Safety and Tolerability Study for T-1101 (Tosylate) to Treat Advanced Refractory Solid Tumors

Inclusion Criteria:

1. Tumor eligibility:

   • Histologically confirmed advanced malignancies refractory to standard active treatment.
   • Solid tumors that have measurable or evaluable disease as per Response Evaluation Criteria in Solid Tumors (RECIST v. 1.1). Target lesions that have been previously irradiated will not be considered measurable (lesion) unless increase in size is observed following completion of radiation therapy.
2. Able, in the investigator's opinion, to have a life expectancy of more than 3 months.
3. Female or male, 20 years of age or older.
4. ECOG performance status 0 or 1.
5. Resolution of all acute toxic effects of prior therapy or surgical procedures to no more than grade 1 (except alopecia).

6. Adequate organ function as defined by the following criteria:

   • Serum alanine transaminase (ALT) ≤ 2.5 x upper limit of normal (ULN), or ALT ≤ 5 x ULN if liver tumor is present.
   • Total serum bilirubin ≤1.5 x ULN
   • WBC ≥ 4000/µL with an absolute neutrophil count (ANC) ≥1500/µL
   • Platelets ≥ 100,000/µL
   • Hemoglobin ≥ 9.0 g/dL
   • CCr ≥ 50 mL/min
7. Signed and dated informed consent document indicating that the patient has been informed of all the pertinent aspects of the trial prior to enrollment.
8. Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures

Exclusion Criteria:

1. Major surgery (as defined by investigator) within 4 weeks of starting treatment.
2. Extensive radiation therapy or systemic cytotoxic chemotherapy within 4 weeks before starting study treatment or target therapy within 2 weeks of starting study treatment.
3. Current treatment on clinical trial or within 4 weeks of completion of clinical trial for another investigation drug.
4. Documented or suspicious brain metastases, spinal cord compression, carcinomatous meningitis, or leptomeningeal disease.
5. Any of the following occurs within 6 months prior to starting study treatment: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, congestive heart failure, or cerebrovascular accident including transient ischemic attack.
6. Ongoing cardiac dysrhythmias of NCI CTCAE grade 2, or atrial fibrillation of any grade.
7. Hypertension that cannot be controlled by medications (>150/100 mmHg despite optimal medical therapy).
8. Current treatment with therapeutic doses of warfarin (low dose warfarin up to 2 mg PO daily for deep vein thrombosis prophylaxis is allowed).
9. Known human immunodeficiency virus infection.
10. Pregnancy or breastfeeding. Female patients must be surgically sterile or be postmenopausal, or must agree to the use of highly effective contraception during the period of therapy. Highly effective method of birth control is defined as one that results in a low failure rate (i.e. less than 1 percent per year) when used consistently and correctly, such as implants, injectables, combined oral contraceptives, intra-uterine devices (IUDs), sexual abstinence, or a vasectomized partner. All female patients with reproductive potential must have a negative pregnancy test (serum or urine) prior to enrollment. Male patients must be surgically sterile or must agree to use effective contraception during the period of therapy. The definition of effective contraception will be based on the judgment of the principal investigator or a designated associate.
11. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that would impart, in the judgment of the investigator and/or sponsor, excess risk associated with study participation or study drug administration, which would make the patient inappropriate for entry into this study.
12. Patients with active infection should be excluded.
13. Positive test for hepatitis B (HBsAg) or hepatitis C (anti-HCV antibody).