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This is a Phase 1, open-label, two-part, safety, PK, and activity study designed to characterize the DDI potential of tazemetostat. Tazemetostat will be taken orally BID continuously in 28-day cycles in both study parts.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A and B | Experimental | Part A: Subjects enrolled in Part A will receive treatment with oral tazemetostat tablets 400 mg BID for 24 days beginning on Day 1. Subjects will receive fluconazole 400 mg once daily for 4 days starting on Day 16. Tazemetostat 400 mg BID will continue through Day 24. Subjects will then receive tazemetostat 800 mg BID starting on Day 25. Part B: Subjects enrolled in Part B will receive single oral doses of repaglinide 0.25 mg and omeprazole 20 mg on Day 1. Administration of tazemetostat 800 mg BID will begin on Day 2. On Day 16, subjects again will receive single oral doses of repaglinide 0.25 mg and omeprazole 20 mg approximately 1 hour after the morning dose of tazemetostat. Subjects also will receive omeprazole 20 mg once daily in the morning on Days 16 through 19. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tazemetostat | Drug | Tazemetostat is a selective oral small molecule inhibitor of EZH2 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Effect of CYP3A Inhibition by Fluconazole on the PK of Tazemetostat (AUC0-t, AUC0-8) | Days 15 and 19, 0 to 8 hours post-dose | |
| Part A: Cmax of Tazemetostat During Co-administration With Fluconazole | Days 15 and 19, 0 to 8 hours post-dose | |
| Part B: The Potential of Tazemetostat to Inhibit or Induce CYP2C8 Using Repaglinide as a Probe Substrate (AUC0-t, AUC0-∞) | Days 1 and 16, 0 to 8 hours post-dose | |
| Part B: Cmax of Repaglinide During Co-administration With Tazemetostat | Days 1 and 16, 0 to 8 hours post-dose | |
| Part B: The Potential of Tazemetostat to Inhibit or Induce CYP2C19 Using Omeprazole as Probe a Substrate (AUC0-t, AUC0-∞) | Days 1 and 16, 0 to 8 hours post-dose | |
| Part B: Cmax of Omeprazole During Co-administration With Tazemetostat | Days 1 and 16, 0 to 8 hours post-dose | |
| Part B: Effect of Increased Gastric pH by Omeprazole on the PK of Tazemetostat (AUC0-t, AUC0-8) | Days 16 and 19, 0 to 8 hours post-dose | |
| Part B: Cmax of Tazemetostat During Co-administration With Omeprazole | Days 16 and 19, 0 to 8 hours post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment-emergent Adverse Events as a Measure of Safety | From the first dose of study treatment until the earlier of either 30 days after the discontinuation of study treatment or until the initiation of subsequent anticancer therapy, up to 2 years. | |
| Part A: PK of Tazemetostat and Its Metabolites After Administration Alone and With Fluconazole (AUC0-t, AUC0-8) |
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Inclusion criteria
Male or female ≥ 18 years of age at time of consent
Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
Has the ability to understand informed consent and provided signed written informed consent
Must meet one of the following criteria:
Has histologically confirmed diffuse large B-cell lymphoma (DLBCL), primary mediastinal B-cell lymphoma (PMBCL), marginal zone lymphoma (MZL), mantle cell lymphoma (MCL) and have relapsed or refractory disease following at least two lines of prior standard therapy, including alkylator/anthracycline (unless anthracycline-based chemotherapy is contraindicated)/anti-CD20-based therapy (R-CHOP; rituximab, doxorubicin, cyclophosphamide, vincristine, and prednisolone or prednisone, or equivalent) AND must be considered unable to benefit from intensification treatment with autologous hematopoietic stem cell transplantation (ASCT), as defined by meeting at least one of the following criteria:
Note: Subjects with prior radiotherapy will be included; however, radiotherapy alone will not be considered a separate systemic treatment regimen.
OR
Has histologically confirmed FL, all grades. Subjects must have relapsed/refractory disease following at least 2 standard lines of systemic therapy, including at least 1 anti-CD20-based regimen (eg, rituximab), as well as alkalating agents (eg, cyclophosphamide or bendamustine), and have no curative option with other available therapies OR have a contra-indication to their use. Subjects with prior ASCT may be included. Transformed disease is permitted.
Note: Subjects with prior radiotherapy will be included; however, radiotherapy alone will not be considered a separate systemic treatment regimen.
