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Solid TumorsPhase 1NCT02828930

A Study to Determine the Excretion Balance, Pharmacokinetics, Metabolism and Absolute Oral Bioavailability of a Single Oral Dose of [14C]-Labeled Idasanutlin and an Intravenous Tracer Dose of [13C]-Labeled Idasanutlin in a Single Cohort of Participants With Solid Tumors (Malignancies)

A Phase 1 study testing Idasanutlin, [13C]-radiolabeled Idasanutlin and [14C]-radiolabeled Idasanutlin in people with Solid Tumors, run by Hoffmann-La Roche at 1 site in Hungary.

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 single-center, open-label, non-randomized study is to assess the excretion balance, pharmacokinetics, metabolism and absolute oral bioavailability of [14C]-labeled idasanutlin administered orally and [13C]-labeled idasanutlin administered intravenously in a single cohort of eligible participants. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumors
What is being tested?
Idasanutlin, [13C]-radiolabeled Idasanutlin and [14C]-radiolabeled Idasanutlin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
8 participants
Where
1 siteHungary
Study dates
8 Sep 2016to 19 Jun 2017
Phase
Phase 1
Are there results?
None posted in the registry

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

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2, at the discretion of the Investigator
  • Histologically or cytologically confirmed advanced malignancy, except leukemia and lymphoma
  • Measureable or evaluable disease by Response evaluation criteria in solid tumors (RECIST) version 1.1, with no more than a single active malignancy in the previous 3 to 5 years prior to the administration of study drug
  • Life expectancy of at least 12 weeks
  • Participants taking opioid analgesics for pain should be on a stable pain and palliative care bowel regimen for one month prior to the first dose of study medication
  • Adequate bone marrow, hepatic, and renal function
  • Agreement to remain abstinent or use contraceptive methods specified in the study

Who cannot join

  • History of any form of leukemia, except for Stage 0 - 1 chronic lymphocytic leukemia, not requiring treatment in addition to their underlying malignancy
  • Have received hormonal therapy within the two weeks prior to the first dose of study drug
  • Have pre-existing gastrointestinal disorders that may interfere with proper absorption of the drug
  • History of seizure disorders or unstable Central Nervous System metastases (participants with stable CNS metastases allowed)
  • Have any severe and/or uncontrolled medical conditions or other conditions that could affect their participation in the study
  • Receive certain per protocol prohibited medications while on study. These medications must be discontinued 7 days prior to start of study drug
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  • Have bone marrow disorders, electrolyte imbalance, infrequent bowel movements (less than once per 48 hours), coagulopathy, platelet disorder or history of non-drug induced thrombocytopenia
  • Positive for human immunodeficiency virus currently receiving combination anti-retroviral therapy
  • Regular work with ionizing radiation or radioactive material or treated with radiotherapy within 3 weeks prior to the first dose of study drug
  • Refuse to potentially receive blood products and/or have a hypersensitivity to blood products

Trial locations and contacts

1 site in 1 country.

Hungary1 site
  • Magyar Honvedseg Egeszsegugyi Kozpont

    Budapest, H-1134

Other trials in Hungary

About this study

Official title: A Single-Center, Open-Label Study Investigating the Excretion Balance, Pharmacokinetics, Metabolism, and Absolute Oral Bioavailability of a Single Oral Dose of [14C]-Labeled Idasanutlin and an Intravenous Tracer Dose of [13C]-Labeled Idasanutlin in a Single Cohort of Patients With Solid Tumors

The purpose of this single-center, open-label, non-randomized study is to assess the excretion balance, pharmacokinetics, metabolism and absolute oral bioavailability of [14C]-labeled idasanutlin administered orally and [13C]-labeled idasanutlin administered intravenously in a single cohort of eligible participants. Participants will be screened for participation in this study within 21 days of receiving the first dose of study drug on Day 1. Treatment period will continue up to Day 28 after which participants will enter 28 day follow-up or the optional treatment extension of idasanutlin, depending on safety parameters and as per opinion of the Investigator.

Conditions
Solid Tumors
Being tested
Idasanutlin, Placebo, [13C]-radiolabeled Idasanutlin, [14C]-radiolabeled Idasanutlin

What participants receive

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

  • IdasanutlinDrug

    Also called RO5503781

    Idasanutlin 300 mg tablet orally on Day 1; 400 mg tablet orally on Day 11 and Day 19. Participants, who are eligible to enter in optional treatment extension phase, will continue treatment with idasanutlin 200 mg tablet orally once daily for 5 days of 28-day cycle.

  • PlaceboDrug

    Placebo matching to idasanutlin aqueous dispersion will be administered orally on Day 11.

  • [13C]-radiolabeled IdasanutlinDrug

    [13C]-radiolabeled idasanutlin 100 mcg will be administered as IV infusion over 15-minute on Day 1.

  • [14C]-radiolabeled IdasanutlinDrug

    [14C]-radiolabeled idasanutlin 100 mg capsule (2, 50 mg capsules containing approximately 100 microcurie of radioactivity) will be administered orally on Day 1.

Study groups in NCT02828930
Study groupRoleWhat they receive
IdasanutlinExperimentalOn Day 1, 300 milligram (mg) idasanutlin tablet orally and 100 mg [14C]-radiolabeled idasanutlin capsule orally (2, 50 mg capsules containing approximately 100 microcurie of radioactivity). After 5 hours and 45 minutes of the oral dose, 100 microgram (mcg) of [13C]-radiolabeled idasanutlin will be administered over a 15-minute intravenous (IV) infusion. On Day 11, idasanutlin matching placebo aqueous dispersion orally and approximately after 1 hour, 400 mg idasanutlin tablet will be administered orally in the form of an aqueous dispersion. On Day 19, 400 mg idasanutlin tablet will be administered orally in the form of an aqueous dispersion. Participants, who are eligible to enter in optional treatment extension phase, will continue treatment with idasanutlin 200 mg tablet orally once daily for 5 days, and no treatment during 23 days of 28-day cycle, until the development of progressive disease, unacceptable toxicity, consent withdrawal or any other criteria for removal.
Receives: Drug: Idasanutlin; Drug: Placebo; Drug: [13C]-radiolabeled Idasanutlin; Drug: [14C]-radiolabeled Idasanutlin

What is being measured

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

  1. Time to Reach Maximum Observed Plasma Concentration (Tmax) of Unlabeled Idasanutlin

    Measured: 0 Hour (hr) predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  2. Maximum Observed Plasma Concentration (Cmax) of Unlabeled Idasanutlin

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  3. Area Under the Plasma Concentration Time-Curve From Time Zero to Extrapolated Infinite Time (AUC [0-inf]) of Unlabeled Idasanutlin

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  4. Area Under the Plasma Concentration Time-Curve From Zero to the Last Measured Concentration (AUC[0-last]) of Unlabeled Idasanutlin

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  5. Plasma Elimination Half-Life (t1/2) of Unlabeled Idasanutlin

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  6. Plasma Apparent Elimination Rate Constant of Unlabeled Idasanutlin

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  7. Apparent Oral Clearance (CL/F) of Unlabeled Idasanutlin

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  8. Renal Clearance (CLr) of Unlabeled Idasanutlin

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  9. Apparent Volume of Distribution (Vz/F) of Unlabeled Idasanutlin

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  10. Cumulative Amount Excreted in Urine of Unlabeled Idasanutlin

    Measured: 0 hr (within 24 hrs of dosing), pooled sample collected over time interval: 0-6, 6-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264 hrs postdose

  11. Cumulative Amount Excreted in Feces of Unlabeled Idasanutlin

    Measured: 0 hr (within 24 hrs of dosing), pooled sample collected over time interval: 0-6, 6-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264 hrs postdose

  12. Tmax of Idasanutlin Metabolite

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  13. Cmax of Idasanutlin Metabolite

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  14. AUC (0-inf) of Idasanutlin Metabolite

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  15. AUC(0-last) of Idasanutlin Metabolite

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  16. Plasma t1/2 of Idasanutlin Metabolite

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  17. Plasma Apparent Elimination Rate Constant of Idasanutlin Metabolite

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  18. CL/F of Idasanutlin Metabolite

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  19. CLr of Idasanutlin Metabolite

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  20. Vz/F of Idasanutlin Metabolite

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  21. Cumulative Amount Excreted in Urine of Idasanutlin Metabolite

    Measured: 0 hr (within 24 hrs of dosing), pooled sample collected over time interval: 0-6, 6-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264 hrs postdose

  22. Cumulative Amount Excreted in Feces of Idasanutlin Metabolite

    Measured: 0 hr (within 24 hrs of dosing), pooled sample collected over time interval: 0-6, 6-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264 hrs postdose

  23. Tmax of [13C]-Labeled Idasanutlin

    Measured: 0 hr predose, 5hr 55 minutes (min), 6hr, 6hr 5min, 6hr 10min, 6hr 15min, 6hr 30min, 7, 10, 24, 48, 96, 120, 144, 240 hrs postdose

  24. Cmax of [13C]-Labeled Idasanutlin

    Measured: 0 hr predose, 5hr 55 min, 6hr, 6hr 5min, 6hr 10min, 6hr 15min, 6hr 30min, 7, 10, 24, 48, 96, 120, 144, 240 hrs postdose

  25. AUC(0-inf) of [13C]-Labeled Idasanutlin

    Measured: 0 hr predose, 5hr 55 min, 6hr, 6hr 5min, 6hr 10min, 6hr 15min, 6hr 30min, 7, 10, 24, 48, 96, 120, 144, 240 hrs postdose

  26. AUC(0-last) of [13C]-Labeled Idasanutlin

    Measured: 0 hr predose, 5hr 55min, 6hr, 6hr 5min, 6hr 10min, 6hr 15min, 6hr 30min, 7, 10, 24, 48, 96, 120, 144, 240 hrs postdose

  27. Plasma t1/2 of [13C]-Labeled Idasanutlin

    Measured: 0 hr predose, 5hr 55min, 6hr, 6hr 5min, 6hr 10min, 6hr 15min, 6hr 30min, 7, 10, 24, 48, 96, 120, 144, 240 hrs postdose

  28. Absolute Oral Bioavailability of [13C]-Labeled Idasanutlin

    Measured: Oral administration: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose; IV administration: 0 hr predose, 5hr 55min, 6hr, 6hr 5min, 6hr 10min, 6hr 15min, 6hr 30min, 7, 10, 24, 48, 96, 120, 144, 240 hrs postdose

  29. Whole Blood and Plasma Cmax of [14C]-Labeled Idasanutlin

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  30. Whole Blood and Plasma AUC(0-inf) of [14C]-Labeled Idasanutlin

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  31. Whole Blood and Plasma AUC(0-last) of [14C]-Labeled Idasanutlin

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  32. Whole Blood and Plasma Apparent Elimination Rate Constant of [14C]-Labeled Idasanutlin

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  33. Cumulative Amount of Radioactivity Excreted in Urine as Percentage of Dosed Radioactivity of [14C]-Labeled Idasanutlin

    Measured: 0 hr (within 24 hrs of dosing), pooled sample collected over time interval: 0-6, 6-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264 hrs postdose

  34. Cumulative Amount of Radioactivity Excreted in Feces as Percentage of Dosed Radioactivity of [14C]-Labeled Idasanutlin

    Measured: 0 hr (within 24 hrs of dosing), pooled sample collected over time interval: 0-6, 6-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264 hrs postdose

  35. CL/F of [13C]-Labeled Idasanutlin

    Measured: 0 hr predose, 5hr 55min, 6hr, 6hr 5min, 6hr 10min, 6hr 15min, 6hr 30min, 7, 10, 24, 48, 96, 120, 144, 240 hrs postdose

  36. Vz/F of [13C]-Labeled Idasanutlin

    Measured: 0 hr predose, 5hr 55min, 6hr, 6hr 5min, 6hr 10min, 6hr 15min, 6hr 30min, 7, 10, 24, 48, 96, 120, 144, 240 hrs postdose

  37. Whole Blood and Plasma Tmax of [14C]-Labeled Idasanutlin

    Measured: 0 hr predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose

  38. Cumulative Amount of Radioactivity Excreted in Feces on Toilet Tissue as Percentage of Dosed Radioactivity of [14C]-Labeled Idasanutlin

    Measured: 0 hr (within 24 hrs of dosing), pooled sample collected over time interval: 0-6, 6-12, 12-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-168, 168-192, 192-216, 216-240, 240-264 hrs postdose

Secondary outcomes (3)
  1. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Measured: Baseline through 28 days after the last dose of study drug (maximum up to approximately 76 days)

  2. Palatability Assessment Questionnaire Score for Aqueous Dispersion of Idasanutlin

    Measured: 0 hr (pre-Day 11-dose), 0.5 hr, 1 hr, 1.5 hr, 2 hr, and 3 hr post-Day 11-dose

  3. Aftertaste Survey Questionnaire Score for Aqueous Dispersion of Idasanutlin

    Measured: 0 hr (pre-Day 11-dose), 0.5 hr, 1 hr, 1.5 hr, 2 hr, and 3 hr post-Day 11-dose

Timeline

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

  1. First posted12 Jul 2016 (estimated)
  2. Study start8 Sep 2016
  3. Primary completion19 Jun 2017
  4. Study completion19 Jun 2017

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
8 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02828930
Sponsor's protocol ID
NP29910
Other IDs
RG7388, 2015-002532-40, 2015
Status last verified
Dec 2017
First submitted
7 Jul 2016
Last updated
18 Dec 2017
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Idasanutlin, [13C]-radiolabeled Idasanutlin and [14C]-radiolabeled Idasanutlin in people with Solid Tumors, run by Hoffmann-La Roche at 1 site in Hungary.

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 7 inclusion and 10 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 18 Dec 2017. 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 Hungary. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Time to Reach Maximum Observed Plasma Concentration (Tmax) of Unlabeled Idasanutlin (time frame: 0 Hour (hr) predose, 1, 3, 6, 7, 24, 48, 96, 120, 144, 240 hrs postdose). The study lists 38 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 18 Dec 2017.

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