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The primary objective of the study was to assess investigate the pharmacokinetic effects of Apatinib Mesylate on CYP2C8 Substrate Repaglinide or CYP2B6 Substrate Bupropion and metabolite Hydroxy bupropion in Advanced solid tumor subjects.
The secondary objective of the study was to assess the safety of Apatinib or/and Repaglinide and Bupropion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| treatment | Experimental | In phase A, subjects receiving a single dose of Repaglinide orally on day 1 , a single dose of Bupropion orally on day 2 and wash-out for 10 days, then apatinib once daily will be conducted on D5 through D16 # In addition, In phase B, subjects receiving a single dose of Repaglinide (in combination with apatinib) orally on day 12 , a single dose of Bupropion (in combination with apatinib) orally on day 13. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Apatinib Mesylate | Drug | Apatinib 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:
Age: 18-70 years old (Include both values).
Patients with histopathologically or cytologically confirmed advanced solid tumor (not necessary to have measurable lesions).
Refractory or intolerant to standard treatment regimens, or no effective standard treatment regimens available, or the patients refused to use standard treatment plan.
ECOG PS score: 0-1.
Expected survival ≥ 3 months.
Subjects have recovered from other treatments, at least 6 weeks since the last use of nitrosourea or mitomycin; at least 4 weeks since the last use of small molecule targeted therapy; at least 8 weeks since the last use of biological macromolecular therapy; at least 4 weeks since radiotherapy or surgery; at least 4 weeks since the last use of other cytotoxic or cytostatic drugs.
Major organs must function normally, meeting the following criteria: (1) Hematology (no blood transfusion or blood products within the last 14 days, not corrected with G-CSF or other hematopoietic colony-stimulating factors):
a. HB≥100 g/L; b. ANC≥1.5×109/L; c. PLT≥90×109/L; (2) Blood biochemistry: d. TBIL≤ 1.25×ULN; e. ALT and AST≤2.5×ULN; f. ALP≤2.5×ULN; g. Serum Cr ≤ 1.5 × ULN or endogenous CrCl > 60 mL/min (Cockcroft-Gault formula); h. Albumin > 30 g/L.
Sign the ICF voluntarily, have good compliance, corporate with follow-up visits, and follow the study requirements.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| pan yueyin, Ph.D. | The First Affiliated Hospital of University of Science and Technology of China | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of University of Science and Technology of China | Hefei | Anhui | 201203 | China |
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| ID | Term |
|---|---|
| C553458 | apatinib |
| C072379 | repaglinide |
| D016642 | Bupropion |
| ID | Term |
|---|---|
| D011427 | Propiophenones |
| D007659 | Ketones |
| D009930 | Organic Chemicals |
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| Repaglinide |
| Drug |
Repaglinide will be administered daily on D1 and D12 |
|
| Bupropion | Drug | Bupropion will be administered daily on D2 and D13 |
|
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 |