Evaluation of the Food Effecton the Pharmacokinetics of FWD1802 in Healthy Subjects

March 12, 2026 updated by: Forward Pharmaceuticals Co., Ltd.

A Phase I, Single-Center, Open-Label, Randomized, Single-Dose, Three-Period Crossover Study to Evaluate the Effect of High-Fat and Low-Fat Meals on the Pharmacokinetics of FWD1802 in Chinese Healthy Subjects

A Phase I, Single-Center, Open-Label, Randomized, Single-Dose, Three-Period Crossover Study to Evaluate the Effect of High-Fat and Low-Fat Meals on the Pharmacokinetics of FWD1802 in Chinese Healthy Subjects. The primary objectives are to address the following questions:

To evaluate the impact of high-fat and low-fat meals on the pharmacokinetic (PK) characteristics of a single oral dose of FWD1802 in healthy Chinese Subjects.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

A Phase I, single-center, open-label, randomized, single-dose, three-period crossover study conducted in Chinese healthy subjects to evaluate the effect of high-fat and low-fat meals on the pharmacokinetics of FWD1802.

A total of 18 healthy subjects are planned to be enrolled. Subjects will be randomly assigned in a 1:1:1 ratio to one of three sequences. Each sequence consists of three cycles, with one dose administered per cycle, and a washout period of ≥14 days between consecutive doses. The three sequences are as follows:

Sequence 1: Cycle 1 - administration under fasting conditions; Cycle 2 - administration after a low-fat meal; Cycle 3 - administration after a high-fat meal.

Sequence 2: Cycle 1 - administration after a low-fat meal; Cycle 2 - administration after a high-fat meal; Cycle 3 - administration under fasting conditions.

Sequence 3: Cycle1 - administration after a high-fat meal; Cycle 2 - administration under fasting conditions; Cycle 3 - administration after a low-fat meal.

Notes:

  1. Fasting Condition (Reference): A single dose of 150 mg FWD1802 is taken orally after fasting for at least 10 hours (water is allowed as needed).
  2. Low-Fat Meal: A single dose of 150 mg FWD1802 is taken orally after a low-fat meal.
  3. High-Fat Meal: A single dose of 150 mg FWD1802 is taken orally after a high-fat meal.
  4. Low-Fat Meal: Total calories approximately 400-500 Kcal, with fat constituting approximately 25% of the total caloric content.
  5. High-Fat Meal: A high-calorie (approximately 800-1000 Kcal) and high-fat meal (fat constituting approximately 50% of the total caloric content), with approximately 150, 250, and 500-600 Kcal derived from protein, carbohydrates, and fat, respectively. The composition of the high-fat and low-fat meals must be consistent across all cycles.

Study Type

Interventional

Enrollment (Estimated)

18

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 Contact

Study Locations

    • Shanghai Municipality
      • Shanghai, Shanghai Municipality, China, 200032

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

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Subjects must meet all of the following inclusion criteria to be eligible for enrollment in this study:

    1. The subject understands the trial's objectives, nature, methods, and potential adverse reactions, voluntarily participates, and signs the informed consent form, ensuring that all trial procedures will be personally undertaken by the subject.
    2. Chinese male or female subjects, aged 18-45 years (inclusive) for males and 18-50 years (inclusive) for females at the time of screening.
    3. Body mass index (BMI) between 19.0 and 28.0 kg/m² (inclusive); body weight ≥50.0 kg for males and ≥45.0 kg for females.
    4. Results from screening assessments, including medical history inquiry, vital signs [body temperature (tympanic), pulse, blood pressure (seated)], comprehensive physical examination, laboratory tests (complete blood count, blood chemistry, urinalysis, coagulation function), 12-lead electrocardiogram (ECG), abdominal ultrasound (liver, gallbladder, pancreas, spleen, kidneys), and chest X-ray (posteroanterior view), are all within normal limits or show abnormalities that are not clinically significant.
    5. Female subjects have no pregnancy plan and voluntarily agree to use effective contraceptive measures (Appendix 1) from 2 weeks prior to the first dose until 6 months after the last dose / Male subjects have no pregnancy plan for their partners and voluntarily agree to use effective contraceptive measures (Appendix 1) from the first dose until 6 months after the last dose, with no plans for sperm or egg donation.

