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Withdrawn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
About this trial
This is an interventional other trial for Advanced Solid Neoplasms focused on measuring Drug therapy
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.
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
NCT ID
NCT03338881
First Posted
November 8, 2017
Last Updated
February 6, 2023
Sponsor
Calithera Biosciences, Inc
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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