OR
Histologically and/or cytologically confirmed advanced or metastatic solid tumor that has progressed after treatment with approved therapies or for which there are no standard therapies available
Must have evaluable or measurable disease
Has all prior treatment (i.e., chemotherapy, immunotherapy, radiotherapy) related clinically significant toxicities resolve to ≤ Grade 1 per NCI CTCAE, Version 4.03 or are clinically stable and not clinically significant, at time of consent
Time required between the last dose of the latest therapy and the first dose of study drug:
Has adequate hematologic (bone marrow [BM] and coagulation factors), renal and hepatic function
NOTE: Laboratory results obtained during screening should be used to determine eligibility criteria. In situations where laboratory results are outside the permitted range, the investigator may retest the subject and the subsequent within range screening result may be used to determine the subject's eligibility.
Has a QT interval corrected by Fridericia's formula (QTcF) ≤480 msec
Subjects with a history of Hepatitis B or C are eligible on the condition that subjects have adequate liver function as defined by the protocol and are hepatitis B surface antigen negative and/or have undetectable HCV RNA.
Male subjects must refrain from donating sperm starting at the planned first dose of investigational product (IP) until 30 days following the last dose of IP
Male subjects with a female partner of childbearing potential must:
Female partners of male subjects who are of childbearing potential must also adhere to one of the following:
Women of childbearing potential or female partners of male subjects must abide by the contraception measures defined by the protocol
Exclusion criteria:
Is pregnant or nursing
Has active central nervous system (CNS) or leptomeningeal metastasis
Has had a prior malignancy other than the malignancies under study Exception: Subject who has been disease-free for 3 years, or a subject with a history of a completely resected non-melanoma skin cancer or successfully treated in situ carcinoma are eligible.
Has thrombocytopenia, neutropenia, or anemia of Grade ≥3 (per CTCAE 4.03 criteria) and any prior history of myeloid malignancies, including myelodysplastic syndrome (MDS).
NOTE: Bone marrow aspirate/biopsy will be conducted following abnormal peripheral blood smear morphology assessment conducted by the local laboratory. Cytogenetic testing and DNA sequencing will be conducted following an abnormal result of bone marrow aspirate/biopsy.
Has a prior history of T-LBL/T-ALL.
Has had major surgery within 3 weeks prior to enrollment NOTE: Minor surgery (e.g., minor biopsy, central venous catheter placement) is permitted within 3 weeks prior to enrollment.
Is unwilling to exclude grapefruit juice, Seville oranges, and grapefruit from the diet and all foods that contain those fruits from time of enrollment to while on study
Has cardiovascular impairment, history of congestive heart failure greater than NYHA Class II uncontrolled arterial hypertension, unstable angina, myocardial infarction, or stroke within 6 months prior to the planned first dose of tazemetostat; or ventricular cardiac arrhythmia requiring medical treatment
Subjects taking medications that are known potent or moderate inducers/ inhibitors of CYP3A4 (including St. John's Wort)
Has an active infection or recent history (<30 days before study drug administration) requiring systemic treatment
Is immunocompromised, including subjects with known human immunodeficiency virus (HIV) infection
Has known hypersensitivity to any of the components of IP.
Is unable to take oral medications, has a history of surgery that would interfere with the administration or absorption of oral medication, has malabsorption syndrome or any other uncontrolled gastrointestinal condition (e.g., nausea, diarrhea or vomiting) that might impair the bioavailability of IP
Has an uncontrolled intercurrent illness including, but not limited to, uncontrolled infection, or psychiatric illness/social situations that would limit compliance with study requirements.
Is unwilling to adhere to contraception criteria from time of enrollment in study to at least 30 days after last dose of IP.
A history of bleeding (i.e., hemoptysis, hematuria, gastrointestinal blood loss, epistaxis, or others with greater than Grade 1 according to NCI CTCAE Version 4.03) within 1 month prior to beginning therapy or any clinical indications of current active bleeding.
Clinical history, current alcohol (ethanol), or illicit drug use which, in the judgment of the investigator, will interfere with the subject's ability to comply with the dosing schedule and protocol-specified evaluations.
