Investigating the Effect of Food on the Bioavailability of a Fixed Dose Combination of Obicetrapib and Ezetimibe

Study Overview
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Brief Summary
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This study will assess the effect of food on the bioavailability of obicetrapib and ezetimibe after a single-dose administration of a fixed-dose combination formulation of obicetrapib/ezetimibe, 10 mg/10 mg in healthy adult male and female subjects under fasted and fed conditions.

Detailed Description
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This is an open-label, single-dose, randomized, two-treatment, two-period, two-sequence crossover relative bioavailability study under fasted and fed conditions. It will assess the effect of food on the bioavailability of obicetrapib and ezetimibe after a single-dose administration of a fixed-dose combination formulation of obicetrapib/ezetimibe, 10 mg/10 mg in healthy adult male and female subjects under fasted and fed conditions. The screening period will be up to 28 days. Patients that are eligible will enter the clinical facility at least 10.5 hours prior to dosing. Depending on their randomization patients will be fed or fasted prior to dosing. They will remain confined for at least 24 hours. After leaving confinement, patients will return to the clinic 9 times for blood draws. At least 56 days after the first dosing, patients will return to the clinic and go through the same process. Those previously fed before dosing will be fasted and those previously fasted will be fed. Patients will return 9 times after their second confinement for additional blood draws.

Official Title
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A Study to Assess the Effect of Food on the Bioavailability of Obicetrapib and Ezetimibe After Administration of a Fixed-Dose Combination Formulation of Obicetrapib/Ezetimibe, 10 mg/10 mg in Healthy Adult Subjects

Conditions
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Healthy Volunteer Study

Intervention / Treatment
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* Drug: Fixed-Dose Combination (FDC) Tablet


Participation Criteria
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Eligibility Criteria
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Key Inclusion Criteria: Males and Females aged 18 to 65. Body Mass Index (BMI) of 18.5-29.9 kg/m², inclusive. Females of childbearing potential must be willing to use approved method of birth control. Blood pressure 90/60 - 140/90 mmHg, inclusive. Hemoglobin level above lower limit of normal. Good health. Key Exclusion Criteria: Females who are pregnant, lactating or likely to become pregnant during the study. History of allergy, sensitivity to obicetrapib, ezetimibe or any components of the study products, or history of any drug hypersensitivity or intolerance that may compromise the safety of the subject. Significant history or current evidence of chronic infectious disease, system disorders, organ dysfunction especially hypothyroidism, renal or hepatic disorders, cardiovascular disorders, respiratory disorders, diabetes or obesity. Clinically significant history or presence of gastrointestinal disease or history of malabsorption within the last year. History of psychiatric disorders occurring within the last two years that required the subject to be hospitalized or treated with medication. Presence of a medical condition requiring regular treatment with prescription drugs. Use of statins, cyclosporine, fibrates (e.g., fenofibrate), bile acid seuqstrants (e.g., cholestyramine), or coumarin anticoagulants within 30 days before initial dosing. Use of pharmacologic agents known to significantly induce or inhibit drug-metabolizing enzymes (especially inducers and inhibitors of CYP3A4) within 30 days before initial dosing. Use of any drug that can alter the absorption of other drugs by affecting gastrointestinal motility or by changing the gastric pH, in the opinion of the Investigator, within 14 days before initial dosing. Use of any drug that can increase or decrease the metabolism and excretion of the study drug, within 14 days before initial dosing. Receipt of any drug as part of a research study within 30 days before initial dosing. Previous participation in a research study with obicetrapib. Drug or alcohol addiction requiring treatment in the 12 months before initial dosing. History of excessive alcohol consumption (on average more than 14 units of alcohol/week) during the past 12 months. Donation or significant loss of whole blood (480 mL or more) within 30 days or plasma within 14 days before initial dosing. Positive test results for HIV, Hepatitis B surface antigen, or Hepatitis C antibody. Positive test results for drugs of abuse at screening. If female, has a positive pregnancy test at screening. Use of tobacco- or nicotine-containing products within 30 days before initial dosing. Difficulty swallowing tablets or capsules whole.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: Open-Label, Single-Dose, Randomized, Two-Treatment, Two-Period, Two-Sequence, Crossover Study
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: FDC Tablet Fed + Fast<br>Participants will receive a single Obicetrapib/Ezetimibe, 10 mg/10 mg FDC Tablet in a fed condition on Day 1 of treatment followed by a single Obicetrapib/Ezetimibe, 10 mg/10 mg FDC Table in a fasted condition after, at a minimum, a 56 day washout. | Drug: Fixed-Dose Combination (FDC) Tablet<br>* Obicetrapib/Ezetimibe FDC tablet<br>|
| Experimental: FDC Tablet Fast + Fed<br>Participants will receive a single Obicetrapib/Ezetimibe, 10 mg/10 mg FDC Tablet in a fasted condition on Day 1 of treatment followed by a single Obicetrapib/Ezetimibe, 10 mg/10 mg FDC Table in a fed condition after, at a minimum, a 56 day washout. | Drug: Fixed-Dose Combination (FDC) Tablet<br>* Obicetrapib/Ezetimibe FDC tablet<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cmax | Maximum measured plasma concentration following each treatment. | 528.00 hours | 
| AUC0-t | Area under the plasma concentration versus time curve from time zero to the time of the last measurable plasma concentration, as calculated by linear trapezoidal method. | 528.00 hours | 
| AUC0-∞ | Area under the plasma concentration versus time curve from time zero to infinity where AUC0-∞ = AUC0-t + Ct/λz. Ct is the last measurable concentration and λz is the terminal rate constant. | 528.00 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tmax | Time of the maximum measured plasma concentration. If the maximum value occurs at more than one time point, Tmax is defined as the first time point with this value. | 528.00 hours | 
| Tlag | Time delay in achieving Tmax | 528.00 hours | 
| λz | First order rate constant associated with the terminal (log-linear) portion of the curve. | 528.00 hours | 
| t½ | The terminal half-life will be calculated as ln(2)/λz. | 528.00 hours | 
| CL/F | Apparent oral systemic clearance, calculated as Dose/AUC0-∞ | 528.00 hours | 
| Vd/F | Apparent volume of distribution during terminal phase, calculated as Dose/(AUC0-∞ × λz) | 528.00 hours | 
| R2 adjusted | Goodness of fit statistic for the terminal phase, adjusted for the number of points used in the estimation of λz. | 528.00 hours | 
| AUC_%Extrap_obs | The residual area in percentage will be determined by the formula, [(AUC0-∞-AUC0-t)/AUC0-∞] × 100. | 528.00 hours |