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| ID | Type | Description | Link |
|---|---|---|---|
| 2011-001489-16 | EudraCT Number |
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This is a multi-center, open-label, phase I study to assess the effects of dovitinib (TKI258) on the pharmacokinetics of a cocktail of caffeine, diclofenac, omeprazole and midazolam in patients with advanced solid tumors, excluding breast cancer. The aim of this study is to evaluate the potential effect of dovitinib (TKI258) on the metabolism of the probe drugs caffeine, diclofenac, omeprazole and midazolam, which are metabolized by CYP1A2, CYP2C9, CYP2C19 and CYP3A4 respectively (Cytochrome P450 isoenzyme), comparing the single-dose pharmacokinetics (AUCtlast, AUCinf and Cmax parameters) of each of the individual probe drug co-administered with and without multiple dose of dovitinib (TKI258) 500 mg under a 5 days on / 2 days off dose schedule. The study foresees two treatment phases: DDI (drug-drug interaction) followed by post-DDI. During the DDI phase patients receive treatment with the probe drug cocktail and dovitinib (TKI258). During the post-DDI phase patients may continue to receive treatment with dovitinib (TKI258) until disease progression (assessed by RECIST 1.1), unacceptable toxicity, death or discontinuation from the study treatment for any other reason.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TKI258 (dovitinib) | Experimental | dovitinib, 5 days on / 2 days off dose schedule |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| caffeine | Drug | single dose of the probe drug cocktail contains: caffeine, diclofenac, omeprazole and midazolam |
|
| Measure | Description | Time Frame |
|---|---|---|
| Probe substrate pharmacokinetics (PK) parameters: Cmax (Maximum (peak) concentration of drug) | multiple time-points over 24h post dose on day 1 and Day 13 (DDI phase), | |
| Probe substrate PK parameters: AUCtlast (Area Under the Curve) | multiple time-points over 24h post dose on day 1 and Day 13 (DDI phase), | |
| Probe substrate PK parameters: AUCinf | multiple time-points over 24h post dose on day 1 and Day 13 (DDI phase), | |
| Probe substrate PK parameters:Tmax (Time to maximum concentration) | multiple time-points over 24h post dose on day 1 and Day 13 (DDI phase), | |
| Probe substrate PK parameters: HL (Half-life time) | multiple time-points over 24h post dose on day 1 and Day 13 (DDI phase), | |
| Probe substrate PK parameters:CL/F (Apparent Oral Clearance) | multiple time-points over 24h post dose on day 1 and Day 13 (DDI phase), | |
| Probe substrate PK parameters:Vz/F (apparent volume of distribution) | multiple time-points over 24h post dose on day 1 and Day 13 (DDI phase), |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency and severity of AEs (Adverse Events) | up to at least 30 days after the last dose of dovitinib (TKI258) | |
| Preliminary evidence of antitumor activity of dovitinib (TKI258) | overall response based on investigator's assessment and best overall response using RECIST 1.1 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Kansas Cancer Center Medical Center | Kansas City | Kansas | 66160 | United States | ||
| Henry Ford Hospital Henry Ford |
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| Label | URL |
|---|---|
| Results for CTKI258A2119 can be found on the Novartis Clinical Trial Results Website | View source |
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| diclofenac | Drug | single dose of the probe drug cocktail contains: caffeine, diclofenac, omeprazole and midazolam |
|
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| omeprazole | Drug | single dose of the probe drug cocktail contains: caffeine, diclofenac, omeprazole and midazolam |
|
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| midazolam | Drug | single dose of the probe drug cocktail contains: caffeine, diclofenac, omeprazole and midazolam |
|
|
| TKI258 | Drug | dovitinib, 5 days on / 2 days off dose schedule |
|
|
| every 8 weeks until progression of disease |
| Frequency and severity of SAEs (Serious Adverse Events) | up to at least 30 days after the last dose of dovitinib (TKI258) |
| Detroit |
| Michigan |
| 48202-2689 |
| United States |
| University of Minnesota | Minneapolis | Minnesota | 55455 | United States |
| Comprehensive Cancer Centers | Las Vegas | Nevada | 89169 | United States |
| Cancer Institute of New Jersey Dept of Cancer Institute of NJ | New Brunswick | New Jersey | 08901 | United States |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D002110 | Caffeine |
| D004008 | Diclofenac |
| D009853 | Omeprazole |
| D008874 | Midazolam |
| C500007 | 4-amino-5-fluoro-3-(5-(4-methylpiperazin-1-yl)-1H-benzimidazol-2-yl)quinolin-2(1H)-one |
| ID | Term |
|---|---|
| D014970 | Xanthines |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D010648 | Phenylacetates |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D053799 | 2-Pyridinylmethylsulfinylbenzimidazoles |
| D013454 | Sulfoxides |
| D013457 | Sulfur Compounds |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D001562 | Benzimidazoles |
| D001569 | Benzodiazepines |
| D001552 | Benzazepines |
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