Table 1.
Axitinib Studies Included in the Population PK Analysis
Study no. | Design | Population (enrolled/analyzed, n) |
Axitinib dose and regimen | PK sampling post-dosing (hour) |
---|---|---|---|---|
111 | Phase I, OL, SA, dose-escalating |
Patients with solid tumors (36/20a) |
Tx 1: 5 mg bid, fed, 4-week cycles, Form IV Tx 2: 5 mg bid, fasted, 4-week cycles, Form IV Tx 3: 2 mg bid (day 1), 5 mg bid thereafter, fasted, 4-week cycles, Form IV |
0 (pre-dose), 0.5, 1, 2, 4, 8, 12 |
25 | Phase II, OL, SA | Cytokine-refractory mRCC patients (52/52) |
5 mg bid, fasted, 4-week cycles, dose titration, Form IV |
0 (pre-dose) and 1–2 |
318 | Phase I, OL, SA, Japanese | Japanese patients with solid tumors (12/12) |
5 mg single, then 5 mg bid, fed, 4-week cycles, dose titration, Form IV |
0 (pre-dose), 0.5, 1, 2, 4, 6, 8, 12, 24, 32 (following single-dose) 0 (pre-dose), 0.5, 1, 2, 4, 6, 8, 12 (following continuous dosing) |
46 | Phase II, OL, SA | Sorafenib-refractory mRCC patients (62/59b) |
5 mg bid, fed, 4-week cycles, dose titration, Form IV |
0 (pre-dose) and 1–2 |
54 | Phase II, OL, SA, Japanese | Japanese cytokine-refractory mRCC patients (64/64) |
5 mg bid, fed, 4-week cycles, dose titration, Form IV |
0 (pre-dose) and 1–2 |
639 | SB, randomized, 2-way CO, DDI with ketoconazole |
Healthy volunteers (35/32c) | 5 mg, fasted, Form IV | 0 (pre-dose), 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 |
728 | OL, food effect | Healthy volunteers (42/41d) | Tx 1: 5 mg, fasted, Form IV Tx 2: 5 mg, fed high fat, Form IV |
0 (pre-dose), 0.5, 1, 1.5, 2, 4, 6, 8, 12, 16, 24, 36, 48 |
8 | OL, 2-way CO, F | Healthy volunteers (16/16) | Tx 1: 5 mg, fasted, Form IV Tx 2: 5 mg, fed moderate fat, Form IV Tx 3: 1 mg intravenous, fasted, Form IV |
0 (pre-dose), 0.5, 1, 1.5, 2, 4, 6, 8, 12, 16, 24, 36 |
9 | OL, randomized, CO, relative F | Healthy volunteers (40/20e) | 5 mg, fasted, Form IV | 0 (pre-dose), 0.5, 1, 1.5, 2, 4, 6, 8, 12, 16, 24, 36 |
10 | OL, randomized, 2-sequence, 3-period CO, BE |
Healthy volunteers (40/40) | 5 mg, fasted, Form IV | 0 (pre-dose), 0.5, 1, 1.5, 2, 4, 6, 8, 12, 16, 24, 32 |
1129 | OL, 2-period, 2-Tx CO, DDI with rifampin, Caucasian and Japanese |
Caucasian healthy volunteers (20/20) Japanese healthy volunteers (20/20) |
5 mg, fasted, Form IV | 0 (pre-dose), 0.5, 1, 1.5, 2, 4, 6, 8, 12, 16, 24, 32 |
12 | OL, randomized, 4-sequence, 4-period CO, relative F |
Healthy volunteers (56/54e) | Tx 1: 5 mg, fed moderate fat, Form IV Tx 2: 5 mg, fed moderate fat, Form XLI |
0 (pre-dose), 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 32 |
1330 | OL, PG, normal, mild to moderate hepatic impairment |
Healthy volunteers (24/8f) | 5 mg, fed moderate fat, Form IV | 0 (pre-dose), 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 12, 16,24,36,48,96, 144 |
14 | OL, randomized, 4-sequence, 4-period CO, relative bioavailability |
Healthy volunteers (20/20) | 5 mg, fed moderate fat, Form IV | 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16,24,36,48 |
15 | OL, randomized, 2-sequence, 4-period CO bioequivalence |
Healthy volunteers (68/68) | Tx 1: 5 mg, fasted, Form IV Tx 2: 5 mg, fasted, Form XLI |
0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 32 |
1640 | OL, fixed-sequence, 3-period CO, Chinese | Healthy volunteers (14/14) | Single-dose 5, 7, and 10 mg with washout period, fed, Form XLI |
0 (pre-dose), 1, 1.5, 2, 2.5, 3, 4, 6, 12, 16, 24, 32 |
1728 | OL, randomized, 3-period CO food effect | Healthy volunteers (30/30) | Tx 1: 5 mg, fasted, Form XLI Tx 2: 5 mg, fed high fat, Form XLI Tx 3: 5 mg, fed moderate fat, Form XLI |
0 (pre-dose), 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 6, 8, 12, 16, 24 |
BE, bioequivalence; bid, twice daily; CO, crossover; DDI, drug–drug interaction; OL, open-label; PG, parallel-group; PK, pharmacokinetics; SA, single-agent; SB, single-blind; Tx, treatment. Reasons for excluding individual data from the analysis:
Axitinib starting dose higher than 5 mg bid.
Lack of dose time data or only one measurable axitinib concentration.
Did not receive axitinib.
Did not complete the study.
Received I mg axitinib dose in a spray-dried dispersion or self-emulsifying drug dispersion system.
Having hepatic impairment based on Child-Pugh classification.