) of GDC-9545

The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin.

Time frame:
Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Median · Hours
Time to First Quantifiable Plasma Concentration (Tlag) of GDC-9545
HoursGDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Time to First Quantifiable Plasma Concentration (Tlag) of GDC-95450 (0 to 0)0 (0 to 0)0 (0 to 1.00)
PrimaryArea Under the Plasma Concentration-Time Curve From Hour 0 to the Last Measurable Concentration (AUC0-t) of GDC-9545

The pharmacokinetics (PK) parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin. The PK parameters Cmax, AUC0-t, and AUC0-∞ for GDC-9545 were analyzed to evaluate the relative bioavailability of GDC-9545 as a Phase 3 capsule formulation compared to a Phase 1 tablet formulation under fasted conditions (Treatment B vs. Treatment A) and to assess the food effect on GDC-9545 PK for a Phase 3 capsule formulation (Treatment C vs. Treatment B). The mixed-effect analysis of variance model for three-period crossover design was used for formulation comparison and fasted state and fed state comparison of capsule. The model included sequence, formulation, and period as fixed effects and a random effect for subject within sequence. An unstructured covariance structure was to be used; however, if it failed to converge, an alternative covariance structure may have been applied.

Time frame:
Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Geometric mean · Hours*ng/mL
Area Under the Plasma Concentration-Time Curve From Hour 0 to the Last Measurable Concentration (AUC0-t) of GDC-9545
Hours*ng/mLGDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Area Under the Plasma Concentration-Time Curve From Hour 0 to the Last Measurable Concentration (AUC0-t) of GDC-95453710 ± 31.83600 ± 29.83310 ± 27.6
Statistical analysis
  • GDC-9545 Tablet, Fasted: Treatment A vs GDC-9545 Capsule, Fasted: Treatment B · Geometric mean ratio: 0.971 · 90% CI 0.903 to 1.04The geometric mean ratio was calculated as Treatment B versus Treatment A.
  • GDC-9545 Capsule, Fasted: Treatment B vs GDC-9545 Capsule, Fed: Treatment C · Geometric mean ratio: 0.919 · 90% CI 0.855 to 0.988The geometric mean ratio was calculated as Treatment C versus Treatment B.
PrimaryArea Under the Plasma Concentration-Time Curve From Hour 0 Extrapolated to Infinity (AUC0-∞) of GDC-9545

The pharmacokinetics (PK) parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin. The PK parameters Cmax, AUC0-t, and AUC0-∞ for GDC-9545 were analyzed to evaluate the relative bioavailability of GDC-9545 as a Phase 3 capsule formulation compared to a Phase 1 tablet formulation under fasted conditions (Treatment B vs. Treatment A) and to assess the food effect on GDC-9545 PK for a Phase 3 capsule formulation (Treatment C vs. Treatment B). The mixed-effect analysis of variance model for three-period crossover design was used for formulation comparison and fasted state and fed state comparison of capsule. The model included sequence, formulation, and period as fixed effects and a random effect for subject within sequence. An unstructured covariance structure was to be used; however, if it failed to converge, an alternative covariance structure may have been applied.

Time frame:
Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Geometric mean · Hours*ng/mL
Area Under the Plasma Concentration-Time Curve From Hour 0 Extrapolated to Infinity (AUC0-∞) of GDC-9545
Hours*ng/mLGDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Area Under the Plasma Concentration-Time Curve From Hour 0 Extrapolated to Infinity (AUC0-∞) of GDC-95453860 ± 32.63770 ± 30.83460 ± 28.1
Statistical analysis
  • GDC-9545 Tablet, Fasted: Treatment A vs GDC-9545 Capsule, Fasted: Treatment B · Geometric mean ratio: 0.975 · 90% CI 0.908 to 1.05The geometric mean ratio was calculated as Treatment B versus Treatment A.
  • GDC-9545 Capsule, Fasted: Treatment B vs GDC-9545 Capsule, Fed: Treatment C · Geometric mean ratio: 0.918 · 90% CI 0.856 to 0.985The geometric mean ratio was calculated as Treatment C versus Treatment B.
PrimaryPercentage of Area Under the Plasma Concentration-Time Curve (AUC) That is Due to Extrapolation From Last Measurable Concentration to Infinity (%AUCextrap) of GDC-9545

The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin.

