Interaction Study of Zanubrutinib With Moderate and Strong CYP3A Inhibitors in Participants With B-Cell Malignancies

NCT ID: NCT04551963

Last Updated: 2024-10-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-15

Study Completion Date

2022-02-21

Brief Summary

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The primary objective of this study was to assess the steady-state zanubrutinib pharmacokinetics (PK) when co-administered with moderate and strong cytochrome P450 family 3 subfamily A (CYP3A) inhibitors.

Detailed Description

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Conditions

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B-cell Malignancies

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A: Zanubrutinib with or without Moderate CYP3A

Cycle 1 (30 days): Participants were administered zanubrutinib at a dose of 320 mg once a day from Day 1 to Day 3; From Day 4 to Day 10, fluconazole was administered once a day at a dose of 400 mg with zanubrutinib at a reduced dose of 80 mg twice a day; On Day 11 and Day 12, zanubrutinib monotherapy was administered at 80 mg twice a day, followed by 320 mg once a day from Day 13 to Day 21; From Day 22 to Day 28, diltiazem was administered once a day at a dose of 180 mg with 80 mg zanubrutinib twice a day; On Day 29 and Day 30, zanubrutinib monotherapy was administered 80 mg twice a day.

Cycles 2 to 6 (28 days each cycle): Zanubrutinib 160 mg twice a day or 320 mg once a day.

Group Type EXPERIMENTAL

Zanubrutinib

Intervention Type DRUG

Capsules administered at a dose and frequency as specified in the treatment arm

Fluconazole

Intervention Type DRUG

Capsules administered at a dose and frequency as specified in the treatment arm

Diltiazem

Intervention Type DRUG

Capsules administered at a dose and frequency as specified in the treatment arm

Arm B: Zanubrutinib with or without Strong CYP3A

Cycle 1 (30 days): Participants were administered zanubrutinib at a dose of 320 mg once a day from Day 1 to Day 3; From Day 4 to Day 10, voriconazole was administered twice a day at a dose of 200 mg (total daily dose of 400 mg) with zanubrutinib at a reduced dose of 80 mg once a day; On Day 11 and Day 12, zanubrutinib monotherapy was administered at 80 mg once a day, followed by 320 mg once a day from Day 13 to Day 21; From Day 22 to Day 28, clarithromycin was administered twice a day at a dose of 250 mg (total daily dose of 500 mg) with 80 mg zanubrutinib once a day; On Day 29 and Day 30, zanubrutinib monotherapy was administered 80 mg once a day.

Cycles 2 to 6 (28 days each cycle): Zanubrutinib 160 mg twice a day or 320 mg once a day.

Group Type EXPERIMENTAL

Zanubrutinib

Intervention Type DRUG

Capsules administered at a dose and frequency as specified in the treatment arm

Voriconazole

Intervention Type DRUG

Capsules administered at a dose and frequency as specified in the treatment arm

Clarithromycin

Intervention Type DRUG

Capsules administered at a dose and frequency as specified in the treatment arm

Interventions

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Zanubrutinib

Capsules administered at a dose and frequency as specified in the treatment arm

Intervention Type DRUG

Fluconazole

Capsules administered at a dose and frequency as specified in the treatment arm

Intervention Type DRUG

Diltiazem

Capsules administered at a dose and frequency as specified in the treatment arm

Intervention Type DRUG

Voriconazole

Capsules administered at a dose and frequency as specified in the treatment arm

Intervention Type DRUG

Clarithromycin

Capsules administered at a dose and frequency as specified in the treatment arm

Intervention Type DRUG

Other Intervention Names

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BGB-3111 BRUKINSA

Eligibility Criteria

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Inclusion Criteria

1. Histologically or cytologically confirmed CLL/SLL, MCL, WM, or MZL.
2. Relapsed or refractory disease after at least 1 prior line of systemic therapy. Participants with MZL are required to have failed an anti-CD20 monoclonal antibody-containing chemotherapy regimen.
3. Baseline Eastern Cooperative Oncology Group performance status of 0 to 1.
4. Meet protocol guidelines for adequate bone marrow, kidney, liver, and cardiac function.

Exclusion Criteria

1. Requirement of chronic treatment with strong and moderate CYP3A inhibitors or inducers or with drugs that are not allowed to be used in combination with diltiazem, clarithromycin, fluconazole, or voriconazole.
2. History of stroke or intracranial hemorrhage (within 6 months of treatment start).
3. Known hypersensitivity or contraindication to zanubrutinib, diltiazem, clarithromycin, fluconazole, or voriconazole.
4. Prior exposure to zanubrutinib or other Bruton tyrosine kinase inhibitor
5. Unable to swallow capsules or disease significantly affecting gastrointestinal function such as malabsorption syndrome, resection of the stomach or small bowel, bariatric surgery procedures, symptomatic inflammatory bowel disease, or partial or complete bowel obstruction.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BeiGene

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

BeiGene

Locations

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Concord Repatriation General Hospital

Concord, New South Wales, Australia

Site Status

John Flynn Private Hospital

Tugun, Queensland, Australia

Site Status

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Site Status

Flinders Medical Centre

Bedford PK, South Australia, Australia

Site Status

Monash Health

Clayton, Victoria, Australia

Site Status

Peninsula Private Hospital

Frankston, Victoria, Australia

Site Status

Linear Clinical Research

Nedlands, Western Australia, Australia

Site Status

Countries

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Australia

References

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Tariq B, Ou YC, Stern JC, Mundra V, Wong Doo N, Walker P, Lewis KL, Lin C, Novotny W, Sahasranaman S, Opat S. A phase 1, open-label, randomized drug-drug interaction study of zanubrutinib with moderate or strong CYP3A inhibitors in patients with B-cell malignancies. Leuk Lymphoma. 2023 Feb;64(2):329-338. doi: 10.1080/10428194.2022.2150820. Epub 2022 Dec 8.

Reference Type RESULT
PMID: 36480811 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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BGB-3111-113

Identifier Type: -

Identifier Source: org_study_id

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