PMID- 34366847 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210810 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 12 DP - 2021 TI - First-in-Human, Double-Blind, Randomized, Placebo-Controlled Trial of TQ-F3083, a New Dipeptidyl Peptidase-4 Inhibitor, in Healthy Chinese Adults. PG - 689523 LID - 10.3389/fphar.2021.689523 [doi] LID - 689523 AB - Background: As a novel dipeptidyl peptidase-4 (DPP-4) inhibitor, TQ-F3083 represents a promising new drug for type 2 diabetes mellitus (T2DM). This phase I, first-in-human study evaluated the tolerability, pharmacokinetics, and pharmacodynamics of TQ-F3083 in healthy Chinese adults. Methods: Sixty healthy participants total were enrolled in the single-ascending dose, multiple-dose, and food-effect studies. Safety endpoints included adverse events (AEs), vital signs, 12-lead electrocardiogram, abdominal ultrasound, chest X-ray, physical examination, and clinical laboratory tests. Blood, urine, and feces samples were collected for pharmacokinetic analyses. Pharmacodynamic parameters were evaluated based on DPP-4 activity and the active glucagon-like peptide-1 concentration. Results: In total, 22 treatment-related AEs, mostly grade 1 or 2, were reported in 14 individuals. No deaths, serious AEs, or grade >/=4 AEs occurred, and no dose-dependent AEs were demonstrated. For pharmacokinetic characteristics, dose linearity was analyzed using power model. The slopes (90% CIs) were 1.08 (1.02-1.13) and 1.05 (0.99-1.11) for AUC(0-t) and AUC(0-infinity), suggesting liner pharmacokinetic characteristic after oral dose TQ-F3083 from 2 to 160 mg. The accumulation factor was 1.39 after multiple dose for 7 days. Decreased plasma exposure (84.87% decrease in C(max), 49.23% in AUC(0-t), and 47.77% in AUC(0-infinity)) was observed with administration after a high-fat and high-calorie standardized breakfast. The 0-72 h TQ-F3083 excretion recovery percentages were 7.84% in urine and 5.76% in feces. Over 80% DPP-4 inhibition for 24 h was observed in the 20-160 mg cohorts, and the model-estimated 50% effective concentration was 1.10 ng/ml. The concentration of active glucagon-like peptide-1 increased after TQ-F3083 administration, but no obvious dose dependency was observed. Conclusion: TQ-F3083 was well tolerated in healthy Chinese adults, and the pharmacokinetic and pharmacodynamic characteristics support further evaluation of TQ-F3083 in a trial in T2DM patients. CI - Copyright (c) 2021 Liu, Zhu, Zhang, Wei, Yang, Xu, Huo, Li and Ding. FAU - Liu, Jingrui AU - Liu J AD - Phase I Clinical Trial Unit, The First Hospital of Jilin University, Changchun, China. FAU - Zhu, Xiaoxue AU - Zhu X AD - Phase I Clinical Trial Unit, The First Hospital of Jilin University, Changchun, China. FAU - Zhang, Hong AU - Zhang H AD - Phase I Clinical Trial Unit, The First Hospital of Jilin University, Changchun, China. FAU - Wei, Haijing AU - Wei H AD - Phase I Clinical Trial Unit, The First Hospital of Jilin University, Changchun, China. FAU - Yang, Deming AU - Yang D AD - Phase I Clinical Trial Unit, The First Hospital of Jilin University, Changchun, China. FAU - Xu, Zhongnan AU - Xu Z AD - Chia Tai Tianqing Pharmaceutical Group Co., Ltd., Nanjing, China. FAU - Huo, Dandan AU - Huo D AD - Chia Tai Tianqing Pharmaceutical Group Co., Ltd., Nanjing, China. FAU - Li, Xiaojiao AU - Li X AD - Phase I Clinical Trial Unit, The First Hospital of Jilin University, Changchun, China. FAU - Ding, Yanhua AU - Ding Y AD - Phase I Clinical Trial Unit, The First Hospital of Jilin University, Changchun, China. LA - eng PT - Journal Article DEP - 20210722 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC8339258 OTO - NOTNLM OT - TQ-F3083 OT - pharmacodynamics OT - pharmacokinetics OT - phase I OT - type 2 diabetes COIS- Authors ZX and DH are employees of Chia Tai Tianqing Pharmaceutical Group Co., Ltd. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/08/10 06:00 MHDA- 2021/08/10 06:01 PMCR- 2021/07/22 CRDT- 2021/08/09 06:29 PHST- 2021/04/01 00:00 [received] PHST- 2021/06/24 00:00 [accepted] PHST- 2021/08/09 06:29 [entrez] PHST- 2021/08/10 06:00 [pubmed] PHST- 2021/08/10 06:01 [medline] PHST- 2021/07/22 00:00 [pmc-release] AID - 689523 [pii] AID - 10.3389/fphar.2021.689523 [doi] PST - epublish SO - Front Pharmacol. 2021 Jul 22;12:689523. doi: 10.3389/fphar.2021.689523. eCollection 2021.