Regular alcohol consumption averaging more than seven drinks/week for women and 14 drinks/week for men within 6 months of screening.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Arizona Cancer Center | Tucson | Arizona | 85719 | United States | ||
| Moffitt Cancer Center |
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| ID | Title | Description |
|---|---|---|
| FG000 | Part A | Subjects enrolled in Part A received treatment with oral tazemetostat tablets 400 mg twice daily for 24 days beginning on Day 1. Blood samples for the analysis of plasma tazemetostat and its metabolites concentrations were collected predose and over 8 hours after the morning dose of tazemetostat on Day 15. Subjects received fluconazole 400 mg once daily for 4 days starting on Day 16. On Day 19, blood samples for the analysis of plasma tazemetostat, its metabolites, and fluconazole were collected predose and over 8 hours after the morning tazemetostat dose. Tazemetostat 400 mg twice daily continued through Day 24. Subjects then received tazemetostat 800 mg twice daily starting on Day 25. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Sep 28, 2018 |
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| Fluconazole | Drug | 200mg will be orally administered QD for 4 days in order to determine CYP3A4 inhibition when administered concomitantly with tazemetostat |
|
| Omeprazole | Drug | Using omeprazole as a probe substrate, 20mg will be orally administered for a total of 5 days in order to determine the potential of tazemetostat to inhibit or induce CYP2C19. Omeprazole is also being used to determine the effect of increased gastric pH on metabolism of tazemetostat. |
|
| Repaglinide | Drug | Using repaglinide as a probe substrate, 25mg will be orally administered for a total of 2 days in order to determine the potential of tazemetostat to inhibit or induce CYP2C8. |
|
| Days 15 and 19, 0 to 8 hours post-dose |
| Part A: Tmax of Tazemetostat After Administration Alone and With Fluconazole | Days 15 and 19, 0 to 8 hours post-dose |
| Part A: t1/2 of Tazemetostat After Administration Alone and With Fluconazole | Days 15 and 19, 0 to 8 hours post-dose |
| Part A: Cmax of Tazemetostat Metabolites After Administration Alone and With Fluconazole | Days 15 and 19, 0 to 8 hours post-dose |
| Part A: Tmax of Tazemetostat Metabolites After Administration Alone and With Fluconazole | Days 15 and 19, 0 to 8 hours post-dose |
| Part A: t1/2 of Tazemetostat Metabolites After Administration Alone and With Fluconazole | Days 15 and 19, 0 to 8 hours post-dose |
| Part A: Exposure of Fluconazole After Administration of 400 mg Once Daily for 4 Days (AUC0-8) | Day 19, 0 to 8 hours post-dose |
| Part A: Cmax of Fluconazole After Administration of 400mg Once Daily for 4 Days | Day 19, 0 to 8 hours post-dose |
| Part A: Tmax of Fluconazole After Administration of 400mg Once Daily for 4 Days | Day 19, 0 to 8 hours post-dose |
| The Antitumor Activity of Tazemetostat Will be Assessed in Patients With Diffuse Large B-cell Lymphoma (DLBCL), Marginal Zone Lymphoma (MZL), Follicular Lymphoma (FL) or Advanced Solid Tumors . | Objective response rate (ORR: complete response [CR] or PR) and disease control rate (DCR: CR or PR, or stable disease lasting 24 weeks or longer from start of treatment with tazemetostat) using Lugano Classification for subjects with lymphoma, or Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 for subjects with solid tumors. | Within 28 days of Day 1, 8 weeks, 16 weeks, 24 weeks |
| Tampa |
| Florida |
| 33612 |
| United States |
| Columbia University Medical Center | New York | New York | 10032 | United States |
| FG001 | Part B | Subjects enrolled in Part B received single oral doses of repaglinide 0.25 mg and omeprazole 20 mg on Day 1. Administration of tazemetostat 800 mg twice daily began on Day 2. On Day 16, subjects again received single oral doses of repaglinide 0.25 mg and omeprazole 20 mg approximately 1 hour after the morning dose of tazemetostat. Subjects also received omeprazole 20 mg once daily in the morning on Days 16 through 19. Blood samples for analysis of plasma repaglinide, repaglinide metabolites, omeprazole, 5-OH-omeprazole, and omeprazole sulfone were collected predose and over 7 hours after administration on Day 1 and Day 16. Blood samples for analysis of plasma tazemetostat and metabolites were collected over 8 hours after administration of the morning dose on Day 16 and Day 19. |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Part A | Subjects enrolled in Part A received treatment with oral tazemetostat tablets 400 mg twice daily for 24 days beginning on Day 1. Blood samples for the analysis of plasma tazemetostat and its metabolites concentrations were collected predose and over 8 hours after the morning dose of tazemetostat on Day 15. Subjects received fluconazole 400 mg once daily for 4 days starting on Day 16. On Day 19, blood samples for the analysis of plasma tazemetostat, its metabolites, and fluconazole were collected predose and over 8 hours after the morning tazemetostat dose. Tazemetostat 400 mg twice daily continued through Day 24. Subjects then received tazemetostat 800 mg twice daily starting on Day 25. |
