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Completed

NCT Number: NCT02457351

Roniciclib (BAY 1000394) Drug-Drug Interaction (DDI) Study

To evaluate the effect of itraconazole, a strong CYP3A4 inhibitor, on the pharmacokinetics of roniciclib in cancer patients.

To assess safety and tolerability of roniciclib dosing when administered with and without itraconazole in cancer patients

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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

Edmonton, Alberta, Canada

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or female patients ≥ 18 years of age with histological or cytological confirmed advanced solid tumors refractory to, or not able to tolerate to any standard therapy, have no standard therapy available, or subjects must have actively refused any treatment which would be regarded standard, and / or if in the judgment of the investigator, experimental treatment is clinically and ethically acceptable.
  • Adequate liver, renal and bone-marrow functions as assessed by laboratory values.
  • ECOG Performance Status of 0 - 2 and life expectancy of at least 12 weeks.
  • Subject with a history of hypertension should be on a stable anti-hypertensive treatment for more than 7 days prior to the first dose of study drug.

Exclusion criteria

Medical and surgical history:

  • Previous deep vein thrombosis (within the last 6 months), arterial thrombotic events (including strokes), or pulmonary embolism.
  • History of cardiac disease: congestive heart failure, angina (within past 6 months prior to study entry), myocardial infarction, or cardiac arrhythmias requiring anti-arrhythmic therapy (beta blockers or digoxin are permitted).
  • Uncontrolled hypertension (systolic blood pressure >150 mmHg or diastolic blood pressure >90 mmHg despite optimal medical management)
  • Moderate or severe hepatic impairment, i.e. Child-Pugh class B or C. History of human immunodeficiency virus (HIV) infection or chronic hepatitis B or C
  • Active clinically serious infections of Common Terminology Criteria for Adverse Events (CTCAE, v. 4.03) > Grade 2.
  • Symptomatic metastatic brain or meningeal tumors unless the subject is >3 months from definitive therapy, has no evidence of tumor growth on an imaging study within 4 weeks prior to study entry, and is clinically stable with respect to the tumor at the time of study entry.
  • Seizure disorder requiring therapy (such as steroids or anti-epileptics).
  • History of organ allograft.
  • Use of strong inhibitors and/or inducers of CYP3A4 in the 14 days before study treatment

Treatment and study plan

Roniciclib (BAY 1000394)

Drug

Part 1 of Cycle 1 Cycle 1 Day 1: Single dose 2.5 mg Cycle 1 Day 6: Single dose 2.5 mg Part 2 of Cycle 1 Cycle 1 Day 1: Single dose 2.5 or 5 mg (based on Part 1 data) Cycle 1 Day 6: Single dose 2.5 or 5 mg (based on part 1 data)

Part 1 & Part 2

Cycle 2 and subsequent 21-day cycles:

Day 1-3 of each cycle: 5 mg bid Day 4-7 of each cycle: no dose

Itraconazole (Sporanox)

Drug

Part 1 & Part 2 of Cycle 1 Cycle 1 Day 4: 200 mg bid Cycle 1 Day 5-11: 200 mg qd

Primary outcomes

  1. Maximum observed drug concentration (Cmax) of roniciclib on Cycle 1 Day 1 (without itraconazole)

    Time frame: Cycle 1 Day 1: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 24, 48 and 72 hours after dosing

  2. Area under the concentration vs. time curve from zero to infinity (AUC) of roniciclib on Cycle 1 Day 1 (without itraconazole)

    Time frame: Cycle 1 Day 1: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 24, 48 and 72 hours after dosing

  3. Maximum observed drug concentration (Cmax) of roniciclib on Cycle 1 Day 6 (with itraconazole)

    Time frame: Cycle 1 Day 6: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 24, 48, 72, 96 and 120 hours after dosing

  4. Area under the concentration vs. time curve from zero to infinity (AUC) of roniciclib on Cycle 1 Day 6 (with itraconazole)

    Time frame: Cycle 1 Day 6: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 24, 48, 72, 96 and 120 hours after dosing

Secondary outcomes

  1. Collection of Adverse events as a measure of safety and tolerability of roniciclib dosing when administered with and without itraconazole

    Time frame: up to 15 months

  2. Laboratory analyses to assess safety and tolerability of roniciclib dosing when administered with and without itraconazole

    Time frame: up to 15 months

    Complete blood count, Complete chemistry panel, Coagulation panel, Virology, Urinalysis, Pregnancy test

  3. Monitoring of vital signs to assess safety and tolerability of roniciclib dosing when administered with and without itraconazole

    Time frame: up to 15 months

  4. East Coast Oncology Group (ECOG) performance status to assess safety and tolerability of roniciclib dosing when administered with and without itraconazole

    Time frame: up to 15 months

  5. Electrocardiogram (12 lead ECG) readings to assess safety and tolerability of roniciclib dosing when administered with and without itraconazole

    Time frame: up to 15 months

  6. Physical examination to assess safety and tolerability of roniciclib dosing when administered with and without itraconazole

    Time frame: up to 15 months

  7. Maximum observed drug concentration (Cmax) of roniciclib after a light meal on Cycle 1 Day -2 (without itraconazole)

    Time frame: Cycle 1 Day -2: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, and 24 hours after dosing

  8. Area under the concentration vs. time curve from zero to 24 hr (AUC) of roniciclib after a light meal on Cycle 1 Day -2 (without itraconazole)

    Time frame: Cycle 1 Day -2: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, and 24 hours after dosing

Sponsors and collaborators

Lead sponsor

Bayer

Industry

Registry information

Official study title

An Open-label, Non-randomized, Phase I Study to Evaluate the Effect of Itraconazole on the Pharmacokinetics of a Single Oral Dose of Roniciclib in Patients With Advanced Solid Tumors

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
May 29, 2015
Registry last updated
May 23, 2016

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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