Phase IV Multi-arm Study of CDK4/6 Pharmacokinetics in Healthy Volunteers With Known CYP3A4*22 Genotype

NCT ID: NCT05691400

Last Updated: 2024-02-02

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

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-31

Study Completion Date

2027-03-31

Brief Summary

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The objective of this study is to estimate the effect of CYP3A4\*22 on the clearance and area under the plasma concentration-time curve of Palbociclib, Ribociclib, and Abemaciclib

Detailed Description

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Conditions

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CYP3A4*22

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

arms are designated based off of genotype; however, treatment is the same for each arm
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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CYP3A4*1/*1

This arm will include subjects with CYP3A4\*1/\*1 genotype. They will receive a single oral dose of each CDK4/6 inhibitor on separate days, with at least 6 days and no more than 30 days between each medication. All participants will receive the medications in the same order: Palbociclib, Ribociclib, Abemaciclib

Ribociclib- 200 mg tablet Abemaciclib- 150 mg tablet Palbociclib-125 mg tablet

PK sampling will be done at the time of drug administration and at different time points until 48 hours post administration.

Group Type EXPERIMENTAL

Palbociclib 125Mg Tab

Intervention Type DRUG

125 mg single dose

Ribociclib 200Mg Oral Tablet

Intervention Type DRUG

200 mg single dose

Abemaciclib 150 MG Oral Tablet

Intervention Type DRUG

150 mg single dose

CYP3A4*1/*22

This arm will include subjects with CYP3A4\*1/\*22 genotype. They will receive a single oral dose of each CDK4/6 inhibitor on separate days, with at least 6 days and no more than 30 days between each medication. All participants will receive the medications in the same order: Palbociclib, Ribociclib, Abemaciclib

Ribociclib- 200 mg tablet Abemaciclib- 150 mg tablet Palbociclib-125 mg tablet

PK sampling will be done at the time of drug administration and at different time points until 48 hours post administration.

Group Type EXPERIMENTAL

Palbociclib 125Mg Tab

Intervention Type DRUG

125 mg single dose

Ribociclib 200Mg Oral Tablet

Intervention Type DRUG

200 mg single dose

Abemaciclib 150 MG Oral Tablet

Intervention Type DRUG

150 mg single dose

CYP3A4*22/*22

This arm will include subjects with CYP3A4\*22/\*22 genotype. They will receive a single oral dose of each CDK4/6 inhibitor on separate days, with at least 6 days and no more than 30 days between each medication. All participants will receive the medications in the same order: Palbociclib, Ribociclib, Abemaciclib

Ribociclib- 200 mg tablet Abemaciclib- 150 mg tablet Palbociclib-125 mg tablet

PK sampling will be done at the time of drug administration and at different time points until 48 hours post administration.

Group Type EXPERIMENTAL

Palbociclib 125Mg Tab

Intervention Type DRUG

125 mg single dose

Ribociclib 200Mg Oral Tablet

Intervention Type DRUG

200 mg single dose

Abemaciclib 150 MG Oral Tablet

Intervention Type DRUG

150 mg single dose

Interventions

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Palbociclib 125Mg Tab

125 mg single dose

Intervention Type DRUG

Ribociclib 200Mg Oral Tablet

200 mg single dose

Intervention Type DRUG

Abemaciclib 150 MG Oral Tablet

150 mg single dose

Intervention Type DRUG

Other Intervention Names

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ibrance kisqali verzenio

Eligibility Criteria

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Inclusion Criteria

1. MGI participant with genotype of interest (e.g., CYP3A4\*1/\*1, CYP3A4\*1/\*22, or CYP3A4\*22/\*22) and consented to recontact for future research
2. Age≥18
3. Ability to understand and the willingness to sign a written informed consent.

Exclusion Criteria

1. Concurrent use of a moderate or strong inhibitor or inducer of CYP3A4, based on the current version of the Drug Interactions Flockhart Table™, available at this link or by google search: https://drug-interactions.medicine.iu.edu/MainTable.aspx
2. Carriers another variant known to affect CYP3A4 activity, particularly CYP3A4\*20.
3. Active malignancy or other disease state that would affect the pharmacokinetics of CDK4/6 inhibitors or place the participant at particular risk of toxicity from a single dose of a CDK4/6 inhibitor, in the opinion of the study team
4. History of allergic reaction to CDK4/6 inhibitor
5. Pregnancy or nursing female
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Michigan Rogel Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Daniel L Hertz

Role: PRINCIPAL_INVESTIGATOR

University of Michigan Rogel Cancer Center

Other Identifiers

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HUM00220623

Identifier Type: OTHER

Identifier Source: secondary_id

UMCC 2022.106

Identifier Type: -

Identifier Source: org_study_id

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