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An Open-Label Study to Assess the Effect of CYP3A4 Induction on the Pharmacokinetics of VELCADE (Bortezomib)
This study is ongoing, but not recruiting participants.
First Received: January 23, 2008   Last Updated: December 3, 2009   History of Changes
Sponsor: Millennium Pharmaceuticals, Inc.
Collaborator: Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Information provided by: Millennium Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier: NCT00608907
  Purpose

The primary purpose of this Phase I study is to evaluate the effect of the co-administration of CYP3A4 inducers on the pharmacokinetics profile of VELCADE (bortezomib). Rifampicin will be used to assess the effect of a strong CYP3A4 inducer and dexamethasone to assess the effect of a relatively weak inducer. This study is also to evaluate the impact of CYP3A4 inducers on the pharmacodynamics (PD) of VELCADE and the safety profile of VELCADE.


Condition Intervention Phase
Multiple Myeloma or Non-Hodgkin's Lymphoma
Drug: bortezomib
Drug: rifampicin
Phase I

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Parallel Assignment, Pharmacokinetics Study
Official Title: An Open-Label Study to Assess the Effect of CYP3A4 Induction on the Pharmacokinetics of VELCADE (Bortezomib)

Resource links provided by NLM:


Further study details as provided by Millennium Pharmaceuticals, Inc.:

Primary Outcome Measures:
  • To evaluate the effect of the co-administration of CYP3A4 inducers on VELCADE pharmacokinetics. [ Time Frame: Pharmacokinetics will be calculated by non-compartmental analysis of the plasma concentration time data on Day 11 of Cycles 2 and 3. ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 45
Study Start Date: September 2007
Estimated Study Completion Date: December 2009
Estimated Primary Completion Date: November 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Active Comparator
Control arm, VELCADE only
Drug: bortezomib
IV bolus
B: Experimental
Treatment Arm, VELCADE and Rifampicin
Drug: rifampicin
oral

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female of at least 18 years of age.
  • Has documented relapsed or refractory multiple myeloma or NHL following prior anti-neoplastic treatment.
  • Female patients must be post menopausal for at least 1 year (must not have had a natural menses for at least 12 months), surgically sterile, abstinent, or, if sexually active, be practicing an effective method of birth control (e.g., prescription oral contraceptives, contraceptive injections, intrauterine device, double-barrier method, contraceptive patch, male partner sterilization) before entry and throughout the study; have a negative serum β-HCG or a negative urine pregnancy test at screening. (an alternative to oral contraceptives should be used if the patient is randomized to Arm B with rifampicin).
  • Male patients must agree to use an acceptable method of contraception (for themselves or female partners as listed above) for the duration of the study.
  • Must be able to swallow capsules/tablets whole (without chewing, crushing, or opening).
  • Agree to refrain from the use of any methylxanthine-containing products, including caffeine (e.g., chocolate bars or beverages, coffee, teas, or colas), on Day 11 of Cycles 2 and 3.
  • Agree to refrain from the use of any products containing nicotine, alcohol, quinine, grapefruit juice, or Seville oranges from 7 days before the first administration of VELCADE through completion of the 72-hour PK blood sample collection (post Day 11 VELCADE dose) in Cycle 3.

Exclusion Criteria:

  • Diagnosis or treatment of a malignancy other than multiple myeloma or NHL within 1 year of randomization, or who have previously been diagnosed with a malignancy other than multiple myeloma or NHL and have any radiographic or biochemical marker evidence of malignancy.
  • History of clinically relevant liver or renal insufficiency; significant cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurological, psychiatric, or metabolic disturbances.
  • Known or suspected hypersensitivity or intolerance to rifampicin and/or other antibiotics, corticosteroids, boron or mannitol.
  • Peripheral neuropathy or neuropathic pain Grade 2 or higher.
  • Preplanned surgery or procedures that would interfere with the conduct of the study or major surgery within 2 weeks before randomization.
  • History of disallowed therapies:

    • Prior treatment with VELCADE.
    • Any drugs or agents that inhibit (e.g., cimetidine, erythromycin, fluoxetine, ketoconazole, paroxetine) or induce (e.g., carbamazepine, glucocorticoids, phenobarbital, phenytoin, St. John's Wort) CYP2C19 or CYP3A4 within 28 days before the first administration of VELCADE.
    • Any exposure to rifampicin or corticosteroids within 28 days of screening.
    • Have received an investigational agent or used an investigational medical device within 28 days before the planned start of treatment. Concurrent participation in non-treatment studies is allowed, if it will not interfere with participation in this study.
  • Female patient who is pregnant or breastfeeding.
  • Employees of the investigator or study center, with direct involvement in the proposed study or other studies under the direction of that investigator or study center, as well as family members of the employees or the investigator.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00608907

Locations
Israel
Hematology Institute - Davidoff Center - Rabin Medical Center
Petach Tikva, Israel, 49100
Italy
Divisione di Ematologia - Ospedale S Eugenio - P. le dell'Umanesimo
Rome, Italy, 10001
Poland
Medical Academy - Dept of Hematology and Transplantology
Gdansk, Poland, 80-952
Klinika Nowotworow Ukladu - Chlonnego - Centrum Onkologii - Instytut
Warszawa, Poland, 02-781
South Africa
Department of Medical Oncology - Ward 51 - Pretoria Academic Hospital
Pretoria, South Africa, 0001
Department of Hematology - University of the Free State
Bloemfontein, South Africa, 9300
South Africa, Cape Town
Hematological Oncology
Parow, Cape Town, South Africa
United Kingdom
Hematology Department Combined Laboratories - Derriford Hospital
Plymouth, United Kingdom, PL6 8DH
United Kingdom, Plymouth
Plymouth Hospitals NHS Trust - Derriford Hospital
Derriford, Plymouth, United Kingdom, PL68DH
Sponsors and Collaborators
Millennium Pharmaceuticals, Inc.
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Investigators
Study Director: Medical Monitor Millennium Pharmaceuticals, Inc.
  More Information

No publications provided

Responsible Party: Johnson & Johnson Pharmaceutical Research & Development ( Clinical Research Monitor )
Study ID Numbers: 26866138-CAN-1006
Study First Received: January 23, 2008
Last Updated: December 3, 2009
ClinicalTrials.gov Identifier: NCT00608907     History of Changes
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Anti-Infective Agents
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Blood Protein Disorders
Paraproteinemias
Hemostatic Disorders
Rifampin
Anti-Bacterial Agents
Hemorrhagic Disorders
Therapeutic Uses
Cardiovascular Diseases
Lymphoma
Nucleic Acid Synthesis Inhibitors
Immunoproliferative Disorders
Neoplasms by Histologic Type
Immune System Diseases
Hematologic Diseases
Bortezomib
Vascular Diseases
Enzyme Inhibitors
Pharmacologic Actions
Protease Inhibitors
Multiple Myeloma
Antibiotics, Antitubercular
Lymphatic Diseases
Neoplasms
Antitubercular Agents
Lymphoproliferative Disorders
Lymphoma, Non-Hodgkin
Leprostatic Agents

ClinicalTrials.gov processed this record on February 08, 2010