PMID- 33331206 OWN - NLM STAT- MEDLINE DCOM- 20210303 LR - 20210326 IS - 1366-5928 (Electronic) IS - 0049-8254 (Linking) VI - 51 IP - 3 DP - 2021 Mar TI - Tolerability, safety, pharmacokinetics and pharmacodynamics of SHR0534, a potent G protein-coupled receptor 40 (GPR40) agonist, at single- and multiple-ascending oral doses in healthy Chinese subjects. PG - 297-306 LID - 10.1080/00498254.2020.1864510 [doi] AB - SHR0534 is being developed for type-2 diabetes mellitus. Herein the tolerability, safety, pharmacokinetics and pharmacodynamics of SHR0534 in healthy Chinese subjects were assessed in a phase-I, randomized, double-blind, placebo-controlled, single- and multiple-ascending dose study. Forty subjects were randomized 4:1 to receive SHR0534 at the dose of 10, 25, 50 or 100 mg, or placebo, and another eleven subjects were allocated to either the 5 mg group or the placebo group at an 8:3 ratio. All subjects received a single dose on day 1, followed by a 9-day washout and once-daily administrations for 14 consecutive days. Serial samples were collected, and vital signs, electrocardiograms, laboratory tests, urinalysis and adverse events (AEs) were recorded. All doses of SHR0534 were safe and well tolerated with infrequent, generally mild-to-moderate AEs and no serious AEs in the study. SHR0534 was absorbed with a T (max) of approximately 4 hours, and systemic exposure increased with dose. Accumulation was minimal (2- to 3-fold) and steady state was reached after seven days of dosing. For pharmacodynamics, no significant hypoglycaemic effects were seen in healthy adults. Good pharmacokinetics and safety were demonstrated but no obvious effect was found. FAU - Zhao, Yuqing AU - Zhao Y AD - Phase I Clinical Trial Unit, Jiangsu Province Hospital and the First Affiliated Hospital with Nanjing Medical University, Nanjing, China. FAU - Xie, Lijun AU - Xie L AD - Phase I Clinical Trial Unit, Jiangsu Province Hospital and the First Affiliated Hospital with Nanjing Medical University, Nanjing, China. FAU - Ou, Ning AU - Ou N AD - Phase I Clinical Trial Unit, Jiangsu Province Hospital and the First Affiliated Hospital with Nanjing Medical University, Nanjing, China. FAU - Wu, Jie AU - Wu J AD - Jiangsu Hengrui Medicine Co., Ltd., Lianyungang, China. FAU - Zhang, Hongwen AU - Zhang H AD - Phase I Clinical Trial Unit, Jiangsu Province Hospital and the First Affiliated Hospital with Nanjing Medical University, Nanjing, China. FAU - Zhou, Sufeng AU - Zhou S AD - Phase I Clinical Trial Unit, Jiangsu Province Hospital and the First Affiliated Hospital with Nanjing Medical University, Nanjing, China. FAU - Liu, Yun AU - Liu Y AD - Phase I Clinical Trial Unit, Jiangsu Province Hospital and the First Affiliated Hospital with Nanjing Medical University, Nanjing, China. FAU - Chen, Juan AU - Chen J AD - Phase I Clinical Trial Unit, Jiangsu Province Hospital and the First Affiliated Hospital with Nanjing Medical University, Nanjing, China. FAU - Wang, Lu AU - Wang L AD - Phase I Clinical Trial Unit, Jiangsu Province Hospital and the First Affiliated Hospital with Nanjing Medical University, Nanjing, China. FAU - Wang, Libin AU - Wang L AD - Phase I Clinical Trial Unit, Jiangsu Province Hospital and the First Affiliated Hospital with Nanjing Medical University, Nanjing, China. FAU - Wang, Jingjing AU - Wang J AD - Jiangsu Hengrui Medicine Co., Ltd., Lianyungang, China. FAU - Shao, Feng AU - Shao F AD - Phase I Clinical Trial Unit, Jiangsu Province Hospital and the First Affiliated Hospital with Nanjing Medical University, Nanjing, China. AD - Pharmacy College, Nanjing Medical University, Nanjing, China. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20201228 PL - England TA - Xenobiotica JT - Xenobiotica; the fate of foreign compounds in biological systems JID - 1306665 RN - 0 (FFAR1 protein, human) RN - 0 (Hypoglycemic Agents) RN - 0 (Organic Chemicals) RN - 0 (Receptors, G-Protein-Coupled) RN - 0 (SHR0534) SB - IM MH - Administration, Oral MH - Adult MH - Area Under Curve MH - China MH - Diabetes Mellitus, Type 2 MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Healthy Volunteers MH - Humans MH - Hypoglycemic Agents/administration & dosage/*pharmacokinetics/pharmacology MH - Metabolic Clearance Rate MH - Organic Chemicals/administration & dosage/*pharmacokinetics/pharmacology MH - Receptors, G-Protein-Coupled/*agonists OTO - NOTNLM OT - GPR40 agonists OT - SHR0534 OT - diabetes mellitus OT - pharmacodynamics OT - pharmacokinetics OT - safety and tolerability EDAT- 2020/12/18 06:00 MHDA- 2021/03/04 06:00 CRDT- 2020/12/17 08:39 PHST- 2020/12/18 06:00 [pubmed] PHST- 2021/03/04 06:00 [medline] PHST- 2020/12/17 08:39 [entrez] AID - 10.1080/00498254.2020.1864510 [doi] PST - ppublish SO - Xenobiotica. 2021 Mar;51(3):297-306. doi: 10.1080/00498254.2020.1864510. Epub 2020 Dec 28.