Clinical Trials /

An Open-Label Pharmacokinetics and Safety Study of Talazoparib (MDV3800)

NCT02997176

Description:

This is a trial to investigate the pharmacokinetics (PK) and the safety of talazoparib in patients with advanced solid tumors and impaired hepatic function.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Completed

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: An Open-Label Pharmacokinetics and Safety Study of Talazoparib (MDV3800)
  • Official Title: A PHASE I OPEN-LABEL PHARMACOKINETICS AND SAFETY STUDY OF TALAZOPARIB (MDV3800) IN PATIENTS WITH ADVANCED SOLID TUMORS AND NORMAL OR VARYING DEGREES OF HEPATIC IMPAIRMENT

Clinical Trial IDs

  • ORG STUDY ID: MDV3800-02
  • SECONDARY ID: C3441002
  • NCT ID: NCT02997176

Conditions

  • Advanced Solid Tumors

Interventions

DrugSynonymsArms
TalazoparibMDV3800, BMN673Group A (control, normal hepatic function)

Purpose

This is a trial to investigate the pharmacokinetics (PK) and the safety of talazoparib in patients with advanced solid tumors and impaired hepatic function.

Detailed Description

      At the end of the study, patients with no clinically significant toxicities, no
      contraindications to continue treatment with talazoparib, and no disease progression
      (underlying cancer progression) may be eligible to continue talazoparib treatment in a
      separate open-label extension study. The decision to allow the patient to continue dosing
      with talazoparib in an open-label extension (OLE) study will be based on potential overall
      benefit-risk and patient meeting eligibility criteria for OLE.
    

Trial Arms

NameTypeDescriptionInterventions
Group A (control, normal hepatic function)Experimental
  • Talazoparib
Group B (mild hepatic dysfunction)Experimental
  • Talazoparib
Group C (moderate hepatic dysfunction)Experimental
  • Talazoparib
Group D (severe hepatic dysfunction)Experimental
  • Talazoparib

Eligibility Criteria

        Inclusion Criteria:

          1. Signed and dated Informed Consent Form (by the patient or a legally acceptable
             representative as per the local regulations).

          2. Female or male at least 18 years of age.

          3. Histologically or cytologically confirmed advanced solid tumor with no available
             standard treatment options in the opinion of the Investigator

          4. Eastern Cooperative Oncology Group (ECOG) Performance status ≤ 2.

          5. Expected life expectancy of ≥ 3 months.

          6. Able to swallow the study drug (no contraindication to oral agents).

          7. Hepatic function at screening and enrollment as defined by the NCI organ dysfunction
             working group (NCI-ODWG) criteria.

          8. Adequate other organ function at screening and enrollment.

          9. Female patients of childbearing potential must have a negative serum pregnancy test at
             screening and must agree to use a highly effective form of contraception from the time
             of the first dose of study drug through 7 months after the last dose of study drug.

         10. Male patients must agree to use a condom when having sex with a pregnant woman or with
             a non-pregnant female partner of childbearing potential, from 21 days before the first
             dose of study drug through 4 months after last dose of study drug.

         11. Female patients must not be breastfeeding at screening nor during the study
             participation until 7 months after the last dose of the study drug.

         12. Willingness and ability to comply with scheduled visits, treatment plan, laboratory
             tests, and other trial procedures.

        Exclusion Criteria:

          1. Treatment within 14 days or five half lives prior to enrollment whichever is longer
             with any type of systemic anticancer-therapy or any investigational drug

          2. Have not recovered (recovery is defined as CTCAE grade ≤ 1) from the acute toxicities
             of previous anticancer standard or investigational therapy, except treatment-related
             alopecia or laboratory abnormalities otherwise meeting eligibility requirements.

          3. Major surgery within 28 days prior to enrollment.

          4. Serious accompanying cardiac disorder

          5. Active known or suspected brain metastasis or active leptomeningeal disease needing
             treatment

          6. Symptomatic or impending spinal cord compression or cauda equine syndrome

          7. Has undergone a liver transplant, kidney transplant or nephrectomy.

          8. Prior allergic reaction or severe intolerance (meeting the criteria for a serious
             adverse event, a grade 3 or 4 AE, or permanent treatment discontinuation) to a poly
             ADP ribose polymerase (PARP) inhibitor.

