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A Study to Assess How Itraconazole Affects the Uptake and Elimination of Capivasertib in the Body

Primary Purpose

Healthy Volunteers (Intended Indication: Metastatic Patients With Triple Negative or HR+ Breast Cancer, or Hormone Sensitive Prostate Cancer)

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

About this trial

This is an interventional other trial for Healthy Volunteers (Intended Indication: Metastatic Patients With Triple Negative or HR+ Breast Cancer, or Hormone Sensitive Prostate Cancer) focused on measuring Drug-Drug Interaction, Protein kinase inhibitor, Capivasertib, Itraconazole

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 have a negative pregnancy test at screening and on admission to the study centre, must not be lactating and must be of non-childbearing potential, confirmed at screening.
  • Male subjects must be vasectomized (at least 6 months prior to the Screening Visit), with documented post-procedural medical assessment of surgical success.
  • Have a body mass index between 18 and 28 kg/m^2 inclusive 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 or the use of other nicotine/nicotine-containing products.

Exclusion Criteria:

  • History of any clinically significant disease or disorder which, in the opinion of the Investigator, may either put the volunteer at risk because of participation in the study, or influence the results or the volunteer's ability to participate in the study.
  • History or presence of gastrointestinal, hepatic or renal disease, or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs; abnormalities in haematology, clinical chemistry, or urinalysis results, at screening or on admission to the study centre, as judged by the Investigator.
  • Any clinically significant abnormalities in glucose metabolism, blood lipid profiles , liver enzymes , vital signs , and 12-lead electrocardiogram.
  • Any positive result on screening for serum hepatitis B surface antigen (HBsAg) or antibody to hepatitis B core antigen (anti-HBc), hepatitis C antibody (anti-HCV), and human immunodeficiency virus (HIV) antibody.
  • History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, as judged by the Investigator.
  • Positive screen for drugs of abuse, alcohol and/or cotinine at screening or on admission to the study centre.
  • Subjects who have previously received capivasertib.
  • Subject has a positive test result for Severe acute respiratory syndrome (SARS)-Coronavirus (CoV)-2 Reverse Transcriptase (RT)-Polymerase Chain Reaction (PCR) before randomization.
  • Subject has clinical signs and symptoms consistent with corona virus disease 2019 (COVID-19) (e.g., fever, dry cough, dyspnoea, 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.
  • Subjects who are regularly exposed to the risk of COVID-19 infection as part of their daily life (e.g., health care professionals working in COVID-19 wards or at emergency departments).

Sites / Locations

  • Research Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Capivasertib + Itraconazole

Arm Description

Subjects will receive a single oral dose of capivasertib on Day 1 during treatment period 1, itraconazole on Days 3, 4, and 5 during treatment period 2, and single oral dose of capivasertib plus a dose of itraconazole on Day 6, followed by itraconazole alone on Day 7 during treatment period 3.

Outcomes

Primary Outcome Measures

Area under plasma concentration-time curve from zero to infinity (AUCinf) of capivasertib
Assessment of AUCinf of capivasertib.
Maximum observed plasma (peak) drug concentration (Cmax) of capivasertib
Assessment of Cmax of capivasertib.

Secondary Outcome Measures

Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration (AUClast) of capivasertib and its major metabolite (AZ14102143)
Assessment of AUClast of capivasertib and its major metabolite (AZ14102143).
Time delay between drug administration and the first observed concentration in plasma (tlag) of capivasertib
Assessment of tlag of capivasertib.
Time to reach peak or maximum observed concentration or response following drug administration (tmax) of capivasertib and its major metabolite (AZ14102143)
Assessment of tmax of capivasertib and its major metabolite (AZ14102143).
Half-life associated with terminal slope (λz) of a semi-logarithmic concentration time curve (t½λz) of capivasertib and its major metabolite (AZ14102143)
Assessment of t½λz of capivasertib and its major metabolite (AZ14102143).
Terminal elimination rate constant (λz) of capivasertib and its major metabolite (AZ14102143)
Assessment of λz of capivasertib and its major metabolite (AZ14102143).
Apparent total body clearance of drug from plasma after extravascular administration (CL/F) of capivasertib
Assessment of CL/F of capivasertib.
Volume of distribution (apparent) at steady state following extravascular administration (Vz/F) (based on terminal phase) of capivasertib
Assessment of Vz/F of capivasertib.
AUCinf of major metabolite (AZ14102143) of capivasertib
Assessment of AUCinf of major metabolite (AZ14102143) of capivasertib.
Cmax of major metabolite (AZ14102143) of capivasertib
Assessment of Cmax of major metabolite (AZ14102143) of capivasertib.
Number of subjects with serious and non-serious adverse events
Assessment of safety and tolerability of capivasertib alone and in combination with itraconazole.

