Phase 1
N=31
Placebo-Corrected Effects of Therapeutic Dose (100 mg) and Supratherapeutic Dose (300 mg) of ITF2357 (Givinostat) and Moxifloxacin on QT/QTC Interval
Duchenne and Becker Muscular Dystrophy · Polycytemia Vera
Bottom Line
View on ClinicalTrials.gov: NCT04821063 ↗Enrolled (actual)
31
Serious AEs
0.0%
Results posted
Jan 2024
Primary outcome: Primary: Placebo-corrected Change From Baseline in Fridericia's Corrected QT Interval (QTcF) — 1.0; 0.5; 10.2; 0.3 Milliseconds (msec)
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- ITF2357 10 mg/mL (Drug); Placebo (Drug); Moxifloxacin Hydrochloride (Drug)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Italfarmaco
- Primary completion
- Jun 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Placebo-corrected Change From Baseline in Fridericia's Corrected QT Interval (QTcF) |
1.0; 0.5; 10.2; 0.3; 0.8; 13.1 | — |
| SECONDARY Change From Baseline in QTcF Interval |
-0.7; -1.3; 8.5; -1.8; -0.3; 0.2 | — |
| SECONDARY Change From Baseline in PR Interval |
0.0; -0.7; 0.1; 0.2; 0.4; 0.7 | — |
| SECONDARY Change From Baseline in QRS Interval |
-0.1; 0.1; 0.2; 0.2; 0.2; 0.1 | — |
| SECONDARY Change From Baseline in Heart Rate (HR) Interval |
0.6; 1.1; 1.3; 0.5; 1.2; 2.8 | — |
| SECONDARY Placebo-corrected Change From Baseline in PR Interval |
-0.2; -0.9; -0.1; -1.9; -1.6; -2.6 | — |
| SECONDARY Placebo-corrected Change From Baseline in QRS Interval |
-0.2; 0.0; 0.1; 0.1; 0.1; 0.4 | — |
| SECONDARY Placebo-corrected Change From Baseline in HR Interval |
0.1; 0.6; 0.8; 0.1; 1.6; 1.2 | — |
| SECONDARY Number of Participants With Changes in Categorical Outliers for QTcF, PR, and QRS Intervals in the ECG and HR |
0; 1; 2; 0; 0; 0 | — |
| SECONDARY Number of Participants With Treatment-Emergent Changes of T-Wave Morphology and U Wave Presence |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Plasma Pharmacokinetic (PK): Area Under the Concentration-Time Curve From Time Zero to the Last Measurable Concentration (AUC0-t) of ITF2357 and Its Metabolites |
596.10; 2313.44; 363.55; 1296.22; 2672.92; 9599.11 | — |
| SECONDARY Plasma PK: Area Under the Concentration-Time Curve From Time Zero to the Last Measurable Concentration (AUC0-t) of Moxifloxacin |
27077.52 | — |
| SECONDARY Plasma PK: Area Under the Concentration-Time Curve From Time Zero to 12 Hours (AUC0-12) of ITF2357 and Its Metabolites |
480.70; 1893.60; 178.10; 607.16; 1680.76; 6018.02 | — |
| SECONDARY Plasma PK: Area Under the Concentration-Time Curve From Time Zero to 12 Hours (AUC0-12) of Moxifloxacin |
13625.09 | — |
| SECONDARY Plasma PK: Area Under the Concentration-Time Curve From Time Zero to Infinity (AUC0-inf) of ITF2357 and Its Metabolites |
626.57; 2383.27; 475.82; 1555.70; 3246.97; 11373.93 | — |
| SECONDARY Plasma PK: Area Under the Concentration-Time Curve From Time Zero to Infinity (AUC0-inf) of Moxifloxacin |
28327.15 | — |
| SECONDARY Plasma PK: Percentage of Residual Area for ITF2357 and Its Metabolites |
2.63; 0.95; 8.49; 3.72; 3.45; 1.70 | — |
| SECONDARY Plasma PK: Percentage of Residual Area for Moxifloxacin |
2.81 | — |
| SECONDARY Plasma PK: Maximum Observed Plasma Concentration (Cmax) of ITF2357 and Its Metabolites |
102.84; 409.65; 24.39; 81.59; 258.64; 820.75 | — |
| SECONDARY Plasma PK: Maximum Observed Plasma Concentration (Cmax) of Moxifloxacin |
1789.49 | — |
| SECONDARY Plasma PK: Time of Observed Cmax (Tmax) of ITF2357 and Its Metabolites |
2.139; 2.158; 5.098; 5.634; 3.610; 4.094 | — |
| SECONDARY Plasma PK: Time of Observed Cmax (Tmax) of Moxifloxacin |
2.327 | — |
| SECONDARY Plasma PK: Elimination Rate Constant (Kel) of ITF2357 and Its Metabolites |
0.0923; 0.0652; 0.0570; 0.0549; 0.0585; 0.0667 | — |
| SECONDARY Plasma PK: Elimination Rate Constant (Kel) of Moxifloxacin |
0.0493 | — |
| SECONDARY Plasma PK: Elimination Half-life (T½ el) of ITF2357 and Its Metabolites |
7.25; 11.19; 12.63; 12.49; 12.31; 10.71 | — |
| SECONDARY Plasma PK: Elimination Half-life (T½ el) of Moxifloxacin |
13.97 | — |
| SECONDARY Plasma PK: Apparent Total Body Clearance (CL/F) of ITF2357 and Its Metabolites |
167.12; 131.11; 296.86; 251.84; 43.11; 36.69 | — |
| SECONDARY Plasma PK: Apparent Total Body Clearance (CL/F) of Moxifloxacin |
14.49 | — |
| SECONDARY Plasma PK: Apparent Volume of Distribution (Vd/F) of ITF2357 and Its Metabolites |
1897.03; 2125.49; 5094.92; 5027.46; 795.34; 576.42 | — |
| SECONDARY Plasma PK: Apparent Volume of Distribution (Vd/F) of Moxifloxacin |
303.02 | — |
| SECONDARY Urine PK: Cumulative Urinary Excretion From Time Zero to Time t (Ae0-t) for ITF2357 and Its Metabolites |
1304747.81; 4284095.88; 1526630.97; 4634585.90; 330005.73; 1051751.97 | — |
| SECONDARY Urine PK: Maximum Rate of Urinary Excretion (Rmax) for ITF2357 and Its Metabolites |
304920.74; 1224735.12; 155698.10; 536094.03; 51562.37; 182276.01 | — |
| SECONDARY Urine PK: Time of Rmax (TRmax) for ITF2357 and Its Metabolites |
