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Apatinib, an oral inhibitor of vascular endothelial growth factor receptor 2#VEGFR-2#, Induces Transporter Pgp function in vitro. This study in patients with advanced cancer evaluated the effect of Apatinib on Transporter Pgp function by comparing the pharmacokinetics of Transporter Pgp-specific probe drugs in the presence and absence of Apatinib. The probes used Substrate Digoxin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treament | Experimental | In phase A, subjects receiving a single 0.25 mg of digoxin orally and wash-out for 5 days, then apatinib once daily will be conducted on D5 through D16 ï¼› In addition, a single dose of 0.25 mg digoxin (in combination with apatinib) will be orally administered in fasting conditions on D12ï¼› |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Apatinib Mesylate | Drug | Apatinib at a dosage of will be administered daily from on D5 through D16 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics parameter: Cmax of digoxin | Peak Plasma Concentration (Cmax) of digoxin | through study completion, an average of 16 days |
| Pharmacokinetics parameter: AUC of digoxin | Area under the plasma concentration versus time curve (AUC) of digoxin | through study completion, an average of 16 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics parameter: Tmax of digoxin | Time of maximum observed concentration (Tmax) of digoxin | through study completion, an average of 16 days |
| Pharmacokinetics parameter: T1/2 of digoxin |
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Inclusion Criteria:
1. Histologically or cytologically confirmed diagnosis of advanced solid tumors. 2. ECOG PS score: 0-1; 3. Expected survival ≥ 3 months; 4. Major organs must function normally, meeting the following criteria:
Hematology
Blood biochemistry:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hunan Cancer Hospital | Changsha | Hunan | 410013 | China |
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| ID | Term |
|---|---|
| C553458 | apatinib |
| D004077 | Digoxin |
| ID | Term |
|---|---|
| D004071 | Digitalis Glycosides |
| D002298 | Cardenolides |
| D002301 | Cardiac Glycosides |
| D002297 | Cardanolides |
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| Digoxin tablet | Drug | Digoxin at a dosage of 0.25mg will be administered at day 1 and day 12 |
|
Half time (T1/2) of digoxin
| through study completion, an average of 16 days |
| Pharmacokinetic parameters CL/F of digoxin | Total body clearance for extravascular administration (CL/F) of digoxin | through study completion, an average of 16 days |
| Pharmacokinetics parameter: Vz/F of digoxin | Volume of distribution (Vz/F) of digoxin | through study completion, an average of 16 days |
| Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 | An adverse event is any untoward medical occurrence in a patient or clinical study participant criteria | through study completion, an average of 16 days |
| D013256 |
| Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D006027 | Glycosides |
| D002241 | Carbohydrates |