          9. Known myelodysplastic syndrome

         10. Seropositive for human immunodeficiency virus (HIV).

         11. Any serious or unstable medical condition that interferes with ability to tolerate
             treatment or assessments associated with the protocol.

         12. Gastrointestinal disorder affecting absorption.

         13. Known or suspected hypersensitivity to any of the talazoparib capsule components.

         14. Any condition or reason that interferes with ability to participate in the study,
             tolerate treatment or assessments associated with the protocol, causes undue risk, or
             complicates the interpretation of safety data, in the opinion of the Investigator or
             Medical Monitor
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Area Under the Free Plasma Concentration Time Curve From Zero to 24 Hours (AUC0-24) of Talazoparib on Day 22
Time Frame:Pre-dose (24 hours +/- 60 minutes from the previous dose on Day 21 but within 60 minutes prior to next dose), 0.5, 1, 2, 4, 6, anytime from 8 to 12 and 24 hours post-dose on Day 22
Safety Issue:
Description:AUC0-24 of talazoparib was defined as the area under the free plasma concentration time curve from time 0 to 24 hours post-dose.

Secondary Outcome Measures

Measure:Area Under the Free Plasma Concentration Time Curve From Zero to 24 Hours (AUC0-24) of Talazoparib on Day 1
Time Frame:Pre-dose (within 60 minutes prior to dose), 0.5, 1, 2, 4, 6, anytime between 8 to 12 and 24 hours post-dose on Day 1
Safety Issue:
Description:AUC0-24 of talazoparib was defined as the area under the free plasma concentration time curve from time 0 to 24 hours post-dose.
Measure:Maximum Observed Plasma Concentration (Cmax) of Talazoparib on Day 1
Time Frame:Pre-dose (within 60 minutes prior to dose), 0.5, 1, 2, 4, 6, anytime between 8 to 12 and 24 hours post-dose on Day 1
Safety Issue:
Description:Cmax was defined as the maximum observed plasma concentration of talazoparib.
Measure:Time to Reach Maximum Observed Plasma Concentration (Tmax) of Talazoparib on Day 1
Time Frame:Pre-dose (within 60 minutes prior to dose), 0.5, 1, 2, 4, 6, anytime between 8 to 12 and 24 hours post-dose on Day 1
Safety Issue:
Description:Tmax was defined as the time to reach maximum observed plasma concentration of talazoparib.
Measure:Fraction of Unbound (fu) Plasma Talazoparib on Day 1
Time Frame:Pre-dose (within 60 minutes prior to dose), 0.5, 1, 2, 4, 6, anytime between 8 to 12 and 24 hours post-dose on Day 1
Safety Issue:
Description:Fraction of unbound drug (fu) was defined as the ratio of unbound drug concentration to the total drug concentration and reported as percentage (%).
Measure:Unbound Area Under the Free Plasma Concentration Time Curve From Zero to 24 Hours (AUC0-24u) of Talazoparib on Day 1
Time Frame:Pre-dose (within 60 minutes prior to dose), 0.5, 1, 2, 4, 6, anytime between 8 to 12 and 24 hours post-dose on Day 1
Safety Issue:
Description:AUC0-24u for unbound talazoparib was defined as the area under the free plasma concentration time curve from time 0 to 24 hours post-dose. AUC0-24u = fu*AUC0-24.
Measure:Unbound Maximum Observed Plasma Concentration (Cmaxu) of Talazoparib on Day 1
Time Frame:Pre-dose (within 60 minutes prior to dose), 0.5, 1, 2, 4, 6, anytime between 8 to 12 and 24 hours post-dose on Day 1
Safety Issue:
Description:Cmaxu was defined as the maximum observed plasma concentration for unbound talazoparib. Cmaxu = fu*Cmax
Measure:Plasma Trough Concentration (Ctrough) of Talazoparib on Day 8, 15 and 22
Time Frame:Pre-dose on Day 8, 15 and 22
Safety Issue:
