Zhang Jing, Cao Guoying, Huo Yong, Guarneri Liana L, Ditmarsch Marc, Kastelein John J P, Kling Douglas, Hsieh Andrew, Wuerdeman Erin, Davidson Michael H
Clinical Pharmacology Research Center, Huashan Hospital Affiliated to Fudan University, Shanghai, China.
Department of Pharmacy, Peking University First Hospital, Beijing, China.
J Clin Pharmacol. 2024 Aug 19;65(1):96-107. doi: 10.1002/jcph.6121.
Obicetrapib is a selective cholesteryl ester transfer protein (CETP) inhibitor. Previous research has demonstrated similar pharmacokinetic (PK) responses to single doses of obicetrapib between Japanese and White males, but the PK responses have not been established in Chinese individuals. The purpose of this randomized, parallel, open-label trial was to characterize the PK and pharmacodynamic (PD; CETP activity and plasma lipids) responses and safety of single doses (5, 10, or 25 mg; N = 36) and multiple doses (10 mg for 14 days; N = 12) of obicetrapib in healthy Chinese individuals. The maximum concentration and area under the drug concentration-time curve of obicetrapib from 0 h to infinity increased with dose after all single doses of obicetrapib. After 7 consecutive days of dosing, low-density lipoprotein cholesterol and high-density lipoprotein cholesterol reached their minimum and maximum changes of 42% reduction and 108% increase, respectively. Primary PK and PD parameters after single- and multiple-dose administration of obicetrapib were similar to those in healthy white participants in previous studies. One participant in the 5 mg dose group experienced a treatment-emergent adverse event of decreased white blood cell and neutrophil counts, which resolved without intervention. In conclusion, these findings support the inclusion of Chinese individuals in the ongoing phase 3 clinical development program of obicetrapib.
奥贝胆酸是一种选择性胆固醇酯转运蛋白(CETP)抑制剂。先前的研究表明,日本男性和白人男性对单剂量奥贝胆酸的药代动力学(PK)反应相似,但尚未在中国人群中确定PK反应。这项随机、平行、开放标签试验的目的是描述单剂量(5、10或25毫克;N = 36)和多剂量(10毫克,连续14天;N = 12)奥贝胆酸在健康中国人群中的PK和药效学(PD;CETP活性和血脂)反应及安全性。所有单剂量奥贝胆酸给药后,奥贝胆酸的最大浓度和从0小时到无穷大的药时曲线下面积随剂量增加。连续给药7天后,低密度脂蛋白胆固醇和高密度脂蛋白胆固醇分别达到其最小和最大变化,降低42%和升高108%。单剂量和多剂量给药后奥贝胆酸的主要PK和PD参数与先前研究中健康白人参与者的参数相似。5毫克剂量组的一名参与者出现了白细胞和中性粒细胞计数减少的治疗中出现的不良事件,未经干预即得到缓解。总之,这些发现支持将中国人群纳入正在进行的奥贝胆酸3期临床开发项目。