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NCT03530995

Drug-drug Interaction Between Belumosudil, Itraconazole, Rifampicin, Rabeprazole, and Omeprazole in Healthy Volunteers

Completed Phase 1 Results posted Last updated 25 May 2022
What this trial tests

Phase 1 trial testing Belumosudil in Drug-drug Interaction in 73 participants. Completed in 8 February 2019.

Timeline
9 April 2018
Primary endpoint
8 February 2019
8 February 2019

Quick facts

Lead sponsorKadmon Corporation, LLC
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposebasic science
Enrollment73
Start date9 April 2018
Primary completion8 February 2019
Estimated completion8 February 2019
Sites1 location across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Kadmon Corporation, LLC — full company profile →

Who can join

Adults 18 to 55, male only, with Drug-drug Interaction or Autoimmune Diseases. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Pharmacokinetics: Cmax of KD025 and KD025m2 in Part 1 Primary · Pre-dose and 0.5,1,1.5,2,3,4,5,6,8,10,12,24,36, and 48 hours post-dose

Maximum concentration (Cmax) of the parent drug, KD025, Metabolite 1 (KD025m1), and Metabolite 2 (KD025m2) for belumosudil alone, belumosudil + itraconazole, belumosudil + rabeprazole, and belumosudil + rifampicin at 0 to 48 hours post-dose

Parent Drug KD025
GroupValue95% CI
Part 1, Period 1: Belumosudil Alone1770± 31.3
Part 1, Period 2: Belumosudil + Itraconazole2130± 31.0
Part 1, Period 3: Belumosudil + Rabeprazole227± 58.4
Part 1, Period 4: Belumosudil + Rifampicin712± 35
KD025m2
GroupValue95% CI
Part 1, Period 1: Belumosudil Alone337± 54.7
Part 1, Period 2: Belumosudil + Itraconazole221± 60.8
Part 1, Period 3: Belumosudil + Rabeprazole23.5± 70.7
Part 1, Period 4: Belumosudil + Rifampicin148± 57.3
Pharmacokinetics: Cmax of KD025m1 in Part 1 Primary · Pre-dose and 0.5,1,1.5,2,3,4,5,6,8,10,12,24,36, and 48 hours post-dose

Maximum concentration (Cmax) of Metabolite 1 (KD025m1) for belumosudil alone and for belumosudil + rifampicin up to 48 hours post-dose

GroupValue95% CI
Part 1, Period 1: Belumosudil Alone23.2± 40.0
Part 1, Period 4: Belumosudil + Rifampicin52.5± 34.0
Pharmacokinetics: Cmax of KD025, KD025m1, and KD025m2 in Part 2 Primary · Pre-dose and 0.5,1,1.5,2,3,4,5,6,8,10,12,12.5,13,13.5,14,15,16,17,18,20,22,24,36, and 48 hours post-dose

Maximum concentration (Cmax) of the parent drug (KD025), for Metabolite 1 (KD025m1), and for Metabolite 2 (KD025m2), for belumosudil alone and for belumosudil + omeprazole up to 48 hours post-dose

Cmax--1st dose: KD025
GroupValue95% CI
Part 2, Period 1: Belumosudil Alone1790± 34.5
Part 2, Period 2: Belumosudil + Omeprazole575± 145.7
Cmax--2nd dose: KD025
GroupValue95% CI
Part 2, Period 1: Belumosudil Alone1760± 37.0
Part 2, Period 2: Belumosudil + Omeprazole903± 63.8
Cmax--1st Dose: KD025m1
GroupValue95% CI
Part 2, Period 1: Belumosudil Alone23.8± 39.6
Part 2, Period 2: Belumosudil + Omeprazole18.0± 54.6
Cmax--2nd Dose: KD025m1
GroupValue95% CI
Part 2, Period 1: Belumosudil Alone23.6± 46.4
Part 2, Period 2: Belumosudil + Omeprazole18.9± 48.7
Cmax--1st Dose: KD025m2
GroupValue95% CI
Part 2, Period 1: Belumosudil Alone282± 75.6
Part 2, Period 2: Belumosudil + Omeprazole72.3± 166.8
Cmax--2nd Dose: KD025m2
GroupValue95% CI
Part 2, Period 1: Belumosudil Alone257± 83.9
Part 2, Period 2: Belumosudil + Omeprazole115± 121.8
Pharmacokinetics: AUC(0-inf) and AUC(0-24) of KD025 and KD025 m2 for Subject in Part 1 and Part 2 Primary · Part 1: Pre-dose and 0.5,1,1.5,2,3,4,5,6,8,10,12,24,36, and 48 hours post-dose; Part 2: Pre-dose and 0.5,1,1.5,2,3,4,5,6,8,10,12,12.5,13,13.5,14,15,16,17,18,20,22,24,36, and 48 hours post-dose

