Effect of Tepotinib on the PK of the P-gp Substrate Dabigatran Etexilate

NCT ID: NCT03492437

Last Updated: 2023-08-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-17

Study Completion Date

2018-08-27

Brief Summary

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This study investigated the effect of Tepotinib on the pharmacokinetics (PK) of the p-glycoprotein (P-gp) probe substrate Dabigatran etexilate.

Detailed Description

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Conditions

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Healthy

Study Design

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Allocation Method

NA

Intervention Model

CROSSOVER

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Dabigatran Etexilate

Group Type EXPERIMENTAL

Dabigatran Etexilate

Intervention Type DRUG

Participants received single oral dose of Dabigatran etexilate on Day 1 of Treatment period 1 and co-administration of Dabigatran with Tepotinib on Day 8 of Treatment period 2.

Tepotinib + Dabigatran

Group Type EXPERIMENTAL

Dabigatran Etexilate

Intervention Type DRUG

Participants received single oral dose of Dabigatran etexilate on Day 1 of Treatment period 1 and co-administration of Dabigatran with Tepotinib on Day 8 of Treatment period 2.

Tepotinib

Intervention Type DRUG

Participants received single oral dose of Tepotinib for 8 days in Treatment period 2.

Interventions

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Dabigatran Etexilate

Participants received single oral dose of Dabigatran etexilate on Day 1 of Treatment period 1 and co-administration of Dabigatran with Tepotinib on Day 8 of Treatment period 2.

Intervention Type DRUG

Tepotinib

Participants received single oral dose of Tepotinib for 8 days in Treatment period 2.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Healthy participants of non-child bearing potential
* Body weight between 50 to 100 kilogram (kg)
* Body mass index (BMI) between 18.5 and 29.9 kilogram per meter square (kg/m\^2)
* A male participant must agree to use and to have his female partner of childbearing potential to use highly effective method of contraception
* Participant must have given written informed consent before any study-related activities
* All values for hematology, coagulation, and biochemistry tests of blood and urinalysis are within the normal range. Minor (solitary) non-clinically relevant deviation(s) are allowed as judged by the Investigator

Exclusion Criteria

* Participation in a clinical study within 60 days prior to first drug administration
* Whole blood donation or loss of \> 450 milliliter (mL) within 60 days prior to first drug administration
* Any surgical or medical condition, or any other significant disease that could interfere with the study objectives, conduct, or evaluation
* Supine systolic blood pressure (SBP) greater than (\>) 140 millimeter of mercury (mmHg) or less than (\<) 90 mmHg, diastolic blood pressure (DBP) \> 90 or \< 50 mmHg, and pulse rate \> 90 or \<50 beats per minute (bpm) at Screening and at admission on Day-1.
* 12-Lead electrocardiograms (ECG) showing a corrected QT interval per Fridericia's formula (QTcF) \> 450 milliseconds (ms), PR \> 215 ms, or QRS \> 120 ms (at Screening)
* Creatinine clearance estimated glomerular filtration rate (eGFR) \< 90 milliliter per minute (mL/min) (at Screening)
* Participants with gall bladder removal or other relevant surgery of gastrointestinal tract
* History of any malignancy
* History of epilepsy
* Ascertained or presumptive allergy/hypersensitivity to the active drug substance and/or excipients
* Participants who in the Investigator's judgment were perceived as having an increased risk of bleeding
* Positive screen for alcohol or drugs of abuse (at Screening and Day -1)
* Positive screen for hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (anti-HCV), and human immunodeficiency virus 1 and 2 antibodies (HIV1/HIV2 antibodies) (at Screening)
* Excessive consumption of xanthine-containing food or beverages before study drug administration until collection of last pharmacokinetic (PK) sample in each period (at Screening and Day -1)
* Receipt of any prescription or nonprescription medication within 14 days or 5 half-lives, before study drug administration
* Smoker or former smoker who stopped smoking less than 6 months before the time of the Screening Visit
* Intake of grapefruit, Seville orange, cranberry or juices of these 3 fruits, or St. John's Wort, from 14 days prior to Day -1
* Inability to communicate or cooperate with the Investigator
* Other factors, which in the opinion of the Investigator may interfere with study conduct (at Screening and Day -1 of first Period only)
* Legal incapacity or limited legal capacity
* Participants kept in detention
Minimum Eligible Age

18 Years

Maximum Eligible Age

44 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Merck KGaA, Darmstadt, Germany

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Responsible

Role: STUDY_DIRECTOR

Merck KGaA, Darmstadt, Germany

Locations

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Nuvisan GmbH

Neu-Ulm, , Germany

Site Status

Countries

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Germany

References

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Yalkinoglu O, Becker A, Krebs-Brown A, Vetter C, Lupfert C, Perrin D, Heuer J, Biedert H, Hirt S, Bytyqi A, Bachmann A, Strotmann R. Assessment of the potential of the MET inhibitor tepotinib to affect the pharmacokinetics of CYP3A4 and P-gp substrates. Invest New Drugs. 2023 Aug;41(4):596-605. doi: 10.1007/s10637-023-01378-z. Epub 2023 Jul 6.

Reference Type DERIVED
PMID: 37415001 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://www.merckgroup.com/en/company/contact-us/medinfo-contact-map.html

Medical Information Location Map - Med Info Contacts

https://clinical-information.canada.ca/ci-rc/item/242300

Redacted Clinical study report, redacted clinical study protocol and redacted statistical analysis plan for this study is also available at the HC-PRCI portal (Health Canada-Public release of clinical information)

Other Identifiers

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2017-004074-34

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MS200095_0032

Identifier Type: -

Identifier Source: org_study_id

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