Trial Outcomes & Findings for A Pharmacokinetics (PK) Study to Investigate the Effect of Rifampin on PK of Vemurafenib (Zelboraf) (NCT NCT01765543)

NCT ID: NCT01765543

Last Updated: 2016-12-15

Results Overview

AUClast is the area under the vemurafenib plasma concentration versus time curve from time zero to the time of last measured concentration of vemurafenib (Tlast). Area under the curve (AUC) is a measure of the plasma concentration of a drug over time. AUClast is presented in micrograms times (\*) hour per milliliter (mcg\*h/mL).

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

27 participants

Primary outcome timeframe

Predose (0 hour), 1, 2, 4, 6, 8, 12, 24, 30-32, 48, 72, 96, 120, 168 hours post vemurafenib-dose on Day 1 (Period A) and Day 17 (Period C)

Results posted on

2016-12-15

Participant Flow

A total of 27 participants were enrolled into the study.

Participant milestones

Participant milestones
Measure
Vemurafenib + Rifampin (All Periods)
There were 3 intervention periods in the study: Period A (Days 1 to 7), Period B (Days 8 to 16), and Period C (Days 17 to 24). Participants, after an overnight fast of at least 10 hours, received vemurafenib (Zelboraf) at a dose of 960 milligrams (mg) as film-coated tablets orally alone on Day 1 (Period A); with rifampin (at a dose of 600 mg as capsules orally) on Day 17 (Period C); and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 8 through 16 (Period B) and from Days 18 through 23 (Period C).
Overall Study
STARTED
27
Overall Study
COMPLETED
24
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Vemurafenib + Rifampin (All Periods)
There were 3 intervention periods in the study: Period A (Days 1 to 7), Period B (Days 8 to 16), and Period C (Days 17 to 24). Participants, after an overnight fast of at least 10 hours, received vemurafenib (Zelboraf) at a dose of 960 milligrams (mg) as film-coated tablets orally alone on Day 1 (Period A); with rifampin (at a dose of 600 mg as capsules orally) on Day 17 (Period C); and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 8 through 16 (Period B) and from Days 18 through 23 (Period C).
Overall Study
Death
1
Overall Study
Withdrawal by Subject
2

Baseline Characteristics

A Pharmacokinetics (PK) Study to Investigate the Effect of Rifampin on PK of Vemurafenib (Zelboraf)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vemurafenib + Rifampin (All Periods)
n=27 Participants
There were 3 intervention periods in the study: Period A (Days 1 to 7), Period B (Days 8 to 16), and Period C (Days 17 to 24). Participants, after an overnight fast of at least 10 hours, received vemurafenib at a dose of 960 mg as film-coated tablets orally alone on Day 1 (Period A); with rifampin (at a dose of 600 mg as capsules orally) on Day 17 (Period C); and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 8 through 16 (Period B) and from Days 18 through 23 (Period C).
Age, Continuous
57.9 years
STANDARD_DEVIATION 13.0 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Predose (0 hour), 1, 2, 4, 6, 8, 12, 24, 30-32, 48, 72, 96, 120, 168 hours post vemurafenib-dose on Day 1 (Period A) and Day 17 (Period C)

Population: The pharmacokinetics (PK) parameter population included all participants who received both scheduled doses of vemurafenib and who provided adequate PK assessments to calculate important PK parameters.

AUClast is the area under the vemurafenib plasma concentration versus time curve from time zero to the time of last measured concentration of vemurafenib (Tlast). Area under the curve (AUC) is a measure of the plasma concentration of a drug over time. AUClast is presented in micrograms times (\*) hour per milliliter (mcg\*h/mL).

