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Study to Assess the Effect of Food and Acid Reducing Agents on the Absorption of Capivasertib in Healthy Participants

Primary Purpose

Solid and Hematological Malignancies

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
Capivasertib
Rabeprazole
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid and Hematological Malignancies focused on measuring Crossover, Acid reducing agent, Food effect, Pharmacokinetics, Serine/threonine specific protein kinase inhibitor

Eligibility Criteria

18 Years - 58 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Provision of signed and dated, written informed consent prior to any study specific procedures.
  • Healthy male and female subjects aged 18 to 58 years with suitable veins for cannulation or repeated venipuncture.
  • Females must not be lactating and must be of non-childbearing potential, confirmed at screening:

    1. Postmenopausal defined as aged > 40 years and amenorrhea for at least 12 months or more following cessation of all exogenous hormonal treatments and follicle stimulating hormone levels in the postmenopausal range.
    2. Documentation of irreversible/permanent surgical sterilization by hysterectomy, bilateral oophorectomy or bilateral salpingectomy but not tubal ligation, at least 6 months prior to screening.
  • Male subjects must be vasectomized, at least 6 months prior to screening, with documented post-procedural medical assessment of surgical success.
  • Have a body mass index between 18.0 and 29.9 kg/m^2 (inclusive) for males and 18 to 32 kg/m^2 (inclusive) for females; and weigh at least 50 kg and no more than 100 kg inclusive.
  • Non-smoker, defined as a subject who has not smoked previously or who has discontinued smoking.

Exclusion Criteria:

  • History of any clinically significant disease or disorder.
  • History or presence of gastrointestinal, hepatic or renal disease, or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
  • Any clinically significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of investigational medicinal product (IMP).
  • Any clinically significant abnormal findings in vital signs at screening and/or admission to the study center.
  • Clinically significant abnormalities in glucose metabolism defined by any of the following:

    1. Diagnosis of diabetes mellitus type I or II (irrespective of management).
    2. Blood glucose value ≥ 5.9 mmol/L after fasting for at least 8 hours, at screening or on admission to study center.
    3. Glycosylated hemoglobin > upper limit of normal (up to 6.2% [44 mmol/mol]).
  • Any positive result on screening for serum hepatitis B surface antigen or antibody to hepatitis B core antigen, hepatitis C antibody, and human immunodeficiency virus antibody.
  • Known or suspected history of drug abuse.
  • Has received another new chemical entity within 3 months of the first administration of IMP in this study.
  • Plasma donation within 1 month of screening or any blood donation/loss more than 500 mL during the 3 months prior to screening.
  • History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, as judged by the Investigator or history of hypersensitivity to drugs with a similar chemical structure or class to capivasertib, rabeprazole, or famotidine.
  • Subjects who have previously received capivasertib.
  • Subject has a positive test result for Severe acute respiratory syndrome coronavirus 2 reverse transcription polymerase chain reaction on admission.
  • Subject has clinical signs and symptoms consistent with Coronavirus Disease 2019 (COVID-19) (eg, fever, dry cough, dyspnea, sore throat, anosmia/hyposmia, loss or reduced taste, and fatigue) or confirmed infection by appropriate laboratory test within the last 4 weeks prior to screening or on admission.
  • History of severe COVID-19 (hospitalization, extracorporeal membrane oxygenation, mechanically ventilated).
  • Subjects who are regularly exposed to the risk of COVID-19 infection as part of their daily life (eg, health care professionals working in COVID-19 wards or at emergency departments).
  • Subjects who have had a COVID-19 vaccine within 3 weeks prior to screening or are planning to get a COVID-19 vaccine during the study.

Sites / Locations

  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm 12

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Treatment ABC

Treatment ACB

Treatment BAC

Treatment BCA

Treatment CAB

Treatment CBA

Treatment DEF

Treatment DFE

Treatment EDF

Treatment EFD

Treatment FDE

Treatment FED

Arm Description

Participants will be randomized to receive oral doses of Treatment A, Treatment B and Treatment C.

