Single therapeutic and supratherapeutic doses of anacetrapib, a cholesteryl ester transfer protein inhibitor, do not prolong the QTcF interval in healthy volunteers

J Clin Pharmacol. 2014 Jul;54(7):765-75. doi: 10.1002/jcph.278. Epub 2014 Mar 6.

Abstract

Anacetrapib is a cholesteryl ester transfer protein inhibitor in Phase III development. This double-blind, double-dummy, randomized, placebo- and active-comparator-controlled, 4-period, balanced crossover study evaluated the effects of anacetrapib (100 mg and 800 mg) on QTcF interval in healthy subjects. QTcF measurements were made up to 24 h following administration of single doses of anacetrapib 100 or 800 mg, moxifloxacin 400 mg, or placebo in the fed state. The primary hypothesis was supported if the 90% CI for the least squares (LS) mean differences between anacetrapib 800 mg and placebo in QTcF interval change from baseline were entirely <10 msec at every post-dose time point (1, 2, 2.5, 3, 4, 5, 6, 8, 12, and 24 h). The upper bounds of the 90% CIs for LS mean differences from placebo in changes from baseline in QTcF intervals for anacetrapib 100 and 800 mg were <5 msec at every time point. In conclusion, single doses of anacetrapib 100 and 800 mg do not prolong the QTcF interval to a clinically meaningful degree relative to placebo and are generally well tolerated in healthy subjects.

Keywords: ECG; QTc interval; anacetrapib; thorough QT.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / adverse effects
  • Anti-Bacterial Agents / blood
  • Anti-Bacterial Agents / pharmacokinetics
  • Anticholesteremic Agents / administration & dosage*
  • Anticholesteremic Agents / adverse effects
  • Anticholesteremic Agents / blood
  • Anticholesteremic Agents / pharmacokinetics
  • Arrhythmias, Cardiac / chemically induced
  • Cholesterol Ester Transfer Proteins / antagonists & inhibitors*
  • Cohort Studies
  • Cross-Over Studies
  • Dose-Response Relationship, Drug
  • Double-Blind Method
  • Drugs, Investigational / administration & dosage*
  • Drugs, Investigational / adverse effects
  • Drugs, Investigational / pharmacokinetics
  • Electrocardiography / drug effects
  • Female
  • Fluoroquinolones / administration & dosage
  • Fluoroquinolones / adverse effects
  • Fluoroquinolones / blood
  • Fluoroquinolones / pharmacokinetics
  • Heart / drug effects*
  • Humans
  • Male
  • Middle Aged
  • Models, Biological*
  • Moxifloxacin
  • Oxazolidinones / administration & dosage*
  • Oxazolidinones / adverse effects
  • Oxazolidinones / blood
  • Oxazolidinones / pharmacokinetics
  • Topoisomerase II Inhibitors / administration & dosage
  • Topoisomerase II Inhibitors / adverse effects
  • Topoisomerase II Inhibitors / blood
  • Topoisomerase II Inhibitors / pharmacokinetics
  • Young Adult

Substances

  • Anti-Bacterial Agents
  • Anticholesteremic Agents
  • Cholesterol Ester Transfer Proteins
  • Drugs, Investigational
  • Fluoroquinolones
  • Oxazolidinones
  • Topoisomerase II Inhibitors
  • anacetrapib
  • Moxifloxacin