PMID- 29058816 OWN - NLM STAT- MEDLINE DCOM- 20190812 LR - 20190812 IS - 2160-7648 (Electronic) IS - 2160-763X (Linking) VI - 7 IP - 4 DP - 2018 May TI - Absolute Bioavailability of Bosutinib in Healthy Subjects From an Open-Label, Randomized, 2-Period Crossover Study. PG - 373-381 LID - 10.1002/cpdd.396 [doi] AB - This study evaluated the absolute bioavailability of bosutinib and assessed its safety and tolerability after single-dose oral and intravenous administration. In this phase 1 open-label, 2-sequence, 2-period crossover study, healthy, fed subjects aged 18-55 years were randomized to 1 of 2 treatment sequences (n = 7/sequence): oral bosutinib (100 mg x 5) followed by intravenous bosutinib (120 mg in approximately 240 mL over 1 hour), with a >/=14-day washout, or intravenous bosutinib and then oral bosutinib. Results of plasma pharmacokinetics analyses demonstrated that exposure to intravenous bosutinib was 3-fold higher than for oral bosutinib (16.2 and 5.5 ng.h/mL/mg, respectively), and mean terminal half-life was similar (35.5 and 31.7 hours). The ratio of adjusted geometric means (90%CI) for the dose-normalized area under the plasma concentration-time profile (AUC(0-infinity) /D) was 33.85% (30.65%-37.38%). Most treatment-emergent adverse events (AEs) were mild in severity. Gastrointestinal (GI) AEs occurred in 9 of 13 subjects given oral bosutinib, whereas no subjects given intravenous bosutinib experienced GI AEs, suggesting bosutinib present in the GI tract had an effect. Bosutinib exhibited an absolute bioavailability of 33.85% based on the ratio of AUC(0-infinity) /D. Both oral and intravenous bosutinib were safe and well tolerated in healthy, fed adult subjects. CI - (c) 2017, The American College of Clinical Pharmacology. FAU - Hsyu, Poe-Hirr AU - Hsyu PH AD - Pfizer Inc, La Jolla, CA, USA. FAU - Pignataro, Daniela Soriano AU - Pignataro DS AD - Pfizer Inc, Walton Oaks, Surrey, UK. FAU - Matschke, Kyle AU - Matschke K AD - Pfizer Inc, Collegeville, PA, USA. LA - eng SI - ClinicalTrials.gov/NCT02192294 PT - Clinical Trial, Phase I PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20171023 PL - United States TA - Clin Pharmacol Drug Dev JT - Clinical pharmacology in drug development JID - 101572899 RN - 0 (Aniline Compounds) RN - 0 (Nitriles) RN - 0 (Quinolines) RN - 5018V4AEZ0 (bosutinib) MH - Administration, Intravenous MH - Administration, Oral MH - Adult MH - Aniline Compounds/*administration & dosage/adverse effects/*pharmacokinetics MH - Area Under Curve MH - Biological Availability MH - Cross-Over Studies MH - Drug Administration Schedule MH - Female MH - Half-Life MH - Healthy Volunteers MH - Humans MH - Male MH - Middle Aged MH - Nitriles/*administration & dosage/adverse effects/*pharmacokinetics MH - Quinolines/*administration & dosage/adverse effects/*pharmacokinetics MH - Young Adult OTO - NOTNLM OT - absolute bioavailability OT - bosutinib OT - chronic myelogenous leukemia (CML) OT - healthy subjects OT - oncology EDAT- 2017/10/24 06:00 MHDA- 2019/08/14 06:00 CRDT- 2017/10/24 06:00 PHST- 2017/02/10 00:00 [received] PHST- 2017/08/28 00:00 [accepted] PHST- 2017/10/24 06:00 [pubmed] PHST- 2019/08/14 06:00 [medline] PHST- 2017/10/24 06:00 [entrez] AID - 10.1002/cpdd.396 [doi] PST - ppublish SO - Clin Pharmacol Drug Dev. 2018 May;7(4):373-381. doi: 10.1002/cpdd.396. Epub 2017 Oct 23.