| BG001 | Part B | Subjects enrolled in Part B received single oral doses of repaglinide 0.25 mg and omeprazole 20 mg on Day 1. Administration of tazemetostat 800 mg twice daily began on Day 2. On Day 16, subjects again received single oral doses of repaglinide 0.25 mg and omeprazole 20 mg approximately 1 hour after the morning dose of tazemetostat. Subjects also received omeprazole 20 mg once daily in the morning on Days 16 through 19. Blood samples for analysis of plasma repaglinide, repaglinide metabolites, omeprazole, 5-OH-omeprazole, and omeprazole sulfone were collected predose and over 7 hours after administration on Day 1 and Day 16. Blood samples for analysis of plasma tazemetostat and metabolites were collected over 8 hours after administration of the morning dose on Day 16 and Day 19. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | Years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Count of Participants | Participants |
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| Baseline Disease Characteristics and Prior Therapies | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Part A: Effect of CYP3A Inhibition by Fluconazole on the PK of Tazemetostat (AUC0-t, AUC0-8) | Posted | Geometric Mean | Standard Deviation | h*ng/mL | Days 15 and 19, 0 to 8 hours post-dose |
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| Primary | Part A: Cmax of Tazemetostat During Co-administration With Fluconazole | Posted | Geometric Mean | Standard Deviation | ng/mL | Days 15 and 19, 0 to 8 hours post-dose |
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| Primary | Part B: The Potential of Tazemetostat to Inhibit or Induce CYP2C8 Using Repaglinide as a Probe Substrate (AUC0-t, AUC0-∞) | In Part B, 13 subjects completed taking omeprazole and repaglinide on Day 1, with tazemetostat on Day 16 and 11 subjects completed taking tazemetostat alone on Day 19. | Posted | Geometric Mean | Standard Deviation | h*ng/mL | Days 1 and 16, 0 to 8 hours post-dose |
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| Primary | Part B: Cmax of Repaglinide During Co-administration With Tazemetostat | In Part B, 13 subjects completed taking omeprazole and repaglinide on Day 1, with tazemetostat on Day 16 and 11 subjects completed taking tazemetostat alone on Day 19. | Posted | Geometric Mean | Standard Deviation | ng/mL | Days 1 and 16, 0 to 8 hours post-dose |
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| Primary | Part B: The Potential of Tazemetostat to Inhibit or Induce CYP2C19 Using Omeprazole as Probe a Substrate (AUC0-t, AUC0-∞) | In Part B, 13 subjects completed taking omeprazole and repaglinide on Day 1, with tazemetostat on Day 16 and 11 subjects completed taking tazemetostat alone on Day 19. | Posted | Geometric Mean | Standard Deviation | h*ng/mL | Days 1 and 16, 0 to 8 hours post-dose |
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| Primary | Part B: Cmax of Omeprazole During Co-administration With Tazemetostat | In Part B, 13 subjects completed taking omeprazole and repaglinide on Day 1, with tazemetostat on Day 16 and 11 subjects completed taking tazemetostat alone on Day 19. | Posted | Geometric Mean | Standard Deviation | ng/mL | Days 1 and 16, 0 to 8 hours post-dose |
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| Primary | Part B: Effect of Increased Gastric pH by Omeprazole on the PK of Tazemetostat (AUC0-t, AUC0-8) | In Part B, 13 subjects completed taking omeprazole and repaglinide on Day 1, with tazemetostat on Day 16 and 11 subjects completed taking tazemetostat alone on Day 19. | Posted | Geometric Mean | Standard Deviation | h*ng/mL | Days 16 and 19, 0 to 8 hours post-dose |
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| Primary | Part B: Cmax of Tazemetostat During Co-administration With Omeprazole | In Part B, 13 subjects completed taking omeprazole and repaglinide on Day 1, with tazemetostat on Day 16 and 11 subjects completed taking tazemetostat alone on Day 19. | Posted | Geometric Mean | Standard Deviation | ng/mL | Days 16 and 19, 0 to 8 hours post-dose |
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| Secondary | Incidence of Treatment-emergent Adverse Events as a Measure of Safety | Posted | Count of Participants | Participants | From the first dose of study treatment until the earlier of either 30 days after the discontinuation of study treatment or until the initiation of subsequent anticancer therapy, up to 2 years. |
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| Secondary | Part A: PK of Tazemetostat and Its Metabolites After Administration Alone and With Fluconazole (AUC0-t, AUC0-8) | Posted | Geometric Mean | Standard Deviation | h*ng/mL | Days 15 and 19, 0 to 8 hours post-dose |
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| Secondary | Part A: Tmax of Tazemetostat After Administration Alone and With Fluconazole | Posted | Median | Standard Deviation | hours | Days 15 and 19, 0 to 8 hours post-dose |
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| Secondary | Part A: t1/2 of Tazemetostat After Administration Alone and With Fluconazole | Posted | Geometric Mean | Standard Deviation | hours | Days 15 and 19, 0 to 8 hours post-dose |
