PMID- 27162173 OWN - NLM STAT- MEDLINE DCOM- 20180129 LR - 20180129 IS - 2160-7648 (Electronic) IS - 2160-763X (Linking) VI - 5 IP - 6 DP - 2016 Nov TI - Pharmacokinetics, Pharmacodynamics, and Safety of ASP015K (Peficitinib), a New Janus Kinase Inhibitor, in Healthy Subjects. PG - 435-449 LID - 10.1002/cpdd.273 [doi] AB - Two randomized, double-blind, placebo-controlled studies are reported that had the objective to evaluate the pharmacokinetics, pharmacodynamics, and safety of ASP015K (peficitinib), a Janus kinase (JAK) inhibitor, in healthy subjects. The single-dose study included 7 male groups (3-300 mg) and 2 female groups (30 or 200 mg), n = 8/group (6 on ASP015K and 2 on placebo in each group). The multiple-dose study included 1 female and 3 male groups, n = 12/group (9 on ASP015K and 3 on placebo in each group), who received ASP015K (30 mg) or placebo every 12 hours (twice a day) for 14 days. In the single-dose study, plasma ASP015K concentration increased dose-proportionally. Food increased ASP015K exposure (AUC(inf) ) by 27%. Mean peak JAK inhibition increased with dose, from 6% at 4 hours (median) following ASP015K 3 mg to 93% (range, 89%-98%) at 2 hours (median) after ASP015K 300 mg. In the multiple-dose study, ASP015K plasma exposure reached steady state by day 3. On day 14, mean ASP015K peak concentration was 38%-65% higher than after the first dose; peak JAK inhibition following 100 or 200 mg twice daily was >85%. The most common adverse events (AEs) were neutropenia, headache, and abdominal pain; no serious AEs occurred. The safety findings at pharmacologically effective doses of ASP015K support further clinical development. CI - (c) 2016, The American College of Clinical Pharmacology. FAU - Cao, Ying Jun AU - Cao YJ AD - Astellas Pharma Global Development, Northbrook, IL, USA. FAU - Sawamoto, Taiji AU - Sawamoto T AD - Astellas Pharma, Inc, Tokyo, Japan. FAU - Valluri, Udaya AU - Valluri U AD - Astellas Pharma Global Development, Northbrook, IL, USA. FAU - Cho, Kathy AU - Cho K AD - Astellas Research Institute of America, LLC, Skokie, IL, USA. FAU - Lewand, Michaelene AU - Lewand M AD - Formerly Astellas Pharma Global Development, Northbrook, IL, USA; currently Pharma Start, LLC, Northbrook, IL, USA. FAU - Swan, Suzanne AU - Swan S AD - Formerly Davita Clinical Research, Minneapolis, MN, USA; currently Minneapolis VA Health Care System, Minneapolis, MN, USA. FAU - Lasseter, Kenneth AU - Lasseter K AD - Clinical Pharmacology of Miami, Miami, FL, USA. FAU - Matson, Mark AU - Matson M AD - Prism Clinical Research, St. Paul, MN, USA. FAU - Holman, John Jr AU - Holman J Jr AD - Astellas Pharma Global Development, Northbrook, IL, USA. FAU - Keirns, James AU - Keirns J AD - Astellas Pharma Global Development, Northbrook, IL, USA. FAU - Zhu, Tong AU - Zhu T AD - Astellas Pharma Global Development, Northbrook, IL, USA. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20160630 PL - United States TA - Clin Pharmacol Drug Dev JT - Clinical pharmacology in drug development JID - 101572899 RN - 0 (Janus Kinase Inhibitors) RN - 25X51I8RD4 (Niacinamide) RN - HPH1166CKX (peficitinib) RN - PJY633525U (Adamantane) SB - IM MH - Adamantane/adverse effects/*analogs & derivatives/pharmacokinetics/pharmacology MH - Adolescent MH - Adult MH - Area Under Curve MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Female MH - Food-Drug Interactions MH - Healthy Volunteers MH - Humans MH - Janus Kinase Inhibitors/adverse effects/*pharmacokinetics/*pharmacology MH - Male MH - Middle Aged MH - Niacinamide/adverse effects/*analogs & derivatives/pharmacokinetics/pharmacology MH - Young Adult OTO - NOTNLM OT - ASP015K OT - peficitinib OT - pharmacodynamics OT - pharmacokinetics OT - safety OT - tolerability EDAT- 2016/05/11 06:00 MHDA- 2018/01/30 06:00 CRDT- 2016/05/11 06:00 PHST- 2015/10/22 00:00 [received] PHST- 2016/04/25 00:00 [revised] PHST- 2016/05/05 00:00 [accepted] PHST- 2016/05/11 06:00 [pubmed] PHST- 2018/01/30 06:00 [medline] PHST- 2016/05/11 06:00 [entrez] AID - 10.1002/cpdd.273 [doi] PST - ppublish SO - Clin Pharmacol Drug Dev. 2016 Nov;5(6):435-449. doi: 10.1002/cpdd.273. Epub 2016 Jun 30.