Hepatic Impairment Study For Crizotinib In Advanced Cancer Patients
Conditions
Advanced Cancer
Conditions: official terms
Liver Diseases - Neoplasms
Conditions: Keywords
crizotinib, xalkori, PF-02341066, hepatic impairment, pharmacokinetics, advanced cancer
Study Type
Interventional
Study Phase
Phase 1
Study Design
Allocation: Non-Randomized, Endpoint Classification: Pharmacokinetics Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Basic Science
Intervention
Name: crizotinib Type: Drug
Name: crizotinib Type: Drug
Name: crizotinib Type: Drug
Name: crizotinib Type: Drug
Name: crizotinib Type: Drug
Overall Status
Recruiting
Summary
This study is designed to evaluate the potential effect of hepatic impairment on the pharmacokinetics and safety of crizotinib in advanced cancer patients. Advanced cancer patients with mild, moderate or severe liver dysfunction as well as patients with normal liver function will be enrolled in this study.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: N/A
Minimum Age: 18 Years
Gender: Both
Criteria: Inclusion Criteria:

- Histologically or cytologically confirmed solid malignancy or lymphoma that is metastatic or unresectable, and for which standard curative or palliative measures do not exist, or are no longer effective. In case of hepatocellular carcinoma, the diagnosis should be based on at least one of the following:

1. The presence of at least one lesion, measuring ≥ 2 cm, with characteristic arterial enhancement and venous washout in the setting of liver cirrhosis and/or hepatitis B or C infection.

2. The presence of liver lesion(s) (as defined in a.) with AFP ≥ 400 ng/mL.

3. Tissue confirmation.

- Biliary obstruction for whom a biliary drain or stent has been placed are eligible, provided that the drain or stent have been in place for at least 10 days prior to the first dose of crizotinib, and the liver function has stabilized as defined by 2 measurements at least 5 days apart that put the patient in the same hepatic dysfunction stratum as defined in Section 3.

- Presence of gliomas and brain metastases only if neurologically stable and treated without ongoing requirement for corticosteroids for at least 2 weeks.

- Any prior systemic therapy (e.g., chemotherapy, molecularly targeted agent, immunotherapy, etc.) or major surgery must have been completed at least 30 days (or as determined by the local requirement, whichever is longer), or at least 5 half lives for drugs with half lives of 6 days or longer prior to initiation of crizotinib treatment. Any prior radiation (except palliative) or minor surgeries/procedures must have been completed at least 2 weeks prior to the initiation of crizotinib treatment. Palliative radiation (≤ 10 fractions) must have been completed 48 hours prior to the initiation of crizotinib treatment. Any acute toxicity must have recovered to Grade ≤1 (except alopecia).

- Eastern Cooperative Oncology Group [ECOG] performance status 0-2.

- Adequate organ function for patients receiving crizotinib therapy as defined by the following criteria:

Bone marrow function

- Absolute neutrophil count (ANC) ≥ 750/uL

- Platelets ≥ 30,000/uL

- Hemoglobin ≥ 8.0 g/dL (≥ 7.0 g/dL for hematologic malignancy) Renal function

- Creatinine ≤ 1.5 x ULN or CrCl > 60 mL/min/1.73 m2 for patients with serum creatinine levels above institutional 1.5 x ULN

- Male and female patients of childbearing potential must agree to use a highly effective method of contraception throughout the study and for at least 28 days after the last dose of assigned treatment. A patient is of childbearing potential if, in the opinion of the investigator, he/she is biologically capable of having children and is sexually active.

Exclusion Criteria:

- Untreated esophageal varices observed on EGD or imaging study; however, patients with known portal hypertension and evidence of varices on EGD or imaging study who have undergone appropriate therapy as indicated within the last 6 months (if applicable) are eligible for enrollment.

- Uncontrolled ascites that is not stable with medical management (i.e., on diuretics and salt restriction) as defined by requiring therapeutic paracentesis more than once every 4 weeks.

- Episodes of hepatic encephalopathy within the last 4 weeks. Patients with prior episodes of hepatic encephalopathy who are clinically stable on lactulose, neomycin, and/or xifaxan therapy are allowed.

- Prior therapy with crizotinib.

- Spinal cord compression.

