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Completed

NCT Number: NCT05967377

Evaluating the Pharmacokinetic Parameters and Relative Bioavailability of Sorafenib (XS005) in Healthy Male Subjects

This is a single centre, open-label, randomised, single dose, 3-way crossover comparative (PK) and bioavailability study in healthy male subjects comparing a 200 mg Sorafenib (Nexavar®) reference tablet (Regimen A) to XS005 Sorafenib Capsule A, 2 x 50 mg (Regimen B) and XS005 Sorafenib Tablet A,100 mg (Regimen C) formulation. It is planned to enroll 15 subjects who will receive single oral doses of investigational medicinal product (IMP) across 3 treatment periods.

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Key information

Conditions

Pharmacokinetics Bioavailability

Age range

18 year–55 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1

Primary location

Quotient Sciences

Nottingham, NG11 6JS, United Kingdom

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Healthy males.
  • Age 18 to 55 years of age.
  • Body mass index (BMI) of 18.0 to 32.0 kg/m2.
  • Must be willing and able to communicate and participate in the whole study.
  • Must provide written informed consent.
  • Good state of health (mentally and physically) as indicated by a comprehensive clinical assessment (detailed medical history and a complete physical examination), ECG and laboratory investigations (haematology, biochemistry and urinalysis).
  • Must adhere to the contraception requirements.

Exclusion criteria

  • Subjects who have received any IMP in a clinical research study within the previous 3 months.
  • Subjects who are study site employees, or immediate family members of a study site or sponsor employee.
  • Subjects who have previously been enrolled in this study.
  • History of any drug or alcohol abuse in the past 2 years.
  • Regular alcohol consumption >21 units per week (1 unit = ½ pint beer, or a 25 mL shot of 40% spirit, 1.5 to 2 Units = 125 mL glass of wine, depending on type).
  • Current smokers and those who have smoked within the last 12 months. A breath carbon monoxide reading of greater than 10 ppm at screening and admission.
  • Current users of e-cigarettes and nicotine replacement products and those who have used these products within the last 12 months.
  • Subjects who do not have suitable veins for multiple venepunctures/cannulation as assessed by the investigator at screening.
  • Clinically significant abnormal biochemistry, haematology or urinalysis as judged by the investigator.
  • Subjects has amylase or lipase result exceeding >1.5 x upper limit of normal (ULN) at screening.
  • Positive drugs of abuse or alcohol breath test result.
  • Positive hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (HCV Ab) or human immunodeficiency virus (HIV) results.
  • History of clinically significant cardiovascular, renal, hepatic, chronic respiratory or gastrointestinal disease, neurological or psychiatric disorder, as judged by the investigator.
  • Subject has a QT interval corrected by Fredericia (QTcF) >450 ms based on ECG at screening or at pre-dose Period 1 or a history of additional risk factors for Torsades de Pointe (eg hypokalaemia, hypomagnesia, a family history of long QT syndrome).
  • Serious adverse reaction or serious hypersensitivity to any drug or the formulation excipients.
  • Presence or history of clinically significant allergy requiring treatment, as judged by the investigator. Hayfever is allowed unless it is active.
  • Donation or loss of greater than 400 mL of blood within the previous 3 months.
  • Subjects who are taking, or have taken, any prescribed or over-the-counter drug (other than 4 g per day paracetamol) or herbal remedies in the 14 days before IMP administration. Exceptions may apply on a case by case basis, if considered not to interfere with the objectives of the study, as agreed by the PI and sponsor's medical monitor.
  • Subjects with pregnant partners.
  • Failure to satisfy the investigator of fitness to participate for any other reason.