Full Information

First Posted
December 15, 2020
Last Updated
April 8, 2021
Sponsor
AstraZeneca
Collaborators
Parexel
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1. Study Identification

Unique Protocol Identification Number
NCT04712396
Brief Title
A Study to Assess How Itraconazole Affects the Uptake and Elimination of Capivasertib in the Body
Official Title
An Open-label, Fixed Sequence Study in Healthy Subjects to Assess the Pharmacokinetics of Capivasertib When Administered Alone and In Combination With Itraconazole
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Completed
Study Start Date
February 1, 2021 (Actual)
Primary Completion Date
March 25, 2021 (Actual)
Study Completion Date
March 25, 2021 (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 study will be an open-label, fixed sequence study in healthy subjects (vasectomized males and females of non-childbearing potential), performed at a single study centre.
Detailed Description
The study will comprise: A screening period of maximum 21 days; A fixed sequence of 3 treatment periods: Treatment Period 1: Capivasertib only, Treatment Period 2: Itraconazole pre-treatment (run-in) period, and Treatment Period 3: Capivasertib and itraconazole in combination. A Follow-up Visit at 7 to 14 days after the last capivasertib PK sample in Treatment Period 3. There will be no washout between Treatment Period 2 and Treatment Period 3. Each subject will be involved in the study for up to 7 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy Volunteers (Intended Indication: Metastatic Patients With Triple Negative or HR+ Breast Cancer, or Hormone Sensitive Prostate Cancer)
Keywords
Drug-Drug Interaction, Protein kinase inhibitor, Capivasertib, Itraconazole

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Capivasertib + Itraconazole
Arm Type
Experimental
Arm Description
Subjects will receive a single oral dose of capivasertib on Day 1 during treatment period 1, itraconazole on Days 3, 4, and 5 during treatment period 2, and single oral dose of capivasertib plus a dose of itraconazole on Day 6, followed by itraconazole alone on Day 7 during treatment period 3.
Intervention Type
Drug
Intervention Name(s)
Capivasertib
Intervention Description
Subects will be administered single doses of capiversatib on Day 1 and Day 6.
Intervention Type
Drug
Intervention Name(s)
Itraconazole
Intervention Description
Subjects will be administered itraconazole twice daily on Day 3, followed by once daily doses in the morning for 4 days.
Primary Outcome Measure Information:
Title
Area under plasma concentration-time curve from zero to infinity (AUCinf) of capivasertib
Description
Assessment of AUCinf of capivasertib.
Time Frame
Pre-dose and 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 36, and 48 hours after capivasertib dose on Day 1 and Day 6
Title
Maximum observed plasma (peak) drug concentration (Cmax) of capivasertib
Description
Assessment of Cmax of capivasertib.
Time Frame
Pre-dose and 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 36, and 48 hours after capivasertib dose on Day 1 and Day 6
Secondary Outcome Measure Information:
Title
Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration (AUClast) of capivasertib and its major metabolite (AZ14102143)
Description
Assessment of AUClast of capivasertib and its major metabolite (AZ14102143).
Time Frame
Pre-dose and 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 36, and 48 hours after capivasertib dose on Day 1 and Day 6
Title
Time delay between drug administration and the first observed concentration in plasma (tlag) of capivasertib
Description
Assessment of tlag of capivasertib.
Time Frame
Pre-dose and 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 36, and 48 hours after capivasertib dose on Day 1 and Day 6
Title
Time to reach peak or maximum observed concentration or response following drug administration (tmax) of capivasertib and its major metabolite (AZ14102143)
Description
Assessment of tmax of capivasertib and its major metabolite (AZ14102143).
Time Frame
Pre-dose and 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 36, and 48 hours after capivasertib dose on Day 1 and Day 6
Title
Half-life associated with terminal slope (λz) of a semi-logarithmic concentration time curve (t½λz) of capivasertib and its major metabolite (AZ14102143)
Description
Assessment of t½λz of capivasertib and its major metabolite (AZ14102143).
Time Frame
Pre-dose and 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 36, and 48 hours after capivasertib dose on Day 1 and Day 6
Title
Terminal elimination rate constant (λz) of capivasertib and its major metabolite (AZ14102143)
Description
Assessment of λz of capivasertib and its major metabolite (AZ14102143).
Time Frame
Pre-dose and 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 36, and 48 hours after capivasertib dose on Day 1 and Day 6
Title
Apparent total body clearance of drug from plasma after extravascular administration (CL/F) of capivasertib
Description
Assessment of CL/F of capivasertib.
Time Frame
Pre-dose and 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 36, and 48 hours after capivasertib dose on Day 1 and Day 6
Title
Volume of distribution (apparent) at steady state following extravascular administration (Vz/F) (based on terminal phase) of capivasertib
Description
Assessment of Vz/F of capivasertib.
Time Frame
Pre-dose and 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 36, and 48 hours after capivasertib dose on Day 1 and Day 6
Title
AUCinf of major metabolite (AZ14102143) of capivasertib
Description
Assessment of AUCinf of major metabolite (AZ14102143) of capivasertib.
Time Frame
Pre-dose and 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 36, and 48 hours after capivasertib dose on Day 1 and Day 6
Title
Cmax of major metabolite (AZ14102143) of capivasertib
Description
Assessment of Cmax of major metabolite (AZ14102143) of capivasertib.
Time Frame
Pre-dose and 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 36, and 48 hours after capivasertib dose on Day 1 and Day 6
Title
Number of subjects with serious and non-serious adverse events
Description
Assessment of safety and tolerability of capivasertib alone and in combination with itraconazole.
Time Frame
From Screening until Follow-upVisit / Early Termination (7-14 days after last PK sample)

