Bioavailability Study of Vemurafenib in Participants With BRAF^V600 Mutation-Positive Malignancies
Primary Purpose
Malignant Melanoma, Cancer
Status
Completed
Phase
Phase 1
Locations
Hungary
Study Type
Interventional
Intervention
Vemurafenib
14C-Labeled Vemurafenib
Sponsored by
About this trial
This is an interventional basic science trial for Malignant Melanoma, Cancer
Eligibility Criteria
Inclusion Criteria:
- Participants with either unresectable or metastatic melanoma positive for the BRAF^V600 mutation or other malignant tumor type that harbors a V600-activating mutation of BRAF, and for whom vemurafenib is an accepted standard of care or where there is no other generally accepted standard of care
- Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2
- Life expectancy greater than or equal to (>/=) 12 weeks
- Full recovery from the effects of any major surgery or significant traumatic injury within 14 days from the first dose of study drug
- Adequate hematologic and end organ function as defined by laboratory results obtained within 2 weeks prior to administration of study drug on Day 1
- Female participants of childbearing potential and male participants with partners of childbearing potential must agree to use two effective methods of contraception during the study and at least 6 months after completion of the study drug
- Negative serum pregnancy test results within 7 days prior to Day 1 in women of childbearing potential
- Absence of any psychological, familial, or sociological condition, or geographical constraints that could potentially hamper compliance with the study protocol and follow-up schedule
Exclusion Criteria:
- Prior anti-cancer therapy before the administration of study drug on Day 1
- Invasive malignancy other than BRAF mutant melanoma or other qualifying malignant tumor with BRAF^V600 mutation within the past 5 years
- History of clinically significant cardiac or pulmonary dysfunction
- Active central nervous system lesions
- Current, severe, uncontrolled systemic disease
- Inability or unwillingness to swallow tablets
- History of malabsorption, stomach or intestinal surgery/resection, or other condition that would potentially alter absorption and/or excretion of orally administered drugs
- History of clinically significant liver disease
- Active autoimmune disease
- Uncontrolled ascites requiring weekly large-volume paracentesis for 3 consecutive weeks prior to enrollment
- Pregnancy, lactation, or breastfeeding
- Need to take a concomitant medication, dietary supplement, or food that is prohibited during the study
- Known allergy or sensitivity to components of the vemurafenib formulation
- Active, uncontrolled or chronic infection requiring chronic suppressive antibiotics
- Use of any prescription medications/products, that are known to be strong cytochrome P450 (CYP)3A4 inhibitors or inducers within 2 weeks prior to Day 1
- Participation in any other investigational drug study in which receipt of an investigational study drug occurred within 30 days prior to Day 1 or within 5 times the elimination half-life of the respective drug (whichever is shorter)
- Participation in a trial involving administration of 14 C-radiolabeled compound(s) within 6 months prior to Day 1
- Poor peripheral venous access
- Any other acute or chronic condition that, in the opinion of the investigator, could limit the participant's ability to complete and/or participate in this clinical study
Sites / Locations
- Magyar Honvedseg Egeszsegugyi Kozpont
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Vemurafenib
Arm Description
Participants will receive oral vemurafenib BID from Day 1 to Day 28 and a single IV infusion of 14C-labeled vemurafenib on Day 21.
Outcomes
Primary Outcome Measures
Area Under the Concentration-Time Curve (AUC) of 14C-Labeled Vemurafenib From Time 0 to Last Measurable Concentration Timepoint (AUC0-last)
AUC of 14C-Labeled Vemurafenib From Time 0 to Infinity (AUC0-inf)
AUC of Unlabeled Vemurafenib During the Dosing Interval (AUCtau)
Maximum Observed Plasma Concentration (Cmax) of 14C-Labeled Vemurafenib
Terminal Half-Life (t1/2) of 14C-Labeled Vemurafenib
Clearance (CL) of 14C-Labeled Vemurafenib
Volume of Distribution (V) of 14C-Labeled Vemurafenib
Absolute Bioavailability (%F) of Vemurafenib
%F is the ratio of dose normalized AUCtau following vemurafenib oral dose to dose normalized AUC0-inf following IV dose.
Time Frame: Vemurafenib oral dose (Day 21: Predose [0 hour]; 15 minutes after oral dose [at the end of IV infusion], at 30 and 45 minutes, and 1.15, 2.25, 3.25, 4.25, 6.25, 8.25, and 12 hours following oral administration of unlabeled vemurafenib); Vemurafenib IV dose (Day 21: Predose [Hour 0]; end of infusion [infusion duration: 15 minutes]; 5, 15 and 30 minutes post-infusion; 1, 2, 3, 4, 6, 8, 12 hours post-infusion of 14C-labeled vemurafenib).
Renal Clearance (CLr) of 14C-Labeled Vemurafenib
Total Amount of 14C-Labeled Vemurafenib (Parent Drug) Excreted Into Urine
Secondary Outcome Measures
Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Cmax of Unlabeled Vemurafenib
Time to Maximum Concentration (Tmax) of Unlabeled Vemurafenib
Percentage of 14C-Labeled Vemurafenib Dose Recovered as Total Radioactivity in Urine
Percentage of 14C-Labeled Vemurafenib Dose Recovered as Total Radioactivity in Feces
14C-Labeled Vemurafenib Concentration Over Time Intervals in Urine
14C-Labeled Vemurafenib Concentration Over Time Intervals in Feces
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02441465
Brief Title
Bioavailability Study of Vemurafenib in Participants With BRAF^V600 Mutation-Positive Malignancies
Official Title
A Phase 1, Open-Label, Absolute Bioavailability Study of Vemurafenib in Patients With BRAF^V600 Mutation-Positive Malignancies
Study Type
Interventional
2. Study Status
Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
August 13, 2015 (Actual)
Primary Completion Date
August 18, 2016 (Actual)
Study Completion Date
January 9, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to characterize the pharmacokinetics (PK) of a single intravenous (IV) infusion of 14C-labeled vemurafenib administered shortly after an oral dose of vemurafenib and following multiple oral doses of vemurafenib twice daily (BID) at steady state as well as to estimate the absolute bioavailability of multiple oral doses of vemurafenib BID at steady state in participants with BRAF^V600 mutation-positive malignancies. The study has two periods: Period A and Period B. During Period A, participants will receive vemurafenib BID orally from Day 1 to Day 20 and during Period B, participants will receive single IV infusion of 14C-labeled vemurafenib along with vemurafenib BID oral dose.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malignant Melanoma, Cancer
7. Study Design
Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
6 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Vemurafenib
Arm Type
Experimental
Arm Description
Participants will receive oral vemurafenib BID from Day 1 to Day 28 and a single IV infusion of 14C-labeled vemurafenib on Day 21.
Intervention Type
Drug
Intervention Name(s)
Vemurafenib
Other Intervention Name(s)
Zelboraf®, RO5185426
Intervention Description
Oral vemurafenib will be administered at a dose of 960 milligrams BID from Day 1 to Day 28.
Intervention Type
Drug
Intervention Name(s)
14C-Labeled Vemurafenib
Intervention Description
IV infusion of 18.5 kilobecquerel (kBq) of 14C-labeled vemurafenib (3 milliliters [mL], which corresponds to a dose of 20 micrograms [mcg] of vemurafenib) on Day 21 (immediately after the morning oral dose of vemurafenib).
