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Advanced Solid TumorsPhase 1NCT01953783

Mass Balance, Pharmacokinetics and Metabolism Study of IXAZOMIB

A Phase 1 study testing IXAZOMIB 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

This is a phase 1, 2-part, open-label study in 4 to 6 pharmacokinetic-evaluable participants with advanced solid tumors or lymphoma. 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?
IXAZOMIB
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
7 participants
Where
1 siteUnited States
Study dates
19 Mar 2014to 9 Feb 2016
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 participant must meet all of the following inclusion criteria to be enrolled in the study:
  • 18 years or older
  • Histologic or cytologic diagnosis of advanced or metastatic solid tumor or lymphoma for which no standard, curative, or life-prolonging therapies exist or are effective
  • Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or 2
  • 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 during the entire study through 90 days after the last dose of study drug OR agree to practice true abstinence
  • Male participants who agree to practice effective barrier contraception during the entire study and through 90 days after the last dose of study drug OR agree to practice true abstinence
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  • Voluntary written consent
  • Suitable venous access for the conduct of blood sampling
  • Recovered from the reversible effects of prior anticancer therapy

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 breastfeeding or have a positive serum pregnancy test
  • Serious medical or psychiatric illness that could interfere with the study
  • Treatment with any investigational products or radiotherapy within 21 days before the first dose of study drug
  • Peripheral neuropathy greater than (>) Grade 2
  • Systemic treatment with strong and moderate inhibitors of CYP1A2, strong and moderate inhibitors of CYP3A, or clinically significant CYP3A inducers or use of Ginkgo biloba or St. John's wort within 14 days before the first dose of study drug
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  • Symptomatic brain metastasis. Participants with brain metastases: must have stable neurologic status following local therapy (surgery or radiation) for at least 2 weeks after completion of the definitive therapy; and must be without neurologic dysfunction that would confound the evaluation of neurologic and other adverse events (AEs)
  • Ongoing treatment with corticosteroids
  • Major surgery within the 14 days preceding the first dose of study drug
  • Infection requiring systemic intravenous antibiotic therapy or other serious infection within 14 days before the first dose of study drug
  • Life-threatening illness unrelated to cancer
  • Known hepatitis B surface antigen -positive, or known or suspected active hepatitis C infection or human immunodeficiency virus (HIV) positive
  • Diagnosed or treated for another malignancy within 2 years before the first dose, OR previously diagnosed with another malignancy and have any evidence of residual disease. Participants with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection
  • Any cardiovascular condition specified in the study protocol
  • Known gastrointestinal (GI) disease or GI procedure that could interfere with the oral absorption or tolerance of IXAZOMIB
  • History of urinary and/or fecal incontinence
  • Inability to comply with study procedures or visit schedule including the requirement for inpatient confinement

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Study site

    Cleveland, Ohio

Other trials in United States

About this study

Official title: A Phase 1 Study of [ 14 C]-Ixazomib to Assess Mass Balance, Pharmacokinetics, and Metabolism in Patients With Advanced Solid Tumors or Lymphoma

This is a phase 1, 2-part, open-label study in 4 to 6 pharmacokinetic-evaluable participants with advanced solid tumors or lymphoma.

Being tested
IXAZOMIB
Medical subject headings
Lymphoma

What participants receive

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

  • IXAZOMIBDrug

    Part A: Ixazomib 4.1 mg containing approximately 500-nCi [14C]-ixazomib, solution, orally on Day 1 and ixazomib 4 mg, capsule, orally on Days 14 and 21.

    Part B: Ixazomib 4 mg, capsule, orally, once weekly, on Days 1, 8 and 15 in 28-day cycles until disease progression or unacceptable toxicity.

