Evaluation of the Effect of Food on the Pharmacokinetics of SHR6390, An Oral CDK4/6 Inhibitor, in Healthy Volunteers

Background and Introduction SHR6390 is a new developed highly effective and selective small-molecule oral CDK4/6 inhibitor. We aimed to evaluate the effect of food on the pharmacokinetics of SHR6390 tablets. Methods In an open-label two-way crossover study, 24 healthy Chinese volunteers were randomly divided into Group A and Group B, and 12 volunteers in each group received a single oral dose of a SHR6390 150-mg tablet under fasting and high-fat conditions. Blood samples were collected and determined for pharmacokinetic analyses. A liquid chromatography-tandem mass spectrometry method was developed and validated for determining the SHR6390 concentration. Results The time to maximum plasma concentration was not significantly affected by a high-fat diet. Compared with the fasting group, maximum plasma concentration, i.e., the area under the concentration–time curve ($ AUC_{0–t} $ and $ AUC_{0–∞} $) was altered significantly, as evidenced by an increase of 56.9%, 38.6%, and 37.5% respectively. We identified seven metabolites of SHR6390 from the plasma samples, and we found no sex differences in metabolic pathways. All treatment-emergent adverse events were Grade 1 or 2. Conclusions Food intake increased the maximum plasma concentration, $ AUC_{0–t} $, and $ AUC_{0–∞} $ significantly compared with the fasting condition. Meanwhile, single-dose SHR6390 for two treatment cycles is safe. SHR6390 was administered in a fasting status in the pivotal phase III study (NCT03927456) and chosen for the final drug label..

Medienart:

Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:22

Enthalten in:

Drugs in R & D - 22(2022), 2 vom: 30. Mai, Seite 175-182

Sprache:

Englisch

Beteiligte Personen:

Liu, Yan-ping [VerfasserIn]
Hu, Ming-hui [VerfasserIn]
Lin, Ping-ping [VerfasserIn]
Li, Ting [VerfasserIn]
Liu, Shu-qin [VerfasserIn]
Wang, Yu-ya [VerfasserIn]
Li, Shao-rong [VerfasserIn]
Li, Xiang-kun [VerfasserIn]
Wang, Chen-jing [VerfasserIn]
Cao, Yu [VerfasserIn]

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© The Author(s) 2022

doi:

10.1007/s40268-022-00390-7

funding:

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PPN (Katalog-ID):

OLC207884148X