Exclusion Criteria:

  • Subjects who meet any of the following exclusion criteria will not be eligible for enrollment in this study:

    1. History or presence of clinically significant diseases requiring exclusion, including but not limited to disorders of the nervous, cardiovascular, hematological and lymphatic, immune, renal, hepatic, gastrointestinal, psychiatric, ophthalmological, respiratory, metabolic, and skeletal systems.
    2. History of severe allergies (including allergic constitution, drug allergies, allergies to two or more types of food, etc.) or known hypersensitivity to FWD1802 and/or any of its excipients.
    3. Special dietary requirements or inability to tolerate a high-calorie (approximately 800-1000 Kcal per meal) and high-fat (fat constituting approximately 50% of total caloric intake) diet.
    4. History of dysphagia or any gastrointestinal disease that may affect drug absorption (including but not limited to gastrointestinal dysfunction, total/partial gastrectomy, gastrointestinal bleeding/ulcer, malabsorption syndrome, uncontrolled nausea/vomiting/diarrhea, etc.).
    5. Undergone surgery within 3 months prior to screening or planned surgery during the study period.
    6. Intolerance to venipuncture, history of needle phobia/blood phobia, or difficulty with blood collection.
    7. History of drug abuse or positive urine drug abuse screening (at baseline).
    8. Regular alcohol consumption exceeding 21 units per week within 3 months prior to screening (1 unit = 360 mL of beer, 150 mL of wine, or 45 mL of 40% spirits) or positive alcohol breath test (at baseline).
    9. Smoking history of more than 10 cigarettes per day within 3 months prior to screening.
    10. Excessive consumption of tea, coffee, and/or caffeine-rich beverages (average >8 cups per day, 1 cup = 250 mL) within 3 months prior to screening.
    11. Donated blood or experienced significant blood loss (≥400 mL), or received blood transfusion or blood products within 3 months prior to the first dose.
    12. Participation in another clinical trial involving an investigational drug and receipt of the study drug within 3 months prior to the first dose, with an interval less than 5 half-lives of the previously administered drug.
    13. Use of any moderate/strong CYP3A4 inhibitors or inducers, P-glycoprotein (P-gp) inhibitors, or drugs that suppress gastric acid production (e.g., proton pump inhibitors, PPIs) within 28 days prior to the first dose (refer to Table 3 for CYP3A4 and P-gp inhibitors/inducers and PPI inhibitors).
    14. Use of prescription drugs, over-the-counter medications, dietary supplements, or herbal medicines within 14 days prior to the first dose.
    15. Consumption of chocolate, any food or beverage containing caffeine or xanthine, grapefruit, or grapefruit-related citrus fruits (e.g., pomelo) or juices within 48 hours prior to dosing in each cycle.
    16. Positive screening result for hepatitis B surface antigen, hepatitis C antibody, human immunodeficiency virus (HIV) antibody, or Treponema pallidum antibody; or history of active or latent tuberculosis (TB).
    17. History of any QT interval prolongation (including from previous studies) or known risk factors (e.g., hypokalemia, hypomagnesemia, or recent use of drugs known to prolong QTcF); or during screening, a resting 12-lead electrocardiogram (ECG) showing a corrected QTcF >450 ms, PR interval >210 ms, or QRS complex >120 ms; or resting heart rate ≤60 bpm.
    18. Ophthalmological examination abnormalities at screening, other than refractive errors, deemed clinically significant by the investigator.
    19. Vaccination within 4 weeks prior to screening.
    20. Unwillingness or inability to comply with the lifestyle guidelines described in the study protocol (e.g., dietary restrictions, activity, and contraceptive requirements).
    21. Any other factors considered by the investigator as unsuitable for participation in this trial.