Participants will be randomized to receive oral doses of Treatment A, Treatment C and Treatment B.

Participants will be randomized to receive oral doses of Treatment B, Treatment A and Treatment C.

Participants will be randomized to receive oral doses of Treatment B, Treatment C and Treatment A.

Participants will be randomized to receive oral doses of Treatment C, Treatment A and Treatment B.

Participants will be randomized to receive oral doses of Treatment C, Treatment B and Treatment A.

Participants will be randomized to receive oral doses of Treatment D, Treatment E and Treatment F.

Participants will be randomized to receive oral doses of Treatment D, Treatment F and Treatment E.

Participants will be randomized to receive oral doses of Treatment E, Treatment D and Treatment F.

Participants will be randomized to receive oral doses of Treatment E, Treatment F and Treatment D.

Participants will be randomized to receive oral doses of Treatment F, Treatment D and Treatment E.

Participants will be randomized to receive oral doses of Treatment F, Treatment E and Treatment D.

Outcomes

Primary Outcome Measures

Cmax of Capivasertib
Maximum observed plasma (peak) drug concentration (Cmax) of capivasertib when administered alone under fed and fasted conditions, and in combination with acid reducing agent(s) rabeprazole and famotidine (if required).
AUCinf of Capivasertib
Area under plasma concentration time curve from zero to infinity (AUCinf) of capivasertib when administered alone under fed and fasted conditions, and in combination with acid reducing agent(s) rabeprazole and famotidine (if required).
AUClast of Capivasertib
Area under the plasma concentration curve from zero to the last quantifiable concentration (AUClast) of capivasertib when administered alone under fed and fasted conditions, and in combination with acid reducing agent(s) rabeprazole and famotidine (if required).

Secondary Outcome Measures

Number of participants with serious and non-serious adverse events
Safety and tolerability of capivasertib when administered alone under fed and fasted conditions, and in combination with acid reducing agent(s) rabeprazole and famotidine (if required).

Full Information

First Posted
June 28, 2021
Last Updated
May 6, 2022
Sponsor
AstraZeneca
Collaborators
Parexel
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1. Study Identification

Unique Protocol Identification Number
NCT04944771
Brief Title
Study to Assess the Effect of Food and Acid Reducing Agents on the Absorption of Capivasertib in Healthy Participants
Official Title
An Open-label, Randomized, Crossover Study in Healthy Subjects to Evaluate the Effect of Food and Acid Reducing Agent(s) on the Pharmacokinetics of Capivasertib
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
July 26, 2021 (Actual)
Primary Completion Date
May 4, 2022 (Actual)
Study Completion Date
May 4, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca
Collaborators
Parexel

