Liver impairment study for cancer drug tazemetostat halted early
NCT ID NCT04241835
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at how the cancer drug tazemetostat is processed in the body of people with advanced solid tumors who also have moderate or severe liver impairment. Researchers compared drug levels in these patients to those with normal liver function. The trial was terminated early, so only limited information is available.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tazemetostat (Tazverik)
- What this could lead to
- If successful, this could help doctors understand how to safely dose tazemetostat in cancer patients with liver problems.
- What could go wrong
- This was a very small, early-phase study that was terminated, so we may never get clear answers. It only looked at drug levels, not whether the drug works against cancer.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
-
18 people
The number who actually took part.
- Started
-
Jan 2020
- Finished
-
Mar 2025
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Male or female ≥ 18 years age at the time of consent. 2. Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2. 3. Has the ability to understand informed consent and provided signed written informed consent. 4. Life expectancy of \> 3 months. 5. Histologically and/or cytologically confirmed advanced metastatic or unresectable solid tumors has progressed after treatment for which there are no standard therapies available OR histologically and/or cytologically confirmed hematological malignancies that have relapsed, or refractory disease following at least 2 standard lines of systemic therapy for which there are no standard therapies available. 6. Must have evaluable or measurable disease. 7. Has all prior treatment (i.e., chemotherapy, immunotherapy, radiotherapy) related clinically significant toxicities resolve to ≤ Grade 1 per NCI CTCAE, Version 5.0 or are clinically stable and not clinically significant, at time of consent. 8. All subjects must have completed any prior chemotherapy, targeted therapy and major surgery, ≥ 28 days before study entry. For daily or weekly chemotherapy without the potential for delayed toxicity, a washout period of 14 days may be acceptable, and questions related to this can be discussed with the Medical Monitor. 9. Has adequate hematologic (bone marrow \[BM\] and coagulation factors), and renal function. 10. Able to swallow and retain orally-administered medication and without clinically significant gastrointestinal abnormalities that could alter absorption such as malabsorption syndrome or major resection of the stomach or bowels. 11. Subjects with abnormal hepatic function will be eligible and will be grouped according to established criteria. Subjects with active hemolysis will be excluded. 12. Manual differential with no significant morphologic abnormalities on complete blood count (CBC) testing. 13. Male subjects must have had a successful vasectomy OR must either practice complete abstinence or agree to use a latex or synthetic condom during sexual contact with a female of childbearing potential from the first dose of study drug, during study treatment (including during dose interruptions), and for 3 months after study drug discontinuation. 14. Females of childbearing potential must have a negative serum pregnancy test at screening and within 24 hours prior to the first dose of study drug. All females will be considered of childbearing potential unless they are naturally postmenopausal or have been sterilized. 15. Females of childbearing potential (FCBP) must either practice complete abstinence or agree to use a highly effective method of contraception beginning at least 28 days prior to the first dose of study drug, during study treatment (including during dose interruptions), and for 6 months after study drug discontinuation. 16. Has a QT interval corrected by Fridericia's formula (QTcF) ≤480 msec. 17. Subjects with diagnosed human immunodeficiency virus (HIV) are eligible to participate in the study if they meet established criteria. Exclusion Criteria: 1. Prior exposure to tazemetostat or other inhibitor(s) of EZH2. 2. Symptomatic or untreated leptomeningeal or brain metastases or spinal cord compression as documented by CT or MRI scan, analysis of cerebrospinal fluid or neurological exam. Subjects with primary glioblastoma multiforme are excluded. 3. Clinically significant bleeding diathesis or coagulopathy, including known platelet function disorders. Subjects on anticoagulation with low molecular weight heparin are allowed. 4. Known hypersensitivity to any of the components of tazemetostat. 5. Concurrent investigational agent or anticancer therapy. NOTE: Megestrol (Megace) if used as an appetite stimulant is allowed. 6. Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, clinically significant bleeding diathesis or coagulopathy, including known platelet function disorders, symptomatic congestive heart failure, unstable angina pectoris, clinically significant cardiac arrhythmias, or psychiatric illness/social situations that would limit compliance with study requirements. 7. Have a known active infection with hepatitis B virus (HBV, as measured by positive hepatitis B surface antigen, hepatitis C virus (HCV, as measured by positive hepatitis C antibody), OR human T-cell lymphotropic virus 1. 8. Subjects taking medications that are known potent CYP3A4 inducers/inhibitors (including St. John's Wort). 9. Is unwilling to exclude grapefruit juice, Seville oranges and grapefruit from the diet and all foods that contain those fruits from 24 hours prior to the first dose of study drug until the last dose of study drug. 10. Any condition or medical problem in addition to the underlying malignancy and organ dysfunction that the Investigator feels would pose unacceptable risk. 11. Has thrombocytopenia, neutropenia, or anemia of grade ≥3 (per CTCAE 5.0 criteria) or any prior history of myeloid malignancies, including myelodysplastic syndrome (MDS). 12. Has abnormalities known to be associated with MDS and myeloproliferative neoplasms (MPN) observed in cytogenetic testing and DNA sequencing. 13. Has a prior history of T-LBL/T-ALL. 14. Ingestion of alcohol and smoking is not permitted any time during the study. 15. History of drug abuse (including alcohol) within the last 6 months prior to screening. 16. Severe hepatic encephalopathy (Grade \>2) or degree of CNS impairment which the Investigator considers sufficiently serious to interfere with the informed consent, the conduct, the completion, or the results of this trial, or constitutes an unacceptable risk to the subject. 17. History of liver transplantation. 18. Advanced ascites or ascites that require drainage and albumin supplementation, as judged by the Investigator. 19. Acute damage of the liver with Grade 4 AST/ALT values at screening or admission.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Advanced malignant solid tumor are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Antwerp University Hospital
Edegem, Antwerp, 2650, Belgium
-
Centre Oscar Lambret
Lille, 59020, France
-
Comprehensive Cancer Center of Nevada
Las Vegas, Nevada, 89014, United States
-
Florida Cancer Specialists & Research Institute
Lake Mary, Florida, 32746, United States
-
Gabrail Cancer Center
Canton, Ohio, 44718, United States
-
Hematology Oncology Consultants
Royal Oak, Michigan, 48073, United States
-
Institut Bergonie
Bordeaux, 33076, France
-
Institut de Cancérologie Strasbourg Europe
Strasbourg, France
-
Mary Crowley Cancer Research
Dallas, Texas, 75230, United States
-
MedPolonia
Poznan, Greater Poland Voivodeship, 60693, Poland
-
Robert H. Lurie Comprehensive Cancer Center of Northwestern University
Chicago, Illinois, 60611, United States
-
Rutgers Cancer Institute
New Brunswick, New Jersey, 08901, United States
-
Summit Clinical Research, s.r.o
Bratislava, 831 01, Slovakia
-
Virginia Cancer Specialists
Fairfax, Virginia, 22031, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Liver trouble changes how drugs work: scientists test soticlestat
- Can two experimental drugs be used safely in people with cirrhosis?
- Can we predict lung damage from CAR t-cell therapy?
- Switching stomach drugs after transplant may tame a deadly immune attack
- Can a damaged liver change how a new drug works?
- A guided path back to work after blood cancer: a trial tests the impact