A Study to Evaluate the Absorption, Distribution, Metabolism, Excretion and Absolute Bioavailability of AG-348 in Healthy Male Participants Following Administration of a Single Oral Dose of [14C]AG-348 and Concomitant Single Intravenous Microdose of [13C6]AG-348



Status:Completed
Conditions:Healthy Studies
Therapuetic Areas:Other
Healthy:No
Age Range:18 - 55
Updated:10/14/2018
Start Date:May 24, 2018
End Date:June 4, 2018

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A Phase I, Open-label Study to Evaluate the Absorption, Distribution, Metabolism, and Excretion and to Assess the Absolute Bioavailability of AG-348 in Healthy Male Subjects Following Administration of a Single Oral Dose of [14C]AG-348 and Concomitant Single Intravenous Microdose of [13C6]AG-348

This study will assess absorption, distribution, metabolism, excretion and absolute
bioavailability of AG-348 in healthy male participants. Potential participants will be
screened within 29 days prior to dose administration to determine eligibility. Eligible
Participants will be admitted into the Clinical Research Unit (CRU) one day prior to
administration of AG-348 and will be confined to the CRU until at least Day 8. If
participants are not eligible for discharge on Day 8, they may remain in the CRU up to Day
11. Radiolabelled analytes of AG-348 will be administered in a single oral and intravenous
(IV) dose on Day 1. Participants will be required to fast pre-dose, remain in a supine
position for 1 hour post-dose and avoid water for 2 hours post-dose.


Inclusion Criteria

- Willing and able to provide voluntary written informed consent;

- Males of any race between 18 and 55 years of age, inclusive;

- Body mass index between 18.5 and 29.0 kilograms per meter squared (kg/m2), inclusive,
and a total body weight between 50 and 100 kilograms (kg), inclusive;

- In good health;

- Participants will be surgically sterile for at least 90 days or, when sexually active
with female partners of childbearing potential, will be required to use a male condom
with spermicide from Check-in until 90 days after study drug administration. Sexual
intercourse with female partners who are pregnant or breastfeeding should be avoided
unless condoms are used from the time of study drug administration until 90 days after
study drug administration. Male participants are required to refrain from donation of
sperm from Check-in until 90 days after the last dose of study drug;

- Participants who practice true abstinence, because of the participant's lifestyle
choice (ie, the participant should not become abstinent just for the purpose of study
participation), are exempt from contraceptive requirements. Periodic abstinence (eg,
calendar, ovulation, symptothermal, postovulation methods) and withdrawal are not
acceptable methods of contraception. If a participant who is abstinent at the time of
signing the informed consent form (ICF) becomes sexually active they must agree to use
contraception as described previously;

- Participants who are exclusively in same-sex relationships, contraceptive requirements
do not apply. If a participant who is in a same-sex relationship at the time of
signing the ICF becomes engaged in a heterosexual relationship, they must agree to use
contraception as described previously;

- Willing and able to communicate verbally and in writing with the Investigator and to
participate in all scheduled study procedures (including Follow-up procedures) and
abide by the study restrictions;

- Agrees to abstain from any alcohol consumption, starting 48 hours before Check-in and
continuing until Discharge;

- History of a minimum of 1 bowel movement per day.

Exclusion Criteria

- History of a medical or surgical condition that, in the opinion of the Investigator,
may potentially interfere with study drug absorption, distribution, metabolism, and/or
excretion (eg, participant has undergone gastrectomy, appendectomy, or
cholecystectomy);

- Undergone any major surgical procedure within the past 3 months;

- After 5 minutes of rest in the supine position at Screening, has a systolic blood
pressure (BP) reading of ≥140 mmHg (≥150 mmHg in participants >45 years of age) OR a
diastolic BP reading of ≥90 mmHg;

- Experienced any serious adverse reaction or serious hypersensitivity to any drug or
its formulation excipients;

- History of a primary malignancy, with the exception of a malignancy that has been
curatively treated and for which the participant has displayed no evidence of disease
within the past 3 years;

- History of alcoholism or drug/chemical abuse within the past 2 years;

- Alcohol consumption of >21 units per week. One unit of alcohol equals 12 oz (360 mL)
of beer, 1½ oz (45 mL) of liquor, or 5 oz (150 mL) of wine;

- Positive urine drug screen at Screening or Check-in, or positive alcohol breath test
at Check-in (confirmed by repeat);

- Positive for hepatitis B surface antigen, hepatitis C virus antibody, or human
immunodeficiency virus;

- Participation in a clinical study involving administration of an investigational
product (IP) or new chemical entity (NCE) in the past 90 days, or 5 half-lives, if
known, of the respective IP or NCE, whichever is longer;

- Has taken, within the 14 days prior to Check-in, any of the following: prescription
medication, over-the-counter medication, nonprescription preparation (including
vitamins, minerals, phytotherapeutic/herbal/plant-derived preparations), or grapefruit
products;

- Has taken within the 28 days prior to Check-in, any restricted product known to
strongly induce cytochrome P450 (CYP) 3A4 metabolism (eg, St. John's wort);

- Is a current smoker or user of any other tobacco product, as confirmed by Screening
and Check-in urine cotinine test OR has used any tobacco product within the past 3
months

- Receipt of blood products within the past 2 months;

- Donation of blood within the past 56 days, plasma within the past 2 weeks or platelets
within the past 6 weeks;

- Previously completed or withdrawn from this study or any other study investigating
AG-348, and have previously received the IP;

- Radiation exposure, including that from the present study, excluding background
radiation but including diagnostic X-rays and other medical exposures (eg, computed
tomography scan, barium meal) exceeding 5 millisieverts (mSv) in the last 12 months or
10 mSv in the last 5 years, or current employment in a job requiring radiation
exposure monitoring within 12 months prior to Check-in;

- Participants who have participated in a radiolabeled drug study where exposures are
known to the Investigator within the previous 4 months prior to admission to the
clinic for this study or participated in a radiolabeled drug study where exposures are
not known to the Investigator within the previous 6 months prior to admission to the
clinic for this study.

- Is an employee of, or an immediate family member of an employee of, the study site or
the Sponsor;

- Participants who, in the opinion of the Investigator (or designee), should not
participate in this study.
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Madison, Wisconsin 53704
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