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
This is a two-part, open-label, randomized, crossover study in healthy subjects (vasectomized males and women of non-childbearing potential), performed at 2 study centers
Detailed Description
Part 1 of the study will comprise: A screening period of maximum 28 days. Three treatment periods [Treatment A: Single oral dose of capivasertib in overnight fasted state, Treatment B:Single oral dose of capivasertib in fed state (high-fat, high-calorie breakfast) and Treatment C:Twice daily oral doses of rabeprazole for 3 days and a single dose on Day 1, and a single oral dose of capivasertib in fasted conditions] during which subjects will be resident from the morning of Day -1 (Day -4 for subjects receiving rabeprazole [Treatment C]) and discharged after the last pharmacokinetic (PK) sample collection, 48 hours after dosing of capivasertib of each treatment period. A final visit 7 to 14 days after the last capivasertib PK sample in Treatment Period 3. Part 2 of the study will only be initiated if the findings from Part 1 show an interaction or are inconclusive. Part 2 of the study will comprise: A screening period of at least 28 days. Three treatment periods [Any 3 treatments: Treatment D:Single oral dose of capivasertib in overnight fasted state, Treatment E: Single oral dose of capivasertib in fed state (low-fat, low-calorie breakfast), Treatment F: Single oral dose of capivasertib in partially fasted conditions (food restricted from 2 hours prior to dosing until 1 hour after dosing), Treatment G: Single oral dose of capivasertib and single dose of famotidine in fasted condition and Treatment H: Twice daily oral doses of rabeprazole for 3 days (Days -3 to -1) and a single oral dose of capivasertib in fed state] during which subjects will be resident from the morning of Day -1 (Day -4 for subjects receiving rabeprazole [Treatment H]) and will be discharged after the last PK sample collection 48 hours after dosing of capivasertib of each treatment period. A final visit 7 to 14 days after the last capivasertib PK sample in Treatment Period 3. The interim results from Part 1 indicated a potentially clinically relevant food interaction only and therefore Treatments D, E, and F will be studied in Part 2.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid and Hematological Malignancies
Keywords
Crossover, Acid reducing agent, Food effect, Pharmacokinetics, Serine/threonine specific protein kinase inhibitor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment ABC
Arm Type
Experimental
Arm Description
Participants will be randomized to receive oral doses of Treatment A, Treatment B and Treatment C.
Arm Title
Treatment ACB
Arm Type
Experimental
Arm Description
Participants will be randomized to receive oral doses of Treatment A, Treatment C and Treatment B.
Arm Title
Treatment BAC
Arm Type
Experimental
Arm Description
Participants will be randomized to receive oral doses of Treatment B, Treatment A and Treatment C.
Arm Title
Treatment BCA
Arm Type
Experimental
Arm Description
Participants will be randomized to receive oral doses of Treatment B, Treatment C and Treatment A.
Arm Title
Treatment CAB
Arm Type
Experimental
Arm Description
Participants will be randomized to receive oral doses of Treatment C, Treatment A and Treatment B.
Arm Title
Treatment CBA
Arm Type
Experimental
Arm Description
Participants will be randomized to receive oral doses of Treatment C, Treatment B and Treatment A.
Arm Title
Treatment DEF
Arm Type
Experimental
Arm Description
Participants will be randomized to receive oral doses of Treatment D, Treatment E and Treatment F.
Arm Title
Treatment DFE
Arm Type
Experimental
Arm Description
Participants will be randomized to receive oral doses of Treatment D, Treatment F and Treatment E.
Arm Title
Treatment EDF
Arm Type
Experimental
Arm Description
Participants will be randomized to receive oral doses of Treatment E, Treatment D and Treatment F.
Arm Title
Treatment EFD
Arm Type
Experimental
Arm Description
Participants will be randomized to receive oral doses of Treatment E, Treatment F and Treatment D.
Arm Title
Treatment FDE
Arm Type
Experimental
Arm Description
Participants will be randomized to receive oral doses of Treatment F, Treatment D and Treatment E.
Arm Title
Treatment FED
Arm Type
Experimental
Arm Description
Participants will be randomized to receive oral doses of Treatment F, Treatment E and Treatment D.
Intervention Type
Drug
Intervention Name(s)
Capivasertib
Intervention Description
Participants will receive single oral dose of capivasertib on Day 1 for Treatments A, B, C, D, E and F.
Intervention Type
Drug
Intervention Name(s)
Rabeprazole
Intervention Description
Participants will receive twice daily oral doses of rabeprazole for 3 days (Days -3 to -1) and a single dose on the morning of Day 1 for Treatment C.
Primary Outcome Measure Information:
Title
Cmax of Capivasertib
Description
Maximum observed plasma (peak) drug concentration (Cmax) of capivasertib when administered alone under fed and fasted conditions, and in combination with acid reducing agent(s) rabeprazole and famotidine (if required).
Time Frame
Part 1 and Part 2: From Day 1 to Day 3
Title
AUCinf of Capivasertib
Description
Area under plasma concentration time curve from zero to infinity (AUCinf) of capivasertib when administered alone under fed and fasted conditions, and in combination with acid reducing agent(s) rabeprazole and famotidine (if required).
Time Frame
Part 1 and Part 2: From Day 1 to Day 3
Title
AUClast of Capivasertib
Description
Area under the plasma concentration curve from zero to the last quantifiable concentration (AUClast) of capivasertib when administered alone under fed and fasted conditions, and in combination with acid reducing agent(s) rabeprazole and famotidine (if required).
Time Frame
Part 1 and Part 2: From Day 1 to Day 3
Secondary Outcome Measure Information:
Title
Number of participants with serious and non-serious adverse events
Description
Safety and tolerability of capivasertib when administered alone under fed and fasted conditions, and in combination with acid reducing agent(s) rabeprazole and famotidine (if required).
Time Frame
Part 1: From Screening (Day -28 to Day -5) upto Follow-up Visit/Early Termination (7 to 14 days); Part 2: From Screening (Day -28 to Day -2) upto Follow-up Visit/Early Termination (7 to 14 days)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
58 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Provision of signed and dated, written informed consent prior to any study specific procedures. Healthy male and female subjects aged 18 to 58 years with suitable veins for cannulation or repeated venipuncture. Females must not be lactating and must be of non-childbearing potential, confirmed at screening: Postmenopausal defined as aged > 40 years and amenorrhea for at least 12 months or more following cessation of all exogenous hormonal treatments and follicle stimulating hormone levels in the postmenopausal range. Documentation of irreversible/permanent surgical sterilization by hysterectomy, bilateral oophorectomy or bilateral salpingectomy but not tubal ligation, at least 6 months prior to screening. Male subjects must be vasectomized, at least 6 months prior to screening, with documented post-procedural medical assessment of surgical success. Have a body mass index between 18.0 and 29.9 kg/m^2 (inclusive) for males and 18 to 32 kg/m^2 (inclusive) for females; and weigh at least 50 kg and no more than 100 kg inclusive. Non-smoker, defined as a subject who has not smoked previously or who has discontinued smoking. Exclusion Criteria: History of any clinically significant disease or disorder. History or presence of gastrointestinal, hepatic or renal disease, or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs. Any clinically significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of investigational medicinal product (IMP). Any clinically significant abnormal findings in vital signs at screening and/or admission to the study center. Clinically significant abnormalities in glucose metabolism defined by any of the following: Diagnosis of diabetes mellitus type I or II (irrespective of management). Blood glucose value ≥ 5.9 mmol/L after fasting for at least 8 hours, at screening or on admission to study center. Glycosylated hemoglobin > upper limit of normal (up to 6.2% [44 mmol/mol]). Any positive result on screening for serum hepatitis B surface antigen or antibody to hepatitis B core antigen, hepatitis C antibody, and human immunodeficiency virus antibody. Known or suspected history of drug abuse. Has received another new chemical entity within 3 months of the first administration of IMP in this study. Plasma donation within 1 month of screening or any blood donation/loss more than 500 mL during the 3 months prior to screening. History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, as judged by the Investigator or history of hypersensitivity to drugs with a similar chemical structure or class to capivasertib, rabeprazole, or famotidine. Subjects who have previously received capivasertib. Subject has a positive test result for Severe acute respiratory syndrome coronavirus 2 reverse transcription polymerase chain reaction on admission. Subject has clinical signs and symptoms consistent with Coronavirus Disease 2019 (COVID-19) (eg, fever, dry cough, dyspnea, sore throat, anosmia/hyposmia, loss or reduced taste, and fatigue) or confirmed infection by appropriate laboratory test within the last 4 weeks prior to screening or on admission. History of severe COVID-19 (hospitalization, extracorporeal membrane oxygenation, mechanically ventilated). Subjects who are regularly exposed to the risk of COVID-19 infection as part of their daily life (eg, health care professionals working in COVID-19 wards or at emergency departments). Subjects who have had a COVID-19 vaccine within 3 weeks prior to screening or are planning to get a COVID-19 vaccine during the study.
Facility Information:
Facility Name
Research Site
City
Berlin
ZIP/Postal Code
14050
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD Sharing Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please refer to our disclosure commitment at: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
IPD Sharing Access Criteria
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool. Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
IPD Sharing URL
https://astrazenecagroup-dt.pharmacm.com/DT/Home

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Study to Assess the Effect of Food and Acid Reducing Agents on the Absorption of Capivasertib in Healthy Participants

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