Healthy SubjectsPhase 1NCT05586568
Drug-drug Interaction Study of XZP-3621 Tablet
A Phase 1 study testing XZP-3621 tablet and itraconazole oral liquid (for Arm1), XZP-3621 tablet and Rifampicin capsules (For Arm 2) and XZP-3621 tablet and esomeprazole tablet (For Arm3) in people with Healthy Subjects, run by Xuanzhu Biopharmaceutical Co., Ltd. at 1 site in China.
Trial summary
This is an open-label, single center, 2 period, one sequence study to investigate the potential drug drug interaction between itraconazole or rifampin or esomeprazole and XZP-3621 tablet. Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Healthy Subjects
- What is being tested?
- XZP-3621 tablet and itraconazole oral liquid (for Arm1), XZP-3621 tablet and Rifampicin capsules (For Arm 2) and XZP-3621 tablet and esomeprazole tablet (For Arm3)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 72 participants
- Where
- 1 siteChina
- Study dates
- 15 Nov 2022to 2 Aug 2023
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Healthy male or female subjects aged 18-65 years (including boundary values);
- Male weight ≥50kg, female weight ≥45kg, body mass index (bmi) in the range of 19-28 kg/m2 (including boundary value);
- No mental abnormalities, cardiovascular system, nervous system, respiratory system, digestive system, urinary system, History of systemic, endocrine and metabolic abnormalities;
- The subject and his/her partner agreed to use effective contraception and had no plans to donate sperm or eggs from the time of trial screening until 6 months after the last dose. Women of childbearing age must have a negative blood pregnancy test before the first dose;
- The subjects should be able to communicate well with the researchers, understand and comply with the requirements of the study, and understand and sign the informed consent.
Who cannot join
- 1. Allergy (allergy to two or more substances) or known allergy to XZP-3621 or similar drugs (Group 1 (itraconazole group) excluded patients with history of allergy to itraconazole or similar drugs; group 2 (rifampicin group) excluded patients with allergy to rifampicin or its similar antibacterial drugs); The third group (esomeprazole group) excluded patients with esomeprazole or similar drug allergy history];
- 2.During screening, there are clinical significant abnormal results in Physical examination, laboratory tests, 12-lead electrocardiogram, Anteroposterior and lateral chest x-ray examination or abdomen B ultrasound examination (including thyroid dysfunction with clinical significance)
- 3. Frequent use of sedation, sleeping pills or other addictive drugs within 6 months before enrollment;
- 4. Patients with a history of drug abuse or positive urine drug screening within 12 months before enrollment;
- 5. Smokers who smoked more than 5 cigarettes per day in the 3 months before screening, or who could not stop using any tobacco products during the study;
- 6. Alcohol breath test positive o regular drinkers within 6 months before enrollment, drinking more than 3 units per day, or more than 21 units of alcohol per week(1 unit is equivalent to a 350-ml bottle beer or 120 mL liquor or 30 mL spirits (above 50°)];
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- 7. Use any prescription drugs or traditional Chinese medicine within 4 weeks before enrollment, and/or use any OTC drugs or food supplements (including vitamins, calcium tablets, etc.) within 2 weeks before the first dose;
- 8. Participated in other clinical trials and used investigational drugs within 3 months before enrollment;
- 9. Those who received live vaccine within 2 weeks before the first dose, or planned to receive live vaccine during the study or within 7 days after the study was completed;
- 10. Blood donation or blood loss of 400 mL within 3 months before enrollment, or blood transfusion; Blood donation (including component blood donation) or blood loss of 200 mL within 1 month before enrollment;
- 11. Have a history of major disease or major surgery or trauma within 3 months before screening;
- 12. Gastrointestinal disease causing clinically significant symptoms such as nausea, vomiting, diarrhea, or malabsorption syndrome, or a history of severe vomiting or diarrhea within one week before enrollment;
- 13. Female subjects during pregnancy and lactation and female subjects of reproductive age who cannot take contraception as required;
- 14. HBsAg, HCV Ab, Treponema pallidum antibody, HIV Ab test results are positive;
- 15. Those who have special dietary requirements (including lactose intolerance) and are unable to comply with the provided diet and corresponding regulations;
- 16. Subjects refused to discontinue any beverage or food containing xanthine derivatives, such as caffeine (coffee, tea, cola, chocolate, etc.) for 48 hours before the first dose and until the end of the study;
- 17. Use of any drug that inhibits or induces hepatic metabolism (inducer) within 30 days prior to the first dose such as: barbiturates, carbamazepine, phenytoin sodium, rifamequine; Inhibitors such as cimetidine, Cyclosporine, macrolides, verapamil, quinolones, pyrroles, etc.);
- 18. Use of proton pump inhibitor (PPI) drugs within 7 days before the first dose(eg: Rabeprazole, pantoprazole, esomeprazole, etc.).
