Phase 1
Completed N=26
Drug-Drug Interaction Study of TAK-788 and Midazolam in Participants With Advanced Non-small Cell Lung Cancer (NSCLC)
Source: ClinicalTrials.gov NCT04051827 ↗Enrolled (actual)
26
Serious AEs
76.9%
Results posted
Apr 2024
Primary outcomePrimary: Part A, Cmax: Geometric Mean Maximum Observed Plasma Concentration (Cmax) for Midazolam Administered Orally With Mobocertinib (Cycle 1 Day 24) and Without Mobocertinib (Cycle 1 Day 1) — 17.0; 17.5 nanogram per milliliter (ng/mL)
Summary
The purpose of this study is to characterize the effect of repeated oral administration of TAK-788 160 milligram (mg) once daily on the single oral and intravenous dose pharmacokinetics (PK) of midazolam.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Part A, Cmax: Geometric Mean Maximum Observed Plasma Concentration (Cmax) for Midazolam Administered Orally With Mobocertinib (Cycle 1 Day 24) and Without Mobocertinib (Cycle 1 Day 1) |
17.0; 17.5 | — |
| PRIMARY Part A, AUC∞: Geometric Mean Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Midazolam Administered Orally With Mobocertinib (Cycle 1 Day 24) and Without Mobocertinib (Cycle 1 Day 1) |
58.3; 39.0 | — |
| PRIMARY Part A, Cmax: Geometric Mean Maximum Observed Plasma Concentration (Cmax) for Midazolam Administered Intravenously With Mobocertinib (Cycle 1 Day 25) and Without Mobocertinib (Cycle 1 Day 2) |
70.8; 92.2 | — |
| PRIMARY Part A, AUC∞: Geometric Mean Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Midazolam Administered Intravenously With Mobocertinib (Cycle 1 Day 25) and Without Mobocertinib (Cycle 1 Day 2) |
90.4; 71.6 | — |
| PRIMARY Part A, Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Midazolam Administered Orally With Mobocertinib (Cycle 1 Day 24) and Without Mobocertinib (Cycle 1 Day 1) |
0.517; 0.533 | — |
| PRIMARY Part A, Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Midazolam Administered Intravenously With Mobocertinib (Cycle 1 Day 25) and Without Mobocertinib (Cycle 1 Day 2) |
0.0500; 0.0500 | — |
| SECONDARY Part A and B: Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) |
26 | — |
| SECONDARY Part A and B: Number of Participants With Clinically Significant Change From Baseline in Laboratory Values |
7; 3; 3 | — |
| SECONDARY Part A and B: Number of Participants With Clinically Significant Change From Baseline in Vital Signs |
— | — |
Eligibility Criteria
Inclusion Criteria
- Histologically or cytologically confirmed locally advanced NSCLC in which the participant is not a candidate for definitive therapy; or, the participant has recurrent or metastatic (Stage IV) disease.
- Refractory or intolerant to standard available therapies.
- Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1.
- Minimum life expectancy of 3 months or more.
- Adequate organ function as defined by the following criteria:
- Total serum bilirubin less than or equal to ( =) 30 milliliter per minute (mL/min) (calculated by using the Cockcroft-Gault equation)
- Serum albumin >= 2 gram/deciliter (g/dL)
- Serum lipase/amylase =1.5*10^9 per liter (/L)
- Platelet count >=75*10^9/L; and
- Hemoglobin >=9.0 g/dL.
- Normal QT interval on screening electrocardiogram (ECG), defined as QT interval with Fridericia's correction (QTcF) of <= 450 millisecond (msec) in males or <= 470 msec in females. (as conducted and interpreted in accordance to local institutional practices and confirmed by principal investigator [PI]).
- All toxicities from prior anticancer therapy must have resolved to <= Grade 1 according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0 or have resolved to baseline, at the time of first dose of TAK-788. Note: treatment-related Grade 2 or 3 alopecia and treatment-related Grade 2 peripheral neuropathy are allowed if deemed irreversible.
- Suitable venous access for study-required blood sampling (that is, including for PK, pharmacodynamics, and clinical laboratory tests).
Exclusion Criteria
- Received a strong or moderate cytochrome P450 3A (CYP3A) inhibitor or strong or moderate CYP3A inducer within 2 weeks prior to the first dose of TAK-788.
- Received small-molecule anticancer therapy (including but not limited to cytotoxic chemotherapy and investigational agents) within 2 weeks prior to the first dose of TAK-788.
- Received antineoplastic monoclonal antibodies including check point inhibitors within 28 days of the first dose of TAK-788.
- Received radiotherapy <=14 days prior to the first dose of TAK-788. However, participants are allowed to receive any of the following treatments up to 7 days prior to the first dose: (a) Stereotactic radiosurgery (SRS) (b) stereotactic body radiation therapy (SBRT) or (c) palliative radiation outside the chest and brain.
- Major surgery within 28 days prior to the first dose of TAK-788. Minor surgical procedures, such as catheter placement or minimally invasive biopsy, are allowed.
- Diagnosed with another primary malignancy other than NSCLC except for adequately treated non-melanoma skin cancer or cervical cancer in situ; definitively treated non-metastatic prostate cancer; or another primary malignancy and is definitively relapse-free with at least 3 years elapsed since the diagnosis of the other primary malignancy.
- Have known active brain metastases (have either previously untreated intracranial central nervous system (CNS) metastases or previously treated intracranial CNS metastases with radiologically documented new or progressing CNS lesions). Brain metastases are allowed if they have been treated with surgery and/or radiation and have been stable without requiring corticosteroids to control symptoms within 7 days before the first dose of TAK-788, and have no evidence of new or enlarging brain metastases.
- Current spinal cord compression (symptomatic or asymptomatic and detected by radiographic imaging) or leptomeningeal disease (symptomatic or asymptomatic).
- Have uncontrolled hypertension. Participants with hypertension should be under treatment on study entry to control blood pressure.
- Significant, uncontrolled, or active cardiovascular disease, including, but not limited to the following:
- Myocardial infarction within 6 months prior to the first dose of study drug;
- Unstable angina within 6 months prior to the first dose of study drug;
- Congestive heart
Data sourced from ClinicalTrials.gov (NCT04051827). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.