Results of a phase I, open-label, randomized, crossover study evaluating the effects of linifanib on QTc intervals in patients with solid tumors

PURPOSE: Linifanib is a selective inhibitor of the vascular endothelial growth factor and platelet-derived growth factor family of tyrosine kinase inhibitors. The purpose of this high-precision QT study was to evaluate the effects of linifanib on cardiac repolarization in patients with advanced metastatic tumors. METHODS: Enrolled patients (n = 24) had measurable disease refractory to standard therapies, ECOG performance status of 0–1, and adequate organ function. Patients were randomized in a 2-sequence, 2-period crossover design. Serial ECG measurements and pharmacokinetic samples were collected for each crossover period. An intersection–union test was performed for time-matched baseline-adjusted QTcF intervals. An exposure–response analysis was explored to correlate the plasma concentration and QTcF. RESULTS: The maximum 95 % upper confidence bound for the baseline-adjusted QTcF was 4.3 ms at hour 3 at the maximum tolerated linifanib dose of 0.25 mg/kg. Linifanib did not meet the regulatory threshold (10 ms) for QT prolongation. Exposure–response modeling showed that the QTcF change was not significant at the maximum plasma concentration. CONCLUSIONS: Linifanib does not significantly affect cardiac repolarization in patients with advanced solid tumors.