Study groups in NCT01953783
Study groupRoleWhat they receive
IXAZOMIBExperimentalPart A: Participants will receive a single dose of 4.1-milligram (mg) [14C]-IXAZOMIB oral solution containing approximately 500-nCurie (nCi) of total radioactivity on Day 1 and remain at the clinic for 8 days. On Days 14 and 21, participants may be administered a single 4.0-mg capsule of IXAZOMIB. Participants will return to the clinic in the evening before Days 14, 21, 28, and 35 for a 24-hour overnight clinic visit. Part B: Eligible participants from Part A may continue into Part B once they have completed their Day 35 assessments in Part A. Participants may receive IXAZOMIB capsules administered orally at a dose of 4.0-mg once weekly on Days 1, 8, and 15 of 28-day cycles. Participants will continue in this study until disease progression or unacceptable toxicity.
Receives: Drug: IXAZOMIB

What is being measured

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

  1. Part A: Cmax: Maximum Observed Plasma Concentration for Ixazomib

    Maximum observed plasma concentration (Cmax) is the peak plasma concentration of ixazomib, obtained directly from the plasma concentration-time curve.

    Measured: Day 1 of Part A pre-dose and at multiple timepoints (up to Day 14) post-dose

  2. Part A: Tmax: Time to Reach the Maximum Observed Plasma Concentration (Cmax) for Ixazomib

    Time to reach the maximum observed plasma concentration (Cmax), equal to time (hours) to Cmax of ixazomib after administration, obtained directly from the plasma concentration-time curve.

    Measured: Day 1 of Part A pre-dose and at multiple timepoints (up to Day 14) post-dose

  3. Part A: AUC(0-312): Area Under the Plasma Concentration-time Curve From Time 0 to 312 Hrs Post-dose for Ixazomib

    AUC(0-312) is a measure of the area under the plasma concentration time-curve from time zero to 312 hrs post-dose for ixazomib.

    Measured: Day 1 of Part A pre-dose and at multiple timepoints (up to 312 hrs) post-dose

  4. Part A: Cmax: Maximum Observed Plasma Concentration of TRA

    Maximum observed plasma concentration (Cmax) of TRA is the peak plasma concentration of TRA, obtained directly from the plasma TRA concentration-time curve.

    Measured: Day 1 of Part A pre-dose and at multiple timepoints (up to Day 35) post-dose

  5. Part A: Tmax: Time to Reach the Cmax for TRA

    Time to reach the maximum observed plasma concentration (Cmax) for TRA, equal to time (hours) to Cmax for TRA after administration, obtained directly from the plasma TRA concentration-time curve.

    Measured: Day 1 of Part A pre-dose and at multiple timepoints (up to Day 35) post-dose

  6. Part A: AUC(0-816): Area Under the Plasma Concentration-time Curve From Time 0 to 816 Hrs Post-dose for TRA

    AUC(0-816) is a measure of the area under the plasma concentration time-curve from time zero to 816 hrs post-dose for TRA.

    Measured: Day 1 of Part A pre-dose and at multiple timepoints (up to 816 hrs) post-dose

  7. Part A: Cmax: Maximum Observed Whole Blood Concentration of TRA

    Maximum observed whole blood concentration (Cmax) of a TRA is the peak whole blood concentration of TRA, obtained directly from the whole blood TRA concentration-time curve.

    Measured: Day 1 of Part A pre-dose and at multiple timepoints (up to Day 35) post-dose

  8. Part A: Tmax: Time to Reach the Maximum Observed Whole Blood Concentration (Cmax) for TRA

    Time to reach the maximum observed whole blood concentration (Cmax) for TRA, equal to time (hours) to Cmax for TRA after administration, obtained directly from the whole blood TRA concentration-time curve.

    Measured: Day 1 of Part A pre-dose and at multiple timepoints (up to Day 35) post-dose

  9. Part A: AUC(0-816): Area Under the Whole Blood Concentration-time Curve From Time 0 to 816 Hrs Post-dose for TRA

    AUC(0-816) is a measure of the area under the whole blood concentration time-curve from time zero to 816 hrs post-dose for TRA.

    Measured: Day 1 of Part A pre-dose and at multiple timepoints (up to 816 hrs) post-dose

  10. Part A: Cumulative Percentage of Ixazomib Dose Recovered in the Urine

    Percentage of the ixazomib dose excreted unchanged in the urine from 0 to 168 hrs post-dose.