Primary Outcome Measure Information:
Title
Area Under the Concentration-Time Curve (AUC) of 14C-Labeled Vemurafenib From Time 0 to Last Measurable Concentration Timepoint (AUC0-last)
Time Frame
Day 21: Predose (Hour 0); end of infusion (infusion duration: 15 minutes); 5, 15 and 30 minutes post-infusion; 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 168 hours post-infusion of 14C-labeled vemurafenib
Title
AUC of 14C-Labeled Vemurafenib From Time 0 to Infinity (AUC0-inf)
Time Frame
Day 21: Predose (Hour 0); end of infusion (infusion duration: 15 minutes); 5, 15 and 30 minutes post-infusion; 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 168 hours post-infusion of 14C-labeled vemurafenib
Title
AUC of Unlabeled Vemurafenib During the Dosing Interval (AUCtau)
Time Frame
Predose (0 hour) on Days 18, 19, 20; Day 21: pre-dose (0 hour), 15 minutes after oral dose (at the end of IV infusion), at 30 and 45 minutes, and 1.15, 2.25, 3.25, 4.25, 6.25, 8.25, and 12 hours following oral administration of unlabeled vemurafenib
Title
Maximum Observed Plasma Concentration (Cmax) of 14C-Labeled Vemurafenib
Time Frame
Day 21: Predose (Hour 0); end of infusion (infusion duration: 15 minutes); 5, 15 and 30 minutes post-infusion; 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 168 hours post-infusion of 14C-labeled vemurafenib
Title
Terminal Half-Life (t1/2) of 14C-Labeled Vemurafenib
Time Frame
Day 21: Predose (Hour 0); end of infusion (infusion duration: 15 minutes); 5, 15 and 30 minutes post-infusion; 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 168 hours post-infusion of 14C-labeled vemurafenib
Title
Clearance (CL) of 14C-Labeled Vemurafenib
Time Frame
Day 21: Predose (Hour 0); end of infusion (infusion duration: 15 minutes); 5, 15 and 30 minutes post-infusion; 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 168 hours post-infusion of 14C-labeled vemurafenib
Title
Volume of Distribution (V) of 14C-Labeled Vemurafenib
Time Frame
Day 21: Predose (Hour 0); end of infusion (infusion duration: 15 minutes); 5, 15 and 30 minutes post-infusion; 1, 2, 3, 4, 6, 8, 12 hours post-infusion of 14C-labeled vemurafenib
Title
Absolute Bioavailability (%F) of Vemurafenib
Description
%F is the ratio of dose normalized AUCtau following vemurafenib oral dose to dose normalized AUC0-inf following IV dose.
Time Frame: Vemurafenib oral dose (Day 21: Predose [0 hour]; 15 minutes after oral dose [at the end of IV infusion], at 30 and 45 minutes, and 1.15, 2.25, 3.25, 4.25, 6.25, 8.25, and 12 hours following oral administration of unlabeled vemurafenib); Vemurafenib IV dose (Day 21: Predose [Hour 0]; end of infusion [infusion duration: 15 minutes]; 5, 15 and 30 minutes post-infusion; 1, 2, 3, 4, 6, 8, 12 hours post-infusion of 14C-labeled vemurafenib).
Time Frame
Day 21 (detailed timeframe is provided in description field)
Title
Renal Clearance (CLr) of 14C-Labeled Vemurafenib
Time Frame
Day 21 (urine samples): Predose (-8 to 0 hour), 0-4, 4-12, 12-24, 24-48, 48-72, 72-96 hours post-infusion (infusion duration: 15 minutes) of 14C-labeled vemurafenib
Title
Total Amount of 14C-Labeled Vemurafenib (Parent Drug) Excreted Into Urine
Time Frame
Day 21 (urine samples): Predose (-8 to 0 hour), 0-4, 4-12, 12-24, 24-48, 48-72, 72-96 hours post-infusion (infusion duration: 15 minutes) of 14C-labeled vemurafenib
Secondary Outcome Measure Information:
Title
Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame
From Day 1 up to 6 months after last dose (up to approximately 7 months)
Title
Cmax of Unlabeled Vemurafenib
Time Frame
Predose (0 hour) on Days 18, 19, 20; Day 21: pre-dose (0 hour), 15 minutes after oral dose (at the end of IV infusion), at 30 and 45 minutes, and 1.15, 2.25, 3.25, 4.25, 6.25, 8.25, and 12 hours following oral administration of unlabeled vemurafenib
Title
Time to Maximum Concentration (Tmax) of Unlabeled Vemurafenib
Time Frame
Predose (0 hour) on Days 18, 19, 20; Day 21: pre-dose (0 hour), 15 minutes after oral dose (at the end of IV infusion), at 30 and 45 minutes, and 1.15, 2.25, 3.25, 4.25, 6.25, 8.25, and 12 hours following oral administration of unlabeled vemurafenib
Title
Percentage of 14C-Labeled Vemurafenib Dose Recovered as Total Radioactivity in Urine
Time Frame
