Pharmacokinetics and Safety of Panobinostat in Patients With Advanced Solid Tumors and Various Degrees of Hepatic Function

This study has been completed.
Information provided by (Responsible Party):
Novartis ( Novartis Pharmaceuticals ) Identifier:
First received: October 28, 2009
Last updated: October 23, 2013
Last verified: October 2013

Panobinostat (LBH589) is a deacetylase inhibitor (DACi) which belongs to a structurally novel cinnamic hydroxamic acid class of compounds. It is one of the most potent class I/II pan-DAC inhibitor (pan-DACi) that has shown anti-tumor activity in pre-clinical models and patients with solid tumors and hematological malignancies.

To date, the pharmacokinetics (PK) of panobinostat has been characterized in patients with solid tumors and hematological malignancies participating in several phase I/II clinical studies. Panobinostat PK does not appear to be different in patients with solid tumors and hematological malignancies. However, the effect of organ dysfunction on PK of panobinostat is yet to be elucidated.

Kidney and liver are involved in the elimination and metabolism of panobinostat. The current study is designed to evaluate the impact of hepatic function status on panobinostat PK.

Condition Intervention Phase
Advanced Solid Tumors
Drug: LBH589
Phase 1

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Official Title: A Phase I, Open-label, Multicenter Study to Evaluate the Pharmacokinetics and Safety of Oral Panobinostat in Patients With Advanced Solid Tumors and Various Degrees of Hepatic Function

Resource links provided by NLM:

Further study details as provided by Novartis:

Primary Outcome Measures:
  • To assess the effect of various degrees of impairment in hepatic function as measured by the National Cancer Institute-Cancer Therapy Evaluation Program (NCI-CTEP) criteria, on the pharmacokinetics of panobinostat. [ Time Frame: first 7 days ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To assess the effect of various degrees of impairment in hepatic function on the safety of panobinostat [ Time Frame: entire duration of study ] [ Designated as safety issue: No ]
  • To evaluate whether there is a relationship between panobinostat PK and safety parameters in patients with various degrees of hepatic organ function [ Time Frame: first 7 days ] [ Designated as safety issue: No ]
  • To explore anti-tumor activity associated with panobinostat. [ Time Frame: best overall response ] [ Designated as safety issue: No ]

Enrollment: 25
Study Start Date: March 2010
Study Completion Date: November 2012
Primary Completion Date: November 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: HDACi Drug: LBH589


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

Inclusion Criteria:

  1. Patient has documented diagnosis of advanced solid tumor for which no standard systemic therapy exists
  2. Patient has normal or abnormal hepatic organ function
  3. Patient has provided written informed consent prior to any screening procedures

Exclusion Criteria:

  1. Patient needing valproic acid for any medical condition during the study or within 5 days prior to the first panobinostat dose
  2. Patient received prior treatment with DAC inhibitors including panobinostat
  3. Patient requires treatment with warfarin that cannot be switched to another anticoagulant treatment prior to starting study drug
  4. Patient has encephalopathy
  5. Patient has ascites requiring intervention
  6. Female patient who is pregnant or breast feeding or with childbearing potential and not willing to use a double method of contraception up to 3 months after the end of study treatment. Male patient who is not willing to use a barrier method of contraception up to 3 months after the end of study treatment.

Other protocol-defined inclusion/exclusion criteria may apply.

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Please refer to this study by its identifier: NCT01007968

United States, Utah
University of Utah / Huntsman Cancer Institute
Salt Lake City, Utah, United States, 84103
Novartis Investigative Site
Leiden, Netherlands, 2300 RC
Novartis Investigative Site
Lund, Sweden, SE-221 85
Novartis Investigative Site
Stockholm, Sweden, SE-171 76
Novartis Investigative Site
St. Gallen, Switzerland, 9007
United Kingdom
Novartis Investigative Site
Edinburgh, United Kingdom, EH4 2XR
Sponsors and Collaborators
Novartis Pharmaceuticals
Study Director: Novartis Pharmaceuticals Novartis Pharmaceuticals
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Novartis ( Novartis Pharmaceuticals ) Identifier: NCT01007968     History of Changes
Other Study ID Numbers: CLBH589X2101  2009-012262-31 
Study First Received: October 28, 2009
Last Updated: October 23, 2013
Health Authority: United States: Food and Drug Administration
Switzerland: Swissmedic
United Kingdom: Medicines and Healthcare Products Regulatory Agency
Sweden: Medical Products Agency
Netherlands: Medical Ethics Review Committee (METC)

Keywords provided by Novartis:
solid tumors
hepatic function

Additional relevant MeSH terms:
Antineoplastic Agents
Enzyme Inhibitors
Histone Deacetylase Inhibitors
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Therapeutic Uses processed this record on May 05, 2016