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Completed

NCT Number: NCT02986100

Absorption, Metabolism, and Excretion Following a Single Oral Dose of [14C]-Rucaparib

The purpose of this study is to characterize the mass balance, absorption, metabolism, and elimination pathways of orally administered [14C] rucaparib followed by cycle by cycle treatment with rucaparib continuing until disease progression or other reason for discontinuation

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

PRA Magyarország Kft.

Budapest, Rottenbiller Utca 13, 1077, Hungary

About this study

This is a Phase 1, open-label, non-randomized, mass balance study in patients with histologically or cytologically confirmed advanced solid tumors. Approximately 6 patients will be enrolled. The study will consist of 2 parts: a mass balance part (Part I) and a rucaparib treatment part (Part II).

Each patient will receive a single oral dose of 600 mg [14C] rucaparib (approximately 140 µCi) in the fasted state. Patients will be confined at the study site for the collection of blood samples and excreta for a maximum of 13 days, from Day -1. The patient can be discharged sooner than Day 13, if the discharge criteria are met. If the cumulative recovery of radioactivity exceeds 90% of the administered dose or if radioactivity in urine and feces is < 1% of the administered dose over a 24 hour period on two consecutive days, as determined by quick counts.

In Part II, the treatment with rucaparib in 28-day cycles will continue until progression of disease, unacceptable toxicity, or other reason for discontinuation.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Histologically or cytologically confirmed advanced solid tumor
  • Part II only: Have a known deleterious BRCA1/2 mutation (germline or somatic) as determined by a local or central laboratory
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate bone marrow, renal, and liver function

Exclusion criteria

  • Prior treatment with chemotherapy, radiation, antibody therapy or other immunotherapy, gene therapy, vaccine therapy, or angiogenesis inhibitors within 14 days prior to Day 1
  • Participation in a trial involving administration of [14C]-labeled compound(s) within the last 6 months prior to Day 1
  • Arterial or venous thrombi (including cerebrovascular accident), myocardial infarction, admission for unstable angina, cardiac angioplasty, or stenting within the last 3 months prior to Screening
  • Pre-existing duodenal stent, recent or existing bowel obstruction, and/or any gastrointestinal disorder or defect that would, in the opinion of the Investigator, interfere with absorption of rucaparib
  • Untreated or symptomatic central nervous system (CNS) metastases
  • Evidence or history of bleeding disorder
  • Participation in another investigational drug trial within 14 days prior to Day 1 (or 5 times the half-life of the drug, whichever is longer) or exposure to more than three new investigational agents within 12 months prior to Day 1
  • Acute illness (eg, nausea, vomiting, fever, diarrhea) within 14 days prior to Day 1, unless mild in severity and approved by the Investigator and Sponsor's/designated medical representative
  • Active second malignancy

Treatment and study plan

C-14 labeled Rucaparib

Drug

Each dosage unit consists of a hard gelatin capsule filled with cold rucaparib camsylate and [14C]-rucaparib camsylate salt. Each capsule contains approximately 150 mg rucaparib (free base weight) and approximately 35 µCi of [14C]-rucaparib. Each patient will ingest four capsules in the fasted state for a total dose of 600 mg rucaparib (free base weight) with approximately 140 µCi of [14C]-rucaparib

Rucaparib

Drug

200 & 300 mg tablet

Other names: CO-338, Rubraca

Primary outcomes

  1. Pharmacokinetics of 14C-labeled rucaparib (radioactivity in whole blood and plasma): tmax

    Time frame: Days 1-13

    Time to peak concentration (tmax)

  2. Pharmacokinetics of 14C-labeled rucaparib(Radioactivity in whole blood and plasma): Cmax

    Time frame: Days 1-13

    peak (maximum) concentration (Cmax)

  3. Pharmacokinetics of 14C-labeled rucaparib(Radioactivity in whole blood and plasma): t1/2

    Time frame: Days 1-13

    Elimination half-life (t1/2)

  4. Pharmacokinetics of 14C-labeled rucaparib(Radioactivity in whole blood and plasma): AUC

    Time frame: Days 1-13

    Area under curve (AUC)

  5. Pharmacokinetics of 14C-labeled rucaparib(Radioactivity in whole blood and plasma): CL/F

    Time frame: Days 1-13

    Oral clearance (CL/F)

  6. Pharmacokinetics of 14C-labeled rucaparib(Radioactivity in whole blood and plasma): V/F

    Time frame: Days 1-13

    Apparent volume of distribution (V/F)

  7. Excretion rate of 14C-labeled rucaparib(radioactivity in feces)

    Time frame: Days 1-13

    Percent of dose excreted in feces

  8. Excretion rate of 14C-labeled rucaparib(radioactivity in urine)

    Time frame: Days 1-13

    Percent of dose excreted in urine

  9. Pharmacokinetics of rucaparib (in urine): CLR

    Time frame: Days 1-13

    Renal clearance (CLR)

  10. Excretion rate of 14C-labeled rucaparib(radioactivity in vomit, if applicable)

    Time frame: Days 1-13

    Percent of dose in vomit, if applicable

  11. Metabolite identification of rucaparib in plasma, urine and feces

    Time frame: Days 1-13

  12. Cumulative whole blood:plasma ratio calculated for Cmax

    Time frame: Days 1-13

    peak concentration (Cmax)

  13. Cumulative whole blood:plasma ratio calculated for AUC0-tlast

    Time frame: Day 1-13

    AUC from time zero to the last time point with concentration above the lower limit of quantitation (AUC0-last)

  14. Cumulative whole blood:plasma ratio calculated for AUCinf

    Time frame: Day 1-13

    AUC from time zero to infinity (AUCinf)

Secondary outcomes

  1. Tolerability and safety of rucaparib assessed by incidence of Adverse Events (AEs), clinical laboratory abnormalities, and dose modifications

    Time frame: From cycle 1 Day 1 until radiologically confirmed disease progression, death, or initiation of subsequent treatment whichever comes first up to 52 weeks

    Incidence of Adverse Events (AEs), clinical laboratory abnormalities, and dose modifications

Other outcomes

  1. To evaluate the antitumor activity of rucaparib in BRCA mutated solid tumors based on Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1

    Time frame: Cycle 1 Day 1 until progression of disease, unacceptable toxicity, or discontinuation for other reasons

    Response will be determined using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 and tumor markers per applicable criteria for a given tumor type

Sponsors and collaborators

Lead sponsor

pharmaand GmbH

Industry

Registry information

Official study title

An Open-Label, Non-Randomized, Phase I Study to Assess the Absorption, Metabolism, and Excretion Following a Single Oral Dose of [14C]-Rucaparib in Patients With Advanced Solid Tumors

Acronym: AME

Important dates

Study start
2016
Primary completion
2017
Study completion
2018
First posted
Dec 8, 2016
Registry last updated
Jun 9, 2023

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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