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Drug-drug InteractionPhase 1NCT03723395

A Drug-Drug Interaction Study in Healthy Volunteers of the Effects of Tucatinib

A Phase 1 study testing tucatinib, itraconazole and rifampin in people with Drug-drug Interaction, run by Seagen Inc. at 2 sites 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 study is being done to look at how tucatinib could affect the way other drugs work. This study will look at healthy volunteers and how tucatinib affects their liver enzymes. Liver enzymes can change how drugs work in the body. There are 5 parts to this study. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Drug-drug Interaction
What is being tested?
tucatinib, itraconazole and rifampin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
116 participants
Where
2 sitesUnited States
Study dates
17 Sep 2018to 28 Dec 2018
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 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Body mass index (BMI) between 18 and 32 kg/m^2
  • In good health, determined be no clinically significant findings from medical history, physical examination, and screening evaluations
  • Female subjects must be of nonchildbearing potential
  • Male subjects must agree to use contraception or must be surgically sterile for at least 90 days prior to enrollment
  • Able to understand and sign informed consent form

Who cannot join

  • Any condition affecting drug absorption (including stomach or intestinal surgery)
  • Significant history of metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder
  • History of hypersensitivity, intolerance, or allergy to any drug compounds, food, or other substance (unless approved by Investigator)
  • Participation in a clinical study involving an investigational drug within the past 30 days
  • Use or intend to any prescription medications within 28 days prior to check in
  • Use of tobacco- or nicotine-containing products within 28 days prior to check in
Show all 10Show fewer
  • History of hyperbilirubinemia
  • History of alcoholism or drug abuse within 2 years
  • History of regular alcohol consumption exceeding 7 drinks/week for female subjects or 14 drinks/week for male subjects
  • Positive hepatitis panel and/or positive human immunodeficiency virus (HIV) test

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Covance Clinical Research Unit

    Dallas, Texas, 75247

  • Covance Clinical Research Unit

    Daytona Beach, Florida, 32117

Other trials in United States

About this study

Official title: A Phase 1, Open-Label, Fixed-sequence, 5-part, Drug-drug Interaction Study of Tucatinib to Evaluate the Effects of CYP3A4 and CYP2C8 Inhibition and Induction on the Pharmacokinetics of Tucatinib and to Evaluate the Effects of Tucatinib on the Pharmacokinetics of Substrates of CYP3A4, CYP2C8, CYP2C9, and P-glycoprotein in Healthy Male and Female Subjects

This study is being done to look at how tucatinib could affect the way other drugs work. This study will look at healthy volunteers and how tucatinib affects their liver enzymes. Liver enzymes can change how drugs work in the body. There are 5 parts to this study. Parts A and C are looking at how the body breaks down tucatinib when there are lower levels of certain liver enzymes. Part B is looking at how the body breaks down tucatinib when there are high levels of certain liver and stomach enzymes. Parts D and E are looking at how tucatinib could change the levels of some liver and stomach enzymes in the body. This will help us know more about how tucatinib should be given to patients.

Read the detailed description

This is a fixed-sequence, drug-drug interaction study of tucatinib conducted in 5 parts in healthy subjects. Part A will evaluate the effect of the strong CYP3A4 inhibitor itraconazole on the pharmacokinetics (PK) of tucatinib. Part B will evaluate the effect of rifampin, a strong inducer of CYP3A4 and CYP2C8, on the PK of tucatinib. Part C will evaluate the effect of the strong CYP2C8 inhibitor gemfibrozil on the PK of tucatinib. Part D will evaluate the effects of tucatinib on the PK of substrate probes of the metabolizing enzymes CYP2C8 (repaglinide), CYP2C9 (tolbutamide), and CYP3A4 (midazolam). Part E will evaluate the effect of tucatinib on the PK of a substrate probe of the transporter P-gp (digoxin). Parts A, B, C, D, and E of the study are independent of one another and do not need to be conducted in a particular order.

