PMID- 22383336 OWN - NLM STAT- MEDLINE DCOM- 20120625 LR - 20220309 IS - 1479-683X (Electronic) IS - 0804-4643 (Linking) VI - 166 IP - 5 DP - 2012 May TI - Safety, tolerability, and pharmacokinetics of a single dose of pasireotide long-acting release in healthy volunteers: a single-center Phase I study. PG - 821-8 LID - 10.1530/EJE-11-0773 [doi] AB - OBJECTIVE: This study was conducted to evaluate the safety, tolerability, and pharmacokinetics (PKs) of different doses of a long-acting release (LAR) formulation of pasireotide in healthy subjects. DESIGN: Single-center, open-label, randomized Phase I study. METHODS: Twelve healthy male subjects received a single s.c. dose of pasireotide 300 mug followed by a washout period of 7 days (or at least 5 days), before receiving an i.m. injection of pasireotide -LAR 40 mg (n=5) or 60 mg (n=7). Assessments included adverse events (AEs), PKs, and glucose, insulin, glucagon, and HbA1c levels. RESULTS: Pasireotide LAR showed an extended-release profile over 1 month with two concentration peaks observed 1 and around 20 days after injection. The area under curve exposure of pasireotide LAR was dose proportional when the dose levels were compared, and the bioavailability of the LAR relative to the s.c. formulation was complete. Administration of pasireotide LAR resulted in an increase in fasting and postprandial glucose levels; however, an attenuation of the hyperglycemic effect was observed after 15 days. The most frequently reported AEs were mild-to-moderate diarrhea, abdominal pain, and flatulence. Only gastrointestinal AEs and injection site reactions were suspected to be drug related. CONCLUSIONS: Pasireotide LAR was generally well tolerated with mostly mild AEs at doses up to 60 mg and showed a dose-proportional, extended-release profile in healthy subjects. Based on the favorable results of this study, further clinical development of pasireotide LAR is under way, which will give insight into the PKs, efficacy, and safety of pasireotide LAR in patient populations. FAU - Dietrich, Hartmut AU - Dietrich H AD - ClinPharmCologne, Neurather Ring 1, D-51063 Koln, Germany. hartmut.dietrich@clinpharmcologne.de FAU - Hu, Ke AU - Hu K FAU - Ruffin, Matthieu AU - Ruffin M FAU - Song, Dongweon AU - Song D FAU - Bouillaud, Emmanuel AU - Bouillaud E FAU - Wang, Yanfeng AU - Wang Y FAU - Hasskarl, Jens AU - Hasskarl J LA - eng PT - Clinical Trial, Phase I PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20120301 PL - England TA - Eur J Endocrinol JT - European journal of endocrinology JID - 9423848 RN - 0 (Delayed-Action Preparations) RN - 51110-01-1 (Somatostatin) RN - 98H1T17066 (pasireotide) SB - IM MH - Abdominal Pain/blood/chemically induced MH - Adolescent MH - Adult MH - Delayed-Action Preparations/administration & dosage/adverse effects/pharmacokinetics MH - Diarrhea/blood/chemically induced MH - Humans MH - Male MH - Somatostatin/administration & dosage/adverse effects/*analogs & derivatives/pharmacokinetics MH - Young Adult EDAT- 2012/03/03 06:00 MHDA- 2012/06/26 06:00 CRDT- 2012/03/03 06:00 PHST- 2012/03/03 06:00 [entrez] PHST- 2012/03/03 06:00 [pubmed] PHST- 2012/06/26 06:00 [medline] AID - EJE-11-0773 [pii] AID - 10.1530/EJE-11-0773 [doi] PST - ppublish SO - Eur J Endocrinol. 2012 May;166(5):821-8. doi: 10.1530/EJE-11-0773. Epub 2012 Mar 1.