- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01665937
STA-9090 in Patients With Advanced Hepatocellular Cancer
A Phase I Study of STA-9090 in Patients With Advanced Hepatocellular Carcinoma
STA-9090 works by inhibiting the function of a protein in tumor cells called Hsp90. Hsp90 is thought to play a role in tumor growth. By interfering with this protein's function, STA-9090 may help kill tumor cells. This drug has been used in other research studies and information from those studies suggests that this agent may help to slow tumor growth in HCC.
The purpose of this research study is to find the highest dose of STA-9090 that can safely be given to participants with advanced HCC. The investigators will also get more information about the safety of STA-9090 and perform tests to learn more about how STA-9090 affects the body.
Study Overview
Detailed Description
Study treatment is given in 4-week time periods called cycles. Patients will receive ST-9090 once weekly for the first 3 weeks of each cycle and no treatment on the fourth week. STA-9090 will be given by intravenous (IV) infusion. IV infusions occur through an IV catheter (or tube) placed in the vein. Each infusion will last about 60 minutes.
During each cycles patients will have blood tests, pregnancy test, and EKG. Twenty to thirty days after the last dose, patients will return for a physical exam, blood tests, urine test, EKG, and CT or MRI of chest and abdomen.
Study Type
Enrollment (Actual)
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Massachusetts
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Boston, Massachusetts, United States, 02115
- Dana-Farber Cancer Institute
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Boston, Massachusetts, United States, 02115
- Beth Israel Deaconess Medical Center
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Boston, Massachusetts, United States, 02115
- Massachusetts General Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Histologically or cytologically confirmed hepatocellular carcinoma
- Measurable disease
- Life expectancy greater than 3 months
- ECOG performance status 0 or 1
- BCLC Stage C disease
- Lab values must be within limits outlined in protocol
- Child-Pugh score </= 6
- CLIP score 0-3
- Must agree to use adequate contraception
Exclusion Criteria:
- Chemotherapy or radiotherapy within 4 weeks prior to entering study or not recovered from adverse events due to agents administered more than 4 weeks earlier
- Receiving any other investigational agent
- Known brain metastases unless treated and radiographically and clinically stable without steroid or anticonvulsant medications for at least 4 weeks prior to first dose of STA-9090
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to STA-9090
- Surgery, radiotherapy, or lesion ablative procedure to the only area of measurable disease
- Major surgery within 4 weeks prior to first dose of STA-9090
- Poor venous access for study drug administration or would require a peripheral or central indwelling catheter for study drug administration
- History of severe allergic or hypersensitivity reactions to excipients (e.g., Polyethylene glycol [PE] 300 and Polysorbate 80)
- Baseline QTc > 450 msec or previous history of QT prolongation while taking other medications
- Ventricular ejection fraction </= 55% at baseline
- Treatment with chronic immunosuppressants
- Uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- Pregnant or breast-feeding
- History of a different malignancy unless disease-free for at least 5 years and deemed by the investigator to be at low risk for recurrence.
- HIV-positive individuals on combination antiretroviral therapy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: STA-9090
Patients receiving STA-9090
|
IV one time weekly for 3 weeks in 4 week cycles. Study treatment is given in 4-week time periods called cycles. Patients will receive STA-9090 for the first 3 weeks of each cycle and no treatment on the fourth week. STA-9090 will be given by intravenous (IV) infusion. IV infusions occur through an IV catheter (or tube) placed in the vein. Each infusion will last about 60 minutes. During each cycles patients will have blood tests, pregnancy test, and EKG. Twenty to thirty days after the last dose, patients will return for a physical exam, blood tests, urine test, EKG, and CT or MRI of chest and abdomen. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Phase 2 dose of STA 9090 given once weekly in patients with advanced hepatocellular carcinoma
Time Frame: 3 years
|
Dose escalation/de-escalation study will be performed in order to determine the Phase 2 dose of STA-9090 given once weekly in patients with advanced hepatocellular carcinoma.
The dose limiting toxicities will be determined at each dose level.
|
3 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of patients with adverse events when treated with STA 9090 for advanced hepatocellular carcinoma
Time Frame: 3 years
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To assess the safety and tolerability of STA9090 in patients with advanced hepatocellular carcinoma.
|
3 years
|
Median time to progression (TTP)
Time Frame: 3 years
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To determine median time to progression (TTP) for patients treated at recommended Phase 2 dose.
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3 years
|
Median progression-free survival (PFS)
Time Frame: 3 years
|
To determine median progression-free survival (PFS) for patients treated at recommended Phase 2 dose.
|
3 years
|
Response Rate
Time Frame: 3 years
|
To determine objective tumor response rate using RECIST criteria
|
3 years
|
Overall Survival
Time Frame: 3 years
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To determine overall survival
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3 years
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Andrew Zhu, MD, Massachusetts General Hospital
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 10-072
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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