PMID- 38263733 OWN - NLM STAT- MEDLINE DCOM- 20240329 LR - 20240329 IS - 1365-2125 (Electronic) IS - 0306-5251 (Linking) VI - 90 IP - 4 DP - 2024 Apr TI - Pharmacokinetics, pharmacodynamics and safety of oral formulation (CG-750) of ivaltinostat, a histone deacetylase inhibitor, compared to IV formulation (CG-745). PG - 1103-1114 LID - 10.1111/bcp.15997 [doi] AB - AIMS: CG-750 is an oral formulation of ivaltinostat, a newly developing histone deacetylase (HDAC) inhibitor. This study aimed to evaluate the pharmacokinetics (PK), pharmacodynamics (PD) and safety of an oral formulation (CG-750) of ivaltinostat compared to an intravenous (IV) formulation (CG-745). METHODS: A randomized, double-blind, placebo-controlled study was conducted in three cohorts. Subjects received either CG-745 (Cohorts 1 and 3: 125 mg; Cohort 2: 250 mg) or placebo followed by CG-750 (Cohort 1: 125 mg; Cohort 2: 375 mg; Cohort 3: 750 mg) or placebo. Blood samples for PK and PD assessment were collected up to 72 h post-dose. Histone H3 acetylation at sites K9, K9/K14 and K27 was assessed for area under the % acetylation induction versus time curve (AUEC). RESULTS: A total of 25 subjects were randomized, and 23 subjects completed the study (Cohort 1, n = 6; Cohort 2, n = 6; Cohort 3, n = 6; placebo, n = 5). The mean bioavailability of CG-750 was 10.6% (range: 4.18%-21.33%) and displayed linear PK in the dose range of 125-750 mg. The comparison of AUEC between formulations and the evaluation of the dose-AUEC relationship were inconclusive, due to the small sample sizes and significant variability observed in PD markers. All adverse events (AEs) were transient and of mild or moderate intensity. CONCLUSIONS: The oral formulation of ivaltinostat (CG-750) was generally well tolerated after a single dose. CG-750 displayed a mean bioavailability of 10.6%. CI - (c) 2024 British Pharmacological Society. FAU - Kim, Byungwook AU - Kim B AUID- ORCID: 0000-0003-4032-6112 AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul, Republic of Korea. FAU - Huh, Ki Young AU - Huh KY AUID- ORCID: 0000-0002-1872-9954 AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul, Republic of Korea. FAU - Yu, Kyung-Sang AU - Yu KS AUID- ORCID: 0000-0003-0921-7225 AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul, Republic of Korea. FAU - Lee, SeungHwan AU - Lee S AUID- ORCID: 0000-0002-1713-9194 AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul, Republic of Korea. LA - eng GR - CrystalGenomics Pharmaceutical Company/ PT - Journal Article PT - Randomized Controlled Trial DEP - 20240123 PL - England TA - Br J Clin Pharmacol JT - British journal of clinical pharmacology JID - 7503323 RN - 0 (Histone Deacetylase Inhibitors) SB - IM MH - Humans MH - *Histone Deacetylase Inhibitors/adverse effects MH - Area Under Curve MH - Dose-Response Relationship, Drug MH - Administration, Intravenous MH - Biological Availability MH - Double-Blind Method OTO - NOTNLM OT - anticancer drugs OT - pharmacodynamics OT - pharmacokinetics OT - phase I EDAT- 2024/01/24 06:43 MHDA- 2024/03/29 06:47 CRDT- 2024/01/24 02:04 PHST- 2023/12/18 00:00 [revised] PHST- 2023/08/22 00:00 [received] PHST- 2023/12/27 00:00 [accepted] PHST- 2024/03/29 06:47 [medline] PHST- 2024/01/24 06:43 [pubmed] PHST- 2024/01/24 02:04 [entrez] AID - 10.1111/bcp.15997 [doi] PST - ppublish SO - Br J Clin Pharmacol. 2024 Apr;90(4):1103-1114. doi: 10.1111/bcp.15997. Epub 2024 Jan 23.