Description:Ctrough was defined as plasma trough (pre-dose) concentration of talazoparib. Acceptance criteria for Ctrough on Day 15 and Day 22: received 10 consecutive days of dosing immediately before PK sampling day; Sample drawn within 24 +/-2 hours of the previous dose, and not more than +10 minute after the drug administration on the PK collection day. Ctrough on Day 8: received 7 consecutive days of dosing immediately before PK sampling day; sample drawn within 24 +/- 2 hours of the previous dose, and not more than +10 minute after the drug administration on the PK collection day.
Measure:Time to Reach Maximum Observed Plasma Concentration (Tmax) of Talazoparib on Day 22
Time Frame:Pre-dose (24 hours +/- 60 minutes from the previous dose on Day 21 but within 60 minutes prior to next dose), 0.5, 1, 2, 4, 6, anytime from 8 to 12 and 24 hours post-dose on Day 22
Safety Issue:
Description:Tmax was defined as the time to reach maximum observed plasma concentration of talazoparib.
Measure:Fraction of Unbound (fu) Plasma Talazoparib on Day 22
Time Frame:Pre-dose (24 hours +/- 60 minutes from the previous dose on Day 21 but within 60 minutes prior to next dose), 0.5, 1, 2, 4, 6, anytime from 8 to 12 and 24 hours post-dose on Day 22
Safety Issue:
Description:Fraction of unbound drug (fu) was defined as the ratio of unbound drug concentration to the total drug concentration and reported as percentage (%).
Measure:Accumulation Ratio (Rac) of Plasma Talazoparib
Time Frame:Pre-dose (within 60 minutes prior to dose) on Day 1, pre-dose(24 hours +/- 60 minutes from the previous dose on Day 21 but within 60 minutes prior to next dose) on Day 22 and 0.5, 1, 2, 4, 6, anytime between 8 to 12 and 24 hours post-dose on Days 1 and 22
Safety Issue:
Description:Accumulation ratio for AUC0-24 was calculated as area under the curve from time zero to 24 hours on Day 22 divided by area under the curve from time zero to 24 hours on Day 1.
Measure:Apparent Clearance (CL/F) of Plasma Talazoparib on Day 22
Time Frame:Pre-dose (24 hours +/- 60 minutes from the previous dose on Day 21 but within 60 minutes prior to next dose), 0.5, 1, 2, 4, 6, anytime from 8 to 12 and 24 hours post-dose on Day 22
Safety Issue:
Description:Talazoparib clearance is a measure of the rate at which talazoparib is metabolized or eliminated by normal biological processes.
Measure:Unbound Apparent Clearance (CLu/F) of PlasmaTalazoparib on Day 22
Time Frame:Pre-dose (24 hours +/- 60 minutes from the previous dose on Day 21 but within 60 minutes prior to next dose), 0.5, 1, 2, 4, 6, anytime from 8 to 12 and 24 hours post-dose on Day 22
Safety Issue:
Description:Clearance of unbound talazoparib is a measure of the rate at which unbound talazoparib is metabolized or eliminated by normal biological processes.
Measure:Amount of Talazoparib Excreted Unchanged in Urine From Time Zero to 24 Hours (Ae 0-24) on Day 1
Time Frame:A single void at pre-dose, post-dose at any time between 0 to 12 and any time between 12 to 24 hours on Day 1
Safety Issue:
Description:Ae 0-24 is the amount of talazoparib excreted unchanged in urine from time 0 to 24 hours post dose.
Measure:Percentage of Talazoparib Excreted in Urine From Time Zero to 24 Hours (Ae 0-24%) on Day 1
Time Frame:A single void at pre-dose, post-dose at any time between 0 to 12 and any time between 12 to 24 hours on Day 1
Safety Issue:
Description:Ae0-24% was defined as the amount of talazoparib excreted in urine from time 0 to 24 hours expressed as percentage of administered dose.
Measure:Amount of Talazoparib Excreted Unchanged in Urine From Time Zero to 24 Hours (Ae 0-24) on Day 22
Time Frame:Urine voided post-dose at any time between 0 to 12 and any time between 12 to 24 hours on Day 22
Safety Issue:
Description:Ae 0-24 is the amount of talazoparib excreted unchanged in urine from time 0 to 24 hours post dose.
Measure:Percentage of Talazoparib Excreted in Urine From Time 0 to 24 Hours (Ae 0-24%) on Day 22