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| Secondary | Part A: Cmax of Tazemetostat Metabolites After Administration Alone and With Fluconazole | Posted | Geometric Mean | Standard Deviation | ng/mL | Days 15 and 19, 0 to 8 hours post-dose |
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| Secondary | Part A: Tmax of Tazemetostat Metabolites After Administration Alone and With Fluconazole | Posted | Median | Standard Deviation | hours | Days 15 and 19, 0 to 8 hours post-dose |
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| Secondary | Part A: t1/2 of Tazemetostat Metabolites After Administration Alone and With Fluconazole | Posted | Geometric Mean | Standard Deviation | hours | Days 15 and 19, 0 to 8 hours post-dose |
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| Secondary | Part A: Exposure of Fluconazole After Administration of 400 mg Once Daily for 4 Days (AUC0-8) | Posted | Geometric Mean | Standard Deviation | h*ng/mL | Day 19, 0 to 8 hours post-dose |
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| Secondary | Part A: Cmax of Fluconazole After Administration of 400mg Once Daily for 4 Days | Posted | Geometric Mean | Standard Deviation | ng/mL | Day 19, 0 to 8 hours post-dose |
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| Secondary | Part A: Tmax of Fluconazole After Administration of 400mg Once Daily for 4 Days | Posted | Median | Standard Deviation | hours | Day 19, 0 to 8 hours post-dose |
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| Secondary | The Antitumor Activity of Tazemetostat Will be Assessed in Patients With Diffuse Large B-cell Lymphoma (DLBCL), Marginal Zone Lymphoma (MZL), Follicular Lymphoma (FL) or Advanced Solid Tumors . | Objective response rate (ORR: complete response [CR] or PR) and disease control rate (DCR: CR or PR, or stable disease lasting 24 weeks or longer from start of treatment with tazemetostat) using Lugano Classification for subjects with lymphoma, or Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 for subjects with solid tumors. | Posted | Count of Participants | Participants | Within 28 days of Day 1, 8 weeks, 16 weeks, 24 weeks |
|
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Adverse Events were collected over a period of 2 years.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part A | Part A: Subjects enrolled in Part A will receive treatment with oral tazemetostat tablets 400 mg BID for 24 days beginning on Day 1. Subjects will receive fluconazole 400 mg once daily for 4 days starting on Day 16. Tazemetostat 400 mg BID will continue through Day 24. Subjects will then receive tazemetostat 800 mg BID starting on Day 25. | 1 | 16 | 4 | 16 | 12 | 16 |
| EG001 | Part B | Part B: Subjects enrolled in Part B will receive single oral doses of repaglinide 0.25 mg and omeprazole 20 mg on Day 1. Administration of tazemetostat 800 mg BID will begin on Day 2. On Day 16, subjects again will receive single oral doses of repaglinide 0.25 mg and omeprazole 20 mg approximately 1 hour after the morning dose of tazemetostat. Subjects also will receive omeprazole 20 mg once daily in the morning on Days 16 through 19. | 3 | 16 | 6 | 16 | 14 | 16 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Faecal incontinence | Gastrointestinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Small intestinal obstruction | Gastrointestinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Herpes zoster | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
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| Appendicitis | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
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| Bronchitis | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
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| Peritonitis bacterial | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
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| Sepsis | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
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| Hypercalcaemia | Metabolism and nutrition disorders | MedDRA v18.1 | Systematic Assessment |
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| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA v18.1 | Systematic Assessment |
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| Anaemia | Blood and lymphatic system disorders | MedDRA v18.1 | Systematic Assessment |
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| Subdural haematoma | Injury, poisoning and procedural complications | MedDRA v18.1 | Systematic Assessment |
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| Platelet count decreased | Investigations | MedDRA v18.1 | Systematic Assessment |
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| Tumour pain | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA v18.1 | Systematic Assessment |
