A Study on the Effect of Vemurafenib on the Pharmacokinetics of a Single Dose of Tizanidine in Patients With BRAFV600 Mutation-Positive Metastatic Malignancies
Status: | Completed |
---|---|
Conditions: | Skin Cancer |
Therapuetic Areas: | Oncology |
Healthy: | No |
Age Range: | 18 - 70 |
Updated: | 4/21/2016 |
Start Date: | September 2013 |
End Date: | August 2014 |
A Phase I, Open-Label, Multicenter, 3- Period, Fixed-Sequence Study to Investigate the Effect of Vemurafenib on the Pharmacokinetics of a Single Dose of Tizanidine (a CYP1A2 Substrate) in Patients With BRAFV600 Mutation-Positive Metastatic Malignancy
This open-label, multicenter, 3-period, fixed-sequence study will evaluate the effect of
multiple oral doses of vemurafenib on the pharmacokinetics of a single oral dose of
tizanidine in participants with BRAFV600 mutation-positive metastatic malignancies.
Participants will receive a single oral dose of tizanidine on Day 1, vemurafenib orally
twice daily on Days 2 to 21, and tizanidine and vemurafenib on Day 22. Eligible participants
will have the option to continue treatment with vemurafenib as part of an extension study
(NCT01739764).
multiple oral doses of vemurafenib on the pharmacokinetics of a single oral dose of
tizanidine in participants with BRAFV600 mutation-positive metastatic malignancies.
Participants will receive a single oral dose of tizanidine on Day 1, vemurafenib orally
twice daily on Days 2 to 21, and tizanidine and vemurafenib on Day 22. Eligible participants
will have the option to continue treatment with vemurafenib as part of an extension study
(NCT01739764).
Inclusion Criteria:
- Adults 18 to 70 years of age, inclusive
- Unresectable Stage IIIc or IV metastatic melanoma positive for the BRAFV600 mutation
or other malignant tumor type which harbors a V600 activating mutation of BRAF, as
determined by Cobas 4800 BRAFV600 Mutation Test or a DNA sequencing method
- Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2
- Life expectancy greater than or equal to (>/=) 12 weeks
- Participant has not consumed tobacco or nicotine-containing products for 42 days
prior to first dose of study drug, and must agree to refrain from such products while
on study
- Adequate hematologic, renal and liver function
Exclusion Criteria:
- Prior treatment with vemurafenib or other BRAF inhibitor within 42 days of Day 1
- History of or current clinically significant cardiac or pulmonary dysfunction,
including current uncontrolled Grade >/= 2 hypertension or unstable angina
- Current dyspnea at rest due to complications of advanced malignancy or any
requirement for supplemental oxygen
- Active central nervous system lesions (participants with radiographically unstable,
symptomatic lesions)
- Participants with CYP1A2 gene mutation (-3113G->A), either in one or two alleles
- Allergy or hypersensitivity to vemurafenib or tizanidine formulations
- Current severe uncontrolled systemic disease
- Inability or unwillingness to swallow pills
- History of malabsorption or other condition that would interfere with enteral
absorption of study treatment
- History of clinically significant liver disease (including cirrhosis), current
alcohol abuse, or human immunodeficiency (HIV) infection requiring antiretroviral
treatment, acquired immune deficiency syndrome (AIDS)-related illness, or active
hepatitis B or C
- Pregnant or breastfeeding women
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