Area under concentration-time curve from zero hours to infinity (AUC\[0-inf\]) and from zero hours to 24 hours post-dose (AUC\[0-24)) for the parent drug KD025, and Metabolite 2, KD025m2, for subjects up to 48 hours each for Part 1 and for Part 2

AUC(0-inf): KD025
GroupValue95% CI
Part 1, Period 1: Belumosudil Alone9080± 33.3
Part 1, Period 2: Belumosudil + Itraconazole11200± 38.1
Part 1, Period 3: Belumosudil + Rabeprazole1680± 65.8
Part 1, Period 4: Belumosudil + Rifampicin2500± 34.5
Part 2, Period 1: Belumosudil Only18800± 37.1
Part 2, Period 2: Belumosudil + Omeprazole9880± 59.2
AUC(0-inf): KD025m2
GroupValue95% CI
Part 1, Period 1: Belumosudil Alone1230± 69.5
Part 1, Period 2: Belumosudil + Itraconazole843± 73.7
Part 1, Period 3: Belumosudil + Rabeprazole174± 11.1
Part 1, Period 4: Belumosudil + Rifampicin396± 50.2
Part 2, Period 1: Belumosudil Only1900± 90.4
Part 2, Period 2: Belumosudil + Omeprazole1110± 30.3
AUC(0-24): KD025
GroupValue95% CI
Part 1, Period 1: Belumosudil Alone8430± 30.5
Part 1, Period 2: Belumosudil + Itraconazole10400± 35.8
Part 1, Period 3: Belumosudil + Rabeprazole1510± 60.7
Part 1, Period 4: Belumosudil + Rifampicin2490± 34.1
Part 2, Period 1: Belumosudil Only16800± 36.4
Part 2, Period 2: Belumosudil + Omeprazole7970± 58.9
AUC(0-24): KD025m2
GroupValue95% CI
Part 1, Period 1: Belumosudil Alone1100± 63.7
Part 1, Period 2: Belumosudil + Itraconazole745± 70.7
Part 1, Period 3: Belumosudil + Rabeprazole110± 84.0
Part 1, Period 4: Belumosudil + Rifampicin376± 56.7
Part 2, Period 1: Belumosudil Only1950± 82.3
Part 2, Period 2: Belumosudil + Omeprazole767± 115.3
Pharmacokinetics: AUC(0-24) of KD025m1 for Part 1 and for Part 2 Primary · Part 1: Pre-dose and 0.5,1,1.5,2,3,4,5,6,8,10,12, and 24 hours post-dose; Part 2: Pre-dose and 0.5,1,1.5,2,3,4,5,6,8,10,12,12.5,13,13.5,14,15,16,17,18,20,22, and 24 hours post-dose

Area under concentration-time curve from zero hours to 24 hours post-dose (AUC\[0-24\]) for Metabolite 1, KD025m1, for subjects in Part 1 and for subjects in Part 2

GroupValue95% CI
Part 1, Period 1: Belumosudil Alone75.6± 42.1
Part 1, Period 4: Belumosudil + Rifampicin148± 41.9
Part 2, Period 1: Belumosudil Alone138± 91.3
Part 2, Period 2: Belumosudil + Omeprazole91.5± 76.3

