Safety and Pharmacokinetics of Tucatinib (MK-7119) in Chinese Participants With Cancer (MK-7119-002)
A Phase 1 Clinical Study to Investigate the Safety and Pharmacokinetics of Tucatinib (MK-7119) in China Participants With HER2+ Advanced Breast Cancer, Gastric or Gastroesophageal Junction Adenocarcinoma and Colorectal Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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Shanghai, China, 201321
- Fudan University Shanghai Cancer Center
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Tianjin, China, 300060
- Tianjin Medical University Cancer Institute and Hospital
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Heilongjiang
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Harbin, Heilongjiang, China, 150081
- Harbin Medical University Cancer Hospital
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Hunan
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Changsha, Hunan, China, 421000
- Hunan Cancer Hospital
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Jilin
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Changchun, Jilin, China, 130012
- Jilin cancer hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Histologically or cytologically confirmed HER2+ advanced breast cancer, gastric or GEC, and colorectal cancer
- Have progressed at least one previous therapeutic regimen and either no longer are candidates for standard therapy, have no standard therapy available, or choose not to pursue standard therapy
- Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance within 7 days prior to allocation
- Has life expectancy >6 months in the opinion of the investigator
- Have measurable disease per Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 as assessed by the local site investigator/radiologist
- Must test negative for hepatitis B surface antigen (HBsAg)
- If there is a history of hepatitis C virus (HCV) infection, has undetectable HCV viral load at screening
- For males, agree to be abstinent from heterosexual intercourse, or agree to use acceptable contraception, for the duration of study and 1 week after
- For females, is not pregnant or breastfeeding AND one of the following applies:
- Is not a woman of childbearing potential (WOCBP)
- Is a WOCBP and uses highly effective contraception and is not pregnant
Exclusion Criteria:
- History of prior cancer within <3 year, except for adequately treated basal cell or squamous cell carcinoma of the skin, cervical cancer in situ, or other in situ carcinomas which needs discussion between the investigator and the Sponsor
- Participants with leptomeningeal disease are excluded
- Has symptomatic central nervous system (CNS) metastases
- Has active human immunodeficiency virus (HIV), hepatitis B virus, or HCV infection
- Has had chemotherapy, immunotherapy, radioimmunotherapy, definitive radiation, or biological cancer therapy or treatment with an investigational product within 4 weeks (2 weeks for palliative radiation) before the first dose of study intervention
- Has an active infection requiring therapy
- Has refractory nausea/vomiting, chronic gastrointestinal disease, or significant bowel resection
- Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study
- Has a QTc prolongation
- Has uncontrolled illness including but not limited to ongoing symptomatic congestive heart failure (New York Heart Association [NYHA] Class III or IV heart failure), unstable angina pectoris, cardiac arrhythmia, and psychiatric illness that would limit compliance with study requirements
- Has had major surgery within 4 weeks prior to first dose of study intervention
- Is currently participating in another clinical trial
- Has psychiatric or substance abuse disorder
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Tucatinib Treatment
Chinese participants with HER2+ advanced breast cancer, gastric or gastroesophageal junction adenocarcinoma, or colorectal cancer receive tucatinib 300 mg by mouth twice daily during 21-day cycles.
Treatment continues until there is evidence of unacceptable toxicity or documented progression.
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Tucatinib 150 mg and 50 mg tablets taken by mouth at a dose of 300 mg twice daily.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of participants with ≥1 adverse event (AE)
Time Frame: Up to approximately 2.5 years
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An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
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Up to approximately 2.5 years
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Percentage of participants discontinuing from study therapy due to AE
Time Frame: Up to approximately 2.5 years
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An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
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Up to approximately 2.5 years
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Maximum plasma concentration (Cmax) of first dose of tucatinib
Time Frame: Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The Cmax of tucatinib will be determined after the first dose.
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Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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Time of maximum plasma concentration (Tmax) of first dose of tucatinib
Time Frame: Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The Tmax of tucatinib will be determined after the first dose.
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Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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Area under the plasma concentration time curve from dosing to 12 hours postdose (AUC0-12) of first dose of tucatinib
Time Frame: Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The AUC0-12 of tucatinib will be determined after the first dose.
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Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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Apparent plasma half-life (t½) of first dose of tucatinib
Time Frame: Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The t½ of tucatinib will be determined after the first dose.
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Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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Apparent clearance (CL/F) of first dose of tucatinib
Time Frame: Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The CL/F of tucatinib will be determined after the first dose.
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Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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Volume of distribution (Vz/F) of first dose of tucatinib
Time Frame: Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The Vz/F of tucatinib will be determined after the first dose.
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Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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Trough concentration (Ctrough) of tucatinib at steady state
Time Frame: Cycle 1, Days 8 and 15: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The Ctrough of tucatinib will be determined at steady state.
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Cycle 1, Days 8 and 15: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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Accumulation ratio of tucatinib at steady state
Time Frame: Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The accumulation ratio of tucatinib will be determined at steady state.
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Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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Cmax at steady state (Cmaxss) of tucatinib
Time Frame: Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The Cmaxss of tucatinib will be determined at steady state.
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Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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Tmax at steady state (Tmaxss) of tucatinib
Time Frame: Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The Tmaxss of tucatinib will be determined at steady state.
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Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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AUC0-12 at steady state (AUC0-12ss) of tucatinib
Time Frame: Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The AUC0-12ss of tucatinib will be determined at steady state.
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Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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t½ of tucatinib at steady state
Time Frame: Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The t½ of tucatinib will be determined at steady state.
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Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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CL/F at steady state (CL/Fss) of tucatinib
Time Frame: Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The CL/Fss of tucatinib will be determined at steady state.
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Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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Vz/F at steady state (Vz/Fss) of tucatinib
Time Frame: Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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The Vz/Fss of tucatinib will be determined at steady state.
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Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose
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Objective Response Rate (ORR) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1)
Time Frame: Up to approximately 19 months
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ORR is defined as the percentage of participants who have a Complete Response (CR: disappearance of all target lesions) or a Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1.
The percentage of participants who experience a CR or PR based on RECIST 1.1 will be presented.
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Up to approximately 19 months
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Duration of Response (DOR) Per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1)
Time Frame: Up to approximately 19 months
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For participants who demonstrate a confirmed complete response (CR: Disappearance of all target lesions) or confirmed Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until disease progression or death.
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Up to approximately 19 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Pfizer CT.gov Call Center, Pfizer
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Intestinal Diseases
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Colonic Diseases
- Skin Diseases
- Breast Diseases
- Skin and Connective Tissue Diseases
- Colorectal Neoplasms
- Breast Neoplasms
- Antineoplastic Agents
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Protein Kinase Inhibitors
- tucatinib
Other Study ID Numbers
Other Study ID Numbers
- MK-7119-002 (Merck)
- 7119-002 (Other Identifier: Alias Study Number)
- C4251016 (Other Identifier: Alias Study Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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