Evaluate the Effect of Orelabrutinib on Cardiac Repolarization in Healthy Subjects

December 19, 2022 updated by: Beijing InnoCare Pharma Tech Co., Ltd.

A Randomized, Blinded, Placebo- and Positive-Controlled, Four-Period, Crossover-Design Thorough QT/QTc (TQT) Study to Evaluate the Effect of Orelabrutinib on Cardiac Repolarization in Healthy Subjects

This is A Randomized, Blinded, Placebo- and Positive-Controlled, Four-Period, Crossover-Design Thorough QT/QTc (TQT) Study to Evaluate the Effect of Orelabrutinib on Cardiac Repolarization in Healthy Subjects

Study Overview

Status

Active, not recruiting

Conditions

Intervention / Treatment

Detailed Description

This is a randomized, blinded, placebo- and positive-controlled, four-period, crossover clinical study. A double-blind design is used for administration of orelabrutinib tablet and placebo, and an open-label design is used for moxifloxacin hydrochloride tablet.Subjects who meet all inclusion criteria and do not meet any of the exclusion criteria are randomly assigned to one of 12 treatment sequences, and each treatment sequence includes 4 periods, with a 5-day washout period between treatment periods. The subject will complete all the visit examinations on Day 17 after the first dose, then will be discharged from the study site, and will receive telephone follow-up on Day 8 ± 2 after the last dose date. If a subject has clinically significant abnormal examination results when discharging from the study site after the last dose, on-site follow-up is essential to track the abnormal examination results, or otherwise, only telephone follow-up is required.

Study Type

Interventional

Enrollment (Anticipated)

48

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Beijing, China
        • Beijing GoBroad Boren Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

14 years to 41 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria

  1. After being informed and understanding of the trial process and possible adverse reactions of the drug, the subjects voluntarily signed an informed consent form (ICF) and confirmed their participation in all study procedures;
  2. Healthy subjects aged 18-45 years (inclusive) at the time of signing the informed consent;
  3. Weight of subjects ≥50.0 kg and ≤100.0 kg; Body mass index (BMI) ≥19.0 kg/m2 and ≤ 30.0 kg/m2, BMI= weight (kg)/height 2 (m2);
  4. Subjects do not have clinically meaningful medical history and various examinations including physical examination, vital signs, laboratory tests or ECG, and the results are normal or abnormal without clinical significance judged by investigators.
  5. Eligible fertile subjects (male and female) must agree to abstain from sex (avoid heterosexual sex) or use effective contraceptives with an annual contraceptive failure rate of less than 1% during the trial period until 3 months after the end of the trial.

