A Drug-Drug Interaction Study to Assess the Effect of Trametinib on the Pharmacokinetics of an Oral Contraceptive in Female Patients With Solid Tumors



Status:Recruiting
Conditions:Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - 59
Updated:3/3/2019
Start Date:October 20, 2016
End Date:July 17, 2019
Contact:Novartis Pharmaceuticals
Email:trialandresults.registries@novartis.com
Phone:1-888-669-6682

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A Phase I, Open-Label Study to Determine the Effect of Repeat Dosing of Trametinib on the Pharmacokinetics of a Combined Oral Contraceptive (Norethindrone Plus Ethinyl Estradiol) in Female Patients With Solid Tumors

The purpose of this study is to evaluate the effect of trametinib once daily on the
pharmacokinetics (PK) of a daily dosing oral contraceptives (OCs) containing norethindrone
(NE) and ethinyl estradiol (EE) in female patients with solid tumors. The PK of trametinib
and its metabolite M5 will also be assessed.


Inclusion Criteria:

- Has a histologically or cytologically confirmed diagnosis of a solid tumor malignancy
(except for any excluded malignancies listed in the Exclusion Criteria) that is not
responsive to standard therapy(ies) or for which there is no approved therapy.

- Meets one of the following criteria: Is currently on a stable regimen of an oral
contraceptive containing 1mg NE and 0.035mg EE, or Is willing to switch to a regimen
of an oral contraceptive containing 1mg NE and 0.035mg EE from a stable regimen of an
alternate OC, or Is willing to start a regimen of an oral contraceptive containing 1mg
NE and 0.035mg EE.

- Meets one of the following criteria: Is post-menopausal, or, Women of child-bearing
potential, defined as all women physiologically capable of becoming pregnant, unless
they are using highly effective methods of contraception during dosing and for four
months after stopping medication.

- Has no prior treatment-related toxicities >Grade 1 (except alopecia) at the time of
enrolment.

- Patient must meet the following laboratory values at the screening visit: Absolute
Neutrophil Count ≥1.5 x 109/L. Platelets ≥75 x 109/L. Hemoglobin (Hgb) ≥9 g/dL. Serum
creatinine <1.5 mg/dL. Total bilirubin ≤1.5 x upper limit of normal (ULN) (isolated
bilirubin >1.5x ULN is acceptable if bilirubin is fractionated and direct bilirubin
<35%). Aspartate transaminase (AST) ≤ 3.0 x ULN, except for patients with liver
metastasis, who may only be included if AST ≤5.0 x ULN. Alanine transaminase (ALT) ≤
3.0 x ULN, except for patients with liver metastasis or tumor infiltration, who may
only be included if ALT ≤5.0 x ULN. Prothrombin time (PT)/International normalized
ratio (INR) and Partial thromboplastin time (PTT) ≤1.5xULN. Note: patients receiving
therapeutic anticoagulation agents prior screening are permitted. Albumin 2.5 g/dL.

- Patient has an Eastern Cooperative Oncology Group (ECOG) performance status 0-1.

Exclusion Criteria:

- History or current diagnosis of cardiac disease indicating significant risk of safety
for patients participating in the study such as uncontrolled or significant cardiac
disease

- Has had any major surgery, extensive radiotherapy, or anti-cancer therapy (e.g.,
chemotherapy with delayed toxicity, biologic therapy, or immunotherapy) within 21 days
prior to enrolment and/or daily or weekly chemotherapy without the potential for
delayed toxicity within 14 days prior to enrolment. Prolonged immobilization must have
resolved prior to enrolment.

- Has a known or suspected carcinoma that is excluded as administration of Oral
Contraceptive would be contraindicated.

- Has a history of another malignancy.

- Has a history of interstitial lung disease or pneumonitis.

- Has a history of RVO.

- Has a history of any of conditions that would contraindicate administration of an OC

- Has symptomatic or untreated leptomeningeal, brain metastases, or spinal cord
compression.

Other protocol-defined Inclusion/Exclusion criteria may apply.
We found this trial at
4
sites
1100 N. Lindsay
Oklahoma City, Oklahoma 73104
(405) 271-4000
Principal Investigator: Kathleen Moore
Phone: 405-271-4022
University of Oklahoma The OU Health Sciences Center is composed of seven health-related colleges located...
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Detroit, Michigan 48202
Principal Investigator: Ding Wang
Phone: 313-916-8862
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Detroit, MI
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Detroit, Michigan 48201
Principal Investigator: Amy M Weise
Phone: 313-576-8730
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Detroit, MI
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Edegem,
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