- 19. Ingested or planned ingestion of grapefruit or grapefruit-related citrus within 14 days before the first dose Fruit (such as lime, grapefruit), star fruit, papaya, pomegranate or above fruit products;
- 20. Those who cannot tolerate blood collection by venipuncture or whose blood vessels are in poor condition;
- 21. Other subjects deemed unsuitable to participate in the study by the investigator.
Trial locations and contacts
1 site in 1 country.
China1 site
The Affiliated Hospital of Qingdao University
Qingdao, Shandong
Yu Cao, Doctor, +86-0532-82911767, Caoyu1767@126.com
About this study
Official title: A Drug-drug Interaction Study Evaluating the Pharmacokinetic Effects of Itraconazole or Rifampin or Esomeprazole on XZP-3621 Tablets in Healthy Subjects
This is an open-label, single center, 2 period, one sequence study to investigate the potential drug drug interaction between itraconazole or rifampin or esomeprazole and XZP-3621 tablet.
- Conditions
- Healthy Subjects
- Being tested
- XZP-3621 tablet and itraconazole oral liquid (for Arm1), XZP-3621 tablet and Rifampicin capsules (For Arm 2), XZP-3621 tablet and esomeprazole tablet (For Arm3)
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
XZP-3621 tablet and itraconazole oral liquid (for Arm1)Drug
There are 2 periods, for the 1st period, the subjects will only take XZP-3621 tablets QD on Day1. For period 2,the subjects will take itraconazole from Day11 to Day13,they will take itraconazole in combinaiton with XZP-3621 on Day14,then take itraconazole only, from Day15 to Day27.
XZP-3621 tablet and Rifampicin capsules (For Arm 2)Drug
There are 2 periods, for the 1st period, the subjects will only take XZP-3621 tablets qd on Day1 . For period 2,the subjects will take Rifampicin from Day11 to Day17,they will take Rifampicin in combinaiton with XZP-3621 on day18,then take Rifampicin only, from Day19 to Day26.
XZP-3621 tablet and esomeprazole tablet (For Arm3)Drug
There are 2 periods, for the 1st period, the subjects will only take XZP-3621 tablets QD on Day1 . For period 2,the subjects will take esomeprazole from Day11 to Day 15,they will take esomeprazole in combinaiton with XZP-3621 on Day16.
| Study group | Role | What they receive |
|---|---|---|
| XZP-3621 tablet and itraconazole oral liquid | Experimental | Not described Receives: Drug: XZP-3621 tablet and itraconazole oral liquid (for Arm1) |
| XZP-3621 tablet and Rifampicin capsules | Experimental | Not described Receives: Drug: XZP-3621 tablet and Rifampicin capsules (For Arm 2) |
| XZP-3621 tablet and esomeprazole tablet | Experimental | Not described Receives: Drug: XZP-3621 tablet and esomeprazole tablet (For Arm3) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Area under the concentration versus time curve of XZP-3621 and its metabolite in plasma (AUC) (Part 1a and Part1b)
To determine the AUC of XZP-3621 and its metabolite.
Measured: Up to nearly 1 month.
Maximum serum concentration (Cmax) of XZP-3621 and its metabolite.
To determine the maximum serum concentration (Cmax) of XZP-3621 and its metabolite.
