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This study is looking at how the study drug, tucatinib, affects the heart. Tucatinib is being studied as a possible treatment for breast cancer. This study will recruit healthy volunteers. There are 3 parts in the study. Each volunteer will be in all 3 parts. One part will be to take the study drug, the second part will be to take a placebo (pill with no medicine), and the third part will be to take moxifloxacin. The volunteers will only know what part of the study they are in when they take moxifloxacin. For the study drug and placebo parts, volunteers will take 2 pills by mouth for 5 days. For the moxifloxacin part, volunteers will take 1 pill by mouth for 1 day.
This study will evaluate the effects of a steady state therapeutic dose of tucatinib on QTcF (QT interval corrected for heart rate using Fridericia's method) in healthy individuals. In this design, study treatment will be dosed in 3 sequential treatment periods:
Treatment A: Oral doses of 300mg tucatinib for 5 days
Treatment B: Oral doses of matching placebo for tucatinib for 5 days
Treatment C: A single oral dose of 400 mg of moxifloxacin
Patients will be randomized based on 2-Williams-square design to 1 of 6 treatment sequences to maintain the study blind for tucatinib and placebo.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Sequence ABC | Experimental | tucatinib + placebo + moxifloxacin (administered in sequential treatment periods) |
|
| Treatment Sequence CAB | Experimental | moxifloxacin + tucatinib + placebo (administered in sequential treatment periods) |
|
| Treatment Sequence BCA | Experimental | placebo + moxifloxacin + tucatinib (administered in sequential treatment periods) |
|
| Treatment Sequence CBA | Experimental | moxifloxacin + placebo + tucatinib (administered in sequential treatment periods) |
|
| Treatment Sequence ACB | Experimental | tucatinib + moxifloxacin + placebo (administered in sequential treatment periods) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| tucatinib | Drug | 300mg oral dose |
|
| Measure | Description | Time Frame |
|---|---|---|
| Placebo-corrected change-from-baseline in QTcF | QTcF is the QT interval corrected for heart rate using Fridericia's method. | Up to 32 days |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in heart rate (HR) | Up to 32 days | |
| Change from baseline in QTcF | Up to 32 days | |
| Change from baseline in PR interval |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Joseph Woolery, PharmD, BCOP | Seagen Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Covance Clinical Research Unit - Dallas | Dallas | Texas | 75247 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37751113 | Derived | Topletz-Erickson AR, Mayor JG, Liu HT, Abdulrasool LI, Endres CJ. Effect of Tucatinib on Cardiac Repolarization in Healthy Volunteers. Drugs R D. 2023 Dec;23(4):411-419. doi: 10.1007/s40268-023-00440-8. Epub 2023 Sep 26. |
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| ID | Term |
|---|---|
| C000705452 | tucatinib |
| D000077266 | Moxifloxacin |
| ID | Term |
|---|---|
| D024841 | Fluoroquinolones |
| D042462 | 4-Quinolones |
| D015363 | Quinolones |
| D011804 | Quinolines |
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The study will be double-blind in regard to tucatinib and placebo study treatments and open-label for the positive control, moxifloxacin.
| Treatment Sequence BAC | Experimental | placebo + tucatinib + moxifloxacin (administered in sequential treatment periods) |
|
| placebo | Drug | Matching placebo for tucatinib |
|
| moxifloxacin | Drug | 400mg single oral dose |
|
| Up to 32 days |
| Change from baseline in QRS interval | Up to 32 days |
| Placebo-corrected change from baseline in HR | Up to 32 days |
| Placebo-corrected change from baseline in PR interval | Up to 32 days |
| Placebo-corrected change from baseline in QRS interval | Up to 32 days |
| • Number of participants who experience increases in absolute QTcF interval values >450 msec | Up to 32 days |
| • Number of participants who experience QTcF interval changes from predose baseline of >30msec | Up to 32 days |
| • Number of participants who experience an increase in PR interval from predose baseline of >25% to a PR >200 msec | Up to 32 days |
| • Number of participants who experience an increase in QRS interval from predose baseline >25% to a QRS >120 msec | Up to 32 days |
| • Number of participants who experience a decrease in heart rate >25% from baseline to a heart rate <50 | Up to 32 days |
| • Number of participants who experience an increase in heart rate >25% from baseline to a heart rate >100 | Up to 32 days |
| Frequency of treatment-emergent changes of T-wave morphology and U-wave presence | Up to 32 days |
| Area under the concentration-time curve (AUC) from time 0 extrapolated to infinity (AUC[0-inf]) for tucatinib and ONT-993 | Up to 26 days |
| AUC from time 0 to the time of the last quantifiable concentration for tucatinib and ONT-993 | Up to 26 days |
| Percentage of AUC[0-inf] due to extrapolation for tucatinib and ONT-993 | Up to 26 days |
| Maximum observed concentration for tucatinib and ONT-993 | Up to 26 days |
| Time of maximum observed concentration for tucatinib and ONT-993 | Up to 26 days |
| Apparent terminal elimination half-life for tucatinib and ONT-993 | Up to 26 days |
| Apparent total clearance for tucatinib | Up to 26 days |
| Apparent volume of distribution during the terminal phase for tucatinib | Up to 26 days |
| Metabolic ratio based on AUC for ONT-993 | Up to 26 days |
| Incidence of adverse events (AEs) | Up to 32 days |
| D006574 |
| Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |