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OpenTrials
Completed

NCT Number: NCT03777761

Effects of Tucatinib on Cardiac Repolarization in Healthy Participants

This study is looking at how the study drug, tucatinib, affects the heart. Tucatinib is being studied as a possible treatment for breast cancer. This study will recruit healthy volunteers. There are 3 parts in the study. Each volunteer will be in all 3 parts. One part will be to take the study drug, the second part will be to take a placebo (pill with no medicine), and the third part will be to take moxifloxacin. The volunteers will only know what part of the study they are in when they take moxifloxacin. For the study drug and placebo parts, volunteers will take 2 pills by mouth for 5 days. For the moxifloxacin part, volunteers will take 1 pill by mouth for 1 day.

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Key information

Conditions

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Covance Clinical Research Unit - Dallas

Dallas, Texas, 75247, United States

About this study

This study will evaluate the effects of a steady state therapeutic dose of tucatinib on QTcF (QT interval corrected for heart rate using Fridericia's method) in healthy individuals. In this design, study treatment will be dosed in 3 sequential treatment periods:

Treatment A: Oral doses of 300mg tucatinib for 5 days

Treatment B: Oral doses of matching placebo for tucatinib for 5 days

Treatment C: A single oral dose of 400 mg of moxifloxacin

Patients will be randomized based on 2-Williams-square design to 1 of 6 treatment sequences to maintain the study blind for tucatinib and placebo.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Good health, determined by medical history, physical examination, 12-lead ECG, vital signs measurements, or clinical laboratory evaluations
  • Body mass index (BMI) between 18 and 32 kg/m^2
  • Body weight between 50 and 100 kg
  • Female subjects must be of non-childbearing potential
  • Male subjects must agree to use contraception or be surgically sterile for at least 90 days

Exclusion criteria

  • Significant history of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder
  • Any condition affecting drug absorption
  • History of hypersensitivity or allergy to any drug compound, food, or other substance
  • Single 12-lead ECG demonstrating QTcF >450 msec for males or >470 msec for females, or history/evidence of long QT syndrome
  • History of alcoholism or drug/chemical abuse within 2 years
  • Use of prescription products within 30 days prior to check in
  • Use of nonprescription products within 14 days prior to check in, including vitamins, minerals, and herbal supplements
  • Use of tobacco- or nicotine-containing products within 3 months prior to check in

Treatment and study plan

Tucatinib

Drug

300mg oral dose

Placebo

Drug

Matching placebo for tucatinib

moxifloxacin

Drug

400mg single oral dose

Primary outcomes

  1. Placebo-corrected change-from-baseline in QTcF

    Time frame: Up to 32 days

    QTcF is the QT interval corrected for heart rate using Fridericia's method.

Secondary outcomes

  1. Change from baseline in heart rate (HR)

    Time frame: Up to 32 days

  2. Change from baseline in QTcF

    Time frame: Up to 32 days

  3. Change from baseline in PR interval

    Time frame: Up to 32 days

  4. Change from baseline in QRS interval

    Time frame: Up to 32 days

  5. Placebo-corrected change from baseline in HR

    Time frame: Up to 32 days

  6. Placebo-corrected change from baseline in PR interval

    Time frame: Up to 32 days

  7. Placebo-corrected change from baseline in QRS interval

    Time frame: Up to 32 days

  8. • Number of participants who experience increases in absolute QTcF interval values >450 msec

    Time frame: Up to 32 days

  9. • Number of participants who experience QTcF interval changes from predose baseline of >30msec

    Time frame: Up to 32 days

  10. • Number of participants who experience an increase in PR interval from predose baseline of >25% to a PR >200 msec

    Time frame: Up to 32 days

  11. • Number of participants who experience an increase in QRS interval from predose baseline >25% to a QRS >120 msec

    Time frame: Up to 32 days

  12. • Number of participants who experience a decrease in heart rate >25% from baseline to a heart rate <50

    Time frame: Up to 32 days

  13. • Number of participants who experience an increase in heart rate >25% from baseline to a heart rate >100

    Time frame: Up to 32 days

  14. Frequency of treatment-emergent changes of T-wave morphology and U-wave presence

    Time frame: Up to 32 days

  15. Area under the concentration-time curve (AUC) from time 0 extrapolated to infinity (AUC[0-inf]) for tucatinib and ONT-993

    Time frame: Up to 26 days

  16. AUC from time 0 to the time of the last quantifiable concentration for tucatinib and ONT-993

    Time frame: Up to 26 days

  17. Percentage of AUC[0-inf] due to extrapolation for tucatinib and ONT-993

    Time frame: Up to 26 days

  18. Maximum observed concentration for tucatinib and ONT-993

    Time frame: Up to 26 days

  19. Time of maximum observed concentration for tucatinib and ONT-993

    Time frame: Up to 26 days

  20. Apparent terminal elimination half-life for tucatinib and ONT-993

    Time frame: Up to 26 days

  21. Apparent total clearance for tucatinib

    Time frame: Up to 26 days

  22. Apparent volume of distribution during the terminal phase for tucatinib

    Time frame: Up to 26 days

  23. Metabolic ratio based on AUC for ONT-993

    Time frame: Up to 26 days

  24. Incidence of adverse events (AEs)

    Time frame: Up to 32 days

Sponsors and collaborators

Lead sponsor

Seagen Inc.

Industry

Registry information

Official study title

A Phase 1, Randomized, Partially Double-Blind, Placebo- and Positive-controlled Study to Evaluate the Effect of Tucatinib on Cardiac Repolarization in Healthy Subjects

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Dec 17, 2018
Registry last updated
Apr 12, 2019

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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