Talazoparib
DrugDaily oral doses of talazoparib 0.5 mg
Other names: MDV3800, BMN673
NCT Number: NCT02997163
This trial will investigate the pharmacokinetics (PK) and safety of talazoparib in patients with advanced solid tumors and impaired renal function.
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Notify Me18 year and older
All sexes
Interventional
Phase 1
Cross Cancer Institute, Edmonton, Alberta, Canada
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 after discussion with the Principal Investigator and obtaining Sponsor permission. Sponsor decision to allow the patient to continue dosing with talazoparib in an open-label extension study will be based on potential overall benefit-risk, patient acceptance and other relevant criteria.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Daily oral doses of talazoparib 0.5 mg
Other names: MDV3800, BMN673
Time frame: Predose, 0.5, 1, 2, 4, 6, 8 to 12, and 24 hours post-dose on Day 22
AUC0-24 of talazoparib was defined as the area under the concentration time curve from time 0 to 24 hours post-dose.
Time frame: Predose, 0.5, 1, 2, 4, 6, 8 to 12, and 24 hours post-dose on Day 22
Cmax was defined as the maximum observed plasma concentration of talazoparib.
Time frame: Predose, 0.5, 1, 2, 4, 6, 8 to 12, and 24 hours post-dose on Day 22
AUC0-24u for unbound talazoparib was defined as the area under the concentration time curve from time 0 to 24 hours post-dose.
Time frame: Predose, 0.5, 1, 2, 4, 6, 8 to 12, and 24 hours post-dose on Day 22
Cmaxu was defined as the maximum observed plasma concentration for unbound talazoparib.
Time frame: Predose, 0.5, 1, 2, 4, 6, 8 to 12, and 24 hours post-dose on Day 1
AUC0-24 of talazoparib was defined as the area under the concentration time curve from time 0 to 24 hours post-dose.
Time frame: Predose, 0.5, 1, 2, 4, 6, 8 to 12, and 24 hours post-dose on Day 1
Cmax was defined as the maximum observed plasma concentration of talazoparib.
Time frame: Predose, 0.5, 1, 2, 4, 6, 8 to 12, and 24 hours post-dose on Day 1
Tmax was defined as the time to reach maximum observed plasma concentration of talazoparib.
Time frame: Predose, 0.5, 1, 2, 4, 6, 8 to 12, and 24 hours post-dose on Day 1
Fraction of unbound drug (fu) was defined as the ratio of unbound drug concentration to the total drug concentration.
Time frame: Predose, 0.5, 1, 2, 4, 6, 8 to 12, and 24 hours post-dose on Day 1
AUC0-24u for unbound talazoparib was defined as the area under the concentration time curve from time 0 to 24 hours for unbound talazoparib.
Time frame: Predose, 0.5, 1, 2, 4, 6, 8 to 12, and 24 hours post-dose on Day 1
Cmaxu was defined as the maximum observed plasma concentration for unbound talazoparib.
Time frame: Predose, 0.5, 1, 2, 4, 6, 8 to 12, and 24 hours post-dose on Day 22
Tmax was defined as the time to reach maximum observed plasma concentration of talazoparib.
Time frame: Predose on Day 22
Ctrough was defined as plasma trough (predose) concentration of talazoparib.
Time frame: Predose, 0.5, 1, 2, 4, 6, 8 to 12, and 24 hours post-dose on Day 22
Drug clearance is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes.
Time frame: Pre-dose, 0.5, 1, 2, 4, 6, 8 to 12, and 24 hours post-dose on Day 1 and Day 22
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.
Time frame: Predose, 0.5, 1, 2, 4, 6, 8-12, and 24 hours post-dose on Day 22
Fraction of unbound drug (fu) was defined as the ratio of unbound drug concentration to the total drug concentration.
Time frame: Predose, 0.5, 1, 2, 4, 6, 8-12, and 24 hours post-dose on Day 22
Clearance of unbound drug is a measure of the rate at which unbound drug is metabolized or eliminated by normal biological processes.
