The food effect on the pharmacokinetics of TQB3616 capsule in Chinse healthy subjects: a randomized, open-label, single-center, two-period, two-sequence crossover phase I clinical trial

PurposeThe purpose of this study was to evaluate the food effect on the pharmacokinetics of TQB3616 capsule in Chinse healthy subjects.MethodsThe subjects were randomly allocated to two distinct sequences in a 1:1 ratio. During each treatment periods, subjects ingested a single oral dose of 180 mg T...

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Main Authors: Jun Dai, Yanan Zhou, Lei Zhang, Qing Ren, Zhengzhi Liu, Yanli Wang, Yang Cheng, Qiaohuan Deng, Haimiao Yang, Hong Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1586368/full
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author Jun Dai
Yanan Zhou
Lei Zhang
Qing Ren
Zhengzhi Liu
Yanli Wang
Yang Cheng
Qiaohuan Deng
Haimiao Yang
Hong Zhang
author_facet Jun Dai
Yanan Zhou
Lei Zhang
Qing Ren
Zhengzhi Liu
Yanli Wang
Yang Cheng
Qiaohuan Deng
Haimiao Yang
Hong Zhang
author_sort Jun Dai
collection DOAJ
description PurposeThe purpose of this study was to evaluate the food effect on the pharmacokinetics of TQB3616 capsule in Chinse healthy subjects.MethodsThe subjects were randomly allocated to two distinct sequences in a 1:1 ratio. During each treatment periods, subjects ingested a single oral dose of 180 mg TQB3616 capsule administered with 240 mL of warm water under fasted and fed conditions. To avoid carryover effects, a 19 days washout period was strictly implemented between treatment periods. Blood samples were collected in accordance with the study protocol, and the plasma concentration of TQB3616 was measured using a fully validated liquid chromatography-tandem mass spectrometry (LC-MS/MS) method. Safety evaluations were performed continuously throughout the duration of the trial.ResultsFollowing the administration of TQB3616 capsules under both fasted and fed conditions, the geometric mean ratios of Cmax, AUC0-t, and AUC0-∞ for TQB3616 in the fed state compared to the fasted state were 148.04%, 145.06%, and 143.13%, respectively. The corresponding 90% confidence intervals (CIs) were 101.23%–216.51%, 117.68%–178.83%, and 116.46%–175.91%, none of which fell within the conventional bioequivalence range of 80.00%–125.00%. A total of 81 adverse events (AEs) were reported among 16 subjects, with 77 events deemed related to the drug. Among the 77 drug-related adverse events, two cases were grade II, with the rest being grade I. Notably, there were no serious adverse events, deaths, or unexpected serious reactions.ConclusionA pharmacokinetic study conducted on healthy volunteers, who received a single 180 mg dose of TQB3616 capsules under fasting and fed conditions, demonstrated clinically significant effects of food on the drug’s bioavailability. Compared with fasted, postprandial administration delayed median Tmax by 1 h while increasing total systemic exposure and peak concentration. Additionally, postprandial dosing was associated with reduced incidence of gastrointestinal adverse reactions. These data support the recommendation that TQB3616 capsules be administered with food to maximize therapeutic bioavailability while improving gastrointestinal tolerability profile.Clinical Trial Registrationhttp://www.chinadrugtrials.org.cn, identifier, CTR20210354; clinicaltrials.gov, identifier, NCT05344729.
