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Advanced Solid TumorsPhase 1NCT01714947

Mass Balance, Pharmacokinetics and Metabolism Study of Alisertib

A Phase 1 study testing [^14C]-alisertib and alisertib in people with Advanced Solid Tumors and Lymphoma, run by Millennium Pharmaceuticals, Inc. at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess the mass balance (i.e. cumulative excretion of total radioactivity [TRA] in urine and feces) of alisertib and pharmacokinetic (PK) of alisertib in plasma and urine, and of TRA in plasma and whole blood. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Solid Tumors, Lymphoma
What is being tested?
[^14C]-alisertib and alisertib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3 participants
Where
1 siteUnited States
Study dates
24 Jan 2013to 14 Jun 2013
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Each participants must meet all of the following inclusion criteria to be enrolled in the study:
  • 18 years or older.
  • Histologically or cytologically confirmed metastatic and/or advanced solid tumors or lymphomas for which standard curative or life-prolonging treatment does not exist, or is no longer effective or tolerable.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
  • Expected survival longer than 3 months from enrollment in the study.
  • Radiographically or clinically evaluable tumor.
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  • Suitable venous access for the conduct of blood sampling.
  • Recovered from the reversible effects of prior antineoplastic treatment (with the exception of alopecia and Grade 1 neuropathy).
  • Female participants who are postmenopausal for at least 1 year OR are surgically sterile OR if of childbearing potential, agree to practice 2 effective methods of contraception at the same time.
  • Male participants who agree to practice effective barrier contraception during the entire study and through 4 months after the last dose of study drug OR agree to abstain from heterosexual intercourse.

Who cannot join

  • Participants meeting any of the following exclusion criteria are not to be enrolled in the study:
  • Female participants who are lactating or have a positive serum pregnancy test.
  • Treatment with any investigational products or systemic antineoplastic treatment within 21 days before the first dose of alisertib.
  • Medical conditions requiring daily, chronic, or regular use of proton pump inhibitors(PPIs) within 7 days preceding the first dose of alisertib, or H2-receptor antagonists within 24 hours preceding the first dose of alisertib.
  • Participants requiring systemic anticoagulation (excluding low-dose aspirin, or low-dose anticoagulation to maintain patency of venous access devices). Low molecular weight heparin, administered as preventive treatment, is allowed if the participant has tolerated treatment with a stable dose and schedule without bleeding complications for more than 1 month.
  • Major surgery within the 14 days preceding the first dose of alisertib.
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  • Infection requiring systemic intravenous (IV) antibiotic therapy within 14 days preceding the first dose of study drug, or other severe infection.
  • Life-threatening or uncontrolled medical illness unrelated to cancer.
  • Ongoing nausea or vomiting that is Grade 2 or worse in intensity.
  • Diarrhea that is Grade 2 or worse in intensity or use of an antimotility agent to control diarrhea to an intensity of Grade 1 or lower level.
  • Known GI disease or GI procedures that could interfere with the oral absorption, excretion, or tolerance of alisertib.
  • History of urinary and/or fecal incontinence.
  • History of uncontrolled sleep apnea syndrome and other conditions that could result in excessive daytime sleepiness such as severe chronic obstructive pulmonary disease.
  • Inability to swallow tablets, or inability or unwillingness to avoid taking anything by mouth except for water and prescribed medications for 2 hours before and 1 hour after the first dose of alisertib.
  • Inadequate bone marrow or other organ function as specified in study protocol.
  • Any cardiovascular condition specified in the study protocol.
  • Known or suspected human immunodeficiency virus (HIV) positive or hepatitis B surface antigen-positive status, or known or suspected active hepatitis C infection.
  • Inability to comply with study visits and procedures including required inpatient confinement (approximately 11-17 days).
  • Please note that there are additional exclusion criteria. The study center will determine if you meet all of the criteria.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Comprehensive Clinical Development

    Tacoma, Washington, 98418

Other trials in United States

About this study

Official title: Mass Balance, Pharmacokinetics, and Metabolism of [^14C]-Alisertib in Patients With Advanced Solid Tumors or Lymphomas

The purpose of this study is to assess the mass balance (i.e. cumulative excretion of total radioactivity [TRA] in urine and feces) of alisertib and pharmacokinetic (PK) of alisertib in plasma and urine, and of TRA in plasma and whole blood.