Adverse events — posted to ClinicalTrials.gov

Time frame: Part 1, Period 1: 1 day Part 1, Period 2: 9 days Part 1, Period 3: 4 days Part 1, Period 4: 10 days Part 2, Period 1: 1 day Part 2, Period 2: 4 days. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1, Period 1: Belumosudil Only
Serious: 0/35 (0%)
Deaths: 0/35
Part 1, Period 2: Belumosudil + Itraconazole
Serious: 1/35 (3%)
Deaths: 0/35
Part 1, Period 3: Belumosudil +Rabeprazole
Serious: 0/33 (0%)
Deaths: 0/33
Part 1, Period 4: Belumosudil + Rifampicin
Serious: 0/32 (0%)
Deaths: 0/32
Part 2, Period 1: Belumosudil Only
Serious: 0/38 (0%)
Deaths: 0/38
Part 2, Period 2: Belumosudil + Omeprazole
Serious: 0/38 (0%)
Deaths: 0/38

Serious adverse events (1 terms)

ReactionSystemPart 1, Period 1: Belumosu…Part 1, Period 2: Belumosu…Part 1, Period 3: Belumosu…Part 1, Period 4: Belumosu…Part 2, Period 1: Belumosu…Part 2, Period 2: Belumosu…
Ankle fractureInjury, poisoning and procedural complications
Other adverse events (34 terms — click to expand)

ReactionSystemPart 1, Period 1: Belumosu…Part 1, Period 2: Belumosu…Part 1, Period 3: Belumosu…Part 1, Period 4: Belumosu…Part 2, Period 1: Belumosu…Part 2, Period 2: Belumosu…
HeadacheNervous system disorders
Abdominal distensionGastrointestinal disorders
NasopharyngitisInfections and infestations
SomnolenceNervous system disorders
Back painMusculoskeletal and connective tissue disorders
DiarrhoeaGastrointestinal disorders
ConstipationGastrointestinal disorders
DyspepsiaGastrointestinal disorders
NauseaGastrointestinal disorders
ToothacheGastrointestinal disorders
Abdominal pain lowerGastrointestinal disorders
VomitingGastrointestinal disorders
PresyncopeNervous system disorders
FatigueGeneral disorders
Medical device site rashGeneral disorders
Vessel puncture site bruiseGeneral disorders
Catheter site related reactionGeneral disorders
Feeling hotGeneral disorders
HordeolumInfections and infestations
ParonychiaInfections and infestations
Upper respiratory tract infectionInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
Ankle fractureInjury, poisoning and procedural complications
Back injuryInjury, poisoning and procedural complications
LacerationInjury, poisoning and procedural complications
MyalgiaMusculoskeletal and connective tissue disorders
Seasonal allergyImmune system disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
HyperhidrosisSkin and subcutaneous tissue disorders
MiliariaSkin and subcutaneous tissue disorders
NeutropeniaBlood and lymphatic system disorders
Ocular hyperaemiaEye disorders
Hot flushVascular disorders

Most-reported serious reactions: Ankle fracture.

Data from ClinicalTrials.gov NCT03530995 adverse events section.

Sponsor's own description

This is a single-center, 2-part, non-randomized, open-label study of the drug-drug interactions of belumosudil (KD025) with itraconazole, rifampicin, rabeprazole, and omeprazole in healthy male subjects.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. FDA Approval Summary: Belumosudil for Adult and Pediatric Patients 12 Years and Older with Chronic GvHD after Two or More Prior Lines of Systemic Therapy.
    Przepiorka D, Le RQ, Ionan A, Li RJ, et al · · 2022 · cited 41× · PMID 35135839 · DOI 10.1158/1078-0432.ccr-21-4176
  2. Druggable targets in the Rho pathway and their promise for therapeutic control of blood pressure.
    Dee RA, Mangum KD, Bai X, Mack CP, et al · · 2019 · cited 19× · PMID 30189292 · DOI 10.1016/j.pharmthera.2018.09.001
  3. The Physiology, Pathology, and Therapeutic Interventions for ROCK Isoforms in Diabetic Kidney Disease.
    Matoba K, Takeda Y, Nagai Y, Sekiguchi K, et al · · 2020 · cited 18× · PMID 33101039 · DOI 10.3389/fphar.2020.585633

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Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing