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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01851824
Registration number
NCT01851824
Ethics application status
Date submitted
3/05/2013
Date registered
13/05/2013
Date last updated
2/11/2016
Titles & IDs
Public title
A Study of the Effect of Vemurafenib on the Pharmacokinetics of Acenocoumarol in Patients With BRAFV600 Mutation-Positive Metastatic Malignancy
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Scientific title
A PHASE I, OPEN-LABEL, MULTICENTER, 3-PERIOD, FIXED-SEQUENCE STUDY TO INVESTIGATE THE EFFECT OF VEMURAFENIB ON THE PHARMACOKINETICS OF A SINGLE ORAL DOSE OF ACENOCOUMAROL IN PATIENTS WITH BRAFV600 MUTATION-POSITIVE METASTATIC MALIGNANCY
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Secondary ID [1]
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2012-003706-27
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Secondary ID [2]
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GO28397
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Malignant Melanoma, Neoplasms
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Condition category
Condition code
Cancer
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Malignant melanoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - acenocoumarol
Treatment: Drugs - vemurafenib
Experimental: Acenocoumarol + Vemurafenib -
Treatment: Drugs: acenocoumarol
4 mg single oral doses on Days 1 and 23
Treatment: Drugs: vemurafenib
960 mg orally bid, 20 days (Days 4-23)
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Pharmacokinetics of single-dose acenocoumarol under conditions of vemurafenib steady-state exposure: Area under the concentration-time curve (AUC)
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Assessment method [1]
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Timepoint [1]
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Pre-dose and up to 72 hours post-dose
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Primary outcome [2]
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Pharmacokinetics of single-dose acenocoumarol under conditions of vemurafenib steady-state exposure: Maximum plasma concentration (Cmax)
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Assessment method [2]
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Timepoint [2]
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Pre-dose and up to 72 hours post-dose
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Primary outcome [3]
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Pharmacokinetics of single-dose acenocoumarol under conditions of vemurafenib steady-state exposure: Time to maximum plasma concentration (Tmax)
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Assessment method [3]
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Timepoint [3]
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Pre-dose and up to 72 hours post-dose
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Primary outcome [4]
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Pharmacokinetics of single-dose acenocoumarol under conditions of vemurafenib steady-state exposure: Terminal half-life (t1/2)
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Assessment method [4]
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Timepoint [4]
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Pre-dose and up to 72 hours post-dose
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Primary outcome [5]
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Pharmacokinetics of single-dose acenocoumarol under conditions of vemurafenib steady-state exposure: Apparent clearance (CL/F)
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Assessment method [5]
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Timepoint [5]
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Pre-dose and up to 72 hours post-dose
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Secondary outcome [1]
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Safety: Incidence of Adverse Events and Serious Adverse Events
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Assessment method [1]
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Timepoint [1]
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approximately 1.5 years
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Eligibility
Key inclusion criteria
* Adult patients, 18-70 years of age
* Patients with either unresectable Stage IIIc or IV BRAFV600 mutation-positive metastatic melanoma or other malignant BRAFV600 mutation-positive tumor type and who have no acceptable standard treatment options
* Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2
* Full recovery from any major surgery or significant traumatic injury at least 14 days prior to the first dose of study treatment
* Adequate hematologic and end organ function
* Female patients of childbearing potential and male patients with female partners of childbearing potential must agree to use 2 effective methods of contraception as defined by protocol during the course of the study and for at least 6 months after completion of study treatment
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prior treatment with vemurafenib or other BRAF inhibitor within 42 days of Day 1
* Prior anti-cancer therapy within 28 days (6 weeks for nitrosureas or mitocyn C, or 14 days for hormonal therapy or kinase inhibitors) before the first dose of study treatment Day 1
* Palliative radiotherapy within 2 weeks prior to first dose of study treatment Day 1
* Experimental therapy within 4 weeks prior to first dose of study treatment Day 1
* History of clinically significant cardiac or pulmonary dysfunction, including current uncontrolled Grade >/=2 hypertension or unstable angina
* Current Grade >/=2 dyspnea or hypoxia or need for oxygen supplementation
* History of myocardial infarction within 6 months prior to first dose of study treatment
* Active central nervous system lesions (i.e. participants with radiographically unstable, symptomatic lesions)
* History of bleeding or coagulation disorders
* Allergy or hypersensitivity to vemurafenib or acenocoumarol formulations
* History of malabsorption or other condition that would interfere with the enteral absorption of study treatment
* Participants with VKORC1 mutations (1639G→A, 1173C→T) in either one allele (heterozygous)or two alleles (homozygous)
* Participants with CYP2C9*3 mutations in either one allele (heterozygous) or two alleles (homozygous)
* History of clinically significant liver disease (including cirrhosis), current alcohol abuse, or active hepatitis B or hepatitis C virus infection
* Human immunodeficiency virus (HIV) infection requiring antiretroviral treatment, or AIDS-related illness
* Pregnant or lactating women
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Study design
Purpose of the study
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/08/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/06/2014
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Sample size
Target
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Accrual to date
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Final
9
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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- Wodonga
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Recruitment postcode(s) [1]
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3690 - Wodonga
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Recruitment outside Australia
Country [1]
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Germany
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State/province [1]
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Buxtehude
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Country [2]
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Germany
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State/province [2]
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Essen
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Germany
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State/province [3]
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Mannheim
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Country [4]
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Greece
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State/province [4]
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Crete
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Greece
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Thessaloniki
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Hungary
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State/province [6]
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Budapest
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Netherlands
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State/province [7]
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Amsterdam
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Country [8]
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Netherlands
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State/province [8]
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Maastricht
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Country [9]
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Netherlands
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State/province [9]
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Utrecht
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Country [10]
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New Zealand
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State/province [10]
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Auckland
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Country [11]
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New Zealand
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State/province [11]
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Christchurch
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Country [12]
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Portugal
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State/province [12]
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Lisboa
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Country [13]
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Portugal
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State/province [13]
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Porto
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Country [14]
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Serbia
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State/province [14]
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Belgrade
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Country [15]
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Spain
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State/province [15]
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Barcelona
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Country [16]
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Spain
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State/province [16]
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Madrid
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Hoffmann-La Roche
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This open-label, multicenter, 3-period, fixed-sequence study will evaluate the effect of multiple doses of vemurafenib on the pharmacokinetics of a single dose of acenocoumarol in participants with BRAFV600 mutation-positive metastatic malignancies. Participants will receive a single dose of acenocoumarol 4 mg orally on Day 1 and Day 23, vemurafenib 960 mg orally twice daily on Days 4-26. After completion of pharmacokinetic assessments on Day 26, eligible participants will have the option to continue treatment with vemurafenib as part of an extension study (GO28399 \[NCT01739764\]).
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Trial website
https://clinicaltrials.gov/study/NCT01851824
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Clinical Trials
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Address
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Hoffmann-La Roche
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01851824
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