Journal Article

Effect of alectinib on cardiac electrophysiology: results from intensive electrocardiogram monitoring from the pivotal phase II NP28761 and NP28673 studies

Bogman, Katrijn, Morcos, Peter N., Golding, Sophie, Balas, Bogdana, Sturm-Pellanda, Carolina, Hubeaux, Stanislas, Zeaiter, Ali, Ruf, Thorsten, Bordogna, Walter, Abt, Markus

2017

Overview

Purpose Alectinib, a central nervous system (CNS)-active ALK inhibitor, has demonstrated efficacy and safety in ALK + non-small-cell lung cancer that has progressed following crizotinib treatment. Other ALK inhibitors have shown concentration-dependent QTc prolongation and treatment-related bradycardia. Therefore, this analysis evaluated alectinib safety in terms of electrophysiologic parameters. Methods Intensive triplicate centrally read electrocardiogram (ECG) and matched pharmacokinetic data were collected across two alectinib single-arm trials. Analysis of QTcF included central tendency analysis [mean changes from baseline with one-sided upper 95% confidence intervals (CIs)], categorical analyses, and relationship between change in QTcF and alectinib plasma concentrations. Alectinib effects on other ECG parameters (heart rate, PR interval and QRS duration) were also evaluated. Results Alectinib did not cause a clinically relevant change in QTcF. The maximum mean QTcF change from baseline was 5.3 ms observed pre-dose at week 2. The upper one-sided 95% CI was <10 ms at all time points. There was no relevant relationship between change in QTcF and alectinib plasma concentrations. Alectinib treatment resulted in a generally asymptomatic exposure-dependent decrease in mean heart rate of ~11 to 13 beats per minute at week 2. No clinically relevant effects were seen on other ECG parameters. Approximately 5% of patients reported cardiac adverse events of bradycardia or sinus bradycardia; however, these were all grade 1–2. Conclusions Alectinib does not prolong the QTc interval or cause changes in cardiac function to a clinically relevant extent, with the exception of a decrease in heart rate which was generally asymptomatic.

• Publisher: Springer Berlin Heidelberg,Springer Nature B.V
• Subject: Algorithms / Bradycardia - chemically induced / Bradycardia - physiopathology / Cancer Research / Carbazoles - adverse effects / Carbazoles - pharmacokinetics / Carbazoles - therapeutic use / Carcinoma, Non-Small-Cell Lung - complications / Carcinoma, Non-Small-Cell Lung - drug therapy / Dose-Response Relationship, Drug / Electrocardiography - drug effects / Heart Function Tests / Heart Rate - drug effects / Humans / Long QT Syndrome - chemically induced / Long QT Syndrome - physiopathology / Lung Neoplasms - complications / Lung Neoplasms - drug therapy / Medicine / Medicine & Public Health / Monitoring, Physiologic / Oncology / Original Article / Pharmacology/Toxicology / Piperidines - adverse effects / Piperidines - pharmacokinetics / Piperidines - therapeutic use / Receptor Protein-Tyrosine Kinases - antagonists & inhibitors