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A Drug-drug Interaction (DDI) Study to Assess the Effect of INC280 on the Pharmacokinetics of Digoxin and Rosuvastatin in Patients With cMET-dysregulated Advanced Solid Tumors

Phase 1
Completed
Conditions
cMET-dysregulated Advanced Solid Tumors
Interventions
Registration Number
NCT02626234
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

the study aim to assess the effect of INC280 on the pharmacokinetics of digoxin and rosuvastatin in patients with cMET-dysregulated advanced solid tumors

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
32
Inclusion Criteria

Patients must have:

  • advanced solid tumors and have confirmed cMET dysregulation
  • at least one measurable lesion as defined by RECIST 1.1.
  • recovered from all toxicities related to prior anti-cancer therapies
  • adequate organ function
  • ECOG performance status (PS) of 0 or 1
Exclusion Criteria

Patients must not have:

  • known hypersensitivity to any of the excipients of INC280
  • prior treatment with cMET or HGF-targeting inhibitor
  • known hypersensitivity to digoxin or rosuvastatin or its excipients
  • symptomatic central nervous system (CNS) metastases who are neurologically unstable
  • presence or history of carcinomatous meningitis
  • history of another primary malignancy that is currently clinically significant or currently requires active intervention
  • Clinically significant, uncontrolled heart diseases, including QTcF β‰₯ 450 msec (male patients), β‰₯ 460 msec (female patients) on the screening ECG
  • Thoracic radiotherapy to lung fields ≀ 4 weeks prior to starting INC280
  • Major surgery within 4 weeks prior to starting INC280
  • Patients receiving unstable or increasing doses of corticosteroids.
  • Impairment of GI function or GI disease that may significantly alter the absorption of INC280
  • Patients who have received, or are expected to receive digoxin or rosuvastatin within 21 days prior to the beginning of the DDI phase (Day 1) and for the duration of the DDI phase.

Other protocol-defined inclusion/exclusion criteria may apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
INC280rosuvastatin-
INC280digoxin-
INC280INC280-
Primary Outcome Measures
NameTimeMethod
Tmax of digoxin and rosuvastatinUp to 240 hours post digoxin and rosuvastatin dose

digoxin and rosuvastatin pharmacokinetics parameters

AUCinf of digoxin and rosuvastatinUp to 240 hours post digoxin and rosuvastatin dose

digoxin and rosuvastatin pharmacokinetics parameters

Cmax of digoxin and rosuvastatinUp to 240 hours post digoxin and rosuvastatin dose

digoxin and rosuvastatin pharmacokinetics parameters

T1/2 of digoxin and rosuvastatinUp to 240 hours post digoxin and rosuvastatin dose

digoxin and rosuvastatin pharmacokinetics parameters

CL/F of digoxin and rosuvastatinUp to 240 hours post digoxin and rosuvastatin dose

digoxin and rosuvastatin pharmacokinetics parameters

AUClast of digoxin and rosuvastatinUp to 240 hours post digoxin and rosuvastatin dose

digoxin and rosuvastatin pharmacokinetics parameters

Vz/F of digoxin and rosuvastatinUp to 240 hours post digoxin and rosuvastatin dose

digoxin and rosuvastatin pharmacokinetics parameters

Lambda_z of digoxin and rosuvastatinUp to 240 hours post digoxin and rosuvastatin dose

digoxin and rosuvastatin pharmacokinetics parameters

Secondary Outcome Measures
NameTimeMethod
Adverse events based on the CTCAE v4.03 grade (severity) and other safety data (e.g.,ECG, vital signs, laboratory results)From consent to 30 days post last dose

To assess safety and tolerability of INC280 in patients with cMET-dysregulated advanced solid tumors

Disease control rate of patients treated with INC280Up to 12 months

Disease control rate is defined as calculated as the proportion of patients with best overall response of Complete Response, Partial Response, or Stable Disease calculated per RECIST 1.1, per investigator assessment from Day 1 until date of progression or death whichever comes first

Overall response rate of patients treated with INC280Up to 12 months

Overall response rate is defined as Complete Response and Partial Response calculated per RECIST 1.1, per investigator assessment from Day 1 until date of progression or death whichever comes first

Concentration of INC280 during DDI phaseDay 22, Cycle 2 Day 1

INC280 concentrations collected on Day 22 during DDI phase and Cycle 2 Day 1 during post DDI phase along with a listing of individual values.

Trial Locations

Locations (3)

Dartmouth Hitchcock Medical Center

πŸ‡ΊπŸ‡Έ

Lebanon, New Hampshire, United States

Novartis Investigative Site

πŸ‡¬πŸ‡§

Manchester, United Kingdom

Emory University School of Medicine/Winship Cancer Institute Phase 1 Working Group

πŸ‡ΊπŸ‡Έ

Atlanta, Georgia, United States

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