1.84; 1.49; 4.40; 1.49; 1.84; 1.49 | — |
| SECONDARY Urine PK: Renal Clearance (Clr) for ITF2357 and Its Metabolites |
2127.55; 1859.30; 3856.29; 3403.49; 103.35; 96.02 | — |
| SECONDARY Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs |
5; 15; 4; 6; 0; 0 | — |
| SECONDARY Number of Treatment-Related TEAEs |
6; 20; 6; 4 | — |
| SECONDARY Number of TEAEs Based on Severity |
6; 21; 8; 6; 0; 4 | — |
| SECONDARY Number of Participants With Clinically Significant Changes in Vital Signs |
0; 0; 0; 0 | — |
| SECONDARY Number of Participants With Clinically Significant Changes in Clinical Laboratory Parameters |
0; 2; 0; 0 | — |
| SECONDARY Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Findings |
0; 0; 0; 0 | — |
Summary
The study will evaluate the effect of a therapeutic dose and a supratherapeutic dose of ITF2357 on the QT/QTc interval.
Eligibility Criteria
Inclusion Criteria
- Male or female, non-smoker (no use of tobacco or nicotine products within 3 months prior to screening), greater than or equal to (>=) 18 and less than or equal to ( ) 18.5 and less than ( =55 kilograms (kg) and =60 kg and 210 millisecond (msec); QRS (QRS complex) >120 msec; QTcF >450 msec; any abnormality of cardiac rhythm other than sinus arrhythmia; abnormality of T-wave morphology that will impair the ability to measure the QT interval reliably. The averaged value of three ECGs 5 minutes apart from each other will be used; evaluations have to be used for the evaluation of the QTc interval requested by this exclusion criteria.
- Participants with history of sustained and non-sustained cardiac arrhythmias (ECG demonstrated), participants with a family history of sudden cardiac death and participants with a history of additional risk factors for TdP, heart failure, hypokalemia, LQTS).
- Any of the following abnormal laboratory test values at screening or at baseline (Day -1) of Period 1:
- Platelet count <125*10^9 per liter (/L)
- Absolute neutrophil count <1.2*10^9/L
- Participants who have cardiovascular condition such as, but not limited to unstable ischemic heart disease, New York Heart Association (NYHA) Class III/IV left ventricular failure, acute ischemic heart disease in the last year prior to study screening, which may impact the safety of the participant or the evaluation of the result of the study according to the Investigator's judgment; cardiovascular conditions should be discarded based on the results obtained on the ECG, medical examination and routine lab test.
- Positive urine drug screen, alcohol breath test or urine cotinine test at screening or at baseline (Day -1).
- History of anaphylaxis reaction or clinically significant drug hypersensitivity reaction (e.g., angioedema, Stevens-Johnson syndrome, Acute Generalized Exanthematous Pustulosis, Drug-induced hypersensitivity syndrome, Drug-induced neutropenia).
- History of allergic reactions to ITF2357, histone deacetylases (HDAC) inhibitors, or other related drugs, moxifloxacin, other quinolones, or to any excipient in the formulation.
- Positive pregnancy test at screening or at baseline (Day -1).
- Participants with a sorbitol intolerance or sorbitol malabsorption or have fructose intolerance.
- Current or recent (within 3 months of study drug administration) clinically significant gastrointestinal disease that can interfere with drug absorption.
- Gastrointestinal surgery that interferes with physiological absorption and motility (i.e., gastric bypass, duodenectomy) or gastric bands.
- History of significant alcohol abuse within 1 year prior to screening or regular use of alcohol within 6 months prior to the screening visit (more than 14 units of alcohol per week [1 unit = 150 milliliter [mL] of wine, 360 mL of beer, or 45 mL of 40 percent [%] alcohol]).
- History of significant drug abuse within 1 year prior to screening or use of soft drugs (such as marijuana) within 3 months prior to the screening visit or hard drugs (such as cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin, and amphetamine derivatives) within 1 year prior to screening.
- Use of ITF2357 for a medical condition or in the context of another clinical trial within a period of 30 days prior to the first dosing.
- Participation in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days prior to the first dosing, administration of a biological product in the context of a clinical research study within 90 days prior to the first dosing, or concomitant participation in an investigational study involving no drug or device administration.
- Use of medications for the timeframes specified below, with the exception of medications exempted by the Investigator on a case-by-case basis because they are judged unlikely to affect the pharmacokinetic profile of the stud
Data sourced from ClinicalTrials.gov (NCT04821063). 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.