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
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
Interventions
Drug | Synonyms | Arms |
---|
Anetumab ravtansine (BAY94-9343) | | Anetumab ravtansine |
Itraconazole | | Anetumab 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
Name | Type | Description | Interventions |
---|
Anetumab ravtansine | Experimental | The 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