Outcome measures

Outcome measures
Measure
Vemurafenib (Intervention Period A)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib alone at a dose of 960 mg as film-coated tablets orally on Day 1.
Vemurafenib + Rifampin (Intervention Period C)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib at a dose of 960 mg as film-coated tablets orally along with rifampin at a dose of 600 mg as capsules orally on Day 17 and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 18 through 23.
Area Under the Plasma Concentration Time-curve From Zero to the Last Measurable Concentration Time Point (AUClast) of Vemurafenib
125 mcg*h/mL
Geometric Coefficient of Variation 101.4
76.7 mcg*h/mL
Geometric Coefficient of Variation 75.3

PRIMARY outcome

Timeframe: Predose (0 hour), 1, 2, 4, 6, 8, 12, 24, 30-32, 48, 72, 96, 120, 168 hours post vemurafenib-dose on Day 1 (Period A) and Day 17 (Period C)

Population: PK parameter population

AUC(0-inf) is the AUC from time zero (pre-dose) to extrapolated infinite time (0-inf). AUC is a measure of the plasma concentration of a drug over time. AUC(0-inf) is presented in mcg\*h/mL.

Outcome measures

Outcome measures
Measure
Vemurafenib (Intervention Period A)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib alone at a dose of 960 mg as film-coated tablets orally on Day 1.
Vemurafenib + Rifampin (Intervention Period C)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib at a dose of 960 mg as film-coated tablets orally along with rifampin at a dose of 600 mg as capsules orally on Day 17 and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 18 through 23.
Area Under the Plasma Concentration Time-curve From Zero to Extrapolated Infinite Time (AUC[0-inf]) of Vemurafenib
131 mcg*h/mL
Geometric Coefficient of Variation 104.2
78.1 mcg*h/mL
Geometric Coefficient of Variation 74.3

PRIMARY outcome

Timeframe: Predose (0 hour), 1, 2, 4, 6, 8, 12, 24, 30-32, 48, 72, 96, 120, 168 hours post vemurafenib-dose on Day 1 (Period A) and Day 17 (Period C)

Population: PK parameter population

Cmax is the maximum observed plasma vemurafenib concentration, presented in microgram per milliliter (mcg/mL).

Outcome measures

Outcome measures
Measure
Vemurafenib (Intervention Period A)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib alone at a dose of 960 mg as film-coated tablets orally on Day 1.
Vemurafenib + Rifampin (Intervention Period C)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib at a dose of 960 mg as film-coated tablets orally along with rifampin at a dose of 600 mg as capsules orally on Day 17 and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 18 through 23.
Maximum Observed Plasma Concentration (Cmax) of Vemurafenib
4.45 mcg/mL
Geometric Coefficient of Variation 63.3
4.95 mcg/mL
Geometric Coefficient of Variation 59.1

OTHER_PRE_SPECIFIED outcome

Timeframe: Predose (0 hour), 1, 2, 4, 6, 8, 12, 24, 30-32, 48, 72, 96, 120, 168 hours post vemurafenib-dose on Day 1 (Period A) and Day 17 (Period C)

Population: PK parameter population

Tmax is the time from vemurafenib administration to reach Cmax for vemurafenib.

Outcome measures

Outcome measures
Measure
Vemurafenib (Intervention Period A)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib alone at a dose of 960 mg as film-coated tablets orally on Day 1.
Vemurafenib + Rifampin (Intervention Period C)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib at a dose of 960 mg as film-coated tablets orally along with rifampin at a dose of 600 mg as capsules orally on Day 17 and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 18 through 23.
Time to Reach Cmax (Tmax) of Vemurafenib
4.00 hours
Interval 1.98 to 7.92
4.00 hours
Interval 1.98 to 6.02

OTHER_PRE_SPECIFIED outcome

Timeframe: Predose (0 hour), 1, 2, 4, 6, 8, 12, 24, 30-32, 48, 72, 96, 120, 168 hours post vemurafenib-dose on Day 1 (Period A) and Day 17 (Period C)

Population: PK parameter population

Plasma elimination half-life is the time measured during drug elimination phase for the plasma drug concentration to decrease by one half.