Read the detailed description

The drug being tested in this study is called alisertib (MLN8237). Alisertib is being tested to treat participants who have advanced solid tumors or lymphomas. This study looked at mass balance, pharmacokinetics (PK), metabolism, elimination and safety of alisertib.

The study enrolled 3 patients. The study consisted of 2 parts: Part A and Part B. Participants received:

  • [^14C]-alisertib 35 mg in Part A
  • alisertib 50 mg in Part B

Participants were asked to take a single dose of [^14C]-alisertib oral solution containing 80-100 μCi of total radioactivity (1.19-1.48 mCi/mmol) in Part A and alisertib 50 mg, orally, twice daily for 7 days in 21-day cycles until disease progression or unacceptable toxicity in Part B.

This single center trial was conducted in United States. The overall time to participate in this study was up to 117 days. Participants remained confined to clinic in Part A and made multiple visits to the clinic in Part B. Participants were contacted 30 days after last dose of alisertib in Part A (if not continuing in Part B), or were contacted by telephone or a final visit 30 days after receiving their last dose of alisertib in Part B for a follow-up assessment.

Being tested
[^14C]-alisertib, alisertib
Keywords
Drug Therapy
Medical subject headings
Lymphoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • [^14C]-alisertibDrug

    Also called MLN8237

    [^14C]-alisertib oral solution

  • alisertibDrug

    Also called MLN8237

    Alisertib enteric coated tablets

Study groups in NCT01714947
Study groupRoleWhat they receive
AlisertibExperimentalPart A: [^14C]-alisertib 35 mg, oral solution containing 80 - 100 microcuries (μCi) of total radioactivity (1.19 - 1.48 mCi/mmol), orally, single dose on Day 1. Part B: Alisertib 50 mg, enteric coated tablets, orally, twice daily for 7 days, followed by 14-day washout period in 21-day cycles until disease progression or unacceptable treatment-related toxicity (Up to 3 Cycles).
Receives: Drug: [^14C]-alisertib; Drug: alisertib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cmax: Maximum Observed Plasma Concentration for Alisertib and Drug-Related Material Following a Single Dose of [^14C]-Alisertib Oral Solution

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  2. Tmax: Time of First Occurrence of Cmax for Alisertib and Drug-Related Material in Plasma Following a Single Dose of [^14C]-Alisertib Oral Solution

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  3. AUClast: Area Under the Concentration-Time Curve From Time 0 to Time of the Last Quantifiable Plasma Concentration for Alisertib and Drug-Related Material Following a Single Dose of [^14C]-Alisertib Oral Solution

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  4. AUC∞: Area Under the Concentration-Time Curve From Time 0 to Infinity, Calculated Using the Observed Value of the Last Quantifiable Plasma Concentration for Alisertib and Drug-Related Material Following a Single Dose of [^14C]-Alisertib Oral Solution

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  5. T1/2: Terminal Half Life for Alisertib and Drug-Related Material in Plasma Following a Single Dose of [^14C]-Alisertib Oral Solution

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  6. CL/F: Apparent Clearance After Extravascular Administration, Calculated Using the Observed Value of the Last Quantifiable Plasma Concentration for Alisertib Following a Single Dose of [^14C]-Alisertib Oral Solution

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  7. Ratio of Whole Blood Total Radioactivity (TRA) Cmax to Plasma TRA Cmax

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  8. Ratio of Alisertib Plasma Cmax to Drug-Related Material TRA Plasma Cmax

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  9. Ratio of Whole Blood TRA AUClast to Plasma TRA AUClast

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  10. Ratio of Alisertib Plasma AUClast to Drug-Related Material TRA Plasma AUClast

