This open-label, multicenter, 3-period, fixed-sequence study will evaluate the effect of multiple doses of vemurafenib on the pharmacokinetics of a single dose of acenocoumarol in participants with BRAFV600 mutation-positive metastatic malignancies. Participants will receive a single dose of acenocoumarol 4 mg orally on Day 1 and Day 23, vemurafenib 960 mg orally twice daily on Days 4-26. After completion of pharmacokinetic assessments on Day 26, eligible participants will have the option to continue treatment with vemurafenib as part of an extension study (GO28399 \[NCT01739764\]).
Study Type
INTERVENTIONAL
Allocation
NA
Masking
NONE
Enrollment
9
4 mg single oral doses on Days 1 and 23
960 mg orally bid, 20 days (Days 4-23)
Unnamed facility
Wodonga, New South Wales, Australia
Unnamed facility
Buxtehude, Germany
Unnamed facility
Essen, Germany
Unnamed facility
Mannheim, Germany
Unnamed facility
Crete, Greece
Unnamed facility
Thessaloniki, Greece
Unnamed facility
Budapest, Hungary
Unnamed facility
Amsterdam, Netherlands
Unnamed facility
Maastricht, Netherlands
Unnamed facility
Utrecht, Netherlands
...and 10 more locations
Pharmacokinetics of single-dose acenocoumarol under conditions of vemurafenib steady-state exposure: Area under the concentration-time curve (AUC)
Time frame: Pre-dose and up to 72 hours post-dose
Pharmacokinetics of single-dose acenocoumarol under conditions of vemurafenib steady-state exposure: Maximum plasma concentration (Cmax)
Time frame: Pre-dose and up to 72 hours post-dose
Pharmacokinetics of single-dose acenocoumarol under conditions of vemurafenib steady-state exposure: Time to maximum plasma concentration (Tmax)
Time frame: Pre-dose and up to 72 hours post-dose
Pharmacokinetics of single-dose acenocoumarol under conditions of vemurafenib steady-state exposure: Terminal half-life (t1/2)
Time frame: Pre-dose and up to 72 hours post-dose
Pharmacokinetics of single-dose acenocoumarol under conditions of vemurafenib steady-state exposure: Apparent clearance (CL/F)
Time frame: Pre-dose and up to 72 hours post-dose
Safety: Incidence of Adverse Events and Serious Adverse Events
Time frame: approximately 1.5 years
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