Pharmacokinetics Study of Oral Ixazomib (MLN9708) in Relapsed/Refractory Multiple Myeloma and Advanced Solid Tumors Participants With Normal Renal Function or Severe Renal Impairment
Phase 1/1b Pharmacokinetics Study of Oral MLN9708 in Patients With Relapsed/Refractory Multiple Myeloma and Advanced Solid Tumors With Normal Renal Function or Severe Renal Impairment
3 other identifiers
interventional
41
2 countries
11
Brief Summary
The purpose of this study is to characterize the single-dose pharmacokinetic (PK) parameters of ixazomib (MLN9708) in cancer participants with either normal renal function or severe renal impairment (RI), including participants with end-stage renal disease (ESRD).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1 multiple-myeloma
Started Sep 2013
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 4, 2013
CompletedFirst Posted
Study publicly available on registry
April 12, 2013
CompletedStudy Start
First participant enrolled
September 16, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 3, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
November 18, 2016
CompletedResults Posted
Study results publicly available
June 10, 2019
CompletedJune 10, 2019
March 1, 2019
1.5 years
April 4, 2013
November 17, 2017
March 8, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Unbound Cmax: Unbound Maximum Observed Plasma Concentration for Ixazomib
Part A, Day 1: Predose and at multiple timepoints (up to 336 hours) post-dose
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Ixazomib
Part A, Day 1: Predose and at multiple timepoints (up to 336 hours) post-dose
Unbound AUClast: Unbound Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Ixazomib
Part A, Day 1: Predose and at multiple timepoints (up to 336 hours) post-dose
Secondary Outcomes (3)
Number of Participants With Adverse Events
From signing of first dose of study drug up to the 30 days after the last dose of study drug (approximately up to 885 days)
Percentage of Participants With Overall Response (OR) in Relapsed/Refractory Multiple Myeloma (RRMM) Participants
Day 1 of every other cycle from cycle 1 (each cycle of 28 days) up to progression of disease (approximately up to 855 days)
Duration of Response (DOR) in RRMM Participants
Day 1 of every other cycle from cycle 1 (each cycle of 28 days) up to progression of disease (approximately up to 855 days)
Study Arms (3)
Normal Renal Function: Ixazomib
EXPERIMENTALIn the 15 day period that constitutes Part A of the trial, participants received a single oral dose of ixazomib 3.0 mg capsules. Participants from Part A had the option of continuing the study by participating in Part B, where they received ixazomib (4, 3, or 2.3 mg per protocol) capsules, orally on Days 1, 8, and 15 of each 28-day cycle until disease progression or unacceptable toxicity.
Severe Renal Impairment: Ixazomib
EXPERIMENTALIn the 15 day period that constitutes Part A of the trial, participants received a single oral dose of ixazomib 3.0 mg capsules. Participants from Part A had the option of continuing the study by participating in Part B, where they received ixazomib (4, 3, or 2.3 mg per protocol) capsules, orally on Days 1, 8, and 15 of each 28-day cycle until disease progression or unacceptable toxicity.
End-stage Renal Disease: Ixazomib
EXPERIMENTALIn the 15 day period that constitutes Part A of the trial, participants received a single oral dose of ixazomib 3.0 mg capsules. Participants from Part A had the option of continuing the study by participating in Part B, where they received ixazomib (4, 3, or 2.3 mg per protocol) capsules, orally on Days 1, 8, and 15 of each 28-day cycle until disease progression or unacceptable toxicity.
Interventions
Ixazomib capsules
Eligibility Criteria
You may qualify if:
- Male or female participants 18 years or older
- Participants with multiple myeloma (MM) diagnosed according to standard criteria or participants with a diagnosis of an advanced malignant solid tumor for which standard, curative, or life prolonging treatment does not exist or is no longer effective. Participants with multiple myeloma must have had at least 1 prior therapy
- A calculated creatinine clearance (CrCl) that meets entry criteria for enrollment (i.e., calculated CrCl either ≥ 90 mL/min for normal renal function or \< 30 mL/min for severe renal impairment)
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
- Female participants who are post menopausal, surgically sterile, or agree to practice 2 effective methods of contraception through 90 days after the last dose of study drug or agree to practice true abstinence
- Male participants who agree to practice effective barrier contraception through 90 after the last dose of study drug or agree to practice true abstinence
- Voluntary written informed consent
- Suitable venous access
You may not qualify if:
- Female participants who are pregnant or lactating and breastfeeding
- Failure to have recovered from clinically significant effects of prior chemotherapy (defined as toxicity greater than Grade 1 with the exception of alopecia)
- Major surgery or radiotherapy within 14 days before study drug administration
- Dexamethasone (or equivalent systemic steroid) higher than physiologic dosing within 7 days before study drug administration
- Central nervous system involvement
- Infection requiring IV antibiotic therapy or other serious infection within 14 days prior to first dose of study drug
- Diagnosis of Waldenstrom's macroglobulinemia, POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome, plasma cell leukemia, myeloproliferative syndrome, or primary amyloidosis (with the exception of patients in whom amyloidosis has been documented as a complication of MM, who will be evaluated on a case-by-case basis for trial participation)
- Systemic treatment with strong and moderate inhibitors of Cytochrome P1A2 (CYP1A2), strong and moderate inhibitors of Cytochrome P3A (CYP3A), or clinically significant CYP3A inducers or use of Ginkgo biloba or St. John's wort within 14 days before the first dose of study drug
- Evidence of uncontrolled cardiovascular conditions
- Ongoing or active infection, or known human immunodeficiency virus (HIV) positive
- Comorbid systemic illness or psychiatric illness that could interfere with study completion
- Known allergy to study medications
- Inability to swallow oral medication or condition that could interfere with oral absorption or tolerance of treatment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (11)
Winship Cancer Institute, Emory University
Atlanta, Georgia, 30322, United States
Illinois Cancer Care
Peoria, Illinois, 61615, United States
University of Kansas Cancer Center, Clinical Research Center
Fairway, Kansas, 66205, United States
University of Maryland
Baltimore, Maryland, 21201, United States
Mount Sinai Medical Center
New York, New York, 31406, United States
University of Oklahoma Peggy and Charles Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104, United States
Sarah Cannon Cancer Center
Nashville, Tennessee, 37203, United States
Mary Crowley Cancer Research Centers Medical City
Dallas, Texas, 75201, United States
Institute of Oncology Hematology Biomedical Research
Laredo, Texas, 78041, United States
University of Texas Health Science Center San Antonio
San Antonio, Texas, 78229, United States
University Health Network
Toronto, Ontario, M5G 2M9, Canada
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Medical Director
- Organization
- Takeda
Study Officials
- STUDY DIRECTOR
Medical Monitor
Millennium Pharmaceuticals, Inc.
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 4, 2013
First Posted
April 12, 2013
Study Start
September 16, 2013
Primary Completion
March 3, 2015
Study Completion
November 18, 2016
Last Updated
June 10, 2019
Results First Posted
June 10, 2019
Record last verified: 2019-03