AzTrials
AzTrials

Solid TumorPhase 1NCT03994211

Study to Investigate the Effect of Rifampin and Itraconazole on the Action of Pamiparib in Participants With Cancer

A Phase 1 study testing pamiparib 60 mg, pamiparib 20 mg and itraconazole in people with Solid Tumor, run by BeiGene at 4 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The study was an open-label, parallel-group, fixed-sequence study in male and female cancer patients. The study consists of 2 phases: the Core Phase, which is divided into Part A and Part B, and the Extension Phase. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumor
What is being tested?
pamiparib 60 mg, pamiparib 20 mg and itraconazole
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
4 sitesin 4 countries
Study dates
29 May 2019to 6 Aug 2021
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 years
  • Histologically or cytologically confirmed advanced or metastatic solid tumors that are refractory or resistant to standard therapy or for which no suitable effective standard therapy exists.
  • Disease that is evaluable per RECIST Version 1.1 or Prostate Cancer Working Group-3 (PCWG-3)
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
  • Life expectancy ≥ 12 weeks
  • Adequate hematologic and end-organ function

Who cannot join

  • History of hypersensitivity to rifampin, any rifamycin or any of the components of the rifampin capsule (Part A).
  • History of hypersensitivity to itraconazole or any of the components of the itraconazole capsule (Part B).
  • Prior treatment with a poly (adenosine diphosphate [ADP]-ribose) polymerase (PARP) inhibitor at therapeutic doses is allowed, provided that such treatment was not the most recent therapy (PARP inhibitor must have been discontinued ≥ 3 months prior to the first dose of pamiparib):
  • Participants who experienced prior severe toxicity to PARP inhibitors that in the opinion of the investigator precludes further treatment with PARP inhibitors should be excluded
  • Diagnosis of Myelodysplastic syndrome (MDS)
  • Active infection requiring systemic treatment
Show all 21Show fewer
  • Any of the following cardiovascular criteria:
  • Cardiac chest pain, defined as moderate pain that limits instrumental activities of daily living, ≤ 28 days before Day 1 of pamiparib administration
  • Symptomatic pulmonary embolism ≤ 28 days before Day 1 of pamiparib administration
  • Any history of acute myocardial infarction ≤ 6 months before Day 1 of pamiparib administration
  • Any history of heart failure meeting New York Heart Association Classification III or IV ≤ 6 months before Day 1 of pamiparib
  • Participants with congestive heart failure or history of heart failure should be excluded from Part B (itraconazole)
  • Any event of ventricular arrhythmia ≥ Grade 2 in severity ≤ 6 months before Day 1 of pamiparib administration
  • Any history of cerebral vascular accident ≤ 6 months before Day 1 of pamiparib administration
  • Previous complete gastric resection or lap-band surgery, chronic diarrhea, active inflammatory gastrointestinal disease, known diverticular disease or any other disease-causing malabsorption syndrome
  • Gastroesophageal reflux disease under treatment with proton pump inhibitors is allowed
  • Active bleeding disorder, including gastrointestinal bleeding, as evidenced by hematemesis, significant hemoptysis, or melena ≤ 6 months before Day 1 of pamiparib administration
  • Use or anticipated need for food or drugs known to be strong or moderate CYP3A inhibitors or strong CYP3A inducers ≤ 14 days (or ≤ 5 half-lives if half-life is known) prior to Day 1 of pamiparib administration
  • Known history of intolerance to the excipients of the pamiparib capsule
  • Have known hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

4 sites in 4 countries.

