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Completed

NCT Number: NCT02705963

A Drug-Drug Interaction Study to Assess the Effect of Trametinib on the Pharmacokinetics of an Oral Contraceptive in Female Patients With Solid Tumors

The purpose of this study is to evaluate the effect of trametinib once daily on the pharmacokinetics (PK) of a daily dosing oral contraceptives (OCs) containing norethindrone (NE) and ethinyl estradiol (EE) in female patients with solid tumors. The PK of trametinib and its metabolite M5 will also be assessed.

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Key information

Conditions

Age range

18 year–59 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 1

Primary location

Novartis Investigative Site, Edegem, Belgium

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Has a histologically or cytologically confirmed diagnosis of a solid tumor malignancy (except for any excluded malignancies listed in the Exclusion Criteria) that is not responsive to standard therapy(ies) or for which there is no approved therapy.
  • Meets one of the following criteria: Is currently on a stable regimen of an oral contraceptive containing 1mg NE and 0.035mg EE, or Is willing to switch to a regimen of an oral contraceptive containing 1mg NE and 0.035mg EE from a stable regimen of an alternate OC, or Is willing to start a regimen of an oral contraceptive containing 1mg NE and 0.035mg EE.
  • Meets one of the following criteria: Is post-menopausal, or, Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, must use highly effective methods of contraception during dosing and for four months after stopping medication.
  • Has no prior treatment-related toxicities >Grade 1 (except alopecia) at the time of enrolment.
  • Patient must meet the following laboratory values at the screening visit: Absolute Neutrophil Count ≥1.5 x 109/L. Platelets ≥75 x 109/L. Hemoglobin (Hgb) ≥9 g/dL. Serum creatinine <1.5 mg/dL. Total bilirubin ≤1.5 x upper limit of normal (ULN) (isolated bilirubin >1.5x ULN is acceptable if bilirubin is fractionated and direct bilirubin <35%). Aspartate transaminase (AST) ≤ 3.0 x ULN, except for patients with liver metastasis, who may only be included if AST ≤5.0 x ULN. Alanine transaminase (ALT) ≤ 3.0 x ULN, except for patients with liver metastasis or tumor infiltration, who may only be included if ALT ≤5.0 x ULN. Prothrombin time (PT)/International normalized ratio (INR) and Partial thromboplastin time (PTT) ≤1.5xULN. Note: patients receiving therapeutic anticoagulation agents prior screening are permitted. Albumin 2.5 g/dL.
  • Patient has an Eastern Cooperative Oncology Group (ECOG) performance status 0-1.

Exclusion criteria

  • History or current diagnosis of cardiac disease indicating significant risk of safety for patients participating in the study such as uncontrolled or significant cardiac disease
  • Has had any major surgery, extensive radiotherapy, or anti-cancer therapy (e.g., chemotherapy with delayed toxicity, biologic therapy, or immunotherapy) within 21 days prior to enrolment and/or daily or weekly chemotherapy without the potential for delayed toxicity within 14 days prior to enrolment. Prolonged immobilization must have resolved prior to enrolment.
  • Has a known or suspected carcinoma that is excluded as administration of Oral Contraceptive would be contraindicated.
  • Has a history of another malignancy.
  • Has a history of interstitial lung disease or pneumonitis.
  • Has a history of RVO.
  • Has a history of any of conditions that would contraindicate administration of an OC
  • Has symptomatic or untreated leptomeningeal, brain metastases, or spinal cord compression.

Other protocol-defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

Trametinib

Drug

Each tablet is 2mg trametinib to be taken orally once daily.

Oral Contraceptive (1mg norethindrone, 0.035mg ethinyl estradiol)

Drug

Combined oral contraceptive to be taken orally once daily.

Primary outcomes

  1. Pharmacokinetics parameter: AUCtau of NE and EE alone and in combination with trametinib

    Time frame: Day 5 and 6 and 21 and 22

    To evaluate the effect of multiple doses of trametinib (2 mg once daily) on the steady state pharmacokinetics of combination OC (NE and EE) in female patients with solid tumors.

  2. Pharmacokinetics parameter: AUClast of NE and EE alone and in combination with trametinib

    Time frame: Day 5 and 6 and 21 and 22

    To evaluate the effect of multiple doses of trametinib (2 mg once daily) on the steady state pharmacokinetics of combination OC (NE and EE) in female patients with solid tumors.

  3. Pharmacokinetics parameter: Cmax of NE and EE alone and in combination with trametinib

    Time frame: Day 5 and 6 and 21 and 22

    To evaluate the effect of multiple doses of trametinib (2 mg once daily) on the steady state pharmacokinetics of combination OC (NE and EE) in female patients with solid tumors.

  4. Pharmacokinetics parameter: Tmax of NE and EE alone and incombination with trametinib

    Time frame: Days 5 and 6 and 21 and 22

    To evaluate the effect of multiple doses of trametinib (2 mg once daily) on the steady state pharmacokinetics of combination OC (NE and EE) in female patients with solid tumors.

Secondary outcomes

  1. Pharmacokinetics parameter: AUClast of M5

    Time frame: Day 21 and 22

    Characterize PK of metabolite M5

  2. Pharmacokinetics parameter: AUCtau of M5

    Time frame: Day 21 and 22

    Characterize PK of metabolite M5

  3. Pharmacokinetics parameter: Cmax of M5

    Time frame: Day 21 and 22

    Characterize PK of metabolite M5

  4. Pharmacokinetics parameter: Tmax of M5

    Time frame: Day 21 and 22

    Characterize PK of metabolite M5

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

A Phase I, Open-Label Study to Determine the Effect of Repeat Dosing of Trametinib on the Pharmacokinetics of a Combined Oral Contraceptive (Norethindrone Plus Ethinyl Estradiol) in Female Patients With Solid Tumors

Important dates

Study start
2016
Primary completion
2019
Study completion
2019
First posted
Mar 11, 2016
Registry last updated
Feb 9, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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