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CompletedNCT07753252Updated Nov 13, 2026

Phase 1 Study in Healthy Adults to See How Sevabertinib Changes Metformin Levels in the Body

A Phase 1 interventional study of Metformin and Sevabertinib (BAY 2927088) in Healthy Participants, sponsored by Bayer. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-13.

Sponsored by Bayer · Phase 1, Interventional, and Basic science

Updated Nov 12, 2026Now CompletedNow Recruiting+5 moreGo to Updates ↓

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Phase
Phase 1
Study type
Interventional
Enrollment
42
Allocation
Non-randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

This Phase 1 study in healthy adults looks at whether sevabertinib changes how the body handles metformin. The study is based on the idea that sevabertinib may block kidney transporters (proteins that move medicines) called MATE1 and MATE2-K, which help remove metformin from the body. Each participant receives a single dose of metformin alone, and later receives sevabertinib for several days and then takes metformin again while still taking sevabertinib. The study aims to learn how metformin, gets into, moves through, and out of the body when it is administered with sevabertinib. This is called "Pharmacokinetics". Furthermore, the study will help us learn about the safety and tolerability of sevabertinib and metformin when given alone or in combination.

02

Conditions studied

  • Healthy Participants
03

In context

Lead sponsor

Bayer is the lead sponsor of 1,674 studies on the registry; 51 are open to participants now.

Of its 214 completed or terminated interventional studies of FDA-regulated products, 132 (62%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 55 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

  • Participant must be 18 to 55 years of age inclusive, at the time of signing the .
  • Participants who are overtly healthy as determined by the investigator or medically qualified designee based on medical evaluation including medical history, physical examination, 12-lead , and clinical laboratory tests.
  • Participant is a non-smoker who has not used tobacco- or nicotine-containing products for at least 6 months before the first study intervention administration.
  • (BMI) within the range 18.5 to 30.0 kg/m² (inclusive) and a body weight of at least 50 kg at screening.
  • Female, of non- only (see Section 10.4.1). Females must not be pregnant or breastfeeding, and must be documented as of non-childbearing potential (WONCBP). A negative pregnancy test is required

Exclusion criteria

Exclusion:

  • Existing relevant diseases of vital organs (e.g., cardiovascular, liver, gastrointestinal, renal, respiratory, or central nervous system diseases) or other organs (e.g., diabetes mellitus).
  • Known history of to sevabertinib, metformin, or any of their .
  • History of known or suspected malignant tumors.
  • Regular use of medicines within 4 weeks prior to screening.
  • Administration of strong or moderate inhibitors or inducers of , P-gp, MATE1/2-K, or OCT2 within 4 weeks or 5 half-lives prior to the first study intervention administration, whichever is longer.
  • Use of any prescription drug or over-the-counter (OTC) medication within 2 weeks or 5 half-lives of the prescription medication prior to the first study intervention administration (whichever is longer), except for occasional use of acetaminophen (up to 2 g/day) within 7 days prior to the first study intervention administration.
  • Use of supplements or herbal remedies within 2 weeks prior to the first study intervention administration, except for vitamins.
  • Excessive intake of methylxanthine-containing drinks or food (e.g., coffee, tea, chocolate) as judged by the investigator. Excessive intake of methylxanthine is defined as the regular consumption of more than 600 mg of caffeine per day (e.g., >5 cups of coffee) or would likely be unable to refrain from the use of methylxanthine-containing beverages and food during confinement at the clinic.
  • findings in the such as a second- or third-degree atrio-ventricular block, prolongation of the average QRS complex over 120 msec or of the (Fridericia correction) interval over 450 msec or any other finding which in the opinion of the investigator will hinder participant's safety at screening or check-in (Day-1).
  • Positive results for virus surface antigen, hepatitis B virus core antibody, virus antibodies, antibodies 1 and/or 2 at screening.
  • Estimated \<90 mL/min according to Cockcroft-Gault formula (at screening).
  • Positive urine drug and cotinine screening at screening or check-in (Day-1).
  • Positive urine alcohol test at screening or check-in (Day-1).
  • Unable/unwilling to comply with study restrictions.
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
42 participants (actual)

Study arms

  • Experimental
    Metformin + Sevabertinib

    Single 500 mg oral dose of metformin on Day 1 (Intervention Period 1) in healthy participants. Sevabertinib pre-treatment period (days -4 to -1) when sevabertinib is administered alone. Single 500 mg oral dose of metformin co-administered during ongoing sevabertinib 20 mg BID regimen on Day 1 of Intervention Period 2; sevabertinib continued on Day 2

    Drug: Metformin · Drug: Sevabertinib (BAY 2927088)

Interventions

  • Immediate-release tablet, 500 mg; administered as a single 500 mg oral dose in Intervention Period 1 (Day 1) and as a single 500 mg oral dose in Intervention Period 2 (Day 1 of the combination phase, after sevabertinib pre-treatment)

  • Film-coated tablet, 10 mg; administered as 20 mg BID (oral) pre-treatment in Intervention Period 2 and continued 20 mg BID during co-administration with metformin

06

What researchers measure

Primary outcomes

  1. AUC (Area Under the Curve) of metformin

    Assessed for metformin with and without sevabertinib (Metformin alone vs Metformin + sevabertinib).