Treatment and study plan

Sorafenib - Period 1

Drug

Sorafenib (Nexavar®) Tablet, 200 mg

Other names: Regimen A (reference)

XS005 Sorafenib Capsule A - Period 1

Drug

XS005 Sorafenib Capsule A, 100 mg (2 x 50 mg)

Other names: Regimen B

XS005 Sorafenib Tablet A - Period 1

Drug

XS005 Sorafenib Tablet A, 100 mg

Other names: Regimen C

XS005 Sorafenib Capsule A - Period 2

Drug

XS005 Sorafenib Capsule A, 100 mg (2 x 50 mg)

Other names: Regimen B

XS005 Sorafenib Tablet A - Period 2

Drug

XS005 Sorafenib Tablet A, 100 mg

Other names: Regimen C

Sorafenib - Period 2

Drug

Sorafenib (Nexavar®) Tablet, 200 mg

Other names: Regimen A (reference)

XS005 Sorafenib Tablet A - Period 3

Drug

XS005 Sorafenib Tablet A, 100 mg

Other names: Regimen C

Sorafenib - Period 3

Drug

Sorafenib (Nexavar®) Tablet, 200 mg

Other names: Regimen A (reference)

XS005 Sorafenib Capsule A - Period 3

Drug

XS005 Sorafenib Capsule A, 100 mg (2 x 50 mg)

Other names: Regimen B

Primary outcomes

  1. Time of Maximum Observed Plasma Concentration (Tmax) of XS005 and Nexavar®

    Time frame: For each study period, blood samples collected at 15 time points (including pre-dose) during the study period on Day 1 and Day 4.

    The pharmacokinetic parameters (Tmax) were determined for the test and reference products (XS005 Sorafenib Capsule A, 2 x 50 mg and XS005 Tablet A, 100 mg and reference Sorafenib tablets (Nexavar®), respectively) for each subject using non-compartmental methods.

  2. Maximum Observed Plasma Concentration (Cmax) of XS005 and Nexavar®

    Time frame: For each study period, blood samples collected at 15 time points (including pre-dose) during the study period on Day 1 and Day 4.

    The pharmacokinetic parameters (Cmax) were determined for the test and reference products (XS005 Sorafenib Capsule A, 2 x 50 mg and XS005 Tablet A, 100 mg and reference Sorafenib tablets (Nexavar®), respectively) for each subject using non-compartmental methods.

  3. Area Under the Plasma Concentration-Time Curve from 0 time to the last measurable of concentration AUC(0-last) of XS005 and Nexavar®

    Time frame: For each study period, blood samples collected at 15 time points (including pre-dose) during the study period on Day 1 and Day 4.

    The pharmacokinetic parameters AUC(0-last) were determined for the test and reference products (XS005 Sorafenib Capsule A, 2 x 50 mg and XS005 Tablet A, 100 mg and reference Sorafenib tablets (Nexavar®), respectively) for each subject using non-compartmental methods.

  4. Area Under the Plasma Concentration-Time Curve from 0 time Extrapolated to Infinity (AUC0-inf) of XS005 and Nexavar®

    Time frame: For each study period, blood samples collected at 15 time points (including pre-dose) during the study period on Day 1 and Day 4.

    The pharmacokinetic parameters (AUC 0-inf) were determined for the test and reference products (XS005 Sorafenib Capsule A, 2 x 50 mg and XS005 Tablet A, 100 mg and reference Sorafenib tablets (Nexavar®), respectively) for each subject using non-compartmental methods.

  5. Plasma half-life of drug (T1/2) of XS005 and Nexavar®

    Time frame: For each study period, blood samples collected at 15 time points (including pre-dose) during the study period on Day 1 and Day 4.

    The pharmacokinetic parameters (T1/2) were determined for the test and reference products (XS005 Sorafenib Capsule A, 2 x 50 mg and XS005 Tablet A, 100 mg and reference Sorafenib tablets (Nexavar®), respectively) for each subject using non-compartmental methods.

  6. Relative bioavailability (Frel) of XS005 and Nexavar®

    Time frame: For each study period, blood samples collected at 15 time points (including pre-dose) during the study period on Day 1 and Day 4.

    The relative bioavailability (Frel) of Sorafenib following administration of XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®).

Secondary outcomes

  1. Treatment-emergent adverse events (TEAEs) (ie those beginning after dosing with study drug)

    Time frame: Adverse event (AE) information collected through study completion, an average of 10 weeks.

    The safety parameters TEAEs were were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics.

  2. Systolic Blood Pressure (mmHg)

    Time frame: For each study period, Systolic Blood Pressure were collected at 4 time points (including pre-dose) during the study period on Day 1 and Day 2.