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: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Sequence 1
Enrolled subjects will be administered the study drug under fasting conditions (fasted for at least 10 hours, with water allowed as needed) on Day 1 of Cycle 1, followed by a follow-up period and the washout period. They will then proceed to Cycle 2, where the study drug will be administered on Day 1 after consuming a low-fat meal (total calories approximately 400-500 Kcal, with fat constituting approximately 25% of the total caloric content), again followed by a follow-up period and the washout period. Subsequently, in Cycle 3, the study drug will be administered on Day 1 after consuming a high-calorie (approximately 800-1000 Kcal) and high-fat meal (fat constituting approximately 50% of the total caloric content), followed by the final follow-up period.
Single-dose of 150 mg of FWD1802.
Experimental: Sequence 2
Enrolled subjects will be administered the study drug on Day 1 of Cycle 1 after consuming a low-fat meal (total calories approximately 400-500 Kcal, with fat constituting approximately 25% of the total caloric content), followed by a follow-up period and the washout period. They will then proceed to Cycle 2, where the study drug will be administered on Day 1 after consuming a high-calorie (approximately 800-1000 Kcal) and high-fat meal (fat constituting approximately 50% of the total caloric content), again followed by a follow-up period and the washout period. Subsequently, in Cycle 3, the study drug will be administered on Day 1 under fasting conditions (fasted for at least 10 hours, with water allowed as needed), followed by the final follow-up period.
Single-dose of 150 mg of FWD1802.
Experimental: Sequence 3
Enrolled subjects will be administered the study drug on Day 1 of Cycle 1 after consuming a high-calorie (approximately 800-1000 Kcal) and high-fat meal (fat constituting approximately 50% of the total caloric content), followed by a follow-up period and the washout period. They will then proceed to Cycle 2, where the study drug will be administered on Day 1 under fasting conditions (fasted for at least 10 hours, with water allowed as needed), again followed by a follow-up period and the washout period. Subsequently, in Cycle 3, the study drug will be administered on Day 1 after consuming a low-fat meal (total calories approximately 400-500 Kcal, with fat constituting approximately 25% of the total caloric content), followed by the final follow-up period.
Single-dose of 150 mg of FWD1802.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Peak Plasma Concentration (Cmax)
Time Frame: 240 hours
Peak Plasma Concentration (Cmax) of FWD1802
240 hours
Area under the plasma concentration versus time curve (AUC0-t)
Time Frame: 240 hours
Area under the plasma concentration versus time curve (AUC) from time zero to the last quantifiable time point of FWD1802
240 hours
Area under the plasma concentration versus time curve (AUC0-∞)
Time Frame: 240 hours
Area under the plasma concentration versus time curve from time zero extrapolated to infinity of FWD1802
240 hours

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Time to Peak Concentration (Tmax)
Time Frame: 240 hours
Time to Peak Concentration (Tmax) of FWD1802
240 hours
Percentage of the area under the plasma concentration-time curve from time 0 extrapolated to infinity
Time Frame: 240 hours
Percentage of the area under the plasma concentration-time curve from time 0 extrapolated to infinity of FWD1802
240 hours
Absorption lag time (t lag)
Time Frame: 240 hours
Absorption lag time (t lag) of FWD1802
240 hours
Half-life (t₁/₂)
Time Frame: 240 hours
Half-life (t₁/₂) of FWD1802
240 hours
Apparent clearance (CL/F)
Time Frame: 240 hours
Apparent clearance (CL/F) of FWD1802
240 hours
Apparent volume of distribution (Vz/F)
Time Frame: 240 hours
Apparent volume of distribution (Vz/F) of FWD1802
240 hours
Elimination rate constant (Kel)
Time Frame: 240 hours
Elimination rate constant (Kel) of FWD1802
240 hours
Mean residence time (MRT)
Time Frame: 240 hours
Mean residence time (MRT) of FWD1802
240 hours
Inter-individual variability
Time Frame: 240 hours
Interindividual variability in the primary PK parameters AUC₀-ₜ, AUC₀-∞, and Cmax following administration of FWD1802
240 hours
Intraindividual variability
Time Frame: 240 hours
Intraindividual variability in the primary PK parameters AUC₀-ₜ, AUC₀-∞, and Cmax of FWD1802
240 hours
Monitoring and Recording of AE and Laboratory Tests in Subjects.
Time Frame: 240 hours
Number of Participants with Adverse Events (AEs), Abnormal Safety Laboratory Findings, Abnormal Vital Signs, and Abnormal 12-Lead Electrocardiogram (ECG) Results
240 hours

Collaborators and Investigators

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

Sponsor

Investigators

  • Principal Investigator: Yanmei Liu, Shanghai Xuhui Central Hospital

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 (Estimated)

March 1, 2026

Primary Completion (Estimated)

May 1, 2026

Study Completion (Estimated)

August 1, 2026

Study Registration Dates

First Submitted

February 28, 2026

First Submitted That Met QC Criteria

March 12, 2026

First Posted (Actual)

March 17, 2026

Study Record Updates

Last Update Posted (Actual)

March 17, 2026

Last Update Submitted That Met QC Criteria

March 12, 2026

Last Verified

February 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • FWD1802-FE

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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