4 sites in 4 countries

Georgia1 site
  • Arensia Exploratory Medicine Llc

    Tbilisi, 0112

Other trials in Georgia

Moldova1 site
  • Republican Clinical Hospital, Oncology Department

    Chiinu, 2025

Other trials in Moldova

Poland1 site
  • Szpital Luxmed

    Warsaw, 02-801

Other trials in Poland

Slovakia1 site
  • Summit Clinical Research, Sro

    Bratislava, 83101

Other trials in Slovakia

About this study

Official title: A Phase 1, Open-label, Parallel-group, Fixed-sequence Study to Investigate the Effect of the CYP3A Inducer Rifampin and the CYP3A Inhibitor Itraconazole on the Pharmacokinetics of Pamiparib (BGB-290) in Cancer Patients

The study was an open-label, parallel-group, fixed-sequence study in male and female cancer patients. The study consists of 2 phases: the Core Phase, which is divided into Part A and Part B, and the Extension Phase. Part A investigated the effect of CYP3A induction by rifampin on the single dose pharmacokinetics (PK) of pamiparib, and Part B investigated the effect of CYP3A inhibition by itraconazole on the single dose PK of pamiparib. Participants were offered participation in the Extension Phase, in which they received pamiparib until progression of disease, unacceptable toxicity, withdrawal of consent, or any other reason for discontinuation.

Conditions
Solid Tumor
Being tested
pamiparib 60 mg, pamiparib 20 mg, itraconazole, rifampin, pamiparib

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • pamiparib 60 mgDrug

    Single dose of 60 mg pamiparib orally on Days 1 and 10

  • pamiparib 20 mgDrug

    Single dose of 20 mg pamiparib orally on days 1 and 7

  • itraconazoleDrug

    200 mg itraconazole once a day al Day 3 to day 8

  • rifampinDrug

    600 mg rifampin once a day from days 3 to 11

  • pamiparibDrug

    60 mg pamiparib orally twice a day in 28-day cycles

Study groups in NCT03994211
Study groupRoleWhat they receive
Part A (core phase)Experimental60 mg pamiparib administered orally on Days 1 and 10 fasting 8 hours pre-dose 600 mg rifampin once a day from days 3 to 11 in the fasted state (at least 2 hours predose)
Receives: Drug: pamiparib 60 mg; Drug: rifampin
Part B (core phase)ExperimentalSingle dose of 20 mg pamiparib orally in the fasted state (at least 8 hours predose) on days 1 and 7 200 mg itraconazole once a day approximately 30 minutes after completing a meal Day 3 to day 8
Receives: Drug: pamiparib 20 mg; Drug: itraconazole
Extension phaseExperimental60 mg pamiparib orally twice a day in 28-day cycles until progression of disease
Receives: Drug: pamiparib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximum Observed Concentration (Cmax) of Pamiparib in Plasma for Part A

    Measured: Part A: from Day -1 (admission) to Day 12 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12, 24, and 48 hours post-dose

  2. Maximum Observed Concentration (Cmax) of Pamiparib in Plasma for Part B

    Measured: Part B: from Day -1 (admission) to Day 9 (discharge; ) 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12, 24, and 48 hours post-dose

  3. AUC From Time Zero to Time of Last Quantifiable Concentration Post-dose (AUC0-tlast) in Plasma for Part A

    Measured: Part A: from Day -1 (admission) to Day 12 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12, 24, and 48 hours post-dose

  4. AUC From Time Zero to Time of Last Quantifiable Concentration Post-dose (AUC0-tlast) in Plasma for Part B

    Measured: Part B: from Day -1 (admission) to Day 9 (discharge) 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12, 24, and 48 hours post-dose

  5. AUC From Zero to Infinity (AUC0-inf) of Pamiparib in Plasma for Part A

    Measured: Part A: from Day -1 (admission) to Day 12 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12, 24, and 48 hours post-dose

  6. AUC From Zero to Infinity (AUC0-inf) of Pamiparib in Plasma for Part B

    Measured: Part B: from Day -1 (admission) to Day 9 (discharge) 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12, 24, and 48 hours post-dose

  7. AUC From Zero to 12 Hours (AUC0-12) of Pamiparib in Plasma for Part A

    Measured: Part A: from Day -1 (admission) to Day 12 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, and 12 hours post-dose

