An Open-Label, Two-Part, Multi-Centre, Trastuzumab Dose-Finding Study in Healthy Male Volunteers and HER2 Positive Female Patients
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 66
- 主要终点
- Area Under the Concentration-Time Curve Extrapolated to Infinity (AUCinf) of Trastuzumab
研究概览
简要总结
This two-part study is designed to select the subcutaneous (SC) dose of Herceptin that results in comparable exposure to intravenous (IV) Herceptin in healthy male participants and in HER2-positive female participants. The study will also assess the safety and tolerability of the SC and IV formulations. In Part 1 of the study, four cohorts will be treated with a single dose of Herceptin as follows: Cohort 1 (6 milligrams per kilogram [mg/kg] IV in healthy male participants); Cohort 2 (6 mg/kg IV in HER2-positive female participants); Cohort 3 (6 mg/kg SC in healthy male participants); Cohort 4 (10 mg/kg SC in healthy male participants). An additional cohort of healthy volunteers (Cohort 5) will be opened if both SC dose levels from Cohorts 3 and 4 result in Herceptin exposures different from the target concentration produced by a single IV dose, or if the variability in pharmacokinetic (PK) parameter values cannot be used to define the target SC dose level. In Part 2 of the study, HER2-positive female participants will receive a single dose of SC Herceptin at the dose level defined in Part 1. Participants from Part 1 are eligible to enter Part 2 provided they receive the second (Part 2) study dose of Herceptin a minimum of 22 days after their first (Part 1) dose.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthy Participants (Part 1 only)
- •Males 18 to 45 to years of age
- •Baseline left ventricular ejection fraction (LVEF) greater than (>) 60 percent (%)
- •HER2-Positive Females (Parts 1 and 2)
- •Females greater than or equal to (≥) 18 years of age
- •Eastern Cooperative Oncology Group (ECOG) performance status of 0
- •Previous non-metastatic operable primary invasive HER2-positive breast cancer
- •Baseline LVEF >55%
排除标准
- •Healthy Participants (Part 1 only)
- •Clinically significant abnormalities in laboratory test results or electrocardiogram
- •History of significant allergies, gastrointestinal, renal, hepatic, cardiovascular, or pulmonary disease
- •History of hypersensitivity or allergic reaction, spontaneous or following drug administration
- •History of cardiac conditions
- •HER2-Positive Females (Parts 1 and 2)
- •Metastatic disease
- •Concurrent other malignancy requiring therapy of any modality which may interfere with PK investigations or result in unexpected toxicity
- •Use of Herceptin in previous 5 months
- •Serious cardiac illness
研究组 & 干预措施
Part 1: Cohort 1
Healthy male participants will receive Herceptin 6 mg/kg IV on Day 1.
干预措施: Herceptin (Drug)
Part 1: Cohort 2
Female participants with HER2-positive breast cancer will receive Herceptin 6 mg/kg IV on Day 1.
干预措施: Herceptin (Drug)
Part 1: Cohort 3
Healthy male participants will receive Herceptin 6 mg/kg SC on Day 1.
干预措施: Herceptin (Drug)
Part 1: Cohort 4
Healthy male participants will receive Herceptin 10 mg/kg SC on Day 1.
干预措施: Herceptin (Drug)
Part 1: Cohort 5
Healthy male participants will receive Herceptin SC at an adjusted dose level based on preliminary PK analysis of Cohorts 1, 2, 3, and 4.
干预措施: Herceptin (Drug)
Part 2: Cohort A
Female participants with HER2-positive breast cancer will receive Herceptin SC at the dose level determined in Part 1.
干预措施: Herceptin (Drug)
Part 2: Cohort B
Female participants with HER2-positive breast cancer will receive Herceptin SC at an adjusted dose level based on preliminary PK analysis of Cohort A.
干预措施: Herceptin (Drug)
结局指标
主要结局
Area Under the Concentration-Time Curve Extrapolated to Infinity (AUCinf) of Trastuzumab
时间窗: Predose (0 hours) and postdose from start of 1.5-hour infusion (1.5 and 3 hours for IV) (6, 8, 12 hours for SC) on Day 1; on Days 2, 3, 5, 8, 15, 22, 43, 85; additionally on Day 10 for SC and Day 35 for IV; and 5 months postdose (up to 5 months overall)
AUCinf represents the area under the concentration-time curve of trastuzumab in serum over the time interval from 0 extrapolated to infinity. Values for AUCinf of trastuzumab were derived by non-compartmental analysis across all pharmacokinetic (PK) collections and expressed in days by micrograms per milliliter (days•μg/mL).
次要结局
- Terminal Elimination Half-Life (T1/2) of Trastuzumab(Postdose from start of 1.5-hour infusion (1.5 and 3 hours for IV) (6, 8, 12 hours for SC) on Day 1; on Days 2, 3, 5, 8, 15, 22, 43, 85; additionally on Day 10 for SC and Day 35 for IV; and 5 months postdose (up to 5 months overall))
- Trough Serum Concentration on Day 22 (CDay22) of Trastuzumab(Day 22)
- Maximum Observed Serum Concentration of Trastuzumab (Cmax)(Postdose from start of 1.5-hour infusion (1.5 and 3 hours for IV) (6, 8, 12 hours for SC) on Day 1; on Days 2, 3, 5, 8, 15, 22, 43, 85; additionally on Day 10 for SC and Day 35 for IV; and 5 months postdose (up to 5 months overall))
- Time to Maximum Serum Concentration (Tmax) of Trastuzumab(Postdose from start of 1.5-hour infusion (1.5 and 3 hours for IV) (6, 8, 12 hours for SC) on Day 1; on Days 2, 3, 5, 8, 15, 22, 43, 85; additionally on Day 10 for SC and Day 35 for IV; and 5 months postdose (up to 5 months overall))