Measured: Up to nearly 1 week.
Secondary outcomes (4)
Time of Maximum observed serum concentration (Tmax) of XZP-3621 and its metabolite .
To determine the Tmax of XZP-3621 and its metabolite.
Measured: Up to nearly 1 week.
Serum Half-life (T-HALF) of XZP-3621 and its metabolite .
To determine the t1/2 of XZP-3621 and its metabolite .
Measured: Up to nearly 1 week.
Number of patients with adverse events and serious adverse events.
Number of patients who experienced an adverse event or serious adverse events.
Measured: Up to nearly 2 months.
Severity of adverse events and serious adverse events.
Severity of the adverse events or serious adverse events.
Measured: Up to nearly 2 months.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Oct 2022
- Study start15 Nov 2022 (estimated)
- Primary completion5 Apr 2023 (estimated)
- Study completion2 Aug 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Healthy SubjectsStudies of the same condition, open and under way.
- More trials run by Xuanzhu Biopharmaceutical Co., Ltd.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 72 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Xuanzhu Biopharmaceutical Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Yu Cao, Principal investigator, The Affiliated Hospital of Qingdao University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05586568
- Sponsor's protocol ID
- XZP-3621-1003
- Status last verified
- Aug 2022
- First submitted
- 16 Oct 2022
- Last updated
- 19 Oct 2022
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Fang L, Jiang X, Song K, Shi P, Wang L, Xu L, Duan X, Liu F, Sun F, Ban R, Ma Y, Wang C, Cao Y. Presence of drug-drug interactions between esomeprazole and an ALK tyrosine kinase inhibitor (Dirozalkib). Cancer Chemother Pharmacol. 2025 Dec 5;95(1):122. doi: 10.1007/s00280-025-04837-x.
PubMed 41348226
Study at a glance
From the registry record, last updated by the sponsor on 19 Oct 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Drug-drug Interaction Study Evaluating the Pharmacokinetic Effects of Itraconazole or Rifampin or Esomeprazole on XZP-3621 Tablets in Healthy Subjects
- ClinicalTrials.gov ID
- NCT05586568
- Acronym / sponsor ID
- XZP-3621-1003
- Conditions
- Healthy Subjects
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 72 participants (estimated)
- Lead sponsor
- Xuanzhu Biopharmaceutical Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 15 Nov 2022 (estimated)
- Primary completion
- 5 Apr 2023 (estimated)
- Study completion
- 2 Aug 2023 (estimated)
- First posted
- 19 Oct 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an open-label, single center, 2 period, one sequence study to investigate the potential drug drug interaction between itraconazole or rifampin or esomeprazole and XZP-3621 tablet.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| XZP-3621 tablet and itraconazole oral liquid | Experimental | Drug: XZP-3621 tablet and itraconazole oral liquid (for Arm1) |
| XZP-3621 tablet and Rifampicin capsules | Experimental | Drug: XZP-3621 tablet and Rifampicin capsules (For Arm 2) |
| XZP-3621 tablet and esomeprazole tablet | Experimental | Drug: XZP-3621 tablet and esomeprazole tablet (For Arm3) |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Healthy male or female subjects aged 18-65 years (including boundary values);
- Male weight ≥50kg, female weight ≥45kg, body mass index (bmi) in the range of 19-28 kg/m2 (including boundary value);
- No mental abnormalities, cardiovascular system, nervous system, respiratory system, digestive system, urinary system, History of systemic, endocrine and metabolic abnormalities;
- The subject and his/her partner agreed to use effective contraception and had no plans to donate sperm or eggs from the time of trial screening until 6 months after the last dose. Women of childbearing age must have a negative blood pregnancy test before the first dose;
- The subjects should be able to communicate well with the researchers, understand and comply with the requirements of the study, and understand and sign the informed consent.
