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临床试验/NCT01700270
NCT01700270已完成1 期

A Phase I, Multi-center, Open-label, Drug-drug Interaction Study to Assess the Effect of the CYP1A2 Inhibitor, Fluvoxamine, on Dovitinib (TKI258) Pharmacokinetics in Patients With Advanced Solid Tumors

Novartis Pharmaceuticals3 个研究点 分布在 2 个国家目标入组 45 人开始时间: 2013年5月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
入组人数
45
试验地点
3
主要终点
TKI258 pharmacokinetics (PK) parameters: AUC 0-72 hr

研究概览

简要总结

This is a multi-center, open-label, single-sequence, crossover, drug-drug interaction (DDI) study to assess the effect of the CYP1A2 inhibitor, fluvoxamine, on the PK of dovitinib in patients with advanced solid tumors, excluding breast cancer. The purpose of this study is to evaluate the effect of a CYP1A2 inhibitor, 100 mg fluvoxamine, on the PK of dovitinib when administered at a dose of 300 mg on the dosing schedule, 5 days on/2 days off. The study will consist of 2 phases: a Pharmacokinetic (PK) phase and a clinical treatment phase. The DDI test will be conducted in the PK phase. The DDI test will assess the steady state PK profile of dovitinib when administered alone and in the presence of the CYP1A2 inhibitor, fluvoxamine (AUC 0-24h, AUC 0-72h and Cmax parameters). During the clinical treatment phase patients may continue to receive treatment with TKI258 until disease progression (assessed by RECIST 1.1), unacceptable toxicity, death or discontinuation from the study treatment for any other reason.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Single Group
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

入选标准

  • Patients with a cytopathologically or histopathologically confirmed diagnosis of an advanced solid tumor, excluding breast cancer which has progressed despite standard therapy or for which no standard therapy exists - ECOG performance status 0 or 1 and an anticipated life expectancy of ≥3 months- Patient must meet protocol-specific laboratory values

排除标准

  • Patients with brain metastases - Patients who have received or who are expected to receive any prohibited medications and therapies - Patients who have received CYP1A2 or CYP3A inhibitor medications within 5 days prior to start study treatment or are expected to receive during the first 28 days after starting the study treatment - Patients who have received CYP1A2 or CYP3A inducer medications within 30 days prior to start study treatment or are expected to receive during the first 28 days after starting the study treatment - Patients who are actively taking antidepressants, benzodiazepines, serotonergic drugs, and/or monoamine oxidase inhibitors (MAOIs) - Patients who have not recovered from previous anti-cancer therapies - Patient with impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of TKI258 - Patients who have concurrent severe and/or uncontrolled concomitant medical conditions that could compromise participation in the study - Female patients who are pregnant or breast-feeding - Fertile males or women not willing to use highly effective methods of contraception - Other protocol-defined inclusion/exclusion criteria will apply

研究组 & 干预措施

dovitinib (TKI258)

Experimental

dovitinib, 5 days on / 2 days off dose schedule

干预措施: dovitinib (TKI258) (Drug)

dovitinib (TKI258)

Experimental

dovitinib, 5 days on / 2 days off dose schedule

干预措施: fluvoxamine (Drug)

结局指标

主要结局

TKI258 pharmacokinetics (PK) parameters: AUC 0-72 hr

时间窗: multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)

TKI258 pharmacokinetics (PK) parameters: Cmax (Maximum (peak) concentration of drug)

时间窗: multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)

TKI258 pharmacokinetics (PK) parameters: AUC 0-24 hr (Area Under the Curve)

时间窗: multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)

TKI258 pharmacokinetics (PK) parameters: CL/F (Apparent Oral Clearance)

时间窗: multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)

TKI258 pharmacokinetics (PK) parameters: Tmax (Time to maximum concentration)

时间窗: multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)

TKI258 pharmacokinetics (PK) parameters: T1/2 (Half-life time)

时间窗: multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)

TKI258 pharmacokinetics (PK) parameters: Vz/F (apparent volume of distribution)

时间窗: multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)

次要结局

  • Frequency and severity of AEs (Adverse Events)(up to at least 30 days after the last dose of dovitinib (TKI258))
  • Frequency and severity of SAEs (Serious Adverse Events)(up to at least 30 days after the last dose of dovitinib (TKI258))
  • Preliminary evidence of antitumor activity of dovitinib (TKI258)(every 8 weeks until progression of disease)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (3)

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