Outcome measures

Outcome measures
Measure
Vemurafenib (Intervention Period A)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib alone at a dose of 960 mg as film-coated tablets orally on Day 1.
Vemurafenib + Rifampin (Intervention Period C)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib at a dose of 960 mg as film-coated tablets orally along with rifampin at a dose of 600 mg as capsules orally on Day 17 and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 18 through 23.
Plasma Elimination Half Life (t1/2) of Vemurafenib
29.7 hours
Standard Deviation 17.6
11.6 hours
Standard Deviation 5.24

OTHER_PRE_SPECIFIED outcome

Timeframe: Predose (0 hour), 1, 2, 4, 6, 8, 12, 24, 30-32, 48, 72, 96, 120, 168 hours post vemurafenib-dose on Day 1 (Period A) and Day 17 (Period C)

Population: PK parameter population

Clearance of a drug is a measure of the rate at which a drug is removed (metabolized or eliminated by normal biological processes) from the blood. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed.

Outcome measures

Outcome measures
Measure
Vemurafenib (Intervention Period A)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib alone at a dose of 960 mg as film-coated tablets orally on Day 1.
Vemurafenib + Rifampin (Intervention Period C)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib at a dose of 960 mg as film-coated tablets orally along with rifampin at a dose of 600 mg as capsules orally on Day 17 and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 18 through 23.
Plasma Apparent Clearance (CL/F) of Vemurafenib
7.35 liters/hour
Geometric Coefficient of Variation 104.2
12.3 liters/hour
Geometric Coefficient of Variation 74.3

OTHER_PRE_SPECIFIED outcome

Timeframe: Predose (0 hour), 1, 2, 4, 6, 8, 12, 24, 30-32, 48, 72, 96, 120, 168 hours post vemurafenib-dose on Day 1 (Period A) and Day 17 (Period C)

Population: PK parameter population

AUC(0-168) is the AUC from time zero (pre-dose) to 168 hours (time point for last blood sample collection). AUC is a measure of the plasma concentration of a drug over time. AUC(0-168) is presented in mcg\*h/mL.

Outcome measures

Outcome measures
Measure
Vemurafenib (Intervention Period A)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib alone at a dose of 960 mg as film-coated tablets orally on Day 1.
Vemurafenib + Rifampin (Intervention Period C)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib at a dose of 960 mg as film-coated tablets orally along with rifampin at a dose of 600 mg as capsules orally on Day 17 and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 18 through 23.
Area Under the Plasma Concentration Time-curve From Zero to 168 Hours [AUC(0-168)] of Vemurafenib
126 mcg*h/mL
Geometric Coefficient of Variation 99.6
78.0 mcg*h/mL
Geometric Coefficient of Variation 74.2

OTHER_PRE_SPECIFIED outcome

Timeframe: Predose (0 hour), 1, 2, 4, 6, 8, 12, 24, 30-32, 48, 72, 96, 120, 168 hours post vemurafenib-dose on Day 1 (Period A) and Day 17 (Period C)

Population: PK parameter population

The AUCpeo, that is, percent area obtained after extrapolation from Tlast to infinity is calculated by using the formula AUCpeo = 100\*(AUC\[0-inf\] minus AUC\[0-last\])/AUC(0-inf). This parameter provides information about what percentage of the theoretical curve AUC(0-inf) is possible to determine experimentally (AUC0-last).

Outcome measures

Outcome measures
Measure
Vemurafenib (Intervention Period A)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib alone at a dose of 960 mg as film-coated tablets orally on Day 1.
Vemurafenib + Rifampin (Intervention Period C)
n=23 Participants
Participants, after an overnight fast of at least 10 hours, received vemurafenib at a dose of 960 mg as film-coated tablets orally along with rifampin at a dose of 600 mg as capsules orally on Day 17 and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 18 through 23.
Percent Extrapolated AUC(0-inf) (AUCpeo) of Vemurafenib
2.75 percent AUC
Geometric Coefficient of Variation 150.4
1.26 percent AUC
Geometric Coefficient of Variation 95.9

Adverse Events

Vemurafenib (Intervention Period A)

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Rifampin (Intervention Period B)

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Vemurafenib + Rifampin (Intervention Period C)

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

Vemurafenib + Rifampin (All Periods)