Being tested
tucatinib, itraconazole, rifampin, gemfibrozil, repaglinide

What participants receive

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

  • tucatinibDrug

    300mg dose, orally administered

  • itraconazoleDrug

    200mg dose

  • rifampinDrug

    600mg dose

  • gemfibrozilDrug

    600mg tablets

  • repaglinideDrug

    1mg dose

  • tolbutamideDrug

    500mg dose

  • midazolamDrug

    2mg dose

  • digoxinDrug

    0.5 mg dose

Study groups in NCT03723395
Study groupRoleWhat they receive
Part AExperimentalTucatinib plus Itraconazole
Receives: Drug: tucatinib; Drug: itraconazole
Part BExperimentalTucatinib plus Rifampin
Receives: Drug: tucatinib; Drug: rifampin
Part CExperimentalTucatinib plus Gemfibrozil
Receives: Drug: tucatinib; Drug: gemfibrozil
Part DExperimentalTucatinib plus Repaglinide plus Tolbutamide plus Midazolam
Receives: Drug: tucatinib; Drug: repaglinide; Drug: tolbutamide; Drug: midazolam
Part EExperimentalTucatinib plus Digoxin
Receives: Drug: tucatinib; Drug: digoxin

What is being measured

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

  1. Area under the concentration-time curve (AUC) from time 0 to infinity

    PK parameters for tucatinib (Parts A, B, and C); repaglinide and its M4 metabolite (Part D), tolbutamide and its 4-hydroxytolbutamide metabolite (Part D), midazolam and its 1-hydroxymidazolam metabolite (Part D), and digoxin (Part E)

    Measured: Up to 22 days

  2. AUC from time 0 to the time of the last quantifiable concentration

    PK parameters for tucatinib (Parts A, B, and C); repaglinide and its M4 metabolite (Part D), tolbutamide and its 4-hydroxytolbutamide metabolite (Part D), midazolam and its 1-hydroxymidazolam metabolite (Part D), and digoxin (Part E)

    Measured: Up to 22 days

  3. Percentage extrapolation in AUC

    PK parameters for tucatinib (Parts A, B, and C); repaglinide and its M4 metabolite (Part D), tolbutamide and its 4-hydroxytolbutamide metabolite (Part D), midazolam and its 1-hydroxymidazolam metabolite (Part D), and digoxin (Part E)

    Measured: Up to 22 days

  4. Maximum observed concentration

    PK parameters for tucatinib (Parts A, B, and C); repaglinide and its M4 metabolite (Part D), tolbutamide and its 4-hydroxytolbutamide metabolite (Part D), midazolam and its 1-hydroxymidazolam metabolite (Part D), and digoxin (Part E)

    Measured: Up to 22 days

  5. Time of maximum observed concentration

    PK parameters for tucatinib (Parts A, B, and C); repaglinide and its M4 metabolite (Part D), tolbutamide and its 4-hydroxytolbutamide metabolite (Part D), midazolam and its 1-hydroxymidazolam metabolite (Part D), and digoxin (Part E)

    Measured: Up to 22 days

  6. Apparent terminal elimination half-life

    PK parameters for tucatinib (Parts A, B, and C); repaglinide and its M4 metabolite (Part D), tolbutamide and its 4-hydroxytolbutamide metabolite (Part D), midazolam and its 1-hydroxymidazolam metabolite (Part D), and digoxin (Part E)

    Measured: Up to 22 days

  7. Apparent total clearance

    PK parameters for tucatinib (Parts A, B, and C); repaglinide (Part D), tolbutamide (Part D), midazolam (Part D), and digoxin (Part E).

    Measured: Up to 22 days

  8. Apparent volume of distribution

    PK parameters for tucatinib (Parts A, B, and C); repaglinide (Part D), tolbutamide (Part D), midazolam (Part D), and digoxin (Part E).

    Measured: Up to 22 days

  9. Metabolite-to-parent ratio based on AUC

    PK parameters for M4 metabolite, 4-hydroxytolbutamide metabolite, and 1-hydroxymidazolam metabolite (Part D only)

    Measured: Up to 22 days

Secondary outcomes (21)
  1. Incidence of adverse events (AEs)

    Parts A, B, C, D, and E (all)

    Measured: Up to 58 days

  2. Incidence of laboratory abnormalities

    Parts A, B, C, D, and E (all)

    Measured: Up to 58 days

  3. 12-lead electrocardiogram (ECG) assessment

    PR, RR, QRS, and QT interval. Parts A, B, C, D, and E (all)

