A Phase 1 interventional study of E7386 Tablet and (14C)E7386 Capsule in Healthy Volunteers, sponsored by Eisai Limited. Completed at 1 site in United Kingdom. Open to male participants aged 30 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-09-21.
Sponsored by Eisai Limited · Phase 1, Interventional, and Basic science
The primary purpose of this study is to evaluate the absolute bioavailability of E7386 following a single oral dose of E7386 as a one 40 milligram (mg) immediate release (IR) tablet and concomitant intravenous (IV) microdose of (14C)E7386 (100 mcg [microgram]) solution for Part 1 and to determine the pharmacokinetic (PK) and excretion of E7386 following a single 40 mg powder in capsule (PIC) oral administration of (14C)E7386 for Part 2.
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Participants will be administered a single oral dose of E7386 40 mg tablet on Day 1 followed by an intravenous infusion containing a microdose solution of \[14C\]E7386 (100 mcg) with not more than (NMT) 7.4 kilobecquerel (kBq) (0.20 microcurie \[mcCi\]), starting approximately 25 minutes post oral dose administered as 5 milliliter (mL) over 5 minutes to coincide with the time at which the highest drug concentration occurs (tmax) for E7386 after an oral dose.
Drug: E7386 Tablet · Drug: (14C)E7386
Participants will be administered a single oral dose of E7386 40 mg capsule radiolabeled with approximately 2.96 megabecquerel (MBq) (80 mcCi) (14C)E7386 (final dose to depend on the specific activity of \[14C\]E7386) in the morning on Day 1 after an overnight fasting.
Drug: (14C)E7386 Capsule
E7386 40 mg tablet.
(14C)E7386 40 mg capsule.
(14C)E7386 administered intravenously.
Part 1, %F: Percent Absolute Oral Bioavailability for (14C)E7386 and E7386
Time frame: Pre-dose (0 hour) up to 96 hours post-dose
Part 1, Cmax: Maximum Observed Plasma Concentration for Total Radioactivity, (14C)E7386 and E7386
Time frame: Pre-dose (0 hour) up to 96 hours post-dose
Part 1, Tlag: Time Delay Between Drug Administration and the Onset of Absorption for Total Radioactivity, (14C)E7386 and E7386
Time frame: Pre-dose (0 hour) up to 96 hours post-dose
Part 1, Tmax: Time to Reach Maximum Observed Plasma Concentration (Cmax) for Total Radioactivity, (14C)E7386 and E7386
Time frame: Pre-dose (0 hour) up to 96 hours post-dose
Part 1, AUC(0-12h): Area Under the Plasma Concentration-time Curve From Time Zero to 12 hours Post-dose for Total Radioactivity, (14C)E7386 and E7386
Time frame: Pre-dose (0 hour) up to 12 hours post-dose
Part 1, AUC(0-24h): Area Under the Plasma Concentration-time Curve From Time Zero to 24 hours Post-dose for Total Radioactivity, (14C)E7386 and E7386
Time frame: Pre-dose (0 hour) up to 24 hours post-dose
Part 1, AUC(0-last): Area Under the Plasma Concentration-time Curve from Time 0 to Time of the Last Measurable Concentration for Total Radioactivity, (14C)E7386 and E7386
Time frame: Pre-dose (0 hour) up to 96 hours post-dose
Part 1, AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time Zero to Infinite Time for Total Radioactivity, (14C)E7386 and E7386
Time frame: Pre-dose (0 hour) up to 96 hours post-dose
Part 1, t1/2: Apparent Terminal Elimination Phase Half-life for Total Radioactivity, (14C)E7386 and E7386
Time frame: Pre-dose (0 hour) up to 96 hours post-dose
Part 1, MRT: Mean Residence Time of (14C)E7386
Time frame: Pre-dose (0 hour) up to 96 hours post-dose
Part 1, CL: Total Clearance of (14C)E7386
Time frame: Pre-dose (0 hour) up to 96 hours post-dose
Part 1, CL/F: Apparent Total Body Clearance of E7386
Time frame: Pre-dose (0 hour) up to 96 hours post-dose
Part 1, Vss: Volume of Distribution at Steady State of (14C)E7386
Time frame: Pre-dose (0 hour) up to 96 hours post-dose
Part 1, Vz/F: Apparent Volume of Distribution at Terminal Phase of E7386
Time frame: Pre-dose (0 hour) up to 96 hours post-dose
Part 1, Fa: Percentage of Absorbed Dose Using Total Radioactivity in Urine
Time frame: Pre-dose (0 hour) up to 96 hours post-dose
Part 2, Cmax: Maximum Observed Concentration for Total Radioactivity and E7386
Time frame: Pre-dose (0 hour) up to 480 hours post-dose
Part 2, Tlag: Time Delay Between Drug Administration and the Onset of Absorption for Total Radioactivity and E7386
Time frame: Pre-dose (0 hour) up to 480 hours post-dose
Part 2, Tmax: Time to Reach Maximum Observed Concentration (Cmax) for Total Radioactivity and E7386
Time frame: Pre-dose (0 hour) up to 480 hours post-dose
Part 2, AUC(0-12h): Area Under the Concentration-time Curve From Time Zero to 12 hours Post-dose for Total Radioactivity and E7386
Time frame: Pre-dose (0 hour) up to 12 hours post-dose