Time frame:
Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Geometric mean · Percentage of AUC
Percentage of Area Under the Plasma Concentration-Time Curve (AUC) That is Due to Extrapolation From Last Measurable Concentration to Infinity (%AUCextrap) of GDC-9545
Percentage of AUCGDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Percentage of Area Under the Plasma Concentration-Time Curve (AUC) That is Due to Extrapolation From Last Measurable Concentration to Infinity (%AUCextrap) of GDC-95453.40 ± 58.53.87 ± 49.83.78 ± 48.9
PrimaryApparent Terminal Elimination Rate Constant (λz) of GDC-9545

The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin. The apparent terminal elimination rate constant (λz) is the magnitude of the slope of the linear regression of the log concentration versus time profile during the terminal phase.

Time frame:
Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Geometric mean · Elimination rate per hour (/h)
Apparent Terminal Elimination Rate Constant (λz) of GDC-9545
Elimination rate per hour (/h)GDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Apparent Terminal Elimination Rate Constant (λz) of GDC-95450.0196 ± 15.70.0185 ± 15.50.0188 ± 14.4
PrimaryApparent Terminal Elimination Half-Life (t1/2) of GDC-9545

The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin.

Time frame:
Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Geometric mean · Hours
Apparent Terminal Elimination Half-Life (t1/2) of GDC-9545
HoursGDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Apparent Terminal Elimination Half-Life (t1/2) of GDC-954535.4 ± 15.737.4 ± 15.536.9 ± 14.4
PrimaryApparent Total Clearance (CL/F) of GDC-9545

The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin.

Time frame:
Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Geometric mean · Litres per hour (L/h)
Apparent Total Clearance (CL/F) of GDC-9545
Litres per hour (L/h)GDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Apparent Total Clearance (CL/F) of GDC-95457.76 ± 32.67.97 ± 30.88.68 ± 28.1
PrimaryApparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of GDC-9545

The pharmacokinetics parameters were determined where possible from the plasma concentrations of GDC-9545 using non-compartmental methods performed using Phoenix WinNonlin.

Time frame:
Pre-dose (0 hour) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours on Day 1 and post-dose once a day on Days 2 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Geometric mean · Litres (L)
Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of GDC-9545
Litres (L)GDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of GDC-9545397 ± 29.8430 ± 26.5462 ± 29.8
SecondaryNumber of Participants Who Experienced at Least One Adverse Event by Severity, According to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI-CTCAE v5.0)

The investigator sought information on adverse events (AEs) at each contact with a participant. All AEs, whether reported by the participant or noted by study personnel, were recorded. All AEs were assigned a severity grade (from 1 to 5) using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE v5.0). Severity refers to the intensity of an AE. The following is the severity grading scale used for AEs that are not specifically listed in the NCI-CTCAE: Grade 1 is mild; Grade 2 is moderate; Grade 3 is severe or medically significant; Grade 4 is life-threatening; and Grade 5 is death related to an AE.

Time frame:
From first dose of study drug until 14 days after the last dose of study drug (up to 41 days)
Reported as:
Count of participants · Participants
Number of Participants Who Experienced at Least One Adverse Event by Severity, According to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI-CTCAE v5.0)
ParticipantsGDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment COverall: Any GDC-9545 Treatment (A, B, or C)
Any Adverse Event (AE), Any Grade2235
AE by Initial Severity, Grade 12224
AE by Initial Severity, Grade 20011
AE by Initial Severity, Grade 30000
AE by Initial Severity, Grade 40000
AE by Initial Severity, Grade 50000
AE by Most Extreme Severity, Grade 12224
AE by Most Extreme Severity, Grade 20011
AE by Most Extreme Severity, Grade 30000
AE by Most Extreme Severity, Grade 40000
AE by Most Extreme Severity, Grade 50000
SecondaryNumber of Participants With Clinically Significant Abnormalities in Clinical Chemistry, Hematology, and Urinalysis Laboratory Tests

