This study will investigate the drug-drug interactions (DDIs) between rucaparib and oral rosuvastatin (Arm A), and between rucaparib and oral ethinylestradiol and levonorgestrel (Arm B), with rucaparib as a perpetrator.
This is a Phase 1, open-label, drug-drug-interaction (DDI) study in patients with advanced solid tumor. In Part I, the effects of rucaparib (600 mg twice daily \[BID\]) on the PK of oral rosuvastatin (Arm A) and the combined oral contraceptives (ethinylestradiol and levonorgestrel; Arm B) will be assessed. Part I: patients will receive single oral doses of rosuvastatin or oral contraceptives (according to assigned arm) on Day 1 and Day 19. Continuous treatment with rucaparib at 600 mg BID will commence on Day 5 and continue until the end of Part I (Day 23). Part II (optional): treatment with rucaparib in 28-day cycles may continue (at the discretion of the Investigator) until progression of disease, unacceptable toxicity, or other reason for discontinuation.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
36
Rucaparib 600 mg BID commencing on Day 5 until Day 23.
Single dose of 20mg oral rosuvastatin on Day 1 and Day 19 only.
Single dose of combined oral contraceptive (30 μg ethinylestradiol and 150 μg levonorgestrel) on Day 1 and Day 19 only.
PRA Magyarország Fázis I-es Klinikai Farmakológiai Vizsgálóhely FMC Dialízis Központ, II. em.
Budapest, Hungary
Wojewódzki Szpital Specjalistyczny w Białej Podlaskiej
Biała Podlaska, Poland
BioVirtus Centrum Medyczne
Józefów, Poland
Ujastek Sp. z o.o. Centrum medyczne
Krakow, Poland
PK parameters for oral rosuvastatin, ethinylestradiol and levonorgestrel without and with rucaparib treatment.
Maximum plasma concentration (Cmax)
Time frame: Day 1 to Day 23
PK parameters for oral rosuvastatin, ethinylestradiol and levonorgestrel without and with rucaparib treatment.
Area under the concentration-time curve (AUC) from time zero up to the last time point with a quantifiable concentration (AUC0-last)
Time frame: Day 1 to Day 23
PK parameters for oral rosuvastatin, ethinylestradiol and levonorgestrel without and with rucaparib treatment.
AUC up to time infinity, with extrapolation of the terminal phase (AUC0-inf)
Time frame: Day 1 to Day 23
PK parameters for oral rosuvastatin, ethinylestradiol and levonorgestrel without and with rucaparib treatment.
Terminal half-life (t1/2)
Time frame: Day 1 to Day 23
PK parameters for oral rosuvastatin, ethinylestradiol and levonorgestrel without and with rucaparib treatment.
Time to occurrence of Cmax (tmax)
Time frame: Day 1 to Day 23
PK parameters for oral rosuvastatin, ethinylestradiol and levonorgestrel without and with rucaparib treatment.
Apparent total clearance of drug after oral administration (CL/F)
Time frame: Day 1 to Day 23
PK parameters for oral rosuvastatin, ethinylestradiol and levonorgestrel without and with rucaparib treatment.
Apparent volume of distribution during terminal phase (Vz/F)
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Med Polonia Sp. z o.o.
Poznan, Poland
Zdrowie Kobiety Centrum Leczniczo-Rehabilitacyjne i Medycyny Pracy ATTIS Sp. z o.o., Zakład Onkologii Kobiecej
Warsaw, Poland
Summit Clinical Research s.r.o.
Bratislava, Slovakia
Time frame: Day 1 to Day 23
The following secondary PK parameter will be calculated for rucaparib.
Trough plasma concentration (Cmin)
Time frame: Day 1 to Day 23
Incidence of Adverse Events [Safety and Tolerability]
Time frame: From Day 1 to last patient visit in Part II (approximately 2 years)
Incidence of clinical laboratory abnormalities [Safety and Tolerability]
Time frame: From Day 1 to last patient visit in Part II (approximately 2 years)
Incidence of dose modifications [Safety and Tolerability]
Time frame: From Day 1 to last patient visit in Part II (approximately 2 years)