Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT04051827
Registration number
NCT04051827
Ethics application status
Date submitted
5/08/2019
Date registered
9/08/2019
Date last updated
12/04/2024
Titles & IDs
Public title
Drug-Drug Interaction Study of TAK-788 and Midazolam in Participants With Advanced Non-small Cell Lung Cancer (NSCLC)
Query!
Scientific title
A Phase 1, Open-Label, Multicenter, Drug-Drug Interaction Study of TAK-788 and Midazolam, a Sensitive CYP3A Substrate, in Patients With Advanced Non-Small Cell Lung Cancer
Query!
Secondary ID [1]
0
0
2019-000725-44
Query!
Secondary ID [2]
0
0
TAK-788-1004
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Carcinoma, Non-Small-Cell Lung
0
0
Query!
Lung Neoplasms
0
0
Query!
Condition category
Condition code
Cancer
0
0
0
0
Query!
Lung - Non small cell
Query!
Cancer
0
0
0
0
Query!
Lung - Mesothelioma
Query!
Cancer
0
0
0
0
Query!
Lung - Small cell
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Treatment: Drugs - Midazolam
Treatment: Drugs - TAK-788
Experimental: Part A: Midazolam + TAK-788 - Midazolam 3 mg, solution, orally, once on Days 1 and 24 and midazolam 1 mg, infusion, intravenously, once on Days 2 and 25 along with TAK-788 160 mg, capsule, orally, once daily from Day 3 through 30 in Cycle 1.
Experimental: Part B: TAK-788 - TAK-788 160 mg, capsules, orally, once daily in a 28-day treatment cycle from Cycle 2 to Cycle 24, or until progressive disease (PD), intolerable toxicity, or another discontinuation criterion is met, whichever is sooner. Eligible participants from Part A may enter into Part B. Based on the investigator's opinion, if a participant continues to experience clinical benefit, treatment with TAK-788 may be continued after PD.
Treatment: Drugs: Midazolam
Midazolam Oral Solution and Midazolam Intravenous Infusion.
Treatment: Drugs: TAK-788
TAK-788 Oral Capsules.
Query!
Intervention code [1]
0
0
Treatment: Drugs
Query!
Comparator / control treatment
Query!
Control group
Query!
Outcomes
Primary outcome [1]
0
0
Part A, Cmax: Geometric Mean Maximum Observed Plasma Concentration (Cmax) for Midazolam Administered Orally With Mobocertinib (Cycle 1 Day 24) and Without Mobocertinib (Cycle 1 Day 1)
Query!
Assessment method [1]
0
0
As planned, this pharmacokinetic (PK) outcome measure was only assessed in Part A.
Query!
Timepoint [1]
0
0
Cycle 1: Days 1 and 24 pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length is equal to [=] 30 days)
Query!
Primary outcome [2]
0
0
Part A, AUC8: Geometric Mean Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Midazolam Administered Orally With Mobocertinib (Cycle 1 Day 24) and Without Mobocertinib (Cycle 1 Day 1)
Query!
Assessment method [2]
0
0
As planned, this PK outcome measure was only assessed in Part A.
Query!
Timepoint [2]
0
0
Cycle 1: Days 1 and 24 pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length = 30 days)
Query!
Primary outcome [3]
0
0
Part A, Cmax: Geometric Mean Maximum Observed Plasma Concentration (Cmax) for Midazolam Administered Intravenously With Mobocertinib (Cycle 1 Day 25) and Without Mobocertinib (Cycle 1 Day 2)
Query!
Assessment method [3]
0
0
As planned, this PK outcome measure was only assessed in Part A.
Query!
Timepoint [3]
0
0
Cycle 1: Days 2 and 25 pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length = 30 days)
Query!
Primary outcome [4]
0
0
Part A, AUC8: Geometric Mean Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Midazolam Administered Intravenously With Mobocertinib (Cycle 1 Day 25) and Without Mobocertinib (Cycle 1 Day 2)
Query!
Assessment method [4]
0
0
As planned, this PK outcome measure was only assessed in Part A.
Query!
Timepoint [4]
0
0
Cycle 1: Days 2 and 25 pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length = 30 days)
Query!
Primary outcome [5]
0
0
Part A, Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Midazolam Administered Orally With Mobocertinib (Cycle 1 Day 24) and Without Mobocertinib (Cycle 1 Day 1)
Query!
Assessment method [5]
0
0
As planned, this PK outcome measure was only assessed in Part A for midazolam 3 mg oral solution.
Query!
Timepoint [5]
0
0
Cycle 1: Days 1 and 24 pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length = 30 days)
Query!