Day 21 (urine samples): Predose (-8 to 0 hour), 0-4, 4-12, 12-24, 24-48, 48-72, 72-96 hours post-infusion (infusion duration: 15 minutes) of 14C-labeled vemurafenib
Title
Percentage of 14C-Labeled Vemurafenib Dose Recovered as Total Radioactivity in Feces
Time Frame
Day 21 (feces samples): Predose (-48 to 0 hour), 0-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-196 hours post-infusion (infusion duration: 15 minutes) of 14C-labeled vemurafenib
Title
14C-Labeled Vemurafenib Concentration Over Time Intervals in Urine
Time Frame
Day 21 (urine samples): Predose (-8 to 0 hour), 0-4, 4-12, 12-24, 24-48, 48-72, 72-96 hours post-infusion (infusion duration: 15 minutes) of 14C-labeled vemurafenib
Title
14C-Labeled Vemurafenib Concentration Over Time Intervals in Feces
Time Frame
Day 21 (feces samples): Predose (-48 to 0 hour), 0-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-196 hours post-infusion (infusion duration: 15 minutes) of 14C-labeled vemurafenib
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Participants with either unresectable or metastatic melanoma positive for the BRAF^V600 mutation or other malignant tumor type that harbors a V600-activating mutation of BRAF, and for whom vemurafenib is an accepted standard of care or where there is no other generally accepted standard of care
Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2
Life expectancy greater than or equal to (>/=) 12 weeks
Full recovery from the effects of any major surgery or significant traumatic injury within 14 days from the first dose of study drug
Adequate hematologic and end organ function as defined by laboratory results obtained within 2 weeks prior to administration of study drug on Day 1
Female participants of childbearing potential and male participants with partners of childbearing potential must agree to use two effective methods of contraception during the study and at least 6 months after completion of the study drug
Negative serum pregnancy test results within 7 days prior to Day 1 in women of childbearing potential
Absence of any psychological, familial, or sociological condition, or geographical constraints that could potentially hamper compliance with the study protocol and follow-up schedule
Exclusion Criteria:
Prior anti-cancer therapy before the administration of study drug on Day 1
Invasive malignancy other than BRAF mutant melanoma or other qualifying malignant tumor with BRAF^V600 mutation within the past 5 years
History of clinically significant cardiac or pulmonary dysfunction
Active central nervous system lesions
Current, severe, uncontrolled systemic disease
Inability or unwillingness to swallow tablets
History of malabsorption, stomach or intestinal surgery/resection, or other condition that would potentially alter absorption and/or excretion of orally administered drugs
History of clinically significant liver disease
Active autoimmune disease
Uncontrolled ascites requiring weekly large-volume paracentesis for 3 consecutive weeks prior to enrollment
Pregnancy, lactation, or breastfeeding
Need to take a concomitant medication, dietary supplement, or food that is prohibited during the study
Known allergy or sensitivity to components of the vemurafenib formulation
Active, uncontrolled or chronic infection requiring chronic suppressive antibiotics
Use of any prescription medications/products, that are known to be strong cytochrome P450 (CYP)3A4 inhibitors or inducers within 2 weeks prior to Day 1
Participation in any other investigational drug study in which receipt of an investigational study drug occurred within 30 days prior to Day 1 or within 5 times the elimination half-life of the respective drug (whichever is shorter)
Participation in a trial involving administration of 14 C-radiolabeled compound(s) within 6 months prior to Day 1
Poor peripheral venous access
Any other acute or chronic condition that, in the opinion of the investigator, could limit the participant's ability to complete and/or participate in this clinical study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
Facility Name
Magyar Honvedseg Egeszsegugyi Kozpont
City
Budapest
ZIP/Postal Code
H-1134
Country
Hungary
12. IPD Sharing Statement
Learn more about this trial
Bioavailability Study of Vemurafenib in Participants With BRAF^V600 Mutation-Positive Malignancies
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