A Phase I, Open-label, Randomized, Crossover Study in Healthy Subjects to Evaluate the Bioavailability Of, and the Food Effect On, a Pomalidomide Oral Liquid Suspension
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Objective: The aim of this study was to evaluate the bioavailability of a pomalidomide oral liquid suspension relative to the commercial capsule formulation and to assess the food effect on the pomalidomide oral liquid suspension when administered as a single 4 mg dose.
Methods: This was an open-label, randomized, three-period, two-sequence crossover study in healthy subjects consisting of a screening phase, a baseline assessment phase, a treatment phase with three periods, and a follow-up phone call phase. Blood samples for pharmacokinetics (PK) assessment were collected up to 48 h postdose during each treatment period. Safety was evaluated throughout the study.
Results: Pomalidomide exposures were comparable in healthy subjects administered with a single oral 4 mg dose as the reference capsule or as the test liquid suspension formulations, demonstrated as the 90% confidence intervals of the geometric mean ratios for area under the plasma concentration-time curve calculated from time 0 to the last measurable concentration at time (AUC), area under the plasma concentration-time curve from time 0 to infinity (AUC), and peak (maximum) plasma drug concentration () were completely contained within the bioequivalence range of 80-125%. Administration of the pomalidomide liquid suspension with a high fat meal resulted in a 3.0 h delay in pomalidomide time to () and an ~ 34.5% reduction in . However, the AUCs were comparable after dose administration with and without food.
Conclusion: A single oral dose of 4 mg of liquid suspension was bioequivalent to a single oral dose of 4 mg of capsule formulation. There was no clinically relevant impact of food on pomalidomide liquid suspension. Single oral doses of 4 mg pomalidomide were safe and well tolerated when administered as a liquid suspension under fed and fasted conditions or as a capsule under fasted conditions.
Integration of healthy volunteers in early phase clinical trials with immuno-oncological compounds.
Radanovic I, Klarenbeek N, Rissmann R, Groeneveld G, van Brummelen E, Moerland M Front Oncol. 2022; 12:954806.
PMID: 36106110 PMC: 9465458. DOI: 10.3389/fonc.2022.954806.