Time frame: 0 to 24 hours on Day 1
Ae 0-24 is the amount of drug excreted unchanged in urine from time 0 to 24 hours postdose.
Time frame: 0 to 24 hours on Day 1
Ae0-24% was defined as the amount of drug excreted in urine from time 0 to 24 hours expressed as percentage of administered dose.
Time frame: 0 to 24 hours on Day 22
Ae 0-24 is the amount of drug excreted unchanged in urine from time 0 to 24 hours postdose.
Time frame: 0 to 24 hours on Day 22
Ae 0-24% was defined as the amount of drug excreted in urine from time 0 to 24 hours, expressed as percentage of administered dose.
Time frame: 0 to 24 hours on Day 22
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 postdose.
Time frame: Baseline up to 30 days after last dose of study drug (up to 52 days)
An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. Treatment-emergent were events between first dose of investigational product and up to 30 days after the last dose of investigational product (up to 52 days) that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and non-SAEs.
Time frame: Baseline up to 30 days after last dose of study drug (up to 52 days)
Physical examination included examination of the general appearance, head, ears, eyes, nose, mouth, skin, heart and lung examinations, lymph nodes, gastrointestinal, musculoskeletal, and neurological systems. Findings were considered to be abnormal based on investigator's decision.
Time frame: Baseline, Day 8, Day 15, Day 22, Safety follow up (Day 52)
Time frame: Baseline, Day 8, Day 15, Day 22, Safety follow up (Day 52)
Time frame: Baseline, Day 8, Day 15, Day 22, Safety follow up (Day 52)
Heart rate was measured in terms of beats per minute.
Time frame: Baseline, Day 8, Day 15, Day 22, Safety follow up (Day 52)
Respiratory rate was measured in terms of breaths per minute.
Time frame: Baseline, Day 8, Day 15, Day 22, Safety follow up (Day 52)
Time frame: Baseline up to 30 days after last dose of study drug (up to 52 days)
ECG parameters included pulse rate (PR) interval, QRS duration, QT interval and corrected QT interval using Fridericia's formula (QTcF). Abnormality criteria: 1) PR interval: greater than equal to (>=) 25 percent (%) increase when baseline >= 300 msec; 2) QRS duration: >=50% increase when baseline >=140 msec; 3) QT interval: >= 500 msec: 4) QTCF interval: QTc interval using Fridericia's formula (QTcF interval) >= 500 msec when baseline >= 60. IFB stands for increase from baseline.
Time frame: Baseline up to 30 days after last dose of study drug (up to 52 days)
Laboratory parameters: erythrocytes, hematocrit, hemoglobin, white blood cells, absolute neutrophil count, lymphocytes, platelets ; albumin, alkaline phosphatase, alanine aminotransferase, aspartate transaminase , bilirubin, bicarbonate, blood urea nitrogen , calcium, chloride, creatinine, gamma -glutamyl transferase, glucose, lactate dehydrogenase, sodium, phosphate, potassium, total protein, uric acid, follicle-stimulating hormone; international normalized ratio / prothrombin time [activated] partial thromboplastin time; Urinalysis (pH, specific gravity, protein, glucose, ketones, bilirubin, blood, leukocyte esterase); Serum pregnancy test; Serology for Human Immunodeficiency Virus (HIV). Number of participants with laboratory test abnormalities as per National Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE) version 4.03 were reported: Grade 1= mild; Grade 2= moderate; Grade 3= severe and Grade 4= life-threatening or disabling.
Time frame: Baseline, Safety follow up (Day 52)
As per ECOG, participant's performance status was measured on 5 point scale: 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: 5: dead.
Pfizer
Industry
A PHASE I OPEN-LABEL PHARMACOKINETICS AND SAFETY STUDY OF TALAZOPARIB (MDV3800) IN PATIENTS WITH ADVANCED SOLID TUMORS AND NORMAL OR VARYING DEGREES OF RENAL IMPAIRMENT
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