Serious events: 2 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Vemurafenib (Intervention Period A)
n=27 participants at risk
Participants, after an overnight fast of at least 10 hours, received vemurafenib alone at a dose of 960 mg as film-coated tablets orally on Day 1.
Rifampin (Intervention Period B)
n=26 participants at risk
Participants received rifampin alone at a dose of 600 mg as capsules orally once daily from Days 8 through 16.
Vemurafenib + Rifampin (Intervention Period C)
n=25 participants at risk
Participants, after an overnight fast of at least 10 hours, received vemurafenib at a dose of 960 mg as film-coated tablets orally with rifampin at a dose of 600 mg as capsules orally on Day 17 and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 18 through 23.
Vemurafenib + Rifampin (All Periods)
n=27 participants at risk
There were 3 intervention periods in the study: Period A (Days 1 to 7), Period B (Days 8 to 16), and Period C (Days 17 to 24). Participants, after an overnight fast of at least 10 hours, received vemurafenib at a dose of 960 mg as film-coated tablets orally alone on Day 1 (Period A); with rifampin (at a dose of 600 mg as capsules orally) on Day 17 (Period C); and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 8 through 16 (Period B) and from Days 18 through 23 (Period C).
Cardiac disorders
Cardiac arrest
0.00%
0/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
0.00%
0/26 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
4.0%
1/25 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
3.7%
1/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
Psychiatric disorders
Confusional state
0.00%
0/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
0.00%
0/26 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
4.0%
1/25 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
3.7%
1/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.

Other adverse events

Other adverse events
Measure
Vemurafenib (Intervention Period A)
n=27 participants at risk
Participants, after an overnight fast of at least 10 hours, received vemurafenib alone at a dose of 960 mg as film-coated tablets orally on Day 1.
Rifampin (Intervention Period B)
n=26 participants at risk
Participants received rifampin alone at a dose of 600 mg as capsules orally once daily from Days 8 through 16.
Vemurafenib + Rifampin (Intervention Period C)
n=25 participants at risk
Participants, after an overnight fast of at least 10 hours, received vemurafenib at a dose of 960 mg as film-coated tablets orally with rifampin at a dose of 600 mg as capsules orally on Day 17 and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 18 through 23.
Vemurafenib + Rifampin (All Periods)
n=27 participants at risk
There were 3 intervention periods in the study: Period A (Days 1 to 7), Period B (Days 8 to 16), and Period C (Days 17 to 24). Participants, after an overnight fast of at least 10 hours, received vemurafenib at a dose of 960 mg as film-coated tablets orally alone on Day 1 (Period A); with rifampin (at a dose of 600 mg as capsules orally) on Day 17 (Period C); and rifampin alone at a dose of 600 mg as capsules orally once daily was administered from Days 8 through 16 (Period B) and from Days 18 through 23 (Period C).
Gastrointestinal disorders
Constipation
0.00%
0/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
7.7%
2/26 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
0.00%
0/25 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
7.4%
2/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
Gastrointestinal disorders
Diarrhoea
3.7%
1/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
0.00%
0/26 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
4.0%
1/25 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
7.4%
2/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
Gastrointestinal disorders
Nausea
0.00%
0/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
0.00%
0/26 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
8.0%
2/25 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
7.4%
2/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
3.8%
1/26 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
4.0%
1/25 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
7.4%
2/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
Musculoskeletal and connective tissue disorders
Arthralgia
3.7%
1/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
7.7%
2/26 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
0.00%
0/25 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
11.1%
3/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
Musculoskeletal and connective tissue disorders
Pain in extremity
3.7%
1/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
0.00%
0/26 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
4.0%
1/25 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
7.4%
2/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
Nervous system disorders
Headache
7.4%
2/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
7.7%
2/26 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
12.0%
3/25 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
14.8%
4/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
Renal and urinary disorders
Chromaturia
0.00%
0/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
19.2%
5/26 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
0.00%
0/25 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.
18.5%
5/27 • Day 1 up to 28 days after last dose of study drug (up to 51 days overall)
The safety analysis population included all participants who received at least 1 dose of vemurafenib.

Additional Information

Medical Communications

Hoffmann-La Roche

Phone: 800-821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER