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A Study to Assess Mass Balance, Pharmacokinetics (PK), and Metabolism of Orally Administered [14 C]-TAK-659 in Participants With Advanced Solid Tumor and/or Lymphoma Malignancies

Primary Purpose

Advanced Solid Neoplasms, Lymphoma Neoplasms

Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
[14C]-TAK-659
TAK-659
Sponsored by
Calithera Biosciences, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Advanced Solid Neoplasms focused on measuring Drug therapy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  1. Must have histologically or cytologically confirmed metastatic and/or advanced solid tumors and/or lymphomas for which standard curative or life-prolonging treatment does not exist or is no longer effective or tolerable.
  2. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
  3. Life expectancy of at least 3 months.
  4. Suitable venous access for the study-required blood sampling (that is, PK).
  5. Recovered (that is, grade less than or equal to [<=] 1 toxicity) from the reversible effects of prior anticancer therapy (with the exception of alopecia and Grade 1 neuropathy).
  6. Must have adequate organ function, including the following:

    • Adequate bone marrow reserve: absolute neutrophil count (ANC) greater than or equal to (>=) 1000 per microliter (/mcL); platelet count >=75,000/mcL (>=50,000/mcL for participants with bone marrow involvement); and hemoglobin >=8 gram per deciliter (g/dL) (red blood cell [RBC] and platelet transfusion allowed >=14 days before assessment).
    • Hepatic: total bilirubin <=1.5 times the upper limit of the normal range (ULN); alanine aminotransferase (ALT) and aspartate aminotransferase (AST) <=2.5*ULN.
    • Renal: creatinine clearance >=60 milliliter per minute (mL/min) either as estimated by the Cockcroft-Gault equation or based on urine collection

Key Exclusion Criteria:

  1. Central nervous system (CNS) lymphoma; active brain or leptomeningeal metastases, as indicated by positive cytology from lumbar puncture or computed tomography (CT) scan/magnetic resonance imaging (MRI).
  2. Known human immunodeficiency virus (HIV) positivity or HIV-related malignancy.
  3. Systemic anticancer treatment (including investigational agents) or radiotherapy within 3 weeks before the first dose of study treatment <=5 times the half-life for large molecule agents or <=4 weeks with evidence of progressive disease if 5 times the half-life is greater than (>) 4 weeks.
  4. Use or consumption of any of the following substances:

    • Medications or supplements that are known to be inhibitors of P-glycoprotein (P-gp) and/or strong reversible inhibitors of cytochrome P450 (CYP) 3A within 5 times the inhibitor half-life (if a reasonable half-life estimate is known), or within 7 days (if a reasonable half-life estimate is unknown), before the first dose of study drugs
    • Medications or supplements that are known to be strong CYP3A mechanism-based inhibitors or strong CYP3A inducers and/or P-gp inducers within 7 days or within 5 times the inhibitor or inducer half-life (whichever is longer) before the first dose of study drugs. In general, the use of these agents is not permitted during the study except when an AE must be managed during interruption of study drug dosing.
    • Food or beverages containing grapefruit within 5 days before the first dose of study drugs. Note that food and beverages containing grapefruit are not permitted during the study.
  5. Ongoing nausea or vomiting that is Grade 2 or worse in intensity.
  6. Systemic infection requiring intravenous (IV) antibiotic therapy or other serious infection within 14 days before the first dose of study drug.
  7. Active secondary malignancy that requires treatment. Participants with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection and are considered disease-free at the time of study entry.
  8. Irregular defecation patterns and/or history of urinary and/or fecal incontinence.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    [14C]-TAK-659 100 mg

    Arm Description

    [14C]-TAK-659 100 mg, solution, orally, once, in the fasted state on Day 1. Participant will have the option to continue treatment with TAK-659 100 mg, tablets, orally, once daily in a 28-day treatment cycle for up to 12 months or until disease progression or unacceptable toxicity, or the start of another anticancer therapy in post-ADME study period.

    Outcomes

    Primary Outcome Measures

    Cmax: Maximum Observed Plasma Concentration for TAK-659
    Cmax: Maximum Observed Plasma and Whole Blood Radioactivity for [14C]-TAK-659
    Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-659
    Tmax: Time to Reach the Maximum Plasma and Whole Blood Radioactivity for [14C]-TAK-659
    AUClast: Area Under the Plasma Concentration-time Curve from Time 0 to the Time of the Last Quantifiable Concentration for TAK-659
    AUClast: Area Under the Plasma and Whole Blood Radioactivity-time Curve from Time 0 to the Time of the Last Quantifiable Radioactivity for [14C]-TAK-659
    Ae urine,14C: Cumulative Amount of Radioactivity Excreted in Urine for [14C]-TAK-659
    Ae feces, 14C: Cumulative Amount of Radioactivity Excreted in Feces for [14C]-TAK-659
    Ae total: Total Cumulative Amount of Radioactivity Excreted in Urine and Feces for [14C]-TAK-659
    Ae urine: Cumulative Amount of TAK-659 Excreted in Urine
    Percentage of Dose Excreted in Urine for TAK-659
    Renal Clearance (CLR) of TAK-659

    Secondary Outcome Measures

    Percentage of TAK-659 Metabolites in Plasma
    Percentage of Participants Reporting one or More Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
    Percentage of Participants with Grade 3 or Higher Adverse Events (AEs)
    Percentage of Participants with Drug Related AEs
    Percentage of Participants with Drug Related Grade 3 or Higher AEs
    Percentage of Participants with AEs Leading to Discontinuation of TAK-659
    Percentage of Participants who Meet the Markedly Abnormal Criteria for Safety Laboratory Tests at Least Once Post Dose
    Percentage of Participants who Meet the Markedly Abnormal Criteria for Vital Sign Measurements at Least Once Post Dose
    Percentage of TAK-659 Metabolites in Urine and Feces

    Full Information

    First Posted
    November 8, 2017
    Last Updated
    February 6, 2023
    Sponsor
    Calithera Biosciences, Inc
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03338881
    Brief Title
    A Study to Assess Mass Balance, Pharmacokinetics (PK), and Metabolism of Orally Administered [14 C]-TAK-659 in Participants With Advanced Solid Tumor and/or Lymphoma Malignancies
    Official Title
    A Phase 1 Study to Assess Mass Balance, Pharmacokinetics, and Metabolism of Orally Administered [14 C]-TAK-659 in Patients With Advanced Solid Tumor and/or Lymphoma Malignancies
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2023
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Business decision: no safety or efficacy concerns
    Study Start Date
    May 10, 2018 (Anticipated)
    Primary Completion Date
    May 1, 2019 (Anticipated)
    Study Completion Date
    May 1, 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Calithera Biosciences, Inc

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to assess the mass balance and to characterize the pharmacokinetics (PK) in plasma and urine, and of total radioactivity in plasma and whole blood following a single oral dose of [14C]-TAK-659 solution containing 60 to 80 micro curie (Ci) of total radioactivity in participants with advanced solid tumors and/or lymphomas.
    Detailed Description
    The drug being tested in this study is called TAK-659. TAK-659 is being tested to treat people who have advanced solid tumor and/or lymphoma malignancies. This study will look at the quantitative characterization of the mass balance, metabolic pathways, and rates and routes of excretion of TAK-659. The study will enroll approximately 6 participants. The study will consist of 2 periods: absorption, distribution, metabolism, and excretion (ADME) study period and optional post-ADME study period. In ADME study period, participants will be assigned with [14C]-TAK-659 100 milligram (mg). After completion of ADME study period, participants may choose to continue in the optional post-ADME study period to receive TAK-659 100 mg. This single center trial will be conducted in Netherlands. The overall time to participate in ADME study period will be 14 days and if participants choose the option to continue in the post-ADME study period, the maximum duration of participation will be 12 months, unless in the opinion of the investigator and sponsor the participant would derive benefit from continued treatment beyond 12 months. Participants will be followed up to 28 days after last dose of study drug or until the start of subsequent antineoplastic therapy, whichever occurs first.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Advanced Solid Neoplasms, Lymphoma Neoplasms
    Keywords
    Drug therapy

    7. Study Design

    Primary Purpose
    Other
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    [14C]-TAK-659 100 mg
    Arm Type
    Experimental
    Arm Description
    [14C]-TAK-659 100 mg, solution, orally, once, in the fasted state on Day 1. Participant will have the option to continue treatment with TAK-659 100 mg, tablets, orally, once daily in a 28-day treatment cycle for up to 12 months or until disease progression or unacceptable toxicity, or the start of another anticancer therapy in post-ADME study period.
    Intervention Type
    Drug
    Intervention Name(s)
    [14C]-TAK-659
    Intervention Description
    [14C]-TAK-659 solution.
    Intervention Type
    Drug
    Intervention Name(s)
    TAK-659
    Intervention Description
    TAK-659 tablets.
    Primary Outcome Measure Information:
    Title
    Cmax: Maximum Observed Plasma Concentration for TAK-659
    Time Frame
    Day 1 pre-dose and at multiple time points (up to 240 hours) post-dose
    Title
    Cmax: Maximum Observed Plasma and Whole Blood Radioactivity for [14C]-TAK-659
    Time Frame
    Day 1 pre-dose and at multiple time points (up to 240 hours) post-dose
    Title
    Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-659
    Time Frame
    Day 1 pre-dose and at multiple time points (up to 240 hours) post-dose
    Title
    Tmax: Time to Reach the Maximum Plasma and Whole Blood Radioactivity for [14C]-TAK-659
    Time Frame
    Day 1 pre-dose and at multiple time points (up to 240 hours) post-dose
    Title
    AUClast: Area Under the Plasma Concentration-time Curve from Time 0 to the Time of the Last Quantifiable Concentration for TAK-659
    Time Frame
    Day 1 pre-dose and at multiple time points (up to 240 hours) post-dose
    Title
    AUClast: Area Under the Plasma and Whole Blood Radioactivity-time Curve from Time 0 to the Time of the Last Quantifiable Radioactivity for [14C]-TAK-659
    Time Frame
    Day 1 pre-dose and at multiple time points (up to 240 hours) post-dose
    Title
    Ae urine,14C: Cumulative Amount of Radioactivity Excreted in Urine for [14C]-TAK-659
    Time Frame
    Baseline up to 14 days
    Title
    Ae feces, 14C: Cumulative Amount of Radioactivity Excreted in Feces for [14C]-TAK-659
    Time Frame
    Baseline up to 14 days
    Title
    Ae total: Total Cumulative Amount of Radioactivity Excreted in Urine and Feces for [14C]-TAK-659
    Time Frame
    Baseline up to 14 days
    Title
    Ae urine: Cumulative Amount of TAK-659 Excreted in Urine
    Time Frame
    Baseline up to 14 days
    Title
    Percentage of Dose Excreted in Urine for TAK-659
    Time Frame
    Baseline up to 14 days
    Title
    Renal Clearance (CLR) of TAK-659
    Time Frame
    Baseline up to 14 days
    Secondary Outcome Measure Information:
    Title
    Percentage of TAK-659 Metabolites in Plasma
    Time Frame
    Day 1 pre-dose and at multiple time points (up to 240 hours) post-dose
    Title
    Percentage of Participants Reporting one or More Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
    Time Frame
    Baseline up to 28 days after the last dose of study drug (Week 58)
    Title
    Percentage of Participants with Grade 3 or Higher Adverse Events (AEs)
    Time Frame
    Baseline up to 28 days after the last dose of study drug (Week 58)
    Title
    Percentage of Participants with Drug Related AEs
    Time Frame
    Baseline up to 28 days after the last dose of study drug (Week 58)
    Title
    Percentage of Participants with Drug Related Grade 3 or Higher AEs
    Time Frame
    Baseline up to 28 days after the last dose of study drug (Week 58)
    Title
    Percentage of Participants with AEs Leading to Discontinuation of TAK-659
    Time Frame
    Baseline up to 28 days after the last dose of study drug (Week 58)
    Title
    Percentage of Participants who Meet the Markedly Abnormal Criteria for Safety Laboratory Tests at Least Once Post Dose
    Time Frame
    Baseline up to 28 days after the last dose of study drug (Week 58)
    Title
    Percentage of Participants who Meet the Markedly Abnormal Criteria for Vital Sign Measurements at Least Once Post Dose
    Time Frame
    Baseline up to 28 days after the last dose of study drug (Week 58)
    Title
    Percentage of TAK-659 Metabolites in Urine and Feces
    Time Frame
    Day 1 pre-dose and at multiple time points (up to 240 hours) post-dose