  8. AUC From Zero to 12 Hours (AUC0-12) of Pamiparib in Plasma for Part B

    Measured: Part B: from Day -1 (admission) to Day 9 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, and 12 hours post-dose

  9. AUC From Zero to 9 Hours (AUC0-9) of Pamiparib in Plasma for Part A

    Measured: Part A: from Day -1 (admission) to Day 12 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, and 9 hours post-dose

  10. AUC From Zero to 9 Hours (AUC0-9) of Pamiparib in Plasma for Part B

    Measured: Part B: from Day -1 (admission) to Day 9 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, and 9 hours post-dose

  11. Time of the Maximum Observed Concentration (Tmax) of Pamiparib for Part A

    Measured: Part A: from Day -1 (admission) to Day 12 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12 hours post-dose

  12. Time of the Maximum Observed Concentration (Tmax) of Pamiparib for Part B

    Measured: Part B: from Day -1 (admission) to Day 9 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12 hours post-dose

  13. Apparent Terminal Elimination Half-life (t1/2) of Pamiparib in Plasma for Part A

    Measured: Part A: from Day -1 (admission) to Day 12 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12 hours post-dose

  14. Apparent Terminal Elimination Half-life (t1/2) of Pamiparib in Plasma for Part B

    Measured: Part B: from Day -1 (admission) to Day 9 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12 hours post-dose

  15. Apparent Oral Clearance (CL/F) of Pamiparib in Plasma for Part A

    Measured: Part A: from Day -1 (admission) to Day 12 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12 hours post-dose

  16. Apparent Oral Clearance (CL/F) of Pamiparib in Plasma for Part B

    Measured: Part B: from Day -1 (admission) to Day 9 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12 hours post-dose

  17. Apparent Volume of Distribution (Vz/F) of Pamiparib in Plasma for Part A

    Measured: Part A: from Day -1 (admission) to Day 12 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12 hours post-dose

  18. Apparent Volume of Distribution (Vz/F) of Pamiparib in Plasma for Part B

    Measured: Part B: from Day -1 (admission) to Day 9 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12 hours post-dose

Secondary outcomes (2)
  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    TEAE is defined as any AE with an onset date on or after the date of first dose of study medication until the date of last study medication dose plus 30 days. Seriousness of the AE is determined by the investigator based on seriousness criteria.

    Measured: From the date informed consent has been signed until last study medication dose plus 30 days (up to approximately 26 months)

  2. Number of Participants With Clinically Significant Abnormalities in Laboratory Assessments, Vital Signs, ECG Parameters and Physical Examinations

    Measured: Up to approximately 26 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jun 2019
  2. Study start29 May 2019
  3. Primary completion25 Oct 2019
  4. Study completion6 Aug 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03994211
Sponsor's protocol ID
BGB-290-105
Other IDs
2019-000112-28, 2019
Status last verified
Oct 2024
First submitted
18 Jun 2019
Last updated
26 Oct 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Mu S, Lin C, Skrzypczyk-Ostaszewicz A, Bulat I, Maglakelidze M, Skarbova V, Andreu-Vieyra C, Sahasranaman S. The pharmacokinetics of pamiparib in the presence of a strong CYP3A inhibitor (itraconazole) and strong CYP3A inducer (rifampin) in patients with solid tumors: an open-label, parallel-group phase 1 study. Cancer Chemother Pharmacol. 2021 Jul;88(1):81-88. doi: 10.1007/s00280-021-04253-x. Epub 2021 Mar 27.

    PubMed 33772633

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing pamiparib 60 mg, pamiparib 20 mg and itraconazole in people with Solid Tumor, run by BeiGene at 4 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Georgia, Moldova, Poland, Slovakia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 May 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum Observed Concentration (Cmax) of Pamiparib in Plasma for Part A (time frame: Part A: from Day -1 (admission) to Day 12 (discharge); 30 min pre-dose, 0.5, 1, 2, 4, 6, 9, 12, 24, and 48 hours post-dose). The study lists 18 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03994211, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in