Status:

COMPLETED

A Study to Evaluate How Daily Dosing With Enzalutamide Affects the Metabolism of Caffeine and Dextromethorphan in Men With Prostate Cancer

Lead Sponsor:

Astellas Pharma Europe B.V.

Collaborating Sponsors:

Medivation, Inc.

Conditions:

Pharmacokinetics of Dextromethorphan

Pharmacokinetics of Caffeine

Eligibility:

MALE

18+ years

Phase:

PHASE1

Brief Summary

This study evaluates how once daily enzalutamide affects the metabolism of caffeine and dextromethorphan in men with prostate cancer by measuring concentrations of these drugs and their metabolites in...

Detailed Description

This is an open-label, fixed-sequence, crossover drug-drug interaction study in subjects with prostate cancer. Screening takes place between Day -28 and Day -7, and subjects are admitted to the clini...

Eligibility Criteria

Inclusion

  • Subject is a male aged 18 years old or older (at screening) with histologically confirmed prostate cancer (all stages) for whom androgen deprivation therapy is indicated (except when indicated in a neoadjuvant/adjuvant setting). Subjects may be on ongoing androgen deprivation therapy with a gonadotropin releasing hormone (GnRH) analogue or have undergone prior bilateral orchiectomy at screening.
  • Subject has progressive disease by prostate-specific antigen (PSA) or imaging.
  • Subject has received no more than 2 prior chemotherapy regimens.
  • Subject has an Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
  • Male subject must use a condom if having sex with a pregnant woman.
  • Male subject and their female spouse/partners who are of childbearing potential must use 2 acceptable methods of birth control starting at screening and continuing throughout the study period and for 3 months after final study drug administration.
  • Subject has an estimated life expectancy of at least 6 months.

Exclusion

  • Subject has confirmed CYP2D6 poor metabolizer, or CYP2D6 ultrarapid metabolizer status based on genotyping analysis.
  • Subject has known metastases in the liver or any hepatic disorder that could affect drug metabolism deemed clinically significant by the investigator after discussion with the sponsor.
  • Subject has undergone major surgery within 4 weeks prior to day 1.
  • Subject received treatment with chemotherapy within 4 weeks prior to enrollment (day 1 visit) or plans to initiate treatment with chemotherapy during the study.
  • Subject uses concomitant medications that are potent inducers and/or inhibitors of CYP1A2, CYP2C8, CYP2D6, or CYP3A4.

Key Trial Info

Start Date :

October 2 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 3 2014

Estimated Enrollment :

12 Patients enrolled

Trial Details

Trial ID

NCT02225093

Start Date

October 2 2013

End Date

February 3 2014

Last Update

June 27 2017

Active Locations (1)

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1

Arensia

Chisinau, Moldova, 2025