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publishDate 2025-05-01
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spelling doaj-art-9b1a4b9a001a47d48c9d12dfe4eab0452025-08-20T02:01:04ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-05-011610.3389/fphar.2025.15863681586368The food effect on the pharmacokinetics of TQB3616 capsule in Chinse healthy subjects: a randomized, open-label, single-center, two-period, two-sequence crossover phase I clinical trialJun Dai0Yanan Zhou1Lei Zhang2Qing Ren3Zhengzhi Liu4Yanli Wang5Yang Cheng6Qiaohuan Deng7Haimiao Yang8Hong Zhang9School of Life Science and Biopharmaceutics, Shenyang Pharmaceutical University, Shenyang, ChinaThe Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, ChinaThe Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, ChinaThe Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, ChinaThe Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, ChinaThe Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, ChinaThe Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, ChinaThe Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, ChinaThe Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, ChinaSchool of Life Science and Biopharmaceutics, Shenyang Pharmaceutical University, Shenyang, ChinaPurposeThe purpose of this study was to evaluate the food effect on the pharmacokinetics of TQB3616 capsule in Chinse healthy subjects.MethodsThe subjects were randomly allocated to two distinct sequences in a 1:1 ratio. During each treatment periods, subjects ingested a single oral dose of 180 mg TQB3616 capsule administered with 240 mL of warm water under fasted and fed conditions. To avoid carryover effects, a 19 days washout period was strictly implemented between treatment periods. Blood samples were collected in accordance with the study protocol, and the plasma concentration of TQB3616 was measured using a fully validated liquid chromatography-tandem mass spectrometry (LC-MS/MS) method. Safety evaluations were performed continuously throughout the duration of the trial.ResultsFollowing the administration of TQB3616 capsules under both fasted and fed conditions, the geometric mean ratios of Cmax, AUC0-t, and AUC0-∞ for TQB3616 in the fed state compared to the fasted state were 148.04%, 145.06%, and 143.13%, respectively. The corresponding 90% confidence intervals (CIs) were 101.23%–216.51%, 117.68%–178.83%, and 116.46%–175.91%, none of which fell within the conventional bioequivalence range of 80.00%–125.00%. A total of 81 adverse events (AEs) were reported among 16 subjects, with 77 events deemed related to the drug. Among the 77 drug-related adverse events, two cases were grade II, with the rest being grade I. Notably, there were no serious adverse events, deaths, or unexpected serious reactions.ConclusionA pharmacokinetic study conducted on healthy volunteers, who received a single 180 mg dose of TQB3616 capsules under fasting and fed conditions, demonstrated clinically significant effects of food on the drug’s bioavailability. Compared with fasted, postprandial administration delayed median Tmax by 1 h while increasing total systemic exposure and peak concentration. Additionally, postprandial dosing was associated with reduced incidence of gastrointestinal adverse reactions. These data support the recommendation that TQB3616 capsules be administered with food to maximize therapeutic bioavailability while improving gastrointestinal tolerability profile.Clinical Trial Registrationhttp://www.chinadrugtrials.org.cn, identifier, CTR20210354; clinicaltrials.gov, identifier, NCT05344729.https://www.frontiersin.org/articles/10.3389/fphar.2025.1586368/fullTQB3616breast cancerhuman epidermal growth factor receptorhormone receptorfood-effect studies
spellingShingle Jun Dai
Yanan Zhou
Lei Zhang
Qing Ren
Zhengzhi Liu
Yanli Wang
Yang Cheng
Qiaohuan Deng
Haimiao Yang
Hong Zhang
The food effect on the pharmacokinetics of TQB3616 capsule in Chinse healthy subjects: a randomized, open-label, single-center, two-period, two-sequence crossover phase I clinical trial
Frontiers in Pharmacology
TQB3616
breast cancer
human epidermal growth factor receptor
hormone receptor
food-effect studies
title The food effect on the pharmacokinetics of TQB3616 capsule in Chinse healthy subjects: a randomized, open-label, single-center, two-period, two-sequence crossover phase I clinical trial
title_full The food effect on the pharmacokinetics of TQB3616 capsule in Chinse healthy subjects: a randomized, open-label, single-center, two-period, two-sequence crossover phase I clinical trial
title_fullStr The food effect on the pharmacokinetics of TQB3616 capsule in Chinse healthy subjects: a randomized, open-label, single-center, two-period, two-sequence crossover phase I clinical trial
title_full_unstemmed The food effect on the pharmacokinetics of TQB3616 capsule in Chinse healthy subjects: a randomized, open-label, single-center, two-period, two-sequence crossover phase I clinical trial
title_short The food effect on the pharmacokinetics of TQB3616 capsule in Chinse healthy subjects: a randomized, open-label, single-center, two-period, two-sequence crossover phase I clinical trial
title_sort food effect on the pharmacokinetics of tqb3616 capsule in chinse healthy subjects a randomized open label single center two period two sequence crossover phase i clinical trial
topic TQB3616
breast cancer
human epidermal growth factor receptor
hormone receptor
food-effect studies
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1586368/full
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