一项在中国健康参与者中开展的随机、平行、开放标签、单剂量和多剂量临床试验,以调查奥比曲匹的药代动力学、药效学和安全性概况。

IF 2.9 4区 医学 Journal of Clinical Pharmacology Pub Date : 2024-08-19 DOI:10.1002/jcph.6121
Jing Zhang, Guoying Cao, Yong Huo, Liana L Guarneri, Marc Ditmarsch, John J P Kastelein, Douglas Kling, Andrew Hsieh, Erin Wuerdeman, Michael H Davidson
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引用次数: 0

摘要

Obicetrapib 是一种选择性胆固醇酯转移蛋白(CETP)抑制剂。先前的研究表明,日本男性和白人男性对单次剂量的 Obicetrapib 有相似的药代动力学(PK)反应,但中国人的 PK 反应尚未确定。这项随机、平行、开放标签试验的目的是鉴定健康中国人服用单剂量(5、10 或 25 毫克;N = 36)和多剂量(10 毫克,14 天;N = 12)奥比司他匹的 PK 和药效学(PD;CETP 活性和血浆脂质)反应及安全性。在服用所有单次剂量的奥昔他匹后,从0小时到无穷大期间,奥昔他匹的最大浓度和药物浓度-时间曲线下面积随着剂量的增加而增加。连续用药7天后,低密度脂蛋白胆固醇和高密度脂蛋白胆固醇的最小和最大变化分别为降低42%和增加108%。单剂量和多剂量服用 obicetrapib 后的主要 PK 和 PD 参数与之前研究中健康白人参与者的参数相似。5毫克剂量组中有一名参与者出现了白细胞和中性粒细胞计数下降的治疗突发不良事件,但无需干预即可缓解。总之,这些研究结果支持将中国人纳入正在进行的 obicetrapib 3 期临床开发计划。
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A Randomized, Parallel, Open-Label, Single-Dose and Multiple-Dose Clinical Trial to Investigate the Pharmacokinetic, Pharmacodynamic, and Safety Profiles of Obicetrapib in Healthy Participants in China.

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.

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来源期刊
Journal of Clinical Pharmacology
Journal of Clinical Pharmacology PHARMACOLOGY & PHARMACY-
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期刊介绍: The Journal of Clinical Pharmacology (JCP) is a Human Pharmacology journal designed to provide physicians, pharmacists, research scientists, regulatory scientists, drug developers and academic colleagues a forum to present research in all aspects of Clinical Pharmacology. This includes original research in pharmacokinetics, pharmacogenetics/pharmacogenomics, pharmacometrics, physiologic based pharmacokinetic modeling, drug interactions, therapeutic drug monitoring, regulatory sciences (including unique methods of data analysis), special population studies, drug development, pharmacovigilance, womens’ health, pediatric pharmacology, and pharmacodynamics. Additionally, JCP publishes review articles, commentaries and educational manuscripts. The Journal also serves as an instrument to disseminate Public Policy statements from the American College of Clinical Pharmacology.
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