- Carcinomatous meningitis or leptomeningeal disease

- Any of the following within the 6 months prior to starting study treatment: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, or cerebrovascular accident including transient ischemic attack.

- Symptomatic congestive heart failure.

- Ongoing cardiac dysrhythmias of NCI CTCAE Grade ≥ 2, uncontrolled atrial fibrillation of any grade, or an average of triplicate QTc interval >470 msec.

- History of extensive disseminated/bilateral or known presence of interstitial fibrosis or interstitial lung disease, including a history of pneumonitis, hypersensitivity pneumonitis, interstitial pneumonia, interstitial lung disease, obliterative bronchiolitis, and pulmonary fibrosis, but not history of prior radiation pneumonitis.

- Active hemolysis or evidence of biliary sepsis.

- Pregnant females; breastfeeding females; males and females of childbearing potential; males and females of childbearing potential not using highly effective contraception or not agreeing to continue highly effective contraception for at least 28 days after last dose of investigational product; males and females of childbearing potential not using two (2) methods of highly effective contraception or not agreeing to continue two (2) methods of highly effective contraception for at least 28 days after last dose of investigational product.

- Use of drugs or foods that are known strong CYP3A4 inhibitors, including but not limited to atazanavir, clarithromycin, indinavir, itraconazole, ketoconazole, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin, troleandomycin, voriconazole, and grapefruit or grapefruit juice.

- Use of drugs that are known strong CYP3A4 inducers, including but not limited to carbamazepine, phenobarbital, phenytoin, rifabutin, rifampin, and St. John's wort.

- Use of drugs that are CYP3A4 substrates with narrow therapeutic indices, including but not limited to dihydroergotamine, ergotamine, and pimozide.

- Other severe acute or chronic medical (may include severe gastrointestinal conditions such as chronic diarrhea or ulcer disease) or psychiatric conditions, or laboratory abnormalities that may increase the risk associated with study participation or study drug administration or may interfere with the interpretation of the study results and, in the judgment of the investigator, would make the patient inappropriate for study entry.

- Patients who had prior major gastrointestinal surgery removing part of gastrointestinal tract and/or gall bladder.
Locations
Keck Hospital of the University of Southern California
Los Angeles, California, United States
Status: Recruiting
Los Angeles County/University of Southern California Medical Center
Los Angeles, California, United States
Status: Recruiting
USC/Norris Comprehensive Cancer / Investigational Drug Services
Los Angeles, California, United States
Status: Recruiting
USC/Norris Comprehensive Cancer Center
Los Angeles, California, United States
Status: Recruiting
Drug Shipment: Anschutz Cancer Pavilion, Room 2224, c/o Melinda Friesleben, Pharm D
Aurora, Colorado, United States
Status: Recruiting
University of Colorado Denver - Clinical Translational Research Center
Aurora, Colorado, United States
Status: Recruiting
University of Colorado Hospital
Aurora, Colorado, United States
Status: Recruiting
University of Colorado Hospital, Anschutz Inpatient Pavilion
Aurora, Colorado, United States
Status: Recruiting
Drug Shipment Address: Investigational Drug Service: The Emory Clinic Bldg A
Atlanta, Georgia, United States
Status: Recruiting
Emory University Hospital
Atlanta, Georgia, United States
Status: Recruiting
The Emory Clinic
Atlanta, Georgia, United States
Status: Recruiting
Winship Cancer Institute
Atlanta, Georgia, United States
Status: Recruiting
Investigational Drug Services (Drug Management Only)
Columbus, Ohio, United States
Status: Recruiting
James Cancer Hospital
Columbus, Ohio, United States
Status: Recruiting
Martha Morehouse Medical Plaza
Columbus, Ohio, United States
Status: Recruiting
The Ohio State University, Wexner Medical Center
Columbus, Ohio, United States
Status: Recruiting
University Hospital East
Columbus, Ohio, United States
Status: Recruiting
Cancer Therapy & Research Center at UTHSCSA
San Antonio, Texas, United States
Status: Recruiting
Cancer Therapy and Research Center at The University of Texas Health Science Center at San Antonio
San Antonio, Texas, United States
Status: Recruiting
Start Date
July 2012
Completion Date
February 2016
Sponsors
Pfizer
Source
Pfizer
Record processing date
ClinicalTrials.gov processed this data on July 28, 2015
ClinicalTrials.gov page