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| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Pneumonia aspiration | Respiratory, thoracic and mediastinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA v18.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Flatulence | Gastrointestinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Abdominal distension | Gastrointestinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Abdominal pain upper | Gastrointestinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Eructation | Gastrointestinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Oral pain | Gastrointestinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Umbilical hernia | Gastrointestinal disorders | MedDRA v18.1 | Systematic Assessment |
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| Fatigue | General disorders | MedDRA v18.1 | Systematic Assessment |
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| Asthenia | General disorders | MedDRA v18.1 | Systematic Assessment |
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| Gait disturbance | General disorders | MedDRA v18.1 | Systematic Assessment |
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| Influenza like illness | General disorders | MedDRA v18.1 | Systematic Assessment |
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| Mucosal inflammation | General disorders | MedDRA v18.1 | Systematic Assessment |
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| Oedema peripheral | General disorders | MedDRA v18.1 | Systematic Assessment |
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| Face oedema | General disorders | MedDRA v18.1 | Systematic Assessment |
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| Generalised oedema | General disorders | MedDRA v18.1 | Systematic Assessment |
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| Pain | General disorders | MedDRA v18.1 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA v18.1 | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA v18.1 | Systematic Assessment |
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| Dysgeusia | Nervous system disorders | MedDRA v18.1 | Systematic Assessment |
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| Balance disorder | Nervous system disorders | MedDRA v18.1 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA v18.1 | Systematic Assessment |
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| Brain compression | Nervous system disorders | MedDRA v18.1 | Systematic Assessment |
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| Neuropathy peripheral | Nervous system disorders | MedDRA v18.1 | Systematic Assessment |
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| Paraesthesia | Nervous system disorders | MedDRA v18.1 | Systematic Assessment |
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| Presyncope | Nervous system disorders | MedDRA v18.1 | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA v18.1 | Systematic Assessment |
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| Arthritis | Musculoskeletal and connective tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Bone pain | Musculoskeletal and connective tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Groin pain | Musculoskeletal and connective tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Fracture pain | Musculoskeletal and connective tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
| |
| Fungal skin infection | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
| |
| Viral rash | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
| |
| Lower respiratory tract infection | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
| |
| Osteomyelitis | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
| |
| Otitis media | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
| |
| Otitis media bacterial | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA v18.1 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Dermatitis acneiform | Skin and subcutaneous tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Skin exfoliation | Skin and subcutaneous tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Skin fissures | Skin and subcutaneous tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Skin lesion | Skin and subcutaneous tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Swelling face | Skin and subcutaneous tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Ecchymosis | Skin and subcutaneous tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Onychoclasis | Skin and subcutaneous tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Diplopia | Eye disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Ocular discomfort | Eye disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Photophobia | Eye disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Macular oedema | Eye disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Visual acuity reduced | Eye disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Arthropod bite | Injury, poisoning and procedural complications | MedDRA v18.1 | Systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA v18.1 | Systematic Assessment |
| |
| Hip fracture | Injury, poisoning and procedural complications | MedDRA v18.1 | Systematic Assessment |
| |