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 have a negative pregnancy test at screening and on admission to the study centre, must not be lactating and must be of non-childbearing potential, confirmed at screening. Male subjects must be vasectomized (at least 6 months prior to the Screening Visit), with documented post-procedural medical assessment of surgical success. Have a body mass index between 18 and 28 kg/m^2 inclusive 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 or the use of other nicotine/nicotine-containing products. Exclusion Criteria: History of any clinically significant disease or disorder which, in the opinion of the Investigator, may either put the volunteer at risk because of participation in the study, or influence the results or the volunteer's ability to participate in the study. History or presence of gastrointestinal, hepatic or renal disease, or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs; abnormalities in haematology, clinical chemistry, or urinalysis results, at screening or on admission to the study centre, as judged by the Investigator. Any clinically significant abnormalities in glucose metabolism, blood lipid profiles , liver enzymes , vital signs , and 12-lead electrocardiogram. Any positive result on screening for serum hepatitis B surface antigen (HBsAg) or antibody to hepatitis B core antigen (anti-HBc), hepatitis C antibody (anti-HCV), and human immunodeficiency virus (HIV) antibody. History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, as judged by the Investigator. Positive screen for drugs of abuse, alcohol and/or cotinine at screening or on admission to the study centre. Subjects who have previously received capivasertib. Subject has a positive test result for Severe acute respiratory syndrome (SARS)-Coronavirus (CoV)-2 Reverse Transcriptase (RT)-Polymerase Chain Reaction (PCR) before randomization. Subject has clinical signs and symptoms consistent with corona virus disease 2019 (COVID-19) (e.g., fever, dry cough, dyspnoea, 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. Subjects who are regularly exposed to the risk of COVID-19 infection as part of their daily life (e.g., health care professionals working in COVID-19 wards or at emergency departments).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rainard Fuhr, Dr.
Organizational Affiliation
Parexel
Official's Role
Principal Investigator
Facility Information:
Facility Name
Research Site
City
Berlin
ZIP/Postal Code
14050
Country
Germany

12. IPD Sharing Statement

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A Study to Assess How Itraconazole Affects the Uptake and Elimination of Capivasertib in the Body

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