Lauring Brett, Liu Yang, Li Xiujiang Susie, Larson Patrick, Moreau Allison, Farmer H Frank, Johnson-Levonas Amy O, Wagner John A, Lai Eseng
Merck & Co. Inc., Whitehouse Station, NJ, USA.
J Clin Pharmacol. 2014 Jul;54(7):765-75. doi: 10.1002/jcph.278. Epub 2014 Mar 6.
Anacetrapib is a cholesteryl ester transfer protein inhibitor in Phase III development. This double-blind, double-dummy, randomized, placebo- and active-comparator-controlled, 4-period, balanced crossover study evaluated the effects of anacetrapib (100 mg and 800 mg) on QTcF interval in healthy subjects. QTcF measurements were made up to 24 h following administration of single doses of anacetrapib 100 or 800 mg, moxifloxacin 400 mg, or placebo in the fed state. The primary hypothesis was supported if the 90% CI for the least squares (LS) mean differences between anacetrapib 800 mg and placebo in QTcF interval change from baseline were entirely <10 msec at every post-dose time point (1, 2, 2.5, 3, 4, 5, 6, 8, 12, and 24 h). The upper bounds of the 90% CIs for LS mean differences from placebo in changes from baseline in QTcF intervals for anacetrapib 100 and 800 mg were <5 msec at every time point. In conclusion, single doses of anacetrapib 100 and 800 mg do not prolong the QTcF interval to a clinically meaningful degree relative to placebo and are generally well tolerated in healthy subjects.
阿那曲匹是一种处于III期研发阶段的胆固醇酯转运蛋白抑制剂。这项双盲、双模拟、随机、安慰剂和活性对照药对照、4周期、平衡交叉研究评估了阿那曲匹(100毫克和800毫克)对健康受试者QTcF间期的影响。在进食状态下,单次给予100毫克或800毫克阿那曲匹、400毫克莫西沙星或安慰剂后,长达24小时进行QTcF测量。如果在每个给药后时间点(1、2、2.5、3、4、5、6、8、12和24小时),800毫克阿那曲匹与安慰剂之间QTcF间期相对于基线变化的最小二乘(LS)均值差异的90%置信区间(CI)完全<10毫秒,则原假设得到支持。在每个时间点,100毫克和800毫克阿那曲匹相对于安慰剂的QTcF间期从基线变化的LS均值差异的90%CI上限<5毫秒。总之,相对于安慰剂,单次给予100毫克和800毫克阿那曲匹不会将QTcF间期延长至具有临床意义的程度,并且在健康受试者中通常耐受性良好。