A study in healthy male subjects to understand how Savolitinib behaves inside the body (pharmacokinetics) when administered alone and in combination with famotidine

Exclusion Criteria

• • Subject that has at least 1 parent or grandparent (maternal or paternal) of Japanese ethnicity.
• • Subjects who screen positive for Helicobacter pylori bacteria.
• • History of any clinically significant disease or disorder which, in the opinion of the Principal Investigator (PI), may either put the volunteer at risk because of participation in the study, or influence the results or the volunteer’s ability to participate in the study.
• • History or presence of gastrointestinal (GI), hepatic or renal disease, or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
• • Any clinically important illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of either study drug (savolitinib or famotidine).
• • Planned in-patient surgery, dental procedure, or hospitalisation during the study.
• • Any clinically important abnormalities in clinical chemistry, haematology, or urinalysis results, as judged by the PI.
• • Any positive result on screening for serum hepatitis B surface antigen, hepatitis C antibody, and human immunodeficiency virus (HIV) antibody.
• • Abnormal vital signs, after 5 minutes supine rest, defined as any of the following:
• (1) Systolic BP <90 mmHg or ≥140 mmHg
• (2) Diastolic BP <50 mmHg or ≥90 mmHg
• (3) Heart rate <45 or >85 beats per minute.
• • Any clinically important abnormalities in rhythm, conduction or morphology of the 12 lead resting electrocardiogram (ECG) that may interfere with the interpretation of QTc interval changes. These include healthy subjects with any of the following:
• (1) Abnormal ST-T-wave morphology, particularly in the protocol-defined primary lead (V2) or left ventricular hypertrophy.
• (2) PR interval shortening <120 ms (PR >110 ms but <120 ms is acceptable if there is no evidence of ventricular pre-excitation).
• (3) PR interval prolongation (>200 ms). Intermittent second (Type 1 second degree block [Wenckebach Phenomenon] while asleep is not exclusive]) or third degree atrioventricular (AV) block, or AV dissociation.
• (4) Persistent or intermittent complete bundle branch block, incomplete bundle branch block, or intraventricular conduction delay with QRS >110 ms. Subjects with QRS >110 ms but <115 ms are acceptable if there is no evidence of eg, ventricular hypertrophy or pre-excitation.
• (5) Mean resting prolonged QTcF >450 ms or shortened QTcF <340 ms obtained from 3 ECGs.
• • A history of additional risk factors for torsades de pointes (TdP) (eg, heart failure, chronic hypokalaemia not correctable with supplements, congenital or familial long QT syndrome, or family history of unexplained sudden death under 40 years of age in first-degree relatives).
• • Use of any medications known to prolong the QT/QTc interval and cause TdP.
• • Use of any prescribed or non prescribed medication including antacids, analgesics (other than ibuprofen up to 72 hours before dosing day), herbal remedies, megadose vitamins (intake of 20 to 600 times the recommended daily dose) and minerals during the 2 weeks prior to the first administration of either study drug or longer if the medication has a long half life.
• • Known or suspected history of drug abuse, as judged by the PI.
• • Current smokers or those who have smoked or used nicotine products within the previous 30 days.
• • History of alcohol abuse or excessive intake of alcohol as judged by the PI.
• • Excessive intake of caffeine-containing drinks or food (eg, coffee, tea, chocolate) as judged by the PI.
• • Use of drugs with enzyme inducing properties such as St John’s Wort, within 3 weeks prior to the first administration of either study drug.
• • Any intake of grapefruit, grapefruit juice, Seville oranges, Seville orange marmalade, or other products containing grapefruit or Seville oranges within 7 days of the first admission on Day -1.
• • Positive screen for drugs of abuse or cotinine (nicotine) or alcohol at screening and before each admission to the Study Centre.
• • History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, as judged by the PI, or history of hypersensitivity to drugs with a similar chemical structure or class to savolitinib or famotidine.
• • Plasma donation within 1 month of screening or any blood donation or loss of >500 mL during the 3 months prior to screening.
• • Has received another new chemical entity (defined as a compound which has not been approved for marketing) within 3 months of the first administration of either study drug in this study. The period of exclusion begins 3 months after the final dose or one month after the last visit whichever is the longest. Note: subjects consented and screened, but not randomised in this study or a previous Phase I study, are not excluded.
• • Subjects who have previously received savolitinib.
• • Involvement of any AstraZeneca, Parexel, or study site employee or their close relatives.
• • Judgment by the PI that the subject should not participate in the study if they have any ongoing or recent (ie, during the screening period) minor medical complaints that may interfere with the interpretation of study data or are considered unlikely to comply with study procedures, restrictions, and requirements.
• • Subjects who are vegans or vegetarians, or have medical dietary restrictions.
• • Subjects who cannot communicate reliably with the PI.
• • Vulnerable subjects, eg, kept in detention, protected adults under guardianship, trusteeship, or committed to an institution by governmental or juridical order.
• • In addition, any of the following is regarded as a criterion for exclusion from the genetic research:
• • In addition, the following are considered criteria for exclusion from the optional genetic component of the study:
• • Previous bone marrow transplant.
• • Non-leukocyte depleted whole blood transfusion within 120 days of the date of the genetic sample collection or previous bone marrow transplant.