Population pharmacokinetic analysis of ulotaront in subjects with schizophrenia

Abstract Ulotaront (SEP‐363856) is a trace amine–associated receptor 1 agonist with 5‐HT1A agonist activity in phase III development for the treatment of schizophrenia. The efficacy of ulotaront is not mediated by blockade of D2 or 5‐HT2A receptors. The aim of this study was to evaluate the populati...

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Main Authors: Gerald R. Galluppi, Daniel G. Polhamus, Jeannine M. Fisher, Seth C. Hopkins, Kenneth S. Koblan
Format: Article
Language:English
Published: Wiley 2021-10-01
Series:CPT: Pharmacometrics & Systems Pharmacology
Online Access:https://doi.org/10.1002/psp4.12692
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author Gerald R. Galluppi
Daniel G. Polhamus
Jeannine M. Fisher
Seth C. Hopkins
Kenneth S. Koblan
author_facet Gerald R. Galluppi
Daniel G. Polhamus
Jeannine M. Fisher
Seth C. Hopkins
Kenneth S. Koblan
author_sort Gerald R. Galluppi
collection DOAJ
description Abstract Ulotaront (SEP‐363856) is a trace amine–associated receptor 1 agonist with 5‐HT1A agonist activity in phase III development for the treatment of schizophrenia. The efficacy of ulotaront is not mediated by blockade of D2 or 5‐HT2A receptors. The aim of this study was to evaluate the population pharmacokinetics (PopPKs) of ulotaront in adult subjects using pooled data from seven phase I studies, one phase II acute study, and one 6‐month extension study. Single and multiple (up to 7 days) oral doses (5–150 mg/day) were studied in both healthy adult subjects (with intensive serial plasma sampling) and adult patients with schizophrenia (some with intensive and some with sparse plasma sampling). Ulotaront was well‐absorbed and exhibited dose‐proportionality in doses ranging from 10 to 100 mg, in mean maximum concentration, area under the concentration‐time curve, and minimum concentration. Moderate interindividual variability was observed in concentration‐time profiles. The estimated median time to maximal concentration was 2.8 h and the median effective half‐life was 7 h, corresponding to an exposure accumulation ratio of 1.10 at steady‐state with daily dosing. There was no indication of time‐dependent changes in PKs after up to 12 weeks of daily dose administration. No clinically meaningful effects on ulotaront PK parameters were observed based on race, age, sex, formulation (capsule or tablet), or clinical status (healthy volunteer vs. patient with schizophrenia); body weight was the only meaningful covariate.
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spelling doaj.art-f693281ae3224c6683dcfce7c9046cff2022-12-21T18:23:48ZengWileyCPT: Pharmacometrics & Systems Pharmacology2163-83062021-10-0110101245125410.1002/psp4.12692Population pharmacokinetic analysis of ulotaront in subjects with schizophreniaGerald R. Galluppi0Daniel G. Polhamus1Jeannine M. Fisher2Seth C. Hopkins3Kenneth S. Koblan4Sunovion Pharmaceuticals Inc Marlborough Massachusetts USAMetrum Research Group Tariffville Connecticut USAMetrum Research Group Tariffville Connecticut USASunovion Pharmaceuticals Inc Marlborough Massachusetts USASunovion Pharmaceuticals Inc Marlborough Massachusetts USAAbstract Ulotaront (SEP‐363856) is a trace amine–associated receptor 1 agonist with 5‐HT1A agonist activity in phase III development for the treatment of schizophrenia. The efficacy of ulotaront is not mediated by blockade of D2 or 5‐HT2A receptors. The aim of this study was to evaluate the population pharmacokinetics (PopPKs) of ulotaront in adult subjects using pooled data from seven phase I studies, one phase II acute study, and one 6‐month extension study. Single and multiple (up to 7 days) oral doses (5–150 mg/day) were studied in both healthy adult subjects (with intensive serial plasma sampling) and adult patients with schizophrenia (some with intensive and some with sparse plasma sampling). Ulotaront was well‐absorbed and exhibited dose‐proportionality in doses ranging from 10 to 100 mg, in mean maximum concentration, area under the concentration‐time curve, and minimum concentration. Moderate interindividual variability was observed in concentration‐time profiles. The estimated median time to maximal concentration was 2.8 h and the median effective half‐life was 7 h, corresponding to an exposure accumulation ratio of 1.10 at steady‐state with daily dosing. There was no indication of time‐dependent changes in PKs after up to 12 weeks of daily dose administration. No clinically meaningful effects on ulotaront PK parameters were observed based on race, age, sex, formulation (capsule or tablet), or clinical status (healthy volunteer vs. patient with schizophrenia); body weight was the only meaningful covariate.https://doi.org/10.1002/psp4.12692
spellingShingle Gerald R. Galluppi
Daniel G. Polhamus
Jeannine M. Fisher
Seth C. Hopkins
Kenneth S. Koblan
Population pharmacokinetic analysis of ulotaront in subjects with schizophrenia
CPT: Pharmacometrics & Systems Pharmacology
title Population pharmacokinetic analysis of ulotaront in subjects with schizophrenia
title_full Population pharmacokinetic analysis of ulotaront in subjects with schizophrenia
title_fullStr Population pharmacokinetic analysis of ulotaront in subjects with schizophrenia
title_full_unstemmed Population pharmacokinetic analysis of ulotaront in subjects with schizophrenia
title_short Population pharmacokinetic analysis of ulotaront in subjects with schizophrenia
title_sort population pharmacokinetic analysis of ulotaront in subjects with schizophrenia
url https://doi.org/10.1002/psp4.12692
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