Participants provided blood and urine samples at the specified timepoints for laboratory analysis of clinical chemistry, hematology, and urinalysis parameters (please refer to Appendix A of the protocol for a complete list of parameters). Any of the laboratory test results that were outside of the reference range were considered abnormalities. Not every laboratory abnormality qualified as an adverse event (AE). A laboratory test result was reported as an AE if it met any of the following criteria: was accompanied by clinical symptoms; resulted in a change in study treatment; resulted in a medical intervention or a change in concomitant therapy; or was clinically significant in the investigator's judgment. All AEs were assigned a severity grade (from 1 to 5) using the NCI-CTCAE v5.0; for AEs not specifically listed in the NCI-CTCAE: Grade 1 is mild; Grade 2 is moderate; Grade 3 is severe or medically significant; Grade 4 is life-threatening; and Grade 5 is death related to an AE.

Time frame:
Baseline, Days 2 and 8 of Period 1-3, and 12-14 days after last dose (up to 34 days)
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Abnormalities in Clinical Chemistry, Hematology, and Urinalysis Laboratory Tests
ParticipantsGDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Number of Participants With Clinically Significant Abnormalities in Clinical Chemistry, Hematology, and Urinalysis Laboratory Tests001
SecondaryChange From Baseline in Systolic Blood Pressure Over Time

Vital signs (including oral temperature, respiratory rate, and supine blood pressure and pulse rate) were obtained at the specified timepoints. Supine blood pressure was obtained after the participant had been supine for at least 5 minutes. When vital signs were scheduled at the same time as blood draws, the blood draws were obtained at the scheduled timepoint, and the vital signs were obtained as close to the scheduled blood draw as possible, but prior to the blood draw. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The normal reference range for supine systolic blood pressure was 90-140 millimetres of mercury (mmHg).

Time frame:
Baseline and post-dose on Days 1 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Mean · millimetres of mercury (mmHg)
Change From Baseline in Systolic Blood Pressure Over Time
millimetres of mercury (mmHg)GDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Baseline (BL) - Value at Visit104.5 ± 12.03103.1 ± 8.73102.6 ± 9.28
Change from BL at Day 1-1.7 ± 7.170.7 ± 10.50-3.8 ± 7.33
Change from BL at Day 2-5.9 ± 6.93-4.0 ± 9.39-1.2 ± 7.77
Change from BL at Day 3-3.7 ± 7.46-1.8 ± 8.71-1.1 ± 8.39
Change from BL at Day 4-2.8 ± 7.56-3.2 ± 7.61-2.6 ± 9.65
Change from BL at Day 5-4.9 ± 7.03-2.6 ± 6.46-3.8 ± 6.71
Change from BL at Day 6-5.3 ± 8.94-1.8 ± 6.39-0.6 ± 8.95
Change from BL at Day 7-5.2 ± 8.19-3.3 ± 7.31-2.9 ± 8.12
Change from BL at Day 8-3.4 ± 9.23-0.4 ± 6.68-2.3 ± 6.28
SecondaryChange From Baseline in Diastolic Blood Pressure Over Time

Vital signs (including oral temperature, respiratory rate, and supine blood pressure and pulse rate) were obtained at the specified timepoints. Supine blood pressure was obtained after the participant had been supine for at least 5 minutes. When vital signs were scheduled at the same time as blood draws, the blood draws were obtained at the scheduled timepoint, and the vital signs were obtained as close to the scheduled blood draw as possible, but prior to the blood draw. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The normal reference range for supine diastolic blood pressure was 50-90 mmHg.

