Drug Interaction Study of SAR302503 in Patients With Solid Tumor

Overview[ - collapse ][ - ]

Purpose Primary Objective: - To assess the effect of 15-day repeated oral doses of 500 mg SAR302503 on the cytochrome P450 activity using a CYP probe cocktail (2C19, 2D6 and 3A4). - To document pharmacokinetics of SAR302503 after repeated 500 mg oral daily doses. Secondary Objectives: - To assess the safety profile of 15-day repeated oral doses of 500 mg SAR302503 in Segment 1 - To characterize the safety and tolerability of 28-day consecutive doses of 500 mg SAR302503 in Segment 2 - To determine antitumor activity in Segment 2
ConditionSolid Tumor
InterventionDrug: SAR302503
Drug: omeprazol
Drug: metoprolol
Drug: midazolam
PhasePhase 1
SponsorSanofi
Responsible PartySanofi
ClinicalTrials.gov IdentifierNCT01585623
First ReceivedApril 13, 2012
Last UpdatedMarch 21, 2013
Last verifiedMarch 2013

Tracking Information[ + expand ][ + ]

First Received DateApril 13, 2012
Last Updated DateMarch 21, 2013
Start DateJune 2012
Estimated Primary Completion DateMarch 2013
Current Primary Outcome MeasuresOmerprazole/metoprolol/midazolam - Pharmacokinetic parameter: AUC, AUClast [Time Frame: predose and up to 24 hours post dose on Days -1, 1, 15 and 16] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Omerprazole/metoprolol/midazolam - Pharmacokinetic parameter : Cmax, Tmax, and t1/2z [Time Frame: predose and up to 24 hours post dose on Days -1, 1, 15 and 16] [Designated as safety issue: No]
  • SAR302503 - Pharmacokinetic parameter : Cmax, Tmax, Ctrough and AUC0-24 [Time Frame: Day-1 to Day 16] [Designated as safety issue: No]
  • Clinical and laboratory events graded by the NCI CTCAE (National Cancer Institute Common Terminology Criteria for Adverse Events) v4.03 (Segment 1 and 2) [Time Frame: up to maximum 2 years] [Designated as safety issue: No]
  • Objective response ratio (Complete response (CR) and partial response (PR)) (Segment 2) [Time Frame: up to 2 cycles ( i.e. 10 weeks)] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleDrug Interaction Study of SAR302503 in Patients With Solid Tumor
Official TitleAn Open-label, Two-treatment Crossover Pharmacokinetic Interaction Study of Repeated Doses of SAR302503 on Pharmacokinetics of a Single Dose Cocktail of Omeprazole, Metoprolol, and Midazolam Used as Probe Substrates for CYP2C19, CYP2D6 and CYP3A4 Activities, Respectively in Adult Patients With Refractory Solid Tumors
Brief Summary
Primary Objective:

- To assess the effect of 15-day repeated oral doses of 500 mg SAR302503 on the
cytochrome P450 activity using a CYP probe cocktail (2C19, 2D6 and 3A4).

- To document pharmacokinetics of SAR302503 after repeated 500 mg oral daily doses.

Secondary Objectives:

- To assess the safety profile of 15-day repeated oral doses of 500 mg SAR302503 in
Segment 1

- To characterize the safety and tolerability of 28-day consecutive doses of 500 mg
SAR302503 in Segment 2

- To determine antitumor activity in Segment 2
Detailed Description
The duration of the study for an individual patient will include a period to assess
eligibility (screening period 21 days), followed by a treatment period of at least 15 days
of study treatment, and an end-of-treatment visit at least 30 days following the last
administration of study drug. However, treatment may continue if patients are receiving
benefit and do not have unacceptable toxicity or meet study withdrawal criteria.
Study TypeInterventional
Study PhasePhase 1
Study DesignAllocation: Non-Randomized, Endpoint Classification: Pharmacokinetics/Dynamics Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionSolid Tumor
InterventionDrug: SAR302503
Pharmaceutical form:capsule
Route of administration: oral
Drug: omeprazol
Pharmaceutical form:capsule
Route of administration: oral
Drug: metoprolol
Pharmaceutical form:tablet
Route of administration: oral
Drug: midazolam
Pharmaceutical form:solution
Route of administration: oral
Study Arm (s)
  • Experimental: Segment 1
    two single doses of omeprazol/metoprolol/midazolam on day-1 and day 15 without food, SAR302503 500 mg once daily without food for 15 days
  • Experimental: Segment 2
    SAR302503 500 mg once daily without food in 28-day per cycle

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment16
Estimated Completion DateMarch 2013
Estimated Primary Completion DateMarch 2013
Eligibility Criteria
Inclusion criteria :

- Histologically or cytologically confirmed advanced solid malignancy that is
metastatic or unresectable, and for which standard curative measures do not exist

- Signed informed consent

Exclusion criteria:

- Less than 18 years of age.

- Limited physical functioning (as evaluated by the Eastern Cooperative Oncology Group
(ECOG) scale)

- Inability to follow study requirements and schedule

- Treatment of cancer within 3 weeks of study, concurrent treatment in another clinical
trial or with any other anti-cancer therapy

- Serious medical illness at same time of study and/or significantly abnormal lab
reports

- Lack of pregnancy contraception (women of childbearing potential), pregnancy, or
breast feeding.

- Men who partner with a woman of childbearing potential, unless they agree to use
effective contraception while on study drug

- Continued toxic effects of prior chemotherapy

- Evidence of other concurrent active malignancy

- Other concurrent serious illness or medical condition

- Cardiac abnormalities include bradycardia, AV block or other conduction defect on
ECG, and patients taking a beta blocker.

- Patients with Insulin-Dependent Diabetes Mellitus.

- Patients with known active (acute or chronic) hepatitis A, B, C, and hepatitis B and
C carries. Prior history of chronic liver disease (e.g., chronic alcoholic liver
disease, autoimmune hepatitis, sclerosing cholangitis, primary biliary cirrhosis,
hemachromatosis, non-alcoholic steatohepatitis [NASH]).

- Inadequate organ function

- History of partial or total gastrectomy, or, if in the opinion of the investigator,
have any other disorder that would inhibit absorption of oral medications.

The above information is not intended to contain all considerations relevant to a
patient's potential participation in a clinical trial.
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT01585623
Other Study ID NumbersINT12497
Has Data Monitoring CommitteeNo
Information Provided BySanofi
Study SponsorSanofi
CollaboratorsNot Provided
Investigators Study Director: Clinical Sciences & Operations Sanofi
Verification DateMarch 2013

Locations[ + expand ][ + ]

Investigational Site Number 840004
Augusta, Georgia, United States, 30912
Investigational Site Number 840001
Detroit, Michigan, United States, 48201
Investigational Site Number 840002
Philadelphia, Pennsylvania, United States, 19111