Details

Details

Title A Phase 1 Study to Investigate the Absorption, Metabolism and Excretion of [14C]ASP8273 in Subjects with Solid Tumors Harboring Epidermal Growth Factor Receptor (EGFR) Mutations

IRB APGD3Y15

CC 16-551

Hospital Main Campus

Phase Phase 1

Disease Solid Tumors

Drug ASP8273

Description

Description

Primary Objective
  • Evaluate the pharmacokinetics, in particular, the routes of excretion and extent of metabolism of ASP8273 after a single dose of [14C]-labeled ASP8273.
Secondary Objectives
  • Evaluate the safety of a single dose oral administration of [14C]-labeled ASP8273 (Part A) and repeat-dose oral administration of ASP8273 (Part B, optional) in subjects with solid tumors harboring EGFR mutations.
  • Identify the metabolic profile of ASP8273 in plasma, urine and feces after a single oral dose of [14C]-labeled ASP8273.
Inclusion Criteria

Inclusion Criteria

  1. Institutional Review Board (IRB)-/Independent Ethics Committee (IEC)-approved written Informed Consent and privacy language as per national regulations (e.g., Health Insurance Portability and Accountability Act [HIPAA] Authorization for US sites) must be obtained from the subject or legally authorized representative prior to any study-related procedures.
  2. Subject is age ≥ 18 years old at the time of signing informed consent.
  3. Subject agrees not to participate in another interventional study while participation in the present study, defined as signing the informed consent form (ICF) until completion of the last study visit.
  4. Subject has histologically or cytologically confirmed metastatic or locally advanced, unresectable solid tumors harboring EGFR mutations (demonstrated by patient documents or local testing).
  5. Subject has Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
  6. Subject has predicted life expectancy ≥ 12 weeks in the opinion of the investigator.
  7. Subject must meet all of the following criteria on the laboratory tests that will be performed within 7 days prior to enrollment. In case of multiple laboratory data within this period, the most recent data should be used.
    • Neutrophil count ≥ 1,000/mm3
    • Platelet count ≥ 7.5 x 104/mm3
    • Hemoglobin ≥ 9.0 g/dL
    • Lymphocyte count ≥ 500/mm3
    • Estimated glomerular filtration rate (eGFR) of > 50 ml/min as calculated by the Cockcroft-Gault Method
    • Total bilirubin (TBL) < 1.5 x upper limit of normal (ULN; except for subjects with documented Gilbert's syndrome)
    • Aspartate aminotransferase (AST) and ALT < 3.0 x ULN
    • Serum sodium level is ≥ 130 mmol/L
  8. Female subject must either be:
    • Of nonchildbearing potential:
      • Postmenopausal (defined as at least 1 year without any menses) prior to screening, or
      • Documented surgically sterile or status post hysterectomy (at least 1 month prior to screening).
    • Or, if of childbearing potential:
      • Agree not to try to become pregnant during the study and for 28 days after the final study drug administration,
      • Must have a negative serum pregnancy test at screening and day -1, and
      • If heterosexually active must use two forms of birth control* (at least one of which must be a barrier method) starting at screening and throughout the study period and for 28 days after the final study drug administration.
  9. Female subject must not be breastfeeding at screening or during the study period, and for 28 days after the final study drug administration.
  10. Female subject must not donate ova starting at screening and throughout the study period, and for 28 days after the final study drug administration.
  11. Male subject and his female spouse/partner who is of childbearing potential must be using highly effective contraception consisting of two forms of birth control* (one of which must be a barrier method) starting at screening and continue throughout the study period and for 90 days after the final study drug administration.
  12. Male subject must not donate sperm starting at screening and throughout the study period and for 90 days after the final study drug administration.

*Acceptable forms of birth control include:

  • Established use of oral, injected or implanted hormonal methods of contraception.
  • Placement of an intrauterine device (IUD) or intrauterine system (IUS).
  • Barrier methods of contraception: condom or occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository.

Exclusion Criteria

Exclusion Criteria

  1. Subject has an ongoing toxicity ≥ Grade 2 (Common Terminology Criteria for Adverse Event [CTCAE] v4.03) attributable to prior medication to treat solid tumor (except alopecia) at the time of screening.
  2. Subject has known history of serious hypersensitivity reaction to ASP8273, or any component of the formulation used.
  3. Subject has received investigational therapy within 28 days or 5 half-lives, whichever is shorter, prior to the first dose of study drug.
  4. Subject has received a prior EGFR inhibitor within 6 days prior to the first dose of study drug (e.g., erlotinib, gefitinib, afatinib).
  5. Subject has had any of the following within 14 days prior to the first dose of study drug:
    • A treatment with any other agent with antitumor activity including chemotherapy, radiotherapy, or immunotherapy
    • A major surgical procedure (other than study related biopsy), or a major surgical procedure is planned to occur during the study
    • Blood transfusions or hemopoietic factor therapy
    • Evidence of active infection requiring systemic therapy
  6. Subject has symptomatic central nervous system (CNS) metastasis. Subject with previously treated brain or CNS metastases are eligible provided that the subject has recovered from any acute effects of radiotherapy and is not requiring steroids, and any whole brain radiation therapy was completed at least 2 weeks prior to study drug administration, or any stereotactic radiosurgery (SRS) was completed at least 1 week prior the first dose of study drug.
  7. Subject has ≥ CTCAE v4.03 Grade 2 neuropathy.
  8. Subject has a known history of a positive test for hepatitis B surface antigen (HBsAg) or hepatitis C antibody (anti-HCV).
  9. Subject has a known history of a positive test for human immunodeficiency virus (HIV) infection.
  10. Subject has history of drug-induced interstitial lung disease (ILD) or any evidence of active ILD.
  11. Subject has severe or uncontrolled systemic diseases including uncontrolled hypertension (blood pressure > 150/100 mmHg) or active bleeding diatheses.
  12. Subject has ongoing cardiac arrhythmia that is Grade ≥ 2 or uncontrolled atrial fibrillation of any grade.
  13. Subject currently has Class 3 or 4 New York Heart Association congestive heart failure.
  14. Subject has history of severe/unstable angina, myocardial infarction, or cerebrovascular accident within 6 months prior to the first dose of study drug.
  15. Subject has concurrent corneal disorder or any ophthalmologic condition which, in the investigator's opinion, makes the subject unsuitable for study participation (e.g., advanced cataracts, glaucoma, or subject is unable to undergo a comprehensive ophthalmologic exam).
  16. Subject has history of gastrointestinal ulcer or gastrointestinal bleeding within 3 months prior to the first dose of study drug.
  17. Subject has difficulty taking oral medication or any digestive tract dysfunction or inflammatory bowel disease that would interfere with the intestinal absorption of drug.
  18. Subject who has received strong/moderate inhibitors or inducers of CYP3A4 within 14 days prior to the first dose of study drug.
  19. Subject has any condition which, in the investigator's opinion, makes the subject unsuitable for study participation.