Time Frame:Urine voided post-dose at any time between 0 to 12 and any time between 12 to 24 hours (hrs) on Day 22
Safety Issue:
Description:Ae 0-24% was defined as the amount of talazoparib excreted in urine from time 0 to 24 hours expressed as percentage of administered dose.
Measure:Renal Clearance (CLr) of Talazoparib on Day 22
Time Frame:Ae: Post-dose at any time between 0 to 12, 12 to 24 hrs on Day 22; AUC0-24: Pre-dose (24 hrs +/- 60 minutes from previous dose on Day 21 but within 60 minutes prior to next dose), 0.5, 1, 2, 4, 6, any time between 8 to12, 24 hrs post-dose on Day 22
Safety Issue:
Description:Renal clearance was calculated as cumulative amount of drug excreted in urine during the 24 hours dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to 24 hours post dose (AUC0-24).
Measure:Number of Participants With Clinically Significant Laboratory Abnormalities
Time Frame:Baseline up to 30 days after last dose of study drug (up to 52 days)
Safety Issue:
Description:Clinically significant laboratory abnormalities included aspartate transaminase (AST) or alanine aminotransferase (ALT) >=3 times ULN (>5 *ULN if baseline ALT/AST is >3 *ULN) and total bilirubin (TBL) >2 times ULN or INR >1.5, AST or ALT >=3 times ULN with signs and symptoms consistent with hepatitis and/or eosinophilia (>=500 eosinophils/microliter).
Measure:Change From Baseline in Vital Sign -Blood Pressure at Day 2, 8, 15, 22 and End of Study
Time Frame:Baseline, Day 2, 8, 15, 22 and End of Study (Day 52)
Safety Issue:
Description:Systolic blood pressure and diastolic blood pressure were evaluated for examination of vital signs.
Measure:Change From Baseline in Vital Sign- Heart Rate at Day 2, 8, 15, 22 and End of Study
Time Frame:Baseline, Day 2, 8, 15, 22 and End of Study (Day 52)
Safety Issue:
Description:Heart rate was measured in beats per minute.
Measure:Change From Baseline in Vital Sign- Respiratory Rate at Day 8, 15, 22 and End of Study
Time Frame:Baseline, Day 8, 15, 22 and End of Study (Day 52)
Safety Issue:
Description:Respiratory rate was measured in terms of breaths per minute.
Measure:Change From Baseline in Vital Sign- Weight at Day 8, 15, 22 and End of Study
Time Frame:Baseline, Day 8, 15, 22 and End of Study (Day 52)
Safety Issue:
Description:
Measure:Number of Participants Who Met the Pre-specified 12-Lead Electrocardiogram (ECG) Criteria
Time Frame:Baseline up to 30 days after last dose of study drug (up to 52 days)
Safety Issue:
Description:Pre-specified 12-Lead electrocardiogram (ECG) Criteria: QTCF (Fridericia's correction formula) : >=450 to <480 milliseconds, >=480 to <500 milliseconds, >=500 milliseconds, increase from baseline >=30 - <60, increase from baseline >=60, PR interval: >=300 milliseconds, increase from baseline >=25%; QRS duration: >=140 milliseconds, increase from baseline >=50%; QT interval: >=500 milliseconds; QT Interval: >= 500 milliseconds.
Measure:Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status
Time Frame:Screening (2 to 28 days prior to Day 1), Day -1 (1 day prior to Day 1), safety follow up (Visit up to Day 52)
Safety Issue:
Description:As per ECOG, participant's performance status was measured as: 0=fully active/able to carry on all pre-disease activities without restriction; 1= restricted in physically strenuous activity but ambulatory and able to carry out work of a light and sedentary nature, e.g., light housework, office work; 2= ambulatory and capable of all self-care, but unable to carry out any work activities, up and about more than 50% of waking hours; 3=capable of only limited self-care, confined to bed/chair >50% of waking hours; 4=completely disabled, cannot carry on any self-care, totally confined to bed/chair.

Details

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

Last Updated

February 25, 2021