School of Pharmacy, Wannan Medical College, Wuhu, Anhui, People's Republic of China.
Anhui Provincial Center of Drug Clinical Evaluation, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, Anhui, People's Republic of China.
Cancer Chemother Pharmacol. 2024 Aug;94(2):251-257. doi: 10.1007/s00280-024-04672-6. Epub 2024 May 4.
This study assessed effect of food on pharmacokinetics (PK) and safety of fuzuloparib capsules.
A randomized, open-label, two-cycle, two-sequence, crossover clinical trial was conducted. 20 subjects were randomly assigned to 2 groups at a 1:1 ratio. The first group subjects were orally administered 150 mg fuzuloparib capsules under fasting condition in first dosing cycle. The same dose of fuzuloparib capsules were taken under postprandial state after a 7-day washout period. The second group was reversed. 3 ml whole blood was collected at each blood collection point until 72 h post dose. PK parameters were calculated. Furthermore, safety assessment was performed.
The time to maximum concentration (T) was prolonged to 3 h and maximum concentration (C) decreased by 18.6% on high-fat diets. 90% confidence intervals (CIs) of geometric mean ratios (GMRs) for C, area under the concentration-time curve from time zero to time t (AUC), and area under the concentration-time curve extrapolated to infinity (AUC) after high-fat meal were 71.6-92.6%, 81.7-102.7% and 81.6-102.5%, respectively. All treatment-emergent adverse events (TEAEs) were grade 1; No serious adverse events (SAEs), serious unexpected suspected adverse reaction (SUSAR) or deaths were reported.
Food decreased the absorption rate and slowed time to peak exposure of fuzuloparib capsules, without impact on absorption extent. Dosing with food was found to be safe for fuzuloparib capsules in this study.
This study was registered with chinadrugtrials.org.cn (identifier: CTR20221498).
本研究评估了食物对呋喹替尼胶囊药代动力学(PK)和安全性的影响。
进行了一项随机、开放标签、两周期、两序列、交叉临床试验。20 名受试者按 1:1 比例随机分为 2 组。第一组受试者在第一个给药周期空腹状态下口服 150mg 呋喹替尼胶囊。在 7 天洗脱期后,在餐后状态下服用相同剂量的呋喹替尼胶囊。第二组相反。在每个采血点采集 3ml 全血,直至给药后 72 小时。计算 PK 参数。此外,还进行了安全性评估。
高脂肪饮食使达峰时间(T)延长至 3 小时,最大浓度(C)降低 18.6%。C、零时间至时间 t 的浓度-时间曲线下面积(AUC)和浓度-时间曲线外推至无穷大的 AUC(AUC)的几何均数比值(GMR)的 90%置信区间(CI)分别为 71.6-92.6%、81.7-102.7%和 81.6-102.5%。所有治疗后出现的不良事件(TEAEs)均为 1 级;未报告严重不良事件(SAEs)、严重意外疑似不良反应(SUSAR)或死亡。
食物降低了呋喹替尼胶囊的吸收速率,使达峰时间延迟,但对吸收程度没有影响。本研究中,与空腹相比,食物给药对呋喹替尼胶囊是安全的。
本研究在中国临床试验注册中心(标识符:CTR20221498)注册。