Key exclusion criteria (21 listed)
- 1. Allergy (allergy to two or more substances) or known allergy to XZP-3621 or similar drugs (Group 1 (itraconazole group) excluded patients with history of allergy to itraconazole or similar drugs; group 2 (rifampicin group) excluded patients with allergy to rifampicin or its similar antibacterial drugs); The third group (esomeprazole group) excluded patients with esomeprazole or similar drug allergy history];
- 2.During screening, there are clinical significant abnormal results in Physical examination, laboratory tests, 12-lead electrocardiogram, Anteroposterior and lateral chest x-ray examination or abdomen B ultrasound examination (including thyroid dysfunction with clinical significance)
- 3. Frequent use of sedation, sleeping pills or other addictive drugs within 6 months before enrollment;
- 4. Patients with a history of drug abuse or positive urine drug screening within 12 months before enrollment;
- 5. Smokers who smoked more than 5 cigarettes per day in the 3 months before screening, or who could not stop using any tobacco products during the study;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| XZP-3621 tablet and itraconazole oral liquid (for Arm1)There are 2 periods, for the 1st period, the subjects will only take XZP-3621 tablets QD on Day1. For period 2,the subjects will take itraconazole from Day11 to Day13,they will take itraconazole in combinaiton with XZP-3621 on Day14,then take itraconazole only, from Day15 to Day27. | Drug | XZP-3621 tablet and itraconazole oral liquid |
| XZP-3621 tablet and Rifampicin capsules (For Arm 2)There are 2 periods, for the 1st period, the subjects will only take XZP-3621 tablets qd on Day1 . For period 2,the subjects will take Rifampicin from Day11 to Day17,they will take Rifampicin in combinaiton with XZP-3621 on day18,then take Rifampicin only, from Day19 to Day26. | Drug | XZP-3621 tablet and Rifampicin capsules |
| XZP-3621 tablet and esomeprazole tablet (For Arm3)There are 2 periods, for the 1st period, the subjects will only take XZP-3621 tablets QD on Day1 . For period 2,the subjects will take esomeprazole from Day11 to Day 15,they will take esomeprazole in combinaiton with XZP-3621 on Day16. | Drug | XZP-3621 tablet and esomeprazole tablet |
Primary outcome
Area under the concentration versus time curve of XZP-3621 and its metabolite in plasma (AUC) (Part 1a and Part1b)
Time frame: Up to nearly 1 month.
To determine the AUC of XZP-3621 and its metabolite.
Maximum serum concentration (Cmax) of XZP-3621 and its metabolite.
Time frame: Up to nearly 1 week.
To determine the maximum serum concentration (Cmax) of XZP-3621 and its metabolite.
4 secondary outcomes
Time of Maximum observed serum concentration (Tmax) of XZP-3621 and its metabolite .
Time frame: Up to nearly 1 week.
Serum Half-life (T-HALF) of XZP-3621 and its metabolite .
Time frame: Up to nearly 1 week.
Number of patients with adverse events and serious adverse events.
Time frame: Up to nearly 2 months.
Severity of adverse events and serious adverse events.
Time frame: Up to nearly 2 months.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Oct 2022.
- Derived from this study: PubMed 41348226Fang L, Jiang X, Song K, Shi P, Wang L, Xu L, Duan X, Liu F, Sun F, Ban R, Ma Y, Wang C, Cao Y. Presence of drug-drug interactions between esomeprazole and an ALK tyrosine kinase inhibitor (Dirozalkib). Cancer Chemother Pharmacol. 2025 Dec 5;95(1):122. doi: 10.1007/s00280-025-04837-x.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Yu Cao principal investigator
The Affiliated Hospital of Qingdao University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing XZP-3621 tablet and itraconazole oral liquid (for Arm1), XZP-3621 tablet and Rifampicin capsules (For Arm 2) and XZP-3621 tablet and esomeprazole tablet (For Arm3) in people with Healthy Subjects, run by Xuanzhu Biopharmaceutical Co., Ltd. at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 19 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Ninghua Zhu (+86-13910648041, zhuninghua@xuanzhubio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Area under the concentration versus time curve of XZP-3621 and its metabolite in plasma (AUC) (Part 1a and Part1b) (time frame: Up to nearly 1 month.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05586568, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Oct 2022.