Time frame:
Baseline and Days 1 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Mean · millimetres of mercury (mmHg)
Change From Baseline in Diastolic Blood Pressure Over Time
millimetres of mercury (mmHg)GDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Baseline (BL) - Value at Visit64.2 ± 7.8662.5 ± 8.4062.8 ± 7.67
Change from BL at Day 1-2.8 ± 5.31-3.1 ± 6.73-3.3 ± 6.23
Change from BL at Day 2-3.2 ± 6.13-2.7 ± 8.73-1.6 ± 6.64
Change from BL at Day 3-4.2 ± 6.960.2 ± 7.52-1.0 ± 6.87
Change from BL at Day 4-2.3 ± 4.67-2.3 ± 7.50-2.3 ± 6.44
Change from BL at Day 5-2.8 ± 7.36-0.9 ± 5.31-2.3 ± 6.82
Change from BL at Day 6-4.3 ± 6.13-1.8 ± 6.37-0.4 ± 7.22
Change from BL at Day 7-3.1 ± 7.07-0.9 ± 6.10-1.8 ± 6.83
Change from BL at Day 8-3.1 ± 6.660.1 ± 7.45-3.3 ± 7.39
SecondaryChange From Baseline in Pulse Rate Over Time

Vital signs (including oral temperature, respiratory rate, and supine blood pressure and pulse rate) were obtained at the specified timepoints. Supine pulse rate was obtained after the participant had been supine for at least 5 minutes. When vital signs were scheduled at the same time as blood draws, the blood draws were obtained at the scheduled timepoint, and the vital signs were obtained as close to the scheduled blood draw as possible, but prior to the blood draw. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The normal reference range for supine pulse rate was 40-100 beats per minute.

Time frame:
Baseline and Days 1 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Mean · Beats per minute
Change From Baseline in Pulse Rate Over Time
Beats per minuteGDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Baseline (BL) - Value at Visit62.2 ± 7.6162.4 ± 8.8865.3 ± 11.00
Change from BL at Day 1-2.1 ± 6.27-4.1 ± 7.62-1.3 ± 9.39
Change from BL at Day 21.4 ± 10.34-3.2 ± 7.65-5.4 ± 7.01
Change from BL at Day 3-0.6 ± 5.61-4.1 ± 6.29-4.8 ± 7.73
Change from BL at Day 4-1.1 ± 8.08-2.2 ± 9.52-5.6 ± 7.85
Change from BL at Day 5-1.1 ± 6.76-2.8 ± 6.67-4.7 ± 9.33
Change from BL at Day 6-0.2 ± 7.58-0.4 ± 8.60-4.4 ± 8.56
Change from BL at Day 7-0.7 ± 7.10-1.4 ± 5.99-5.4 ± 8.20
Change from BL at Day 81.1 ± 9.00-0.1 ± 7.19-2.6 ± 6.30
SecondaryChange From Baseline in Respiratory Rate Over Time

Vital signs (including oral temperature, respiratory rate, and supine blood pressure and pulse rate) were obtained at the specified timepoints. When vital signs were scheduled at the same time as blood draws, the blood draws were obtained at the scheduled timepoint, and the vital signs were obtained as close to the scheduled blood draw as possible, but prior to the blood draw. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The normal reference range for respiratory rate was 10-24 breaths per minute.