Exclusion Criteria

  1. History of any clinically serious disease like heart, liver, kidney, gastrointestinal tract, blood and respiratory system, immune system etc, with a history of fainting during acupuncture or injection or when seeing blood, or cannot tolerate venipuncture;
  2. Abnormal renal ,liver and pancreas function;
  3. Low blood pressure (systolic blood pressure<90 mmHg; diastolic blood pressure<60 mmHg) or hypertension (systolic blood pressure ≥ 140 mmHg; diastolic blood pressure ≥ 90 mmHg);
  4. Prolonged QTc interval that is at risk of causing torsade de pointes (TdP) requires drug treatment or other heart related abnormalities require drug treatment;
  5. The average value of three repetitions of 12 lead ECG at screening and before the first administration exceeded the standard: PR>220 ms, QRS>120 ms, HR<50 bpm, QTcF>450 ms (male and female), and any ECG abnormality with clinical significance determined by the investigator at screening;
  6. With a history of dysphagia or any gastrointestinal disease that affects drug absorption;
  7. With a history of drug or food allergy, or a history of specific allergies (asthma, urticaria, eczema, etc.); or allergic to moxifloxacin or other fluoroquinolones;
  8. Within 3 months before screening, those who have undergone surgery, have smoked more than 5 cigarettes or e-cigarettes daily, with a history of drug abuse or illicit drug use, or plan to undergo surgery during the study period, or with positive results of urine drug test at screening;
  9. Those who have used any prescription drugs, over-the-counter drugs, Chinese herbal medicines, or health products within 14 days before the first dose;
  10. People with positive results of one or more of the following tests: hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCVAb), HIV antigen/antibody joint test (HIV Ab), Treponema pallidum antibody (TP Ab) and COVID-19 at screening;
  11. Within 1 month before screening, those who have received anticoagulant therapy or thrombin inhibitor and/or antiplatelet therapy, any drug that inhibits or induces the metabolism of a drug by the liver;
  12. Those who have frequently used alcohol within 6 months before screening, or those who are unable to abstain from alcohol during the study period, or those who have positive results of breath alcohol test at the time of screening;
  13. Within 7 days before screening those who have drunk excessive tea, coffee or caffeinated beverages, or who have eaten fruits or food that affect metabolic enzymes, within 1 months before screening who are used to beverages or food rich in xanthine ingredients, and those who are unable to abstain from such beverages, fruits or food mentioned above during the whole study period;
  14. Those who have participated in 4 or more clinical trials during the past one year; who have taken other study drugs or participated in other drug clinical trials within 3 months before screening;
  15. Those who have donated blood or plan to donate blood within 3 months before screening, or have received blood transfusion within 4 weeks before screening;
  16. Those who have been vaccinated within 4 weeks before screening, or plan to get vaccinated during the study period;
  17. Women who are pregnant or breastfeeding, or have positive results of serum human chorionic gonadotropin (HCG) test before the first dose;
  18. Those who disagree to discontinue strenuous exercises from the date of signing the ICF to the end of the trial (including non-hospitalization period);
  19. Those who cannot complete this study due to other reasons or who have clinically significant lab abnormalities as determined by the investigator, or who are not suitable for this study as assessed by the investigators.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Crossover Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Orelabrutinib tablet 150 mg (study drug) and placebo 250 mg (orelabrutinib tablet simulator)
The subjects will be dosed once on Day1 or Day6 or Day11 or Day16 according to randomization.
Orelabrutinib will be administered as 3 tablets (150mg) and placebo as 5 tablets (250mg)
Experimental: Orelabrutinib 400 mg (study drug)
The subjects will be dosed once on Day1 or Day6 or Day11 or Day16 according to randomization.
Orelabrutinib will be administered as 8 tablets (400mg)
Placebo Comparator: Placebo 400mg (orelabrutinib tablet simulator)
The subjects will be dosed once on Day1 or Day6 or Day11 or Day16according to randomization.
Placebo will be administered as 8 tablets (400mg).
Active Comparator: Moxifloxacin hydrochloride 400 mg
he subjects will be dosed once on Day1 or Day6 or Day11 or Day16 according to randomization.
Moxifloxacin hydrochloride will be administered as 1 tablet (400mg)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Placebo-corrected change-from-baseline QTcF interval
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change-from-baseline QTcF, PR, and QRS intervals
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Change-from-baseline HR
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Placebo-corrected change-from-baseline PR, and QRS intervals
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Placebo-corrected change-from-baseline HR
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Categorical outliers for QTcF, PR, and QRS
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Categorical outliers for HR
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Frequency of treatment-emergent changes of T-wave morphology and U-waves presence
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Extraction of Holter ECGs from 1 h pre-dose to 24 h post-dose in each period.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Tmax of Orelabrutinib after single dose
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Cmax of Orelabrutinib after single dose
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
AUC of Orelabrutinib after single dose
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
T1/2 of Orelabrutinib after single dose
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
CL/F of Orelabrutinib after single dose
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Vz/F of Orelabrutinib after single dose
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Tmax of moxifloxacin after single dose
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Cmax of moxifloxacin after single dose
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
AUC of moxifloxacin after single dose
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
T1/2 of moxifloxacin after single dose
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
CL/F of moxifloxacin after single dose
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Vz/F of moxifloxacin after single dose
Time Frame: Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Plasma samples will be collected from all the subjects for PK analysis. For each period, venous blood will be collected within 30 min pre-dose, and 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 6.0 h, 8.0 h, 12.0 h, and 24.0 h post-dose.
Day1, Day2, Day6, Day7, Day11, Day12, Day16 and Day17
Serious adverse events (SAEs) occurring from administration of drugst to follow-up period or early withdrawal, incidence of treatment-emergent adverse events
Time Frame: Through study completion, an average of 1 year
SAE and TEAE
Through study completion, an average of 1 year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 19, 2022

Primary Completion (Anticipated)

June 30, 2023

Study Completion (Anticipated)

August 31, 2023

Study Registration Dates

First Submitted

November 11, 2022

First Submitted That Met QC Criteria

December 19, 2022

First Posted (Actual)

December 21, 2022

Study Record Updates

Last Update Posted (Actual)

December 21, 2022

Last Update Submitted That Met QC Criteria

December 19, 2022

Last Verified

December 1, 2022

More Information

Terms related to this study

Other Study ID Numbers

  • ICP-CL-00120

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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