Bioequivalence Binimetinib 3 x 15 mg and 45 mg Formulations

Melanoma Clinical Trial

Official title:

A Randomized, Single-center, Open-label, Single Dose, Two-period, Crossover Pivotal Bioequivalence Study Comparing Binimetinib 3 x 15 mg and 45 mg Tablets in Healthy Participants

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05810740
• Other study ID #: W00074CI103_1PF74
• Status: Completed
• Phase: Phase 1
• Start date: August 31, 2022
• Est. completion date: January 18, 2023

Study information

• Verified date: March 2023
• Source: Pierre Fabre Medicament
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The current commercially available MEKTOVI® (binimetinib) 15 mg tablets are provided as immediate release film-coated tablets for oral administration. For the treatment of adult patients with unresectable or metastatic melanoma with BRAF V600 mutation, the recommended dosing regimen is 45 mg twice daily (bis in die, BID). No food effect with the commercial formulation of 15 mg was demonstrated. In order to reduce the patient's burden, a new strength tablet containing 45 mg of binimetinib as active ingredient is being developed. As a result, the number of tablets to be taken by the patients will be reduced from 6 tablets (6 x 15 mg) to 2 tablets (2 x 45 mg) per day. The evaluation of the bioequivalence between one 45 mg tablet and three 15 mg tablets is therefore required.

Description:

The reference (R) formulation is the currently commercially available tablet containing 15 mg of binimetinib as active substance, administered as three tablets for a total of 45 mg binimetinib. The Test (T) formulation is the tablet containing 45 mg of binimetinib as active substance in one tablet. Participants will be randomized to one of 2 treatment sequences (RT or TR) containing 2 treatment periods, with at least a 7-day washout between each dose. The study will consist of a screening period between 21 and 2 days before the first study treatment administration on Period (P) 1 Day (D) 1, 2 treatment periods of 5 days each, and a washout of at least 7 days between P1D1 and P2D1. Study treatments are given by the oral route in fasted condition. The end-of-study (EOS) visit will be performed 30 (± 3) days after the last study treatment administration or discontinuation.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 37
• Est. completion date: January 18, 2023
• Est. primary completion date: December 22, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

1. Healthy participant.

2. Female participants must be postmenopausal or sterilized.

3. Body mass index (BMI) of = 18.5 to < 30 kg/m2, with body weight = 50 kg and < 100 kg.

4. Vital signs within defined ranges or if out of normal ranges, considered as not clinically significant by the Investigator.

5. Participants must have safety laboratory values within the normal ranges or if out of normal ranges considered as not clinically significant by the Investigator.

Exclusion Criteria:

1. Pregnant or currently breastfeeding women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive human chorionic gonadotropin (hCG) laboratory test.

2. A past medical history of clinically significant ECG abnormalities or a family history (grandparents, parents, and siblings) of prolonged QT interval syndrome.

3. Impaired cardiovascular function.

4. History of fainting spells or orthostatic hypotension episodes.

5. Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism or excretion of drugs or which may jeopardize the participant in case of participation in the study.

6. History of autonomic dysfunction or Gilbert syndrome.

7. History or current evidence of Central serous retinopathy (CSR), Retinal vein occlusion (RVO) or ophthalmopathy as assessed by ophthalmologic examination at baseline that would be considered a risk factor for CSR/RVO [e.g., optic disc cupping, visual field defects, intraocular pressure (IOP) > 21 mmHg].

8. Neuromuscular disorders that were associated with elevated CK (e.g., inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy).

9. Smoker or use of tobacco products or products containing nicotine in the last 4 weeks prior to first dosing of study treatment.

10. Malignancy with the following exceptions:

1. Adequately treated basal cell or squamous cell carcinoma of the skin (adequate wound healing is required prior to study entry).

2. Primary malignancy which had been completely resected and was in complete remission for = 5 years.

11. History of retinal degenerative disease.

12. Any vaccination within 4 weeks prior to dosing.

Related Conditions & MeSH terms

• BRAF V600 Mutation
• Melanoma
• Metastatic Melanoma
• Unresectable Melanoma

Intervention

Drug:
• Binimetinib Oral Tablet
Two-period Crossover study

Locations

Country	Name	City	State
France	Biotrial	Rennes

Sponsors (2)

