1. Population Pharmacokinetics of Talazoparib in Patients With Advanced Cancer.
- Author
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Yu Y, Durairaj C, Shi H, and Wang DD
- Subjects
- Administration, Oral, Adolescent, Adult, Aged, Aged, 80 and over, Antineoplastic Agents blood, Antineoplastic Agents urine, Biological Availability, Clinical Trials, Phase I as Topic, Clinical Trials, Phase II as Topic, Clinical Trials, Phase III as Topic, Dose-Response Relationship, Drug, Drug Administration Schedule, Female, Humans, Male, Middle Aged, Multicenter Studies as Topic, Neoplasm Staging, Neoplasms diagnosis, Phthalazines administration & dosage, Phthalazines blood, Phthalazines urine, Poly(ADP-ribose) Polymerase Inhibitors administration & dosage, Poly(ADP-ribose) Polymerase Inhibitors blood, Poly(ADP-ribose) Polymerase Inhibitors urine, Young Adult, Antineoplastic Agents pharmacokinetics, Neoplasms drug therapy, Phthalazines pharmacokinetics, Poly(ADP-ribose) Polymerase Inhibitors pharmacokinetics
- Abstract
Poly(ADP-ribose) polymerase (PARP) inhibitors have been developed to treat cancers associated with somatic BRCA mutations and germline genetic aberrations involved in the DNA damage response. The efficacy, tolerability, and pharmacokinetic/pharmacodynamic (PK/PD) profile of talazoparib, a potent small-molecule PARP inhibitor, was established in 4 clinical studies in cancer patients (2 phase 1 studies PRP-001 and PRP-002, the phase 2 ABRAZO trial, and the phase 3 EMBRACA trial). The current study aimed to describe the population PK of talazoparib and identify covariates that affect talazoparib PK in patients with advanced cancers using pooled data from these 4 studies. Talazoparib PK was well characterized by a 2-compartment model with first-order absorption and absorption lag time. Based on covariate analysis, no dose adjustment for talazoparib is required based on a patient's age, sex, baseline body weight, Asian race, the presence of mild renal or hepatic impairment, or use of acid-reducing agents. A reduced 0.75-mg daily dose is recommended for patients taking a potent P-glycoprotein inhibitor and those with moderate renal impairment. Insufficient data were available to establish dosing recommendations for patients with severe renal and moderate or severe hepatic impairment. The PK of a single 1-mg talazoparib capsule is comparable with 4 0.25-mg capsules. Talazoparib can be taken with or without food. These data provide support for dosing recommendations and labeling information for talazoparib., (© 2019, The American College of Clinical Pharmacology.)
- Published
- 2020
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