    Measured: Up to 58 days

  4. Vital signs measurements

    Oral temperature. Parts A, B, C, D, and E (all)

    Measured: Up to 58 days

  5. Vital signs measurements

    Respiratory rate. Parts A, B, C, D, and E (all)

    Measured: Up to 58 days

  6. Vital signs measurements

    Blood pressure (systolic and diastolic). Parts A, B, C, D, and E (all)

    Measured: Up to 58 days

  7. Vital signs measurements

    Heart rate. Parts A, B, C, D, and E (all)

    Measured: Up to 58 days

  8. Physical examinations

    Incidence of AEs resulting from clinically significant findings in examination of general appearance, skin, thorax/lungs, cardiovascular system, and abdomen. Parts A, B, C, D, and E (all)

    Measured: Up to 58 days

  9. AUC within a dosing interval

    PK parameters of tucatinib and ONT-993; Parts D and E only

    Measured: Up to 15 days

  10. AUC from time 0 to infinity

    PK parameters of tucatinib and ONT-993; Parts D and E only

    Measured: Up to 8 days

  11. AUC from time 0 to the time of the last quantifiable concentration

    PK parameters of tucatinib and ONT-993; Parts D and E only

    Measured: Up to 15 days

  12. Percentage extrapolation in AUC

    PK parameters of tucatinib and ONT-993; Parts D and E only

    Measured: Up to 15 days

  13. Maximum observed concentration

    PK parameters of tucatinib and ONT-993; Parts D and E only

    Measured: Up to 15 days

  14. Time of maximum observed concentration

    PK parameters of tucatinib and ONT-993; Parts D and E only

    Measured: Up to 15 days

  15. Apparent terminal elimination half-life

    PK parameters of tucatinib and ONT-993; Parts D and E only

    Measured: Up to 15 days

  16. Apparent total clearance

    PK parameter of tucatinib; Parts D and E only

    Measured: Up to 8 days

  17. Apparent total clearance at steady state

    PK parameter of tucatinib; Parts D and E only

    Measured: Up to 15 days

  18. Apparent volume of distribution

    PK parameter of tucatinib; Parts D and E only

    Measured: Up to 8 days

  19. Apparent volume of distribution at steady state

    PK parameter of tucatinib; Parts D and E only

    Measured: Up to 15 days

  20. Accumulation ratio

    PK parameters of tucatinib and ONT-993; Parts D and E only

    Measured: Up to 15 days

  21. Metabolite-to-parent ratio based on AUC

    PK parameter of ONT-993; Parts D and E only

    Measured: Up to 15 days

Timeline

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

  1. First posted29 Oct 2018
  2. Study start17 Sep 2018
  3. Primary completion21 Dec 2018
  4. Study completion28 Dec 2018

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
116 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03723395
Sponsor's protocol ID
ONT-380-012
Status last verified
Dec 2019
First submitted
24 Oct 2018
Last updated
18 Dec 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Zhang D, Taylor A, Zhao JJ, Endres CJ, Topletz-Erickson A. Population Pharmacokinetic Analysis of Tucatinib in Healthy Participants and Patients with Breast Cancer or Colorectal Cancer. Clin Pharmacokinet. 2024 Oct;63(10):1477-1487. doi: 10.1007/s40262-024-01412-0. Epub 2024 Oct 5.

    PubMed 39368039
  • Topletz-Erickson A, Lee A, Rustia EL, Sun H, Mayor JG, Abdulrasool LI, Walker L, Endres CJ. Evaluation of Safety and Clinically Relevant Drug-Drug Interactions with Tucatinib in Healthy Volunteers. Clin Pharmacokinet. 2022 Oct;61(10):1417-1426. doi: 10.1007/s40262-022-01144-z. Epub 2022 Aug 6.

    PubMed 35931943

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing tucatinib, itraconazole and rifampin in people with Drug-drug Interaction, run by Seagen Inc. at 2 sites 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 5 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 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites 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?

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?

Area under the concentration-time curve (AUC) from time 0 to infinity (time frame: Up to 22 days). The study lists 9 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 NCT03723395, which also lists 2 linked publications.

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 2019; AzTrials last refreshed its copy on 8 Nov 2026.

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