학술논문
Pharmacokinetics, Pharmacodynamics, and Safety of Evocalcet (KHK7580), a Novel Calcimimetic Agent: An Open-Label, Single- and Multiple-Dose, Phase I Trial in Healthy Chinese Subjects
Document Type
Academic Journal
Source
Drug Design, Development and Therapy. March 1, 2024, Vol. 18, p567, 15 p.
Subject
Language
English
ISSN
1177-8881
Abstract
Purpose: This study explored the pharmacokinetics (PK), pharmacodynamics (PD), and safety of evocalcet (KHK7580), a new calcimimetic agent, in healthy Chinese subjects following single and multiple doses. Methods: This was a single-center, open-label phase I trial conducted in China. The study started from the single-dose cohorts (1, 3, 6, 12 mg evocalcet, step-by-step administration) and proceeded to the multiple-dose cohort (6 mg evocalcet once daily for eight days). Blood and urine samples were collected at the designated time points for pharmacokinetic and pharmacodynamic analysis. Safety was evaluated by treatment-emergent adverse events (TEAEs), clinical laboratory tests, vital signs, electrocardiograms (ECGs), and ophthalmological examination. Results: Among 42 enrolled subjects, eight in each single-dose cohort and 10 in multiple-dose cohort, 40 subjects completed the study. In single-dose cohorts, [t.sub.max] was 1.00-2.00 h and declined biphasically. The mean [t.sub.1/2] was 15.99-20.84 h. Evocalcet exposure in [AUC.sub.0-inf], [AUC.sub.0-t], and [C.sub.max] showed a dose-proportional increase. In the multiple-dose cohort, [t.sub.max] was 2.00 h and declined biphasically after multiple administrations. The accumulation was negligible. [C.sub.trough] levels were similar across days and steady from 24 hours after the first administration. The mean [t.sub.1/2] was 15.59 h. PD analysis showed that evocalcet decreased intact parathyroid hormone and corrected calcium levels in a dose-dependent manner. Seventeen (40.5%) subjects reported TEAEs. No serious or severe TEAE occurred. Conclusion: In healthy Chinese subjects, evocalcet demonstrated dose-dependent PK and PD properties and was well-tolerated. Keywords: evocalcet, calcimimetic agents, secondary hypoparathyroidism, pharmacokinetic, pharmacodynamic, safety
Introduction Chronic kidney disease (CKD)-mineral and bone disorder (MBD) is a systemic disorder of mineral and bone metabolism due to CKD and is associated with common complications such as fragility [...]
Introduction Chronic kidney disease (CKD)-mineral and bone disorder (MBD) is a systemic disorder of mineral and bone metabolism due to CKD and is associated with common complications such as fragility [...]