PMID- 36408263 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221122 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 13 DP - 2022 TI - Safety, tolerability and pharmacokinetics of WXFL10203614 in healthy Chinese subjects: A randomized, double-blind, placebo-controlled phase Ⅰ study. PG - 1057949 LID - 10.3389/fphar.2022.1057949 [doi] LID - 1057949 AB - Objective: This study was conducted to investigate the safety, tolerability and pharmacokinetics (PK) of WXFL10203614 after single and multiple oral doses in healthy Chinese subjects. Methods: A single-center, randomized, double-blind, placebo-controlled phase Ⅰ study was performed on healthy Chinese subjects. In the single-dose study, Subjects were randomized into 7 dose levels of WXFL10203614 (1 mg group, n = 2; 2, 5, 10, 17, 25 and 33 mg groups with placebo, 8 subjects per group, 2 of them given placebo). In the multiple-dose study, subjects received 5 or 10 mg WXFL10203614 once daily (QD), 5 mg twice daily (BID) or placebo for 7 consecutive days. Safety, tolerability and PK of WXFL10203614 were all assessed. Results: A total of 592 subjects were screened, 50 subjects were enrolled in the single-dose study and 30 in the multiple-dose study. All adverse events (AEs) were mild or moderate and resolved spontaneously. No Serious Adverse Events (SAEs) or deaths were reported during the study. WXFL10203614 was absorbed rapidly after dosing with T(max) of 0.48-0.98 h, C(max), AUC(0-t) and AUC(0-infinity) were all increased in a dose-related manner over the range of 1-33 mg. Renal excretion was the major route of elimination of WXFL10203614. Steady-state PK parameters (C(max,ss), AUC(0-t,ss) and AUC(0-infinity,ss)) were elevated after once-daily administration of 5-10 mg WXFL10203614 and non- and weak drug accumulations were observed, whereas moderate drug accumulation occurred in the 5 mg BID group. Conclusion: WXFL10203614 exhibited good safety, tolerability and favorable PK profiles in healthy Chinese subjects, supporting further clinical development in patients with rheumatoid arthritis. Clinical Trials Registration Number: http://www.chinadrugtrials.org.cn/index.html, #CTR20190069 and CTR20200143. CI - Copyright (c) 2022 Huang, Ding, Que, Chu, Shi, Qian, Qin, Chen, Gu, Wang, Zhang, Xu and He. FAU - Huang, Kai AU - Huang K AD - Drug Clinical Trial Institution, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Ding, Ying AU - Ding Y AD - Drug Clinical Trial Institution, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Que, Linling AU - Que L AD - Drug Clinical Trial Institution, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Chu, Nannan AU - Chu N AD - Drug Clinical Trial Institution, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Shi, Yunfei AU - Shi Y AD - Drug Clinical Trial Institution, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Qian, Zhenzhong AU - Qian Z AD - Drug Clinical Trial Institution, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Qin, Wei AU - Qin W AD - Drug Clinical Trial Institution, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Chen, Yuanxin AU - Chen Y AD - Drug Clinical Trial Institution, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Gu, Xianghong AU - Gu X AD - Drug Clinical Trial Institution, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Wang, Jiakun AU - Wang J AD - Drug Clinical Trial Institution, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. FAU - Zhang, Zhiwei AU - Zhang Z AD - Wuxi Fuxin Pharmaceutical Research and Development Co, Ltd, Wuxi, China. FAU - Xu, Jianguo AU - Xu J AD - Wuxi Fuxin Pharmaceutical Research and Development Co, Ltd, Wuxi, China. FAU - He, Qing AU - He Q AD - Drug Clinical Trial Institution, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China. LA - eng PT - Journal Article DEP - 20221104 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC9671933 OTO - NOTNLM OT - JAK1 inhibitor OT - WXFL10203614 OT - first-in-human OT - pharmacokinetics OT - rheumatoid arthritis COIS- Authors ZZ and JX were employed by Wuxi Fuxin Pharmaceutical Research and Development 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- 2022/11/22 06:00 MHDA- 2022/11/22 06:01 PMCR- 2022/11/04 CRDT- 2022/11/21 04:50 PHST- 2022/09/30 00:00 [received] PHST- 2022/10/18 00:00 [accepted] PHST- 2022/11/21 04:50 [entrez] PHST- 2022/11/22 06:00 [pubmed] PHST- 2022/11/22 06:01 [medline] PHST- 2022/11/04 00:00 [pmc-release] AID - 1057949 [pii] AID - 10.3389/fphar.2022.1057949 [doi] PST - epublish SO - Front Pharmacol. 2022 Nov 4;13:1057949. doi: 10.3389/fphar.2022.1057949. eCollection 2022.