Part 2, AUC(0-24h): Area Under the Concentration-time Curve From Time Zero to 24 hours Post-dose for Total Radioactivity and E7386
Time frame: Pre-dose (0 hour) up to 24 hours post-dose
Part 2, AUC(0-last): Area Under the Concentration-time Curve from Time 0 to Time of the Last Measurable Concentration for Total Radioactivity and E7386
Time frame: Pre-dose (0 hour) up to 480 hours post-dose
Part 2, AUC(0-inf): Area Under the Concentration-time Curve From Time Zero to Infinite Time for Total Radioactivity and E7386
Time frame: Pre-dose (0 hour) up to 480 hours post-dose
Part 2, t1/2: Apparent Terminal Elimination Phase Half-life for Total Radioactivity and E7386
Time frame: Pre-dose (0 hour) up to 480 hours post-dose
Part 2, CL/F: Apparent Total Body Clearance of E7386
Time frame: Pre-dose (0 hour) up to 480 hours post-dose
Part 2, Vz/F: Apparent Volume of Distribution at Terminal Phase of E7386
Time frame: Pre-dose (0 hour) up to 480 hours post-dose
Part 2, feu: Percentage of Administered Radioactive Dose Excreted in Urine for Total Radioactivity
Time frame: Day -1 (Baseline) up to Day 49
Part 2, Cumulative feu(0-tlast): Cumulative Radioactive Dose Excreted in Urine From Time 0 to Time of the Last Measurable Concentration
Time frame: Day -1 (Baseline) up to Day 49
Part 2, fef: Percentage of Total Radioactivity Recovered in Feces Relative to the Administered Radioactive Dose
Time frame: Day -1 (Baseline) up to Day 49
Part 2, Cumulative fef(0-tlast): Cumulative Radioactive Dose Excreted in Feces From Time 0 to Time of the Last Measurable Concentration
Time frame: Day -1 (Baseline) up to Day 49
Part 2, feu+ef: Percentage of Total Radioactivity Recovered in Combined Urine and Feces Relative to the Administered Radioactive Dose
Time frame: Day -1 (Baseline) up to Day 49
Part 2, Cumulative feu+ef(0-tlast): Cumulative Radioactive Dose excreted in Combined Excreta (Urine and Feces) From Time Zero to Time of the Last Measurable Concentration
Time frame: Day -1 (Baseline) up to Day 49
Part 2, Fa: Percentage of Absorbed Dose Using Total Radioactivity in Urine
Time frame: Day -1 (Baseline) up to Day 49
Part 2 (Metabolic Profile of E7386): Concentration of Metabolite of E7386 in Plasma, Urine, and Feces
Blood, urine and feces samples will be collected and analyzed to estimate the concentration of metabolite of E7386 by liquid chromatography/multiple-stage mass spectroscopy method.
Time frame: Day 1 up to Day 21
Parts 1 and 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: Part 1: Up to Day 5; Part 2: Up to Day 49
Parts 1 and 2: Number of Participants With Abnormal Laboratory Values
Laboratory assessment will include hematology, clinical chemistry, and urinalysis parameters.
Time frame: Part 1: Up to Day 5; Part 2: Up to Day 49
Parts 1 and 2: Number of Participants With Abnormal Vital Signs Values
Vital sign measurements will include systolic and diastolic blood pressure (BP), pulse rate, respiratory rate, body temperature.
Time frame: Part 1: Up to Day 5; Part 2: Up to Day 49
Parts 1 and 2: Number of Participants With Abnormal 12-lead Electrocardiogram (ECG) Values
Time frame: Part 1: Up to Day 5; Part 2: Up to Day 49
Parts 1 and 2: Number of Participants With Abnormal Ophthalmic Examinations
Time frame: Part 1: Up to Day 5; Part 2: Up to Day 49
Parts 1 and 2: Number of Participants who will Receive Concomitant Medications
Time frame: Part 1: Up to Day 5; Part 2: Up to Day 49
Parts 1 and 2: Number of Participants With Abnormal Physical Examinations
Time frame: Part 1: Up to Day 5; Part 2: Up to Day 49
Parts 1 and 2: Number of Participants With Suicidal Ideation or Suicidal Behavior as Measured Using Columbia-suicide Severity Rating Scale (C-SSRS)
The C-SSRS is an interview-based rating scale to systematically assess any suicidality, suicidal behavior, or suicidal ideation. Any suicidality is emergence of any suicidal ideation or suicidal behavior. Any suicidal behavior is indicated when response is "yes" for any these questions- actual attempt to suicide, engaged in non-suicidal self-injurious behavior, interrupted attempt, aborted attempt, preparatory acts. Any suicidal ideation is indicated when response is "yes" for any of these questions- wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with methods without intent to act or some intent to act, without specific plan or with specific plan and intent to suicide.
Time frame: Part 1: Up to Day 5; Part 2: Up to Day 49
Plan to share: Yes — Eisai's data sharing commitment and further information on how to request data can be found on our website http://eisaiclinicaltrials.com/.
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This study is completed, as verified in Sep 2022. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: E-7386