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  11. Ratio of Whole Blood TRA AUC∞ to Plasma TRA AUC∞

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  12. Ratio of Alisertib Plasma AUC∞ to Drug-Related Material TRA Plasma AUC∞

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  13. Fe: Fraction of Administered Dose of [^14C]-Alisertib Excreted in Urine

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  14. Fe: Fraction of Administered Dose of [^14C]-Alisertib Excreted in Feces

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  15. Ae: Amount of [^14C]-Alisertib Excreted in Urine

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  16. Ae: Amount of [^14C]-Alisertib Excreted in Feces

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  17. Percent of Total Radioactivity (TRA) in Urine and Feces

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  18. Fe: Fraction of Administered Dose of Alisertib Excreted in Urine

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  19. Ae: Amount of Alisertib Excretion in Urine

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

  20. Renal Clearance (CLR) of Alisertib

    Measured: Predose and multiple timepoints post-dose (up to 240 hours)

Secondary outcomes (6)
  1. Percentage of Alisertib Metabolites in Plasma Following a Single Dose of [^14C]-Alisertib Oral Solution

    Total radioactive peak distributions of metabolites in 0 to 192 hours pooled plasma samples from participants.

    Measured: Predose and multiple timepoints post-dose (0 to 192 hours)

  2. Percentage of Alisertib Metabolites in Urine Following a Single Dose of [^14C]-Alisertib Oral Solution

    Total radioactive peak distributions of metabolites in 0 to 192 hours pooled urine samples from participants.

    Measured: Predose and multiple timepoints post-dose (0 to 192 hours)

  3. Percentage of Alisertib Metabolites in Feces Following a Single Dose of [^14C]-Alisertib Oral Solution

    Total radioactive peak distributions of metabolites in 0 to 192 hours pooled fecal samples from participants.

    Measured: Predose and multiple timepoints post-dose (0 to 192 hours)

  4. Number of Participants With Treatment-Emergent Adverse Events and Serious Adverse Events

    An Adverse Event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A Serious Adverse Event (SAE) was defined as any AE at any dose that: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in a persistent or significant disability/incapacity or resulted in congenital anomaly/birth defect. A treatment-emergent adverse event is defined as an adverse event with an onset that occurs after receiving study drug.

    Measured: From first dose of study drug through 30 days after the last dose of study drug (Up to 117 days)

  5. Number of Participants With Clinically Significant Changes or Abnormalities in Clinical Laboratory Values Reported as AEs

    An abnormal laboratory was assessed to be an AE if the value lead to discontinuation or delay in treatment, dose modification, therapeutic intervention, or was considered by the investigator to be a clinically significant change from Baseline.

    Measured: Part A: Day 1 and End of Study (EOS) Day 31 if not continuing to Part B, Part B: Days 8 and 15 of each cycle and EOS (Up to 117 days)

  6. Number of Participants With Clinically Significant Changes or Abnormalities in Vital Sign Measurements

    Vital signs included body temperature, heart rate, and sitting blood pressure. The investigator determined if the changes were clinically significant.

    Measured: Part A: Day 1 and EOS (Day 31 if not continuing to Part B), Part B: Day 1 of each cycle and EOS (Up to 117 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Oct 2012 (estimated)
  2. Study start24 Jan 2013
  3. Primary completion4 Apr 2013
  4. Study completion14 Jun 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
3 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01714947
Sponsor's protocol ID
C14014
Other IDs
U1111-1187-6760
Status last verified
Feb 2018
First submitted
17 Oct 2012
Last updated
31 Oct 2018
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing [^14C]-alisertib and alisertib in people with Advanced Solid Tumors and Lymphoma, run by Millennium Pharmaceuticals, Inc. at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 31 Oct 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cmax: Maximum Observed Plasma Concentration for Alisertib and Drug-Related Material Following a Single Dose of [^14C]-Alisertib Oral Solution (time frame: Predose and multiple timepoints post-dose (up to 240 hours)). The study lists 20 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Oct 2018.

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