Overview

A Pharmacokinetic Study to Assess the Influence of Simultaneous CYP3A4 and P-glycoprotein Inhibition on E7080 Pharmacokinetics Following Single Dose Oral Administration of 5 mg E7080 to Healthy Volunteers

Status:
Completed
Trial end date:
2011-06-01
Target enrollment:
0
Participant gender:
All
Summary
The purpose of this study is to assess the influence of simultaneous CYP3A4 and p-glycoprotein inhibition on lenvatinib pharmacokinetics following a single oral dose of 5 mg lenvatinib.
Phase:
Phase 1
Accepts Healthy Volunteers?
Accepts Healthy Volunteers
Details
Lead Sponsor:
Eisai Inc.
Treatments:
Ketoconazole
Lenvatinib
Criteria
Inclusion Criteria

1. Non-smoking (i.e., no use of nicotine or nicotine containing products within the past
3 months), male or female subjects, age greater than or equal to 18 years and less
than or equal to 55 years

2. Body mass index (BMI) greater than or equal to 18 and less than or equal to 30 kg/m2
at screening

3. All females must have a negative serum and urine B-hCG test result at Screening and
Baseline. Females of child-bearing potential must agree to use a medically acceptable
method of contraception (e.g., abstinence; a highly effective method such as an
intrauterine device [IUD], condom + spermicide or condom + diaphragm with spermicide,
a contraceptive implant, an oral contraceptive; or have a vasectomized partner)
throughout the entire study period and for 30 days after study drug discontinuation.
The only subjects who will be exempt from this requirement are postmenopausal women
(defined as greater than age 50 and at least 12 months of amenorrhea) or subjects who
have been sterilized surgically or who are otherwise proven sterile (e.g., bilateral
tubal ligation with surgery at least 6 months prior to dosing, hysterectomy, or
bilateral oophorectomy with surgery at least 2 months prior to dosing). All women who
are of reproductive potential and who are using hormonal contraceptives must have been
on a stable dose of the same hormonal contraceptive product for at least 12 weeks
prior to dosing and must continue to use the same contraceptive during the study and
for 30 days after study drug discontinuation.

4. Male subjects who are not abstinent or have undergone a successful vasectomy, who are
partners of women of childbearing potential must use, or their partners must use a
highly effective method of contraception (e.g., condom + spermicide, condom +
diaphragm with spermicide, IUD) starting for at least one menstrual cycle prior to
starting study drug(s) and throughout the entire study and for 30 days after the last
dose of study drug. Those with partners using hormonal contraceptives must also be
using an additional approved method of contraception (as described previously).

5. Provide written informed consent

6. Are willing and able to comply with all aspects of the protocol

Exclusion Criteria

1. Subjects who had a clinically significant illness that required medical treatment
within 8 weeks or a clinically significant infection within 4 weeks of dosing

2. Subjects with a disease that may influence the outcome of the study; such as
psychiatric disorders and disorders of the gastrointestinal tract, liver, kidney,
respiratory system, endocrine system, hematological system, neurological system, or
cardiovascular system, or subjects who have a congenital abnormality in metabolism
within 4 weeks prior to dosing

3. Subjects with a history of gastrointestinal surgery (hepatectomy, nephrotomy,
digestive organ resection, etc.) that may affect pharmacokinetic profiles of
lenvatinib

4. Subjects with a known history of clinically significant drug or food allergies or
presently experiencing significant seasonal allergy

5. Subjects who experienced a weight loss or gain of greater than 10% between screening
and prior to dosing

6. Subjects with any clinically abnormal symptom or organ impairment found on medical
history, symptoms/signs, vital signs, ECG finding, or laboratory test results which
require medical treatment

7. Subjects with a QTc interval greater than 450 ms at screening or check-in

8. Subjects with hemoglobin level less than 12.0 g/dL

9. Subjects who had a positive result from human immunodeficiency virus (HIV) or
hepatitis C virus antibody (HCVAb) screening tests, or clinical evidence of active
viral Hepatitis A or B

10. Subjects with a known or suspected history of drug or alcohol misuse within 6 months
prior to screening, or a positive urine drug or alcohol test at screening or baseline

11. Subjects who have consumed caffeinated beverages within 72 hours prior to baseline

12. Subjects who have taken dietary supplements, juice, or herbal preparations or other
foods or beverages that may affect various drug metabolizing enzymes and transporters
[e.g., alcohol, grapefruit, grapefruit juice, grapefruit-containing beverages, apple
or orange juice), vegetables from the mustard green family (e.g., kale, broccoli,
watercress, collard greens, kohlrabi, brussel sprouts, mustard), and charbroiled
meats] within 2 weeks prior to dosing

13. Subjects who have taken herbal preparations containing St. John's Wort within 4 weeks
prior to dosing

14. Subjects who have taken prescription drugs within 4 weeks prior to screening (however,
use of prescription contraceptive products is permitted)

15. Subjects who have taken over-the-counter (OTC) medications within 2 weeks prior to
dosing

16. Subjects who have participated in another clinical trial of an investigational drug or
device within 4 weeks prior to dosing

17. Subjects who have received blood products within 4 weeks, or donated blood within 8
weeks, or donated plasma within 1 week of dosing

18. Subjects who have engaged in heavy exercise within 2 weeks prior to check-in (e.g.,
marathon runners, weight lifters, etc.)

19. Subjects who are unwilling or unable to abide by the requirements of the study

20. Subjects who have any condition that would make him/her, in the opinion of the
investigator, unsuitable for the study or who, in the opinion of the investigator, are
not likely to complete the study for any reason

21. Known intolerance to the study drugs or any of the excipients

22. Females who are either pregnant or lactating