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)

NCT ID: NCT02828930

Last Updated: 2017-12-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

8 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-08

Study Completion Date

2017-06-19

Brief Summary

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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.

Detailed Description

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Conditions

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Solid Tumors

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Idasanutlin

On 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.

Group Type EXPERIMENTAL

Idasanutlin

Intervention Type DRUG

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.

Placebo

Intervention Type DRUG

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

[13C]-radiolabeled Idasanutlin

Intervention Type DRUG

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

[14C]-radiolabeled Idasanutlin

Intervention Type DRUG

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

Interventions

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Idasanutlin

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.

Intervention Type DRUG

Placebo

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

Intervention Type DRUG

[13C]-radiolabeled Idasanutlin

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

Intervention Type DRUG

[14C]-radiolabeled Idasanutlin

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

Intervention Type DRUG

Other Intervention Names

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RO5503781

Eligibility Criteria

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Inclusion Criteria

* 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

Exclusion Criteria

* 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
* 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Magyar Honvedseg Egeszsegugyi Kozpont

Budapest, , Hungary

Site Status

Countries

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Hungary

Other Identifiers

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RG7388

Identifier Type: OTHER

Identifier Source: secondary_id

2015-002532-40

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

NP29910

Identifier Type: -

Identifier Source: org_study_id