This is a post approval requirement to study the effect of severe hepatic impairment on the pharmacokinetics of dacomitinib.
This is a Phase 1, open label, parallel group study to investigate the effect of severe hepatic impairment on the plasma PK, safety and tolerability after a single oral 30 mg dose of dacomitinib under fasted conditions. Approximately 18 participants will be enrolled into the study to ensure at least 6 PK evaluable (having data for estimating primary PK parameters for dacomitinib) participants in each cohort.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
16
anti-cancer agent
Investigational Drug Services (IDS) University of Miami Hospitals and Clinics, Research Pharmacy
Miami, Florida, United States
University of Miami Division of Clinical Pharmacology
Miami, Florida, United States
Orlando Clinical Research Center
Orlando, Florida, United States
Maximum Observed Plasma Concentration (Cmax) of Dacomitinib
Cmax of Dacomitinib was analyzed.
Time frame: Pre-dose and 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192, 216 and 264 hours post dose on Day 1
Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinite Time (AUCinf) of Dacomitinib
AUCinf = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf).
Time frame: Pre-dose and 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192, 216 and 264 hours post dose on Day 1
Number of Participants With Laboratory Abnormalities
Laboratory abnormalities included hematology- Erythrocyte mean corpuscular hemoglobin: less than (\<) 0.9 \*lower limit of normal (LLN), platelets: \< 0.5\* LLN, leukocytes: \< 0.6\* LLN, lymphocytes: \< 0.8\* LLN, eosinophils: greater than (\>) 1.2\* lower limit of normal (ULN), partial thromboplastin time (PTT): \> 1.1\* ULN, prothrombin time: \> 1.1\* ULN, Prothrombin Intl. normalized ratio: \> 1.1\* ULN, clinical chemistry- bilirubin: \> 1.5\* ULN, protein: \< 0.8\* LLN, albumin: \< 0.8\* LLN, urinalysis- urine protein: greater than or equal to (\>=) 1, urine hemoglobin: \>= 1, urobilinogen: \>= 1, urine erythrocytes: \>= 20.
Time frame: Baseline up to Day 7
Number of Participants With Physical Examination Abnormalities
Height and weight were measured to calculate body mass index abnormality.
Time frame: Baseline up to Day 7
Number of Participants With Vital Sign Parameters Meeting Criteria of Potential Clinical Concern
Systolic blood pressure, diastolic blood pressure and pulse rate were evaluated for examination of vital signs. Criteria for potential concern in absolute values of vital sign: pulse rate: \<40 beats per minute (bpm), \>120 beats per minute; supine diastolic blood pressure: \<50 millimeter of mercury (mm Hg); supine systolic blood pressure: \<90 mm Hg. Criteria for potential concern in change from baseline in vital sign values: supine diastolic blood pressure: greater than or equal to \>= 30 mm Hg increase or decrease from baseline; supine diastolic blood pressure: \>=20 mm Hg increase or decrease from baseline. Only participants with vital sign parameters meeting criteria of potential clinical concern are reported.
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Time frame: Baseline up to Day 7
Number of Participants With ECG Parameters Meeting Criteria of Potential Clinical Concern
ECG parameters RR interval, PR interval, QRS interval, QT interval, QTC interval, QTCB, QTCF and heart rate were measured. Criteria of potential concern for absolute values: PR interval: \>=300 milliseconds; QRS interval \>=140 milliseconds; QT interval: \>=500 milliseconds; QTCF (Fridericia's correction formula) : \>= 450 to \< 480 milliseconds, \>=480 to \<500 milliseconds, \>=500 milliseconds. Criteria of potential concern for change from baseline values: PR interval: when baseline is \>200 millisecond- change \>=25%, when baseline \<200 milliseconds- change \>=50%; QRS interval: change \>= 50%; QTCF: change \>=30 to \<60, change \>=60. In this outcome measure, participants meeting the criteria of potential concern for any of the ECG parameters are reported.
Time frame: Baseline up to Day 7
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. A treatment emergent AE was defined as an event that emerged during the treatment period (Up to Day 35) that was absent before treatment, or worsened during the treatment period relative to the pretreatment state.
Time frame: Baseline up to Day 35