    Time frame: Relative to metformin administration on Study Day 1 un until Study Day 4

  2. AUC(0-tlast) (Area Under the Curve from time 0 to tlast) of metformin

    Assessed for metformin with and without sevabertinib (Metformin alone vs Metformin + sevabertinib).

    Time frame: Relative to metformin administration on Study Day 1 un until Study Day 4

  3. Cmax (Maximum Plasma Concentration) of metformin

    Assessed for metformin with and without sevabertinib (Metformin alone vs Metformin + sevabertinib).

    Time frame: Relative to metformin administration on Study Day 1 un until Study Day 4

Secondary outcomes

  1. Number of participants with treatment-emergent adverse events (TEAEs)

    The number of participants with TEAEs will be summarized by study intervention using Medical Dictionary for Regulatory Activities (MedDRA) terms.

    Time frame: From the start of study intervention until the last follow-up visit, up to 7 days after the last administration of study intervention.

  2. Severity of treatment-emergent adverse events (TEAEs)

    Intensity of AEs should be documented using the National Cancer Institute’s Common Terminology Criteria for Adverse Events (NCI-CTCAE, v.5.0).

    Time frame: From the start of study intervention until the last follow-up visit, up to 7 days after the last administration of study intervention.

07

Study locations

1 site
  • Clinical Pharmacology of Miami - Oncology
    Miami, Florida 33172, United States
08

References and documents

Individual participant data

Plan to share: No — Currently, there is no established plan for the sharing of Individual Patient Data (IPD) from this study. The availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA 'Principles for responsible clinical trial data sharing.' This pertains to the scope, timepoint, and process of data access. As such, Bayer commits to considering requests from qualified researchers for patient- / study-level clinical trial data, and documents from clinical trials involving medicines and indications approved in the US and EU. However, this commitment does not reflect an active IPD sharing plan. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Researchers can use www.vivli.org to request access to IPD and documents from clinical studies to conduct research. Information on Bayer's criteria for listing studies is provided in the member section of the portal

No publications or documents are linked to this record.

09

Timeline

4 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Ran from Aug 2026 to primary completion in Oct 2026, 1 month.

Primary completion moved 3 times since we started tracking on Sep 25, 2026: Sep 2026 → Oct 2026, last on Nov 12, 2026.

Completion moved 3 times since we started tracking on Sep 25, 2026: Sep 2026 → Oct 2026, last on Nov 12, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Aug 4, 2026
First posted
Aug 7, 2026
StartActual
Aug 21, 2026
Primary completionActual
Oct 8, 2026was Sep 2026
CompletionActual
Oct 8, 2026was Sep 2026
Last update
Nov 13, 2026
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.
Status
Not yet recruiting→Recruiting→Completed
changed Oct 22, 2026 · changed Oct 26, 2026
Sites
Clinical Pharmacology of Miami - Oncology is now Recruiting
Oct 22, 2026
Start date
Changed, then back to Aug 21, 2026
moved 2 times, Oct 22, 2026 – Nov 12, 2026
Primary completion
Sep 21, 2026→Oct 8, 2026
moved 3 times, Oct 22, 2026 – Nov 12, 2026
Study completion
Sep 28, 2026→Oct 8, 2026
moved 3 times, Oct 22, 2026 – Nov 12, 2026
Enrollment
40 (estimated)→42 (actual)
Oct 26, 2026
Show all 4 updates
  1. Nov 13, 2026
    Minor edits only
    + 1 other change: verification date
  2. Nov 12, 2026
    Start date Aug 25, 2026→Aug 21, 2026
    Primary completion Oct 6, 2026→Oct 8, 2026
    Study completion Oct 6, 2026→Oct 8, 2026
    + 1 other change: verification date
  3. Oct 26, 2026
    Recruiting→Completed
    Primary completion Oct 22, 2026→Oct 6, 2026 (now actual)
    Study completion Oct 22, 2026→Oct 6, 2026 (now actual)
    Enrollment 40 (estimated)→42 (actual)
    + 3 other changes: verification date, contact details and site details
  4. Oct 22, 2026
    Not yet recruiting→Recruiting
    Clinical Pharmacology of Miami - Oncology is now Recruiting
    Start date Aug 21, 2026→Aug 25, 2026 (now actual)
    Primary completion Sep 21, 2026→Oct 22, 2026
    Study completion Sep 28, 2026→Oct 22, 2026
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07753252
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Aug 7, 2026
Start date
Aug 21, 2026
Primary completion
Oct 8, 2026
Completion
Oct 8, 2026
Last update
Nov 13, 2026

Oversight

Data monitoring committee
No
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 Nov 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Metformin · Sevabertinib

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