Clinical Trials /

Thorough ECG (Electrocardiogram) and Drug Interaction Study With Anetumab Ravtansine and Itraconazole

NCT02824042

Description:

Characterize the safety, tolerability, ECG effects, pharmacokinetics and immunogenicity of anetumab ravtansine given as single agent and after inhibition of CYP3A4 and P-gp by concomitant administration of itraconazole in subjects with mesothelin-expressing advanced solid cancers

Related Conditions:
  • Breast Carcinoma
  • Fallopian Tube Carcinoma
  • Lung Adenocarcinoma
  • Ovarian Carcinoma
  • Pancreatic Adenocarcinoma
  • Peritoneal Mesothelioma
  • Pleural Mesothelioma
  • Primary Peritoneal Carcinoma
Recruiting Status:

Completed

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Thorough ECG (Electrocardiogram) and Drug Interaction Study With Anetumab Ravtansine and Itraconazole
  • Official Title: An Open Label, Phase I Study to Assess the Effect of Itraconazole (CYP3A4 and P-gp Inhibitor) on the Pharmacokinetics of Anetumab Ravtansine and to Assess the ECG Effects, Safety and Immunogenicity of Anetumab Ravtansine Given as a Single Agent and Together With Itraconazole in Subjects With Mesothelin-expressing Advanced Solid Cancers

Clinical Trial IDs

  • ORG STUDY ID: 18329
  • SECONDARY ID: 2017-001978-42
  • NCT ID: NCT02824042

Conditions

  • Medical Oncology

Interventions

DrugSynonymsArms
Anetumab ravtansine (BAY94-9343)Anetumab ravtansine
ItraconazoleAnetumab ravtansine

Purpose

Characterize the safety, tolerability, ECG effects, pharmacokinetics and immunogenicity of anetumab ravtansine given as single agent and after inhibition of CYP3A4 and P-gp by concomitant administration of itraconazole in subjects with mesothelin-expressing advanced solid cancers

Trial Arms

NameTypeDescriptionInterventions
Anetumab ravtansineExperimentalThe evaluation of multiple ECG parameters and the drug-drug interaction (DDI) potential of anetumab ravtansine parameters when administered alone and together with itraconazole 100 mg oral capsules will be conducted in 2 sequential parts. On Cycle 1 Day 1, anetumab ravtansine will be given alone at a dose of 6.5 mg/kg in Part 1 and Part 2. On Cycle 2 Day 1, anetumab ravtansine will be given together with itraconazole at a dose of 0.6 mg/kg in Part 1, and at a dose of 6.5 mg/kg (planned) in Part 2.
  • Anetumab ravtansine (BAY94-9343)
  • Itraconazole

Eligibility Criteria

        Inclusion Criteria:

          -  Subjects must have histologically confirmed, locally advanced or metastatic solid
             cancers of the following histological types:

               1. predominantly epithelial (≥50% tumor component) pleural or peritoneal
                  mesothelioma

               2. epithelial ovarian cancer (fallopian tube and primary peritoneal cancers are
                  eligible)

               3. adenocarcinoma of the pancreas,

               4. triple-negative adenocarcinoma of the breast

               5. non-small-cell adenocarcinoma of the lung

               6. gastric cancer (including gastro-esophageal junction)

               7. colon cancer

               8. cholangiocarcinoma

               9. Thymic carcinoma

          -  Subjects must have no standard therapy available, or have actively refused standard
             therapy

          -  Subjects must provide samples of archival tumor tissue collected and submitted anytime
             during the study

          -  Subjects must have a life expectancy of at least 12 weeks

          -  Subjects must have ECOG (Eastern Cooperative Oncology Group) performance status of 0
             or 1

          -  Subjects must have adequate bone marrow, renal and hepatic function and coagulation

          -  Subjects must have normal or clinically insignificant ECG at screening

          -  Women of reproductive potential must have a negative serum pregnancy test obtained
             within 3 days before the start of anetumab ravtansine

          -  Women of childbearing potential and fertile men must agree to use adequate
             contraception when sexually active. This applies from the time period between signing
             of the informed consent until at least 6 months after the last administration of the
             last study drug. Male patients with a female partner of childbearing potential must
             use a condom and ensure that an additional form of contraception is also used during
             treatment and until 6 months after last study drug administration.

        Exclusion Criteria:

          -  Previous or concurrent cancer that is distinct in primary site or histology from the
             cancer being evaluated in this study, except cervical carcinoma in situ, treated basal
             cell carcinoma, superficial noninvasive bladder tumors or any previous cancer
             curatively treated ≥ 3 years before the start of anetumab ravtansine

          -  New or progressive brain or meningeal or spinal metastases

          -  Corneal epitheliopathy or any eye disorder that may predispose the subjects to
             drug-induced corneal epitheliopathy, or may interfere with diagnosis of
             treatment-emergent corneal epitheliopathy at the ophthalmologist's or the
             investigator's discretion

          -  History or current evidence of

               -  biliary cirrhosis

               -  malignant biliary obstruction unless the bile flow to the gastrointestinal tract
                  is maintained by a fully operational biliary stent

               -  CTCAE (Common Terminology Criteria for Adverse Events) Grade ≥2 bleeding disorder
                  within 4 weeks before the start of anetumab ravtansine

               -  uncontrolled cardiovascular disease or uncontrolled hypertension

               -  Long QT Syndrome

               -  HIV infection

               -  Hepatitis B or C infection

          -  Had a major surgery or significant trauma within 4 weeks before the start of anetumab
             ravtansine

          -  Had solid organ or bone marrow transplantation

          -  Have LVEF (left ventricular ejection fraction) <50% at screening

          -  Have QTc >450 ms or heart rate ≥100 bpm or ≤45 bpm at screening

          -  Poor CYP2D6 metabolizers based on the screening test for genetic polymorphisms in
             CYP2D6 metabolizing capacity
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:PR interval duration
Time Frame:Up to 2 months per patient
Safety Issue:
Description:ECG evaluation

Secondary Outcome Measures

Measure:Incidence of serious adverse events
Time Frame:Up to 6 months per patient
Safety Issue:
Description:
Measure:Incidence of non-serious adverse events
Time Frame:Up to 6 months per patient
Safety Issue:
Description:
Measure:Incidence of positive anti-drug antibody titer
Time Frame:Up to 6 months per patient
Safety Issue:
Description:
Measure:Incidence of neutralizing antibody titers
Time Frame:Up to 6 months per patient
Safety Issue:
Description:
Measure:Cycle 3 Cmax,md (Cmax after multiple-dose administration) of BAY94-9343 analytes
Time Frame:At pre-dose, 0.5h, 1h, 1.5h, 2h, 3h, 5h, 8h, 168h, 336h and 504h between 43rd and 64th days of the study
Safety Issue:
Description:
Measure:Cycle 3 AUC(0-tlast)md (AUC(0-tlast) after multiple-dose administration) of BAY94-9343 analytes
Time Frame:At pre-dose, 0.5h, 1h, 1.5h, 2h, 3h, 5h, 8h, 168h, 336h and 504h between 43rd and 64th days of the study
Safety Issue:
Description:

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Bayer

Trial Keywords

  • Phase 1
  • Solid tumors
  • Mesothelin
  • Itraconazole
  • PK DDI
  • ECG thorough QTC

Last Updated

July 31, 2020