    The safety parameters Systolic Blood Pressure (mmHg) were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics.

  3. Diastolic Blood Pressure (mmHg)

    Time frame: For each study period, Diastolic Blood Pressure were collected at 4 time points (including pre-dose) during the study period on Day 1 and Day 2.

    The safety parameters Diastolic Blood Pressure (mmHg) were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics.

  4. Heart Rate (HR) (bpm)

    Time frame: For each study period, HR were collected at 4 time points (including pre-dose) during the study period on Day 1 and Day 2.

    The safety parameters HR summarizes were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics.

  5. ECG (12-lead electrocardiogram) - Ventricular Rate (HR) (bpm)

    Time frame: For each study period, ECG were collected at 4 time points (including pre-dose) during the study period on Day 1 and Day 2.

    The safety parameters ECG - Ventricular Rate were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics.

  6. ECG (12-lead electrocardiogram) - PR Interval (msec)

    Time frame: For each study period, ECG were collected at 4 time points (including pre-dose) during the study period on Day 1 and Day 2.

    The safety parameters ECG - PR Interval were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics.

  7. ECG (12-lead electrocardiogram) - QRS Duration (msec)

    Time frame: For each study period, ECG were collected at 4 time points (including pre-dose) during the study period on Day 1 and Day 2.

    The safety parameters ECG - QRS Duration were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics.

  8. ECG (12-lead electrocardiogram) - QT Interval (msec)

    Time frame: For each study period, ECG were collected at 4 time points (including pre-dose) during the study period on Day 1 and Day 2.

    The safety parameters ECG - QT Interval were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics.

  9. ECG (12-lead electrocardiogram) - QRS Axis (°)

    Time frame: For each study period, ECG were collected at 4 time points (including pre-dose) during the study period on Day 1 and Day 2.

    The safety parameters ECG - QRS Axis were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics.

  10. ECG (12-lead electrocardiogram) - QTcF Interval (msec)

    Time frame: For each study period, ECG were collected at 4 time points (including pre-dose) during the study period on Day 1 and Day 2.

    The safety parameters ECG - QTcF Interval were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics.

  11. Number of participants with abnormal laboratory values of Clinical Chemistry

    Time frame: For each study period, blood samples were collected at 2 time points (including pre-dose) during the study period on Day 1 and Day 2.

    The safety parameters Clinical Chemistry were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics and presented as number of participants with abnormal laboratory values

  12. Number of participants with abnormal hematology values

    Time frame: For each study period, blood samples were collected at 2 time points (including pre-dose) during the study period on Day1 and Day 2.

    The safety parameters Haematology were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics and presented as number of participants with abnormal laboratory values

  13. Number of participants with abnormal urinalysis values

    Time frame: For each study period, urine samples were collected at 2 time points (including pre-dose) during the study period on Day1 and Day 2.

    The safety parameters Urinalysis were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics and presented as number of participants with abnormal laboratory values.

  14. Number of participants with abnormal physical examination outcome

    Time frame: For each study period, target (symptom driven) physical examination; each subject was assessed by a physician and a physical examination was performed if the subject reported any AEs, on Day 2.

    The safety parameters physical examination outcome were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics and presented as number of subjects with abnormal physical examination outcome.

  15. Number of participants with abnormal skin examination outcome

    Time frame: For each study period, skin assessments were done at 2 time points (including pre-dose) during the study period on Day 1 and Day 2.

    The safety parameters Skin assessment outcome were determined for XS005 Sorafenib Capsule A, 50 mg and Tablet A, 100 mg compared to reference Sorafenib tablets (Nexavar®) for each study subjects using descriptive statistics and presented as number of subjects with abnormal skin examination outcome.

Sponsors and collaborators

Lead sponsor

Xspray Pharma AB

Industry

Registry information

Official study title

A Single Part, Open-Label, Randomised, Three-Way Crossover Study Designed to Evaluate the Pharmacokinetic Parameters and Relative Bioavailability of Sorafenib From Sorafenib (XS005) Tablets and Capsules Compared With Nexavar® (Reference Product) in Healthy Male Subjects

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Aug 1, 2023
Registry last updated
Aug 1, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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