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CompletedNCT03647202Updated Feb 12, 2019

Food Effects on Milademetan Pharmacokinetics in Healthy Participants

An Early Phase 1 interventional study of Milademetan Treatment A and Milademetan Treatment B in Food Effects on Pharmacokinetics, sponsored by Daiichi Sankyo. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-02-12.

Sponsored by Daiichi Sankyo · Early Phase 1, Interventional, and Basic science

From the registry’s dates

  • Primary completion was Sep 2018, 8 years ago, and no results have been posted to the registry.
Phase
Early Phase 1
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The primary objectives of this trial are:

  • To evaluate the effect of a high-calorie, high-fat meal on the single-dose pharmacokinetics (PK) of milademetan
  • To evaluate the effect of a standard meal on the single-dose PK of milademetan

The key secondary objective is to evaluate the safety and tolerability of single-dose milademetan in all treatments.

The duration of the study for each individual participant will be approximately 8 weeks from the start of Screening (within 28 days prior to dosing of study drug on Day 1) through the final Follow-up visit or phone call. Participants will remain in the Clinical Research Unit (CRU) from Study Day -2 through Study Day 20 (a total of 22 days and 21 nights).

Participants will receive 3 single doses of study drug (at least 1 week apart) over the course of 15 days.

At the investigator's discretion, participants may be asked to return to the CRU 14 days (±2 days) after final dose of study drug for a follow-up visit.

The end of the study is defined as the date of final follow-up visit of the last subject undergoing the study.

02

Conditions studied

  • Food Effects on Pharmacokinetics
03

In context

Lead sponsor

Daiichi Sankyo is the lead sponsor of 316 studies on the registry; 35 are open to participants now.

Of its 51 completed or terminated interventional studies of FDA-regulated products, 38 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Healthy participants with no clinically significant medical history or physical examination findings and who also meet all protocol-defined inclusion and exclusion criteria summarized as follows:

Inclusion criteria

Inclusion Criteria:

  • Has negative urine test for drugs of abuse, alcohol and tobacco
  • If female, is surgically sterile or postmenopausal
  • If male, agrees to protocol-defined contraceptive methods
  • Has adequate hematologic, hepatic, and renal function as defined by the protocol
  • Is able and willing to follow all study procedures
  • Has provided a signed informed consent

Exclusion criteria

Exclusion Criteria:

  • Is female who is pregnant or breastfeeding
  • Is unable to swallow oral medication
  • Is unable to follow study procedures
  • Has creatinine clearance \< 90 mL/min at screening
  • Is taking or has taken any medications or therapies outside of protocol-defined parameters
  • Has history of or a known allergic reaction to azole antifungal agents
  • Has any disease or condition that, per protocol or in the opinion of the investigator, might affect:

    1. safety and well-being of the participant or offspring
    2. safety of study staff
05

Study design

Phase
Early Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    Sequence ABC

    Participants receive milademetan in a fasted condition (A), then with a high-calorie, high-fat breakfast (B), then with a standard breakfast (C) - with a washout period between treatments.

    Drug: Milademetan Treatment A · Drug: Milademetan Treatment B · Drug: Milademetan Treatment C

  • Experimental
    Sequence ACB

    Participants receive milademetan in a fasted condition (A), then with a standard breakfast (C), then with a high-calorie, high-fat breakfast (B) - with a washout period between treatments.

    Drug: Milademetan Treatment A · Drug: Milademetan Treatment B · Drug: Milademetan Treatment C

  • Experimental
    Sequence BAC

    Participants receive milademetan with a high-calorie, high-fat breakfast (B), then in a fasted condition (A), then with a standard breakfast (C) - with a washout period between treatments.

    Drug: Milademetan Treatment A · Drug: Milademetan Treatment B · Drug: Milademetan Treatment C

  • Experimental
    Sequence BCA

    Participants receive milademetan with a high-calorie, high-fat breakfast (B), then with a standard breakfast (C), then in a fasted condition (A) - with a washout period between treatments.

    Drug: Milademetan Treatment A · Drug: Milademetan Treatment B · Drug: Milademetan Treatment C

  • Experimental
    Sequence CAB

    Participants receive milademetan with a standard breakfast (C), then in a fasted condition (A), then with a high-calorie, high-fat breakfast (B) - with a washout period between treatments.

    Drug: Milademetan Treatment A · Drug: Milademetan Treatment B · Drug: Milademetan Treatment C

  • Experimental
    Sequence CBA

    Participants receive milademetan with a standard breakfast (C), then with a high-calorie, high-fat breakfast (B), then in a fasted condition (A) - with a washout period between treatments.

    Drug: Milademetan Treatment A · Drug: Milademetan Treatment B · Drug: Milademetan Treatment C

Interventions

  • DrugMilademetan Treatment A

    Treatment A: Single oral dose of milademetan 160 mg capsules under fasted conditions

    Also known as: Experimental product

  • DrugMilademetan Treatment B

    Treatment B: Single oral dose of milademetan 160 mg capsules with a high-calorie, high-fat meal

    Also known as: Experimental product

  • DrugMilademetan Treatment C

    Treatment C: Single oral dose of milademetan 160 mg capsules with a standard meal.

06

What researchers measure

Primary outcomes

  1. Maximum plasma concentration (Cmax) of milademetan

    Time frame: predose and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours postdose in each treatment period

  2. Area under the plasma concentration-time curve (AUC) extrapolated to infinity (AUCinf) for milademetan

    Time frame: within 120 hours postdose in each treatment period

Secondary outcomes

  1. Time to teach maximum plasma concentration (Tmax) of milademetan

    Time frame: within 120 hours postdose in each treatment period

  2. AUC from time 0 to the time of last measurable concentration (AUClast) for milademetan

    Time frame: within 120 hours postdose in each treatment period

  3. Lag time (tlag) for milademetan

    Tlag is used to characterize the delay in absorption of orally administered drugs

    Time frame: within 120 hours postdose in each treatment period

  4. Terminal elimination half-life (t½) of milademetan

    Time frame: within 120 hours postdose in each treatment period

  5. Apparent total body clearance (CL/F) of milademetan clearance (CL/F),

    Time frame: within 120 hours postdose in each treatment period

  6. Apparent volume of distribution (Vz/F) of milademetan

    Time frame: within 120 hours postdose in each treatment period

07

Study locations

1 site
  • Covance Clinical Research Unit, Inc.
    Dallas, Texas 75247, United States
08

References and documents

Individual participant data

Plan to share: Yes — De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/

Supporting information: Study protocol, Sap, Csr

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 12, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03647202
Lead sponsor
Daiichi Sankyo
Responsible party
Sponsor
First posted
Aug 27, 2018
Start date
Aug 16, 2018
Primary completion
Sep 13, 2018
Completion
Sep 13, 2018
Last update
Feb 12, 2019

Study contacts

Clinical Study Leader
study director · Daiichi Sankyo

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2018. You cannot join it, but the record below documents what was studied.

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