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Key Inclusion Criteria: Must have histologically or cytologically confirmed metastatic and/or advanced solid tumors and/or lymphomas for which standard curative or life-prolonging treatment does not exist or is no longer effective or tolerable. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1. Life expectancy of at least 3 months. Suitable venous access for the study-required blood sampling (that is, PK). Recovered (that is, grade less than or equal to [<=] 1 toxicity) from the reversible effects of prior anticancer therapy (with the exception of alopecia and Grade 1 neuropathy). Must have adequate organ function, including the following: Adequate bone marrow reserve: absolute neutrophil count (ANC) greater than or equal to (>=) 1000 per microliter (/mcL); platelet count >=75,000/mcL (>=50,000/mcL for participants with bone marrow involvement); and hemoglobin >=8 gram per deciliter (g/dL) (red blood cell [RBC] and platelet transfusion allowed >=14 days before assessment). Hepatic: total bilirubin <=1.5 times the upper limit of the normal range (ULN); alanine aminotransferase (ALT) and aspartate aminotransferase (AST) <=2.5*ULN. Renal: creatinine clearance >=60 milliliter per minute (mL/min) either as estimated by the Cockcroft-Gault equation or based on urine collection Key Exclusion Criteria: Central nervous system (CNS) lymphoma; active brain or leptomeningeal metastases, as indicated by positive cytology from lumbar puncture or computed tomography (CT) scan/magnetic resonance imaging (MRI). Known human immunodeficiency virus (HIV) positivity or HIV-related malignancy. Systemic anticancer treatment (including investigational agents) or radiotherapy within 3 weeks before the first dose of study treatment <=5 times the half-life for large molecule agents or <=4 weeks with evidence of progressive disease if 5 times the half-life is greater than (>) 4 weeks. Use or consumption of any of the following substances: Medications or supplements that are known to be inhibitors of P-glycoprotein (P-gp) and/or strong reversible inhibitors of cytochrome P450 (CYP) 3A within 5 times the inhibitor half-life (if a reasonable half-life estimate is known), or within 7 days (if a reasonable half-life estimate is unknown), before the first dose of study drugs Medications or supplements that are known to be strong CYP3A mechanism-based inhibitors or strong CYP3A inducers and/or P-gp inducers within 7 days or within 5 times the inhibitor or inducer half-life (whichever is longer) before the first dose of study drugs. In general, the use of these agents is not permitted during the study except when an AE must be managed during interruption of study drug dosing. Food or beverages containing grapefruit within 5 days before the first dose of study drugs. Note that food and beverages containing grapefruit are not permitted during the study. Ongoing nausea or vomiting that is Grade 2 or worse in intensity. Systemic infection requiring intravenous (IV) antibiotic therapy or other serious infection within 14 days before the first dose of study drug. Active secondary malignancy that requires treatment. Participants with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection and are considered disease-free at the time of study entry. Irregular defecation patterns and/or history of urinary and/or fecal incontinence.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Director
    Organizational Affiliation
    Millennium Pharmaceuticals, Inc.
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    A Study to Assess Mass Balance, Pharmacokinetics (PK), and Metabolism of Orally Administered [14 C]-TAK-659 in Participants With Advanced Solid Tumor and/or Lymphoma Malignancies

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