Time frame:
Baseline and Days 1 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Mean · Breaths per minute
Change From Baseline in Respiratory Rate Over Time
Breaths per minuteGDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Baseline (BL) - Value at Visit15.6 ± 1.7615.6 ± 1.8915.6 ± 2.01
Change from BL at Day 11.6 ± 2.531.2 ± 1.962.0 ± 3.14
Change from BL at Day 2-0.6 ± 2.90-0.7 ± 3.07-0.8 ± 2.29
Change from BL at Day 3-0.4 ± 2.71-0.6 ± 3.55-0.6 ± 3.35
Change from BL at Day 40.1 ± 2.000.2 ± 2.54-0.3 ± 2.68
Change from BL at Day 50.8 ± 3.600.1 ± 2.701.0 ± 2.93
Change from BL at Day 60.0 ± 2.740.2 ± 2.37-0.6 ± 3.20
Change from BL at Day 7-0.4 ± 3.26-1.0 ± 3.31-0.8 ± 3.15
Change from BL at Day 8-0.9 ± 1.97-1.1 ± 2.30-1.0 ± 2.40
SecondaryChange From Baseline in Oral Body Temperature Over Time

Vital signs (including oral temperature, respiratory rate, and supine blood pressure and pulse rate) were obtained at the specified timepoints. When vital signs were scheduled at the same time as blood draws, the blood draws were obtained at the scheduled timepoint, and the vital signs were obtained as close to the scheduled blood draw as possible, but prior to the blood draw. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The normal reference range for oral body temperature was 35.5-37.8 degrees Celsius (C).

Time frame:
Baseline and Days 1 to 8 of Periods 1-3 (up to 27 days)
Reported as:
Mean · degrees Celsius (C)
Change From Baseline in Oral Body Temperature Over Time
degrees Celsius (C)GDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Baseline (BL) - Value at Visit36.65 ± 0.14236.64 ± 0.11536.72 ± 0.129
Change from BL at Day 10.06 ± 0.1290.00 ± 0.1240.04 ± 0.195
Change from BL at Day 20.12 ± 0.1830.07 ± 0.1490.00 ± 0.150
Change from BL at Day 30.12 ± 0.1400.11 ± 0.2290.03 ± 0.119
Change from BL at Day 40.08 ± 0.1820.09 ± 0.1890.03 ± 0.146
Change from BL at Day 50.12 ± 0.1630.11 ± 0.1840.03 ± 0.161
Change from BL at Day 60.08 ± 0.1500.11 ± 0.1950.03 ± 0.137
Change from BL at Day 70.08 ± 0.1580.10 ± 0.1280.06 ± 0.138
Change from BL at Day 80.12 ± 0.2020.13 ± 0.1240.01 ± 0.135
SecondaryChange From Baseline in Duration of PR, RR, QRS, QT, QTcB, and QTcF Intervals Over Time, as Measured by Electrocardiogram

A single 12-lead electrocardiogram (ECG) was obtained at the specified timepoints. To minimize variability in autonomic tone and heart rate, participants rested quietly and in a supine position for at least 5 minutes prior to recording the ECG. Blood draws, other procedures, activity, and environmental distractions (e.g., television, radio, conversation) were to be avoided during the pre-ECG resting period and between ECG recordings to minimize variability due to the effects of activity and stress on cardiac electrophysiology. Whenever possible, ECG tracings for each participant were to be obtained from the same type of machine throughout the study. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The following are the normal reference ranges for ECG interval durations in milliseconds (msec): PR \[120-210 msec\]; QRS \[upper limit: \<120 msec\]; QT, QTcB, and QTcF \[upper limit: \<470 msec\].