Primary outcome [6]
0
0
Part A, Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Midazolam Administered Intravenously With Mobocertinib (Cycle 1 Day 25) and Without Mobocertinib (Cycle 1 Day 2)
Query!
Assessment method [6]
0
0
As planned, this PK outcome measure was only assessed in Part A for midazolam 1 mg intravenous infusion.
Query!
Timepoint [6]
0
0
Cycle 1: Days 2 and 25 pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length = 30 days)
Query!
Secondary outcome [1]
0
0
Part A and B: Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)
Query!
Assessment method [1]
0
0
Query!
Timepoint [1]
0
0
Part A:From Day 1 up to 30 days after the last dose of study drug in Cycle 1 (up to 2 months);Part B:From Day 1 of Cycle 2 up to 30 days after the last dose of study drug in Cycle 19 (up to Month 19) (Cycle length, Part A= 30 days; Part B=28 days)
Query!
Secondary outcome [2]
0
0
Part A and B: Number of Participants With Clinically Significant Change From Baseline in Laboratory Values
Query!
Assessment method [2]
0
0
The clinically significant change from baseline in laboratory values was assessed by the investigator.
Query!
Timepoint [2]
0
0
Part A: Day 1 of Cycle 1; Part B: Day 1 of every Cycle (Cycle 2 to Cycle 19) (Cycle length, Part A=30 days; Part B =28 days)
Query!
Secondary outcome [3]
0
0
Part A and B: Number of Participants With Clinically Significant Change From Baseline in Vital Signs
Query!
Assessment method [3]
0
0
Query!
Timepoint [3]
0
0
Part A: Day 1 up to Day 26 in Cycle 1; Part B: Day 1 of every Cycle (Cycle 2 to Cycle 19) (Cycle length, Part A=30 days; Part B =28 days)
Query!
Eligibility
Key inclusion criteria
1. Histologically or cytologically confirmed locally advanced NSCLC in which the
participant is not a candidate for definitive therapy; or, the participant has
recurrent or metastatic (Stage IV) disease.
2. Refractory or intolerant to standard available therapies.
3. Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1.
4. Minimum life expectancy of 3 months or more.
5. Adequate organ function as defined by the following criteria:
- Total serum bilirubin less than or equal to (<=) 1.5*upper limit of normal (ULN)
(<=3*ULN for participants with Gilbert syndrome or if liver function
abnormalities are due to underlying malignancy)
- Alanine aminotransferase and aspartate aminotransferase <=2.5*ULN (or <=5*ULN if
liver function abnormalities are due to underlying malignancy)
- Estimated creatinine clearance greater than or equal to (>=) 30 milliliter per
minute (mL/min) (calculated by using the Cockcroft-Gault equation)
- Serum albumin >= 2 gram/deciliter (g/dL)
- Serum lipase/amylase <=1.5*ULN; and
- Serum amylase <=1.5*ULN unless the increased serum amylase is due to salivary
isoenzymes.
6. Adequate bone marrow function as defined by the following criteria:
- Absolute neutrophil count >=1.5*10^9 per liter (/L)
- Platelet count >=75*10^9/L; and
- Hemoglobin >=9.0 g/dL.
7. Normal QT interval on screening electrocardiogram (ECG), defined as QT interval with
Fridericia's correction (QTcF) of <= 450 millisecond (msec) in males or <= 470 msec in
females. (as conducted and interpreted in accordance to local institutional practices
and confirmed by principal investigator [PI]).
8. All toxicities from prior anticancer therapy must have resolved to <= Grade 1
according to the National Cancer Institute Common Terminology Criteria for Adverse
Events (NCI CTCAE) version 5.0 or have resolved to baseline, at the time of first dose
of TAK-788. Note: treatment-related Grade 2 or 3 alopecia and treatment-related Grade
2 peripheral neuropathy are allowed if deemed irreversible.
9. Suitable venous access for study-required blood sampling (that is, including for PK,
pharmacodynamics, and clinical laboratory tests).
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
No limit
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
1. Received a strong or moderate cytochrome P450 3A (CYP3A) inhibitor or strong or
moderate CYP3A inducer within 2 weeks prior to the first dose of TAK-788.
2. Received small-molecule anticancer therapy (including but not limited to cytotoxic
chemotherapy and investigational agents) within 2 weeks prior to the first dose of
TAK-788.
3. Received antineoplastic monoclonal antibodies including check point inhibitors within
28 days of the first dose of TAK-788.
4. Received radiotherapy <=14 days prior to the first dose of TAK-788. However,
participants are allowed to receive any of the following treatments up to 7 days prior
to the first dose: (a) Stereotactic radiosurgery (SRS) (b) stereotactic body radiation
therapy (SBRT) or (c) palliative radiation outside the chest and brain.
5. Major surgery within 28 days prior to the first dose of TAK-788. Minor surgical
procedures, such as catheter placement or minimally invasive biopsy, are allowed.
6. Diagnosed with another primary malignancy other than NSCLC except for adequately
treated non-melanoma skin cancer or cervical cancer in situ; definitively treated
non-metastatic prostate cancer; or another primary malignancy and is definitively
relapse-free with at least 3 years elapsed since the diagnosis of the other primary
malignancy.
7. Have known active brain metastases (have either previously untreated intracranial
central nervous system (CNS) metastases or previously treated intracranial CNS
metastases with radiologically documented new or progressing CNS lesions). Brain
metastases are allowed if they have been treated with surgery and/or radiation and
have been stable without requiring corticosteroids to control symptoms within 7 days
before the first dose of TAK-788, and have no evidence of new or enlarging brain
metastases.
8. Current spinal cord compression (symptomatic or asymptomatic and detected by
radiographic imaging) or leptomeningeal disease (symptomatic or asymptomatic).
9. Have uncontrolled hypertension. Participants with hypertension should be under
treatment on study entry to control blood pressure.
10. Significant, uncontrolled, or active cardiovascular disease, including, but not
limited to the following:
- Myocardial infarction within 6 months prior to the first dose of study drug;
- Unstable angina within 6 months prior to the first dose of study drug;
- Congestive heart failure within 6 months prior to the first dose of study drug.
Cardiac ejection fraction <50% by echocardiogram (ECHO) or multiple gated
acquisition scan (MUGA);
- History of clinically significant (as determined by the treating physician)
atrial arrhythmia;
- Any history of ventricular arrhythmia; or
- Cerebrovascular accident or transient ischemic attack within 6 months prior to
the first dose of study drug.
11. Treatment with medications known to be associated with the development of torsades de
pointes.
12. Gastrointestinal illness or disorder that could affect oral absorption of TAK-788 or
midazolam.
Query!
Study design
Purpose of the study
Other
Query!
Allocation to intervention
Non-randomised trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Query!
Masking / blinding
Open (masking not used)
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Other
Query!
Other design features
Query!
Phase
Phase 1
Query!
Type of endpoint/s
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Data analysis
Query!
Reason for early stopping/withdrawal
Query!
Other reasons
Query!
Date of first participant enrolment
Anticipated
Query!
Actual
23/12/2019
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
7/12/2021
Query!
Sample size
Target
Query!
Accrual to date
Query!
Final
26
Query!
Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
Query!
Recruitment hospital [1]
0
0
Royal North Shore Hospital - St Leonards
Query!
Recruitment hospital [2]
0
0
Flinders Medical Centre - Bedford Park
Query!
Recruitment hospital [3]
0
0
Peninsula and Southeast Oncology - Frankston
Query!
Recruitment hospital [4]
0
0
Nucleus Network - Melbourne
Query!
Recruitment postcode(s) [1]
0
0
2065 - St Leonards
Query!
Recruitment postcode(s) [2]
0
0
5042 - Bedford Park
Query!
Recruitment postcode(s) [3]
0
0
3199 - Frankston
Query!
Recruitment postcode(s) [4]
0
0
3004 - Melbourne
Query!
Recruitment outside Australia
Country [1]
0
0
Netherlands
Query!
State/province [1]
0
0
Noord-holland
Query!
Country [2]
0
0
Netherlands
Query!
State/province [2]
0
0
Groningen
Query!
Country [3]
0
0
Singapore
Query!
State/province [3]
0
0
Singapore
Query!
Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Query!
Name
Millennium Pharmaceuticals, Inc.
Query!
Address
Query!
Country
Query!
Ethics approval
Ethics application status
Query!
Summary
Brief summary
The purpose of this study is to characterize the effect of repeated oral administration of
TAK-788 160 milligram (mg) once daily on the single oral and intravenous dose
pharmacokinetics (PK) of midazolam.
Query!
Trial website
https://clinicaltrials.gov/ct2/show/NCT04051827
Query!
Trial related presentations / publications
Query!
Public notes
Query!
Contacts
Principal investigator
Name
0
0
Study Director
Query!
Address
0
0
Millennium Pharmaceuticals, Inc.
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for public queries
Name
0
0
Query!
Address
0
0
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT04051827
Download to PDF