Abstract CT122: Safety and pharmacokinetics of BLU-263, a next-generation KIT inhibitor, in normal healthy volunteers

Abstract

Abstract Background: BLU-263 is an investigational, potent, and selective oral small-molecule inhibitor of KIT with sub-nanomolar potency on D816V-mutant KIT. Systemic mastocytosis is driven by the KIT D816V mutation in approximately 95% of cases and is vulnerable to KIT D816V inhibition. BLU-263 was highly active in a murine model of mastocytosis and was well tolerated with minimal central nervous system penetration in preclinical species. Here, we report the safety, tolerability, and pharmacokinetics (PK) of BLU-263 in an ongoing phase I, randomized, double-blinded, placebo-controlled single ascending dose (SAD) and multiple ascending dose (MAD) trial. Methods: In the SAD portion of the trial, cohorts of eight normal healthy volunteers aged ≥19 years received either oral placebo (n=2/cohort) or single oral doses of BLU-263 (n=6/cohort) of 15, 25, 50, 100, or 200 mg. In the MAD portion of the trial, normal healthy volunteer cohorts received either oral placebo or BLU-263 at 25, 50, or 100 mg once daily (QD) on each of 10 consecutive days. Blood plasma samples were collected for PK analyses at pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 h post-dose in SAD cohorts, and the same post-dose time points on Days 1 and 10 in the MAD cohorts. Safety was assessed according to incidence and severity of adverse events (AEs) in recipients of BLU-263 as compared with placebo. Results: BLU-263 was well-tolerated across the five BLU-263 SAD cohorts and three MAD cohorts. Only Grade 1 AEs were reported, and most were assessed as not related to the study drug by the investigator. These AEs included pain at blood-sampling site, headache, dry/itchy skin, nausea, and stomachache. No serious AEs were reported, and there were no clinically relevant findings in laboratory, electrocardiogram, or vital signs parameters. After administration of BLU-263 at single doses, the median time to maximum concentration ranged from 1.5 to 6 h post-dose. The mean half-life of BLU-263 ranged from 20 to 28 h, indicating that steady-state is expected to be reached by Day 7, and supports QD dosing. After 10 days of repeated oral administration of 25 to 100 mg BLU-263, the geometric mean accumulation ratio for area under the curve ranged from 1.6 to 1.8. The geometric mean apparent volume of distribution ranged from 753 to 973 L, indicating wide tissue distribution. Overall, a dose-proportional increase in systemic exposure to BLU-263 was observed across the SAD and MAD cohorts. Conclusions: BLU-263, a next-generation investigational KIT inhibitor, was well tolerated across all SAD and MAD cohorts in healthy volunteers. The PK of BLU-263 were linear across the dose ranges in SAD and MAD cohorts and support QD dosing. These data support continued development of BLU-263 in patients with systemic mastocytosis and other mast cell disorders. Citation Format: Nimita Dave, Marissa Devlin, Jill Rodstrom, Bei Yu, Megan Foley, Kevin He, Scott Rasmussen, Andy Boral, Tuan Dong Si. Safety and pharmacokinetics of BLU-263, a next-generation KIT inhibitor, in normal healthy volunteers [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2021; 2021 Apr 10-15 and May 17-21. Philadelphia (PA): AACR; Cancer Res 2021;81(13_Suppl):Abstract nr CT122.