Time frame:
Baseline, and pre-dose and 4 hours post-dose on Day 1, and post-dose on Days 2, and 8 of Periods 1-3 (up to 27 days)
Reported as:
Mean · milliseconds (msec)
Change From Baseline in Duration of PR, RR, QRS, QT, QTcB, and QTcF Intervals Over Time, as Measured by Electrocardiogram
milliseconds (msec)GDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
PR: Baseline (BL) - Value at Visit170.2 ± 15.38171.5 ± 13.87165.8 ± 17.39
PR: Change from BL at Day 1-3.6 ± 5.80-6.1 ± 7.37-2.7 ± 13.46
PR: Change from BL at Day 2-3.9 ± 10.65-4.8 ± 11.934.4 ± 8.32
PR: Change from BL at Day 8-2.1 ± 9.32-4.4 ± 9.43-1.0 ± 10.58
RR: Baseline (BL) - Value at Visit966.7 ± 115.12986.8 ± 106.40971.6 ± 131.35
RR: Change from BL at Day 143.9 ± 64.1064.6 ± 113.36-6.0 ± 134.23
RR: Change from BL at Day 219.6 ± 88.4255.0 ± 97.5866.7 ± 89.61
RR: Change from BL at Day 8-1.3 ± 74.84-12.6 ± 71.049.9 ± 89.01
QRS: Baseline (BL) - Value at Visit87.4 ± 8.7988.9 ± 7.5989.4 ± 8.93
QRS: Change from BL at Day 1-0.1 ± 5.010.6 ± 3.66-4.4 ± 8.65
QRS: Change from BL at Day 20.7 ± 5.01-0.7 ± 5.28-2.1 ± 5.78
QRS: Change from BL at Day 8-0.6 ± 5.18-1.5 ± 4.93-1.7 ± 4.36
QT: Baseline (BL) - Value at Visit414.7 ± 21.01416.5 ± 18.51411.9 ± 25.22
QT: Change from BL at Day 15.9 ± 11.9311.4 ± 15.44-9.7 ± 18.23
QT: Change from BL at Day 20.5 ± 16.455.7 ± 16.1211.9 ± 13.27
QT: Change from BL at Day 8-2.6 ± 11.78-2.8 ± 10.711.6 ± 15.15
QTcB: Baseline (BL) - Value at Visit422.3 ± 12.45419.9 ± 15.40418.7 ± 12.68
QTcB: Change from BL at Day 1-3.3 ± 12.28-1.7 ± 12.72-7.9 ± 17.39
QTcB: Change from BL at Day 2-3.4 ± 11.72-5.4 ± 10.99-2.1 ± 12.89
QTcB: Change from BL at Day 8-2.4 ± 12.46-0.2 ± 11.90-0.6 ± 10.54
QTcF: Baseline (BL) - Value at Visit419.5 ± 11.10418.3 ± 12.85415.9 ± 11.91
QTcF: Change from BL at Day 1-0.2 ± 10.382.8 ± 8.50-8.5 ± 12.22
QTcF: Change from BL at Day 2-2.1 ± 10.40-1.6 ± 8.822.8 ± 9.58
QTcF: Change from BL at Day 8-2.7 ± 9.54-1.0 ± 9.110.1 ± 8.51
SecondaryChange From Baseline in Heart Rate Over Time, as Measured by Electrocardiogram

A single 12-lead electrocardiogram (ECG) was obtained at the specified timepoints. To minimize variability in autonomic tone and heart rate, participants rested quietly and in a supine position for at least 5 minutes prior to recording the ECG. Blood draws, other procedures, activity, and environmental distractions (e.g., television, radio, conversation) were to be avoided during the pre-ECG resting period and between ECG recordings to minimize variability due to the effects of activity and stress on cardiac electrophysiology. Whenever possible, ECG tracings for each participant were to be obtained from the same type of machine throughout the study. The baseline value was defined as the last value recorded prior to the first dose in each treatment period. The normal reference range for heart rate was 50-100 beats per minute.

Time frame:
Baseline, and post-dose on Days 1, 2, and 8 of Periods 1-3 (up to 27 days)
Reported as:
Mean · Beats per minute
Change From Baseline in Heart Rate Over Time, as Measured by Electrocardiogram
Beats per minuteGDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment C
Baseline (BL) - Value at Visit62.3 ± 6.9661.2 ± 6.7162.4 ± 9.62
Change from BL at Day 1-2.9 ± 3.89-4.1 ± 6.530.5 ± 8.36
Change from BL at Day 2-1.0 ± 5.92-3.4 ± 6.03-4.6 ± 6.48
Change from BL at Day 8-0.2 ± 5.310.8 ± 4.71-0.9 ± 6.35

