A Drug Interaction Study of Tasisulam in Patients With Advanced Cancer or Lymphoma
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Purpose
The purpose of this study is to assess the effect of tasisulam as an inhibitor of CYP2C9, using tolbutamide as a probe substrate. This study is comprised of three treatment periods, and continued access in an extension period. Period 1 is 4 days in length. Periods 2 and 3 are approximately 28 days in length.
| Condition | Intervention | Phase |
|---|---|---|
|
Lymphoma Advanced Cancer |
Drug: Tolbutamide Drug: Tasisulam |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Pharmacokinetics Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | The Effect of Tasisulam on the CYP2C9-Mediated Metabolism of Tolbutamide: A Pharmacokinetic Interaction Study in Cancer Patients With Advanced and/or Metastatic Solid Tumors or Lymphoma |
- Pharmacokinetics of tolbutamide, concurrent dosing, area under the curve (AUC 0-infinity) [ Time Frame: Period 2 ] [ Designated as safety issue: Yes ]
- Pharmacokinetics of tolbutamide, staggered dosing, area under the curve (AUC 0-infinity). [ Time Frame: Period 3 ] [ Designated as safety issue: No ]
- Pharmacokinetics of tolbutamide, maximum concentration (Cmax) [ Time Frame: Period 1, 2 and 3 ] [ Designated as safety issue: Yes ]
- Pharmacokinetics of tolbutamide, observed time at maximal concentration (tmax) [ Time Frame: Period 1, 2 and 3 ] [ Designated as safety issue: Yes ]
| Enrollment: | 4 |
| Study Start Date: | July 2010 |
| Study Completion Date: | December 2010 |
| Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Tasisulam and Tolbutamide
Three periods and continued access to study drug (tasisulam) every 28 days until disease progression: Period 1: 500 mg tolbutamide administered once on Day 1 Period 2: 500 mg of tolbutamide and patient specific dose of tasisulam administered once on Day 1 Period 3: patient specific dose of tasisulam administered once on Day 1 and 500 mg tolbutamide administered once on day 4 (administration day in period 3 may be adjusted based on interim PK analyses) |
Drug: Tolbutamide
Administered orally
Drug: Tasisulam
Administered intravenously
Other Name: LY573636
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Have histologically or cytologically confirmed solid malignancy or lymphoma that is advanced and/or metastatic disease which has not responded to standard therapy or for which no standard therapy exists.
- Have given written informed consent prior to any study-specific procedures.
- Have a performance status of less than or equal to 1 on the Eastern Cooperative Oncology Group (ECOG) scale and an estimated life expectancy of greater than 12 weeks.
- Have discontinued all previous therapies for cancer, including chemotherapy, radiotherapy, cancer-related hormonal therapy, or other investigational therapy for at least 30 days (45 days for mitomycin-C or nitrosoureas) prior to study enrollment and recovered from the acute effects of therapy. Limited field radiotherapy is permitted (in consultation with the investigator).
- Have adequate organ function.
- Are reliable and willing to make themselves available for the duration of the study and are willing to follow study procedures.
- Males and females with reproductive potential must agree to use medically approved contraceptive precautions during the trial and for 6 months following the last dose of study drug.
- Females with child-bearing potential must have had a negative serum pregnancy test less than 7 days prior to the first dose of study drug.
Exclusion Criteria:
- Have received treatment within 30 days of the initial dose of study drug with an experimental agent for noncancer indications that has not received regulatory approval for any indication.
- Have known allergies to tasisulam or related compounds.
- Have serious preexisting medical conditions.
- Show evidence of significant active neuropsychiatric disease or central nervous system (CNS) disease (for example, Alzheimer's disease or Parkinson's disease). Patients with active brain metastasis are excluded.
- Have current acute or chronic leukemia.
- Females who are pregnant or lactating.
- Have known positive test results in human immunodeficiency virus (HIV), hepatitis B surface antigen (HBSAg), or hepatitis C antibodies (HCAb).
- History of severe allergies or multiple adverse drug reactions.
- Are persons who have previously completed or withdrawn from this study or any other study investigating tasisulam.
- Have an abnormality in the 12-lead electrocardiogram (ECG) that, in the opinion of the investigator, increases the risks associated with participating in the study.
- Serious concomitant systemic disorder, including diabetes or active infection, incompatible with the study.
- Clinically significant cardiac symptomology.
- Patients being treated with warfarin.
- Patients being treated with sulfonylureas
- Regularly use drugs of abuse and/or show positive findings on urinary drug screening that is not in accordance with known/acceptable concomitant medication.
- Patients who have received medications that are known inducers or inhibitors of CYP2C9 within 30 days prior to enrollment.
- Have donated or lost blood of more than 500 mL within the last month.
- Have an average weekly alcohol intake that exceeds 21 units per week (males up to age 65) and 14 units per week (males over 65 and females) (1 unit = 12 oz or 360 mL of beer; 5 oz or 150 mL of wine; 1.5 oz or 45 mL of distilled spirits).
- Failure for any reason to satisfy the investigator for adequate fitness to participate in the study.
- Screening albumin levels less than 30 g/L.
Contacts and Locations| United Kingdom | |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | |
| Cardiff, South Glamorgan, United Kingdom, CF14 2TL | |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | |
| Sheffield, Trent, United Kingdom, S10 2SJ | |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | |
| Leeds, West Yorkshire, United Kingdom, LS9 7TF | |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | |
| Leicester, United Kingdom, LE1 5WW | |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | |
| London, United Kingdom, WC1E 6BT | |
| Study Director: | Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) | Eli Lilly and Company |
More Information
No publications provided
| Responsible Party: | Chief Medical Officer, Eli Lilly |
| ClinicalTrials.gov Identifier: | NCT01185548 History of Changes |
| Other Study ID Numbers: | 13076, H8K-MC-JZAR |
| Study First Received: | August 18, 2010 |
| Last Updated: | April 12, 2011 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Keywords provided by Eli Lilly and Company:
|
Advanced or Metastatic Solid Tumors or Lymphoma |
Additional relevant MeSH terms:
|
Lymphoma Neoplasms Neoplasms by Histologic Type Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders |
Immune System Diseases Tolbutamide Hypoglycemic Agents Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 17, 2013