| Incision site pain | Injury, poisoning and procedural complications | MedDRA v18.1 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Agitation | Psychiatric disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Seasonal allergy | Immune system disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Blood creatinine increased | Investigations | MedDRA v18.1 | Systematic Assessment |
| |
| Blood alkaline phosphatase increased | Investigations | MedDRA v18.1 | Systematic Assessment |
| |
| Blood calcium decreased | Investigations | MedDRA v18.1 | Systematic Assessment |
| |
| Blood immunoglobulin G decreased | Investigations | MedDRA v18.1 | Systematic Assessment |
| |
| Ejection fraction decreased | Investigations | MedDRA v18.1 | Systematic Assessment |
| |
| Haemoglobin decreased | Investigations | MedDRA v18.1 | Systematic Assessment |
| |
| Lymphocyte count decreased | Investigations | MedDRA v18.1 | Systematic Assessment |
| |
| Neutrophil count decreased | Investigations | MedDRA v18.1 | Systematic Assessment |
| |
| Weight increased | Investigations | MedDRA v18.1 | Systematic Assessment |
| |
| White blood cell count decreased | Investigations | MedDRA v18.1 | Systematic Assessment |
| |
| Testicular swelling | Reproductive system and breast disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Wheezing | Respiratory, thoracic and mediastinal disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Pulmonary pain | Respiratory, thoracic and mediastinal disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Hot flush | Vascular disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Angina pectoris | Cardiac disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Stress cardiomyopathy | Cardiac disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Ear pain | Ear and labyrinth disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Micturition urgency | Renal and urinary disorders | MedDRA v18.1 | Systematic Assessment |
| |
| Pollakiuria | Renal and urinary disorders | MedDRA v18.1 | Systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Kemly Calixte | Epizyme | 617-500-0608 | kcalixte@epizyme.com |
| Dec 7, 2020 |
| Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| D020522 | Lymphoma, Mantle-Cell |
| D018442 | Lymphoma, B-Cell, Marginal Zone |
| ID | Term |
|---|---|
| D016393 | Lymphoma, B-Cell |
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000593333 | tazemetostat |
| D015725 | Fluconazole |
| D009853 | Omeprazole |
| C072379 | repaglinide |
| ID | Term |
|---|---|
| D014230 | Triazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D053799 | 2-Pyridinylmethylsulfinylbenzimidazoles |
| D013454 | Sulfoxides |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D011725 | Pyridines |
| D001562 | Benzimidazoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
Not provided
Not provided
| >=65 years |
|
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Advanced Solid tumors |
|
| Stage at diagnosis: I |
|
| Stage at diagnosis: II |
|
| Stage at diagnosis: III |
|
| Stage at diagnosis: IV |
|
| Stage at diagnosis: Unknown |
|
| Progressive disease prior to study entry |
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ-6438 |
| |||||
| Part: A; Day 19; Treatment: Tazemetostat with Fluconazole; Analyte: EPZ-6438 |
|
|
|
|
|
|
|
|
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ-6930 (ER-897387) |
| |||||
| Part: A; Day 19; Treatment: Tazemetostat with Fluconazole; Analyte: EPZ-6930 (ER-897387) |
| |||||
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ006931 |
| |||||
| Part: A; Day 19; Treatment: Tazemetostat with Fluconazole; Analyte: EPZ006931 |
| |||||
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ034163 |
| |||||
| Part: A; Day 19; Treatment: Tazemetostat with Fluconazole; Analyte: EPZ034163 |
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ-6438 |
| |||||
| Part: A; Day 19; Treatment: Tazemetostat with Fluconazole; Analyte: EPZ-6438 |
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ-6438 |
| |||||
| Part: A; Day 19; Treatment: Tazemetostat with Fluconazole; Analyte: EPZ-6438 |
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ-6930 (ER-897387) |
| |||||
| Part: A; Day 19; Treatment: Tazemetostat with Fluconazole; Analyte: EPZ-6930 (ER-897387) |
| |||||
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ006931 |
| |||||
| Part: A; Day 19; Treatment: Tazemetostat with Fluconazole; Analyte: EPZ006931 |
| |||||
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ034163 |
| |||||
| Part: A; Day 19; Treatment: Tazemetostat with Fluconazole; Analyte: EPZ034163 |
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ-6930 (ER-897387) |
| |||||
| Part: A; Day 19; Treatment: Tazemetostat with Fluconazole; Analyte: EPZ-6930 (ER-897387) |
| |||||
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ006931 |
| |||||
| Part: A; Day 19; Treatment: Tazemetostat with Fluconazole; Analyte: EPZ006931 |
| |||||
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ034163 |
| |||||
| Part: A; Day 19; Treatment: Tazemetostat with Fluconazole; Analyte: EPZ034163 |
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ-6930 (ER-897387) |
| |||||
| Part: A; Day 19; Treatment: Tazemetostat with Fluconazole; Analyte: EPZ-6930 (ER-897387) |
| |||||
| Part: A; Day 15; Treatment: Tazemetostat Alone; Analyte: EPZ006931 |
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
|
|