Lead Sponsor	Collaborator
Pierre Fabre Medicament	Biotrial

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Area under the plasma concentration-time curve (AUC) from time of administration to last observed plasma concentration (AUClast) for binimetinib and AR00426032 (binimetinib metabolite)	AUC is the area under the curve constructed by plotting the concentration of binimetinib and its metabolite against the time for each blood sample.	Pre-dose = 0h and at 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, and 72 hours post dose
Primary	AUC from time of administration to infinity (AUCinf) for binimetinib and AR00426032 (binimetinib metabolite)	Area under the plasma concentration-time curve from time of administration to infinity	Pre-dose = 0h and at 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, and 72 hours post dose.
Primary	Maximum observed plasma concentration (Cmax) for binimetinib and AR00426032 (binimetinib metabolite)	Cmax is referred as the maximum observed concentration of binimetinib and AR00426032 in blood plasma determined by bioanalysis	Pre-dose = 0h and at 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, and 72 hours post dose
Primary	AUC Test (T) / Reference (R) ratios for binimetinib	Relative comparison between area under the curve for Test drug vs. area under the curve for Reference drug	Pre-dose = 0h and at 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, and 72 hours post dose.
Secondary	Time to reach Cmax (Tmax) for binimetinib and AR00426032 (binimetinib metabolite)	The timepoint at which the maximum concentration of binimetinib or AR00426032 is determined by bioanalysis in the blood plasma	Pre-dose = 0h and at 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, and 72 hours post dose.
Secondary	Terminal half-life (t1/2, ?z) for binimetinib and AR00426032 (binimetinib metabolite)	The apparent terminal elimination half-life (t½) is defined as the time necessary for the concentration of a drug to decrease by one-half in the terminal phase	Pre-dose = 0h and at 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, and 72 hours post dose.
Secondary	Residual area (AUC_%Extrap_obs) for binimetinib and AR00426032 (binimetinib metabolite)	residual area under the curve expressed as area under the concentration-time curve extrapolated from tz to 8 in % of the total AUC	Pre-dose = 0h and at 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, and 72 hours post dose.
Secondary	Mean residence time (MRT) for binimetinib and AR00426032 (binimetinib metabolite)	mean residence time (MRT) is defined as the average time for binimetinib and AR00426032 to reside in the body	Pre-dose = 0h and at 0.5, 0.75, 1, 1.25, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, and 72 hours post dose.
Secondary	Potentially Clinically Significant Abnormalities values in 12-lead Electrocardiograms (ECG)	Clinically notable shift from baseline in ECG parameters including heart rate (beats/min), Pulse Rate interval (msec), QRS duration (msec), QRS axis (deg), QT interval (msec) and Fridericia QTc interval (msec)	Through study completion, an average of 2 months
Secondary	Potentially Clinically Significant Abnormalities values of Blood Pressure	Number and percentage of participants with at least one orthostatic hypotension defined as standing systolic blood pressure (SBP) - supine SBP = -20 mmHg or standing diastolic blood pressure (DBP) - supine DBP = -10 mmHg.	Through study completion, an average of 2 months
Secondary	Potentially Clinically Significant Abnormalities values of Body Temperature	Potentially Clinically Significant Abnormalities values of Body Temperature (C°)	Through study completion, an average of 2 months
Secondary	Notable Change From Baseline of Blood Hematology Parameters	Clinically notable shift from baseline in blood hematology parameters (hemoglobin, leukocytes, eosinophils, lymphocytes, neutrophils and platelets)	Through study completion, an average of 2 months
Secondary	Notable Change From Baseline of Clinical Chemistry parameters	Clinically notable shift from baseline in clinical chemistry parameters (alanine aminotransferase (ALT), alkaline phosphatase (ALP), aspartate aminotransferase (AST), bilirubin, gamma glutamyl transferase (GGT), creatinine, urea, bicarbonate, calcium, chloride, magnesium, potassium, sodium, glucose, cholesterol, urate, albumin, creatine kinase (CK), lactate dehydrogenase, amylase and lipase)	Through study completion, an average of 2 months
Secondary	Notable Change From Baseline of Coagulation parameters	Clinically notable shift from baseline in coagulation parameters (activated partial thromboplastin time and prothrombin time)	Through study completion, an average of 2 months
Secondary	Notable Change From Baseline of Urinalysis parameters	Mean changes from baseline in the quantitative assessment of blood, glucose, ketones, leukocytes, pH and protein in dipstick urinalysis	Through study completion, an average of 2 months
Secondary	Abnormal changes from Baseline in Ophthalmologic examinations	Abnormal changes from Baseline in Ophthalmologic examinations including best corrected visual acuity for distance testing, optical coherence tomography and/or fluorescein angiography, slit lamp examination, IOP and dilated fundoscopy with attention to retinal abnormalities	Through study completion, an average of 2 months