    Measured: Day 1 of Part A from 0 to pre-dose and at multiple timepoints (up to 168 hrs) post-dose

  11. Part A: Cumulative Percentage of the Total Radioactivity Dose Excreted in Feces

    Percentage of the TRA dose excreted in feces from Day 1 to Day 35 of Part A

    Measured: Day 1 of Part A pre-dose and at multiple timepoints (up to Day 35) post-dose

  12. Part A: Cumulative Percentage of the Total Radioactivity Dose Excreted in Urine

    Percentage of the TRA dose excreted in urine from Day 1 to Day 35 of Part A.

    Measured: Day 1 of Part A pre-dose and at multiple timepoints (up to Day 35) post-dose

  13. Part A: Renal Clearance of Ixazomib

    Renal clearance is the volume of plasma from which ixazomib is completely removed by the kidney in a given amount of time, calculated as the amount of ixazomib excreted in the urine divided by the area under the plasma ixazomib concentration-time curve.

    Measured: Day 1 pre-dose and at multiple timepoints (up to Day 14) post-dose

Secondary outcomes (6)
  1. Ixazomib and Metabolites as Percent of Total Radioactivity in Plasma

    The plasma samples were pooled for participants over 816 hrs post-dose, and data was analysed using the Hamilton method time-proportional pooling, and therefore the data is reported as "percent of total radioactivity in plasma" with measure type as "number" and measure dispersion as "Not applicable, NA".

    Measured: Day 1 pre-dose and at multiple time points (up to 816 hrs) post-dose

  2. Ixazomib and Metabolites as Percent of Total Dose Administered in Urine

    The 35-day post-dose data is extrapolated from the average of four participant data from 0-168-hr pooled urine. The data is therefore reported as "percentage of dose" with measure type as "number" and measure dispersion as "NA".

    Measured: Day 1 pre-dose and at multiple time points (up to Day 35) post-dose

  3. Ixazomib and Metabolites as Percent of Total Dose Administered in Feces

    The 35-day post-dose data is extrapolated from the average of four participant data from 0-168-hr pooled feces. The data is therefore reported as "percentage of dose" with measure type as "number" and measure dispersion as "NA".

    Measured: Day 1 pre-dose and at multiple time points (up to Day 35) post-dose

  4. Number of Participants Reporting One or More Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    Measured: Baseline up to Cycle 5 Day 45

  5. Number of Participants With TEAEs Related to Investigations System Organ Class for Laboratory Values

    Measured: Baseline up to Cycle 5 Day 45

  6. Number of Participants With TEAEs Related to Vital Signs

    Vital signs included oral body temperature, heart rate, and blood pressure.

    Measured: Baseline up to Cycle 5 Day 25

Timeline

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

  1. First posted1 Oct 2013 (estimated)
  2. Study start19 Mar 2014
  3. Primary completion17 Dec 2014
  4. Study completion9 Feb 2016

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
7 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01953783
Sponsor's protocol ID
C16016
Status last verified
Aug 2020
First submitted
26 Sep 2013
Last updated
26 Aug 2020
Data monitoring committee
No

Publications

  • Gupta N, Zhang S, Pusalkar S, Plesescu M, Chowdhury S, Hanley MJ, Wang B, Xia C, Zhang X, Venkatakrishnan K, Shepard DR. A phase I study to assess the mass balance, excretion, and pharmacokinetics of [14C]-ixazomib, an oral proteasome inhibitor, in patients with advanced solid tumors. Invest New Drugs. 2018 Jun;36(3):407-415. doi: 10.1007/s10637-017-0509-1. Epub 2017 Sep 21.

    PubMed 28932928

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing IXAZOMIB 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 9 inclusion and 17 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 26 Aug 2020. 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 26 Aug 2020). 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?

Part A: Cmax: Maximum Observed Plasma Concentration for Ixazomib (time frame: Day 1 of Part A pre-dose and at multiple timepoints (up to Day 14) post-dose). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01953783, which also lists 1 linked publication.

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 26 Aug 2020.

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