The investigators are doing this study to find out if tucatinib is safe for patients with liver problems. This study will look at participants with mild, moderate, and severe liver problems. For each participant with liver problems who takes part, a matching healthy participant who is of similar age, similar body mass index (BMI), and of the same sex will also take part. The study will look at how the drug affects healthy participants compared to participants with liver problems.
This study is being conducted to provide information to develop dosing recommendations for tucatinib in subjects with hepatic impairment. The current study will be carried out in subjects with hepatic impairment according to 3 different Child-Pugh (CP) categories (Mild, Moderate, and Severe impairment), and in matched-control healthy subjects. The minimum number of matched-control healthy subjects will be enrolled in order to ensure that each hepatically-impaired subject has a healthy match. Each matched-control healthy subject will be enrolled following the enrollment of a Mild and/or Moderate and/or Severe hepatic impairment subject and will be matched by age (+/- 10 years), by BMI (+/- 20%), and by sex to the enrolled hepatic impairment subject(s). Each healthy subject may be matched with up to 1 subject within each hepatic impairment group. Based on these criteria, with 3 cohorts of 8 hepatically-impaired subjects enrolled in the study, the number of healthy control subjects required to be enrolled will be at least 8 and not more than 24.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
37
300mg oral single dose
Orange County Research Center
Tustin, California, United States
Orlando Clinical Research Center
Orlando, Florida, United States
NOCCR Knoxville and Volunteer Research Group
Knoxville, Tennessee, United States
Texas Liver Institute
San Antonio, Texas, United States
Maximum observed concentration (Cmax)
Pharmacokinetic (PK) endpoint of tucatinib
Time frame: Up to 48 hours
Time of maximum observed concentration (Tmax)
PK endpoint of tucatinib
Time frame: Up to 48 hours
Area under the concentration-time curve (AUC) from time 0 to the last quantifiable concentration (AUC[0-t])
PK endpoint of tucatinib
Time frame: Up to 48 hours
AUC from time 0 to infinity (AUC[0-inf])
PK endpoint of tucatinib
Time frame: Up to 48 hours
Percentage extrapolation for AUC (%AUCextrap)
PK endpoint of tucatinib
Time frame: 48 hours
Apparent terminal elimination rate constant (λz)
PK endpoint of tucatinib
Time frame: Up to 48 hours
Apparent terminal elimination half-life (t½)
PK endpoint of tucatinib
Time frame: Up to 48 hours
Apparent total clearance
PK endpoint of tucatinib
Time frame: Up to 48 hours
Apparent volume of distribution during the terminal phase
PK endpoint of tucatinib
Time frame: Up to 48 hours
Mean residence time (MRT)
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PK endpoint of tucatinib
Time frame: Up to 48 hours
Cmax
PK endpoint of ONT-993
Time frame: Up to 48 hours
Tmax
PK endpoint of ONT-993
Time frame: Up to 48 hours
AUC[0-t]
PK endpoint of ONT-993
Time frame: Up to 48 hours
(AUC[0-inf])
PK endpoint of ONT-993
Time frame: Up to 48 hours
%AUCextrap
PK endpoint of ONT-993
Time frame: Up to 48 hours
λz
PK endpoint of ONT-993
Time frame: Up to 48 hours
t½
PK endpoint of ONT-993
Time frame: Up to 48 hours
MRT
PK endpoint of ONT-993
Time frame: Up to 48 hours
Incidence of adverse events (AEs)
As determined by assessment of AEs, clinical laboratory tests, physical examinations, vital signs measurements, and 12-lead ECG
Time frame: Up to 9 days