Aims: To evaluate the potential gastric pH-dependent drug-drug
interaction (DDI), safety and tolerability of famitinib co-administered
with omeprazole in healthy subjects. Methods: Twenty healthy subjects
were enrolled in a single-center, single-arm, open-label, fixed-sequence
study. Famitinib was administered as a single oral 25 mg under a fasting
condition on day 1, omeprazole (40 mg once daily) was given on days
10–14, concomitantly with famitinib on day 15, and for the follow-up 7
additional days (days 16–22). Blood samples were collected at
predetermined timepoints for the pharmacokinetic analysis of both
famitinib and its metabolite SHR116637 following each famitinib dose.
Safety and tolerability were assessed during the whole progress via
clinical laboratory tests. Results: The least-squares geometric mean
ratios (GMRs) (90% CI) of C, AUC
and AUC for famitinib combined with omeprazole to
famitinib alone were 0.989 (0.953, 1.027), 0.956 (0.907, 1.007) and
0.953(0.905, 1.005) respectively. For the metabolite SHR116637, their
GMRs (90% CI) of the above parameters were 0.851 (0.786, 0.920), 0.890
(0.838, 0.946)and 0.887 (0.835, 0.943), indicating the absence of
significant differences in the parameters respectively. During the
treatment period, 9(45%) subjects reported 16 treatment emergent
adverse events (TEAE), among which 6 subjects (30%) reported 9 TEAEs
and 1 subject (5%) reported 1 TEAE during famitinib or omeprazole
administered alone respectively, 5 subjects (25.0 %) reported 6 TEAEs
during in the combined administration phase. Conclusion: The PPI
omeprazole did not have a significant influence on the pharmacokinetics
(PK) of famitinib and SHR116637, and the safety profile was good upon
co-administration.
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