Adverse events

Collected over From first dose of study drug until 14 days after the last dose of study drug (up to 41 days). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
GDC-9545 Tablet, Fasted: Treatment A0/18 (0%)0/18 (0%)2/18 (11.1%)
GDC-9545 Capsule, Fasted: Treatment B0/18 (0%)0/18 (0%)2/18 (11.1%)
GDC-9545 Capsule, Fed: Treatment C0/18 (0%)0/18 (0%)3/18 (16.7%)
Overall: Any GDC-9545 Treatment (A, B, or C)0/18 (0%)0/18 (0%)5/18 (27.8%)
Most frequent other events
Most frequent other events
EventGDC-9545 Tablet, Fasted: Treatment AGDC-9545 Capsule, Fasted: Treatment BGDC-9545 Capsule, Fed: Treatment COverall: Any GDC-9545 Treatment (A, B, or C)
HeadacheNervous system disorders0/182/180/182/18
Dry eyeEye disorders1/180/180/181/18
ConstipationGastrointestinal disorders1/180/180/181/18
Skin abrasionInjury, poisoning and procedural complications0/180/181/181/18
Blood creatine phosphokinase increasedInvestigations0/180/181/181/18
CostochondritisMusculoskeletal and connective tissue disorders1/180/180/181/18
Upper-airway cough syndromeRespiratory, thoracic and mediastinal disorders0/180/181/181/18
FlushingVascular disorders1/180/180/181/18

Baseline characteristics

Age, Continuous
Age, Continuous(Years)GDC-9545 Treatment Sequence A, B, and CGDC-9545 Treatment Sequence B, C, and AGDC-9545 Treatment Sequence C, A, and BGDC-9545 Treatment Sequence A, C, and BGDC-9545 Treatment Sequence B, A, and CGDC-9545 Treatment Sequence C, B, and ATotal
Mean51.0 ± 4.455.0 ± 5.248.3 ± 8.154.0 ± 9.556.3 ± 5.953.7 ± 4.953.1 ± 6.2
Sex: Female, Male
Sex: Female, Male(Participants)GDC-9545 Treatment Sequence A, B, and CGDC-9545 Treatment Sequence B, C, and AGDC-9545 Treatment Sequence C, A, and BGDC-9545 Treatment Sequence A, C, and BGDC-9545 Treatment Sequence B, A, and CGDC-9545 Treatment Sequence C, B, and ATotal
Female33333318
Male0000000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)GDC-9545 Treatment Sequence A, B, and CGDC-9545 Treatment Sequence B, C, and AGDC-9545 Treatment Sequence C, A, and BGDC-9545 Treatment Sequence A, C, and BGDC-9545 Treatment Sequence B, A, and CGDC-9545 Treatment Sequence C, B, and ATotal
Hispanic or Latino21212311
Not Hispanic or Latino1212107
Unknown or Not Reported0000000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)GDC-9545 Treatment Sequence A, B, and CGDC-9545 Treatment Sequence B, C, and AGDC-9545 Treatment Sequence C, A, and BGDC-9545 Treatment Sequence A, C, and BGDC-9545 Treatment Sequence B, A, and CGDC-9545 Treatment Sequence C, B, and ATotal
White33333318
08

Study locations

1 site
  • Covance Research Unit - Daytona
    Daytona Beach, Florida 32117, United States
09

References and documents

Study documents

  • Study protocol · Dec 3, 2019
  • Statistical analysis plan · Feb 4, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — Qualified researchers may request access to individual patient level data through the request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on Sharing of Clinical Study Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 28, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04274075
Lead sponsor
Genentech, Inc.
Responsible party
Sponsor
First posted
Feb 18, 2020
Start date
Mar 6, 2020
Primary completion
Apr 16, 2020
Completion
Apr 16, 2020
Results posted
Apr 28, 2021
Last update
Apr 28, 2021

Study contacts

Clinical Trials
study director · Genentech, Inc.

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Giredestrant

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