A Study to Assess the Effect of Ketoconazole on the Metabolism of ABT-263 (Navitoclax).
Primary Purpose
Lymphoma, Chronic Lymphocytic Leukemia, Solid Tumors
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ABT-263
Ketoconazole
Sponsored by
About this trial
This is an interventional treatment trial for Lymphoma
Eligibility Criteria
Inclusion Criteria:
- 18 years of age or older.
- Has a non-hematologic malignancy (radiographic, histologic, or cytologic confirmation), or hematologic malignancy (histologic or cytologic confirmation) that is either: relapsed or refractory to standard therapy, failed at least one prior therapy or no known effective therapy exists.
- In the investigator's opinion, the subject's life expectancy is at least 90 days.
- If clinically indicated, (e.g., subjects over the age of 70) subjects must have documented brain imaging (MRI or CT) negative for subdural or epidural hematoma within 28 days prior to the first dose of study drug.
- Subjects with brain metastases must have clinically controlled neurologic symptoms, defined as surgical excision and/or radiation therapy followed by 21 days of stable neurologic function and no evidence of CNS disease progression as determined by CT or MRI within 21 days prior to the first dose of study drug.
Exclusion Criteria:
- History of or is clinically suspicious for cancer-related central nervous system (CNS) disease.
- Has undergone an allogeneic stem cell transplant.
- Has an underlying, predisposing condition of bleeding or currently exhibits signs of bleeding.
- Has active peptic ulcer disease or other hemorrhagic esophagitis/gastritis.
- Has active immune thrombocytopenic purpura or a history of being refractory to platelet transfusions (within 1 year prior to the first dose of study drug).
- Significant history of cardiovascular disease (e.g., MI, thrombotic or thromboembolic event in the last 6 months), renal, neurologic, psychiatric, endocrinologic, metabolic, immunologic, or hepatic disease. Female subject is pregnant or breast-feeding.
- History of or an active medical condition(s) that affects absorption or motility (e.g., Crohn's disease, celiac disease, gastroparesis, short bowel syndrome, etc).
- Exhibits evidence of other clinically significant uncontrolled condition(s) including, but not limited to: active systemic fungal infection; diagnosis of fever and neutropenia within one week prior to study drug administration.
- Received any anti-cancer therapy including chemotherapy, immunotherapy, radiotherapy, hormonal (with the exception of hormones for hypothyroidism or estrogen replacement therapy [ERT], or agonists required to suppress serum testosterone levels [e.g., LHRH, GnRH, etc.] for subjects with prostate cancer
- Currently receiving or requires anticoagulation therapy or any drugs or herbal supplements that affect platelet function.
- Currently receiving or requires anti-fungal treatment or CYP3A inhibitors. In the opinion of the Investigator, the subject is an unsuitable candidate to receive ABT-263.
- History of or is clinically suspicious for cancer-related central nervous system (CNS) disease.
Sites / Locations
- Site Reference ID/Investigator# 25068
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Arm A (ABT-263 and Ketoconozole)
Arm Description
Outcomes
Primary Outcome Measures
To determine the effect of ketoconazole on the pharmacokinetics of ABT- 263.
Secondary Outcome Measures
To determine the safety of ABT-263 when administered alone and in combination with Ketoconazole in these patients.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01021358
Brief Title
A Study to Assess the Effect of Ketoconazole on the Metabolism of ABT-263 (Navitoclax).
Official Title
A Phase 1 Study to Assess the Effect of Ketoconazole on the Pharmacokinetics of ABT-263 (Navitoclax)
Study Type
Interventional
2. Study Status
Record Verification Date
December 2010
Overall Recruitment Status
Completed
Study Start Date
January 2010 (undefined)
Primary Completion Date
October 2010 (Actual)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Name of the Sponsor
Abbott
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a single dose, open-label, single or multiple center study to determine the interaction of ketoconazole with ABT-263 in approximately 12 subjects with cancer.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lymphoma, Chronic Lymphocytic Leukemia, Solid Tumors
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Arm A (ABT-263 and Ketoconozole)
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
ABT-263
Intervention Description
Subjects will be dosed with ABT-263, then dosed with ABT-263 in combination with Ketoconazole.
Intervention Type
Drug
Intervention Name(s)
Ketoconazole
Intervention Description
Subjects will be dosed with ABT-263, then dosed with ABT-263 in combination with Ketoconazole.
Primary Outcome Measure Information:
Title
To determine the effect of ketoconazole on the pharmacokinetics of ABT- 263.
Time Frame
Weekly
Secondary Outcome Measure Information:
Title
To determine the safety of ABT-263 when administered alone and in combination with Ketoconazole in these patients.
Time Frame
Daily
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
18 years of age or older.
Has a non-hematologic malignancy (radiographic, histologic, or cytologic confirmation), or hematologic malignancy (histologic or cytologic confirmation) that is either: relapsed or refractory to standard therapy, failed at least one prior therapy or no known effective therapy exists.
In the investigator's opinion, the subject's life expectancy is at least 90 days.
If clinically indicated, (e.g., subjects over the age of 70) subjects must have documented brain imaging (MRI or CT) negative for subdural or epidural hematoma within 28 days prior to the first dose of study drug.
Subjects with brain metastases must have clinically controlled neurologic symptoms, defined as surgical excision and/or radiation therapy followed by 21 days of stable neurologic function and no evidence of CNS disease progression as determined by CT or MRI within 21 days prior to the first dose of study drug.
Exclusion Criteria:
History of or is clinically suspicious for cancer-related central nervous system (CNS) disease.
Has undergone an allogeneic stem cell transplant.
Has an underlying, predisposing condition of bleeding or currently exhibits signs of bleeding.
Has active peptic ulcer disease or other hemorrhagic esophagitis/gastritis.
Has active immune thrombocytopenic purpura or a history of being refractory to platelet transfusions (within 1 year prior to the first dose of study drug).
Significant history of cardiovascular disease (e.g., MI, thrombotic or thromboembolic event in the last 6 months), renal, neurologic, psychiatric, endocrinologic, metabolic, immunologic, or hepatic disease. Female subject is pregnant or breast-feeding.
History of or an active medical condition(s) that affects absorption or motility (e.g., Crohn's disease, celiac disease, gastroparesis, short bowel syndrome, etc).
Exhibits evidence of other clinically significant uncontrolled condition(s) including, but not limited to: active systemic fungal infection; diagnosis of fever and neutropenia within one week prior to study drug administration.
Received any anti-cancer therapy including chemotherapy, immunotherapy, radiotherapy, hormonal (with the exception of hormones for hypothyroidism or estrogen replacement therapy [ERT], or agonists required to suppress serum testosterone levels [e.g., LHRH, GnRH, etc.] for subjects with prostate cancer
Currently receiving or requires anticoagulation therapy or any drugs or herbal supplements that affect platelet function.
Currently receiving or requires anti-fungal treatment or CYP3A inhibitors. In the opinion of the Investigator, the subject is an unsuitable candidate to receive ABT-263.
History of or is clinically suspicious for cancer-related central nervous system (CNS) disease.
Facility Information:
Facility Name
Site Reference ID/Investigator# 25068
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
12. IPD Sharing Statement
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A Study to Assess the Effect of Ketoconazole on the Metabolism of ABT-263 (Navitoclax).
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