Evidence map›Paper›PMID 41781339›Full record

Trial reportClinical and translational science2026

A Phase I Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Fenebrutinib and Effect on the QT/QTc Interval in Healthy Participants.

Yan Xu, Sonoko Kawakatsu, Denison Kuruvilla, John N Ratchford, Qi Qi, Malgorzata Sierzega, Lin Pan, Jiajie Yu

Abstract readRandomized Controlled TrialClinical Trial, Phase I
In one paragraph

Trial report in Clinical and translational science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yan XuGenentech Inc., San Francisco, California, USA.ORCID 0000-0001-7656-4732
Sonoko KawakatsuGilead Sciences, Foster City, California, USA.ORCID 0000-0001-5202-7975
Denison KuruvillaGenentech Inc., San Francisco, California, USA.ORCID 0000-0003-4547-9572
John N RatchfordGenentech Inc., San Francisco, California, USA.ORCID 0000-0003-1987-0076
Qi QiGenentech Inc., San Francisco, California, USA.ORCID 0009-0000-0268-9436
Malgorzata SierzegaGenentech Inc., San Francisco, California, USA.
Lin PanGenentech Inc., San Francisco, California, USA.ORCID 0009-0007-0951-5835
Jiajie YuGenentech Inc., San Francisco, California, USA.ORCID 0000-0001-6975-5047

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fenebrutinib is a Bruton's tyrosine kinase inhibitor under investigation for the treatment of multiple sclerosis. The goal of this study was to investigate the effect of fenebrutinib on cardiac repolarization (QT interval) as well as its safety, tolerability, and pharmacokinetics in healthy participants. Part A was a randomized, double-blind, placebo-controlled, single-ascending dose study of therapeutic (400 mg) and supratherapeutic (700 mg) doses of fenebrutinib. Part B was a randomized, double-blind, single-dose, four-way crossover study that included both therapeutic and supratherapeutic fenebrutinib doses, a positive control (moxifloxacin 400 mg), and placebo. The QT interval was corrected for heart rate using the Fridericia formula (QTcF). Part A (n = 16) showed that both doses were well tolerated, with no serious adverse events (AEs), AEs of special interest, or Grade ≥ 2 AEs. In Part B (n = 85), all upper bounds (UBs) of one-sided 95% confidence intervals (CIs) for the least squares mean placebo-adjusted ΔQTcF (ΔΔQTcF) values were < 10 ms; maximum observed values were 5.3 and 8.2 ms at 1 h after the therapeutic and supratherapeutic doses, respectively. All predefined timepoints after moxifloxacin administration had a 99% CI lower bound of ΔΔQTcF of > 5 ms, which confirmed assay sensitivity. In the regression analysis, UBs of one-sided 95% CIs for ΔΔQTcF at the maximum concentration of fenebrutinib were < 10 ms: 4.4 and 7.8 ms with the therapeutic and supratherapeutic doses, respectively. Overall, both doses of fenebrutinib had no clinically meaningful impact on QT interval and were well tolerated, supporting fenebrutinib's favorable safety profile and continued clinical development.

Indexed as

Heart RatePhenylalanineProtein Kinase InhibitorsPyridazinesPyridonesAdolescentAdultCross-Over StudiesDose-Response Relationship, DrugDouble-Blind MethodElectrocardiographyFemaleHealthy VolunteersHumansMaleMiddle AgedfenebrutinibMoxifloxacinPhenylalaninePiperazinesProtein Kinase InhibitorsPyridazinesPyridoneselectrocardiogramfenebrutinibmultiple sclerosispharmacokineticsQT intervalsafetythorough QT study

Identifiers

PMID41781339
PMCPMC12960056

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.