- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03123744
Histology-Independent Study of Palbociclib in Patients With Advanced Cancer
June 19, 2018 updated by: Razelle Kurzrock, MD
A Histology-Independent Study of the Cyclin Inhibitor Palbociclib in Patients With Advanced Cancer Harboring Aberrations in the Cyclin Pathway
The investigational drug being tested in this study is palbociclib.
Palbociclib is considered experimental because it is not approved by the FDA for the treatment of all cancers.
Palbociclib is currently approved for use in breast cancer.
Palbociclib is a drug belonging to a family of drugs called kinase inhibitors.
These drugs slow or stop the activity of particular proteins involved in the growth of human cells and in the abnormal growth of cancer cells.
Blocking these proteins may decrease or stop tumor growth.
The purpose of this study is to assess the safety of the study drug, to see how well it is tolerated, and also to find a safe dose range of the study drug in patients with specific kinds of tumor genetic changes.
Study Overview
Detailed Description
This study proposes to give the cyclin dependent kinase (CDK) inhibitor palbociclib to patients with advanced malignancy harboring cyclin pathway aberrations (CCN/CDK alterations).
The investigators study will determine whether cyclin signaling aberrations associate with response to this CDK inhibitor.
Once completed, this study will identify subpopulations of patients that would best benefit from CDK inhibitor therapy with palbociclib and suggest directions for future study.
Study Type
Interventional
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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California
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La Jolla, California, United States, 92093
- UCSD Moores Cancer Center
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age ≥ 18 years old
Pathologically confirmed advanced or metastatic malignancy characterized by one or more of the following:
- Subject is intolerant to standard therapy
- Subject refuses standard therapy
- Malignancy is refractory to standard therapy
- Malignancy relapsed after standard therapy
- Malignancy for which there is no standard therapy that improves survival by at least 3 months.
- Evaluable tumor(s) with documented alteration(s) in CCN/CDK-related gene(s). The CCN/CDK aberration(s) can be identified at any point in the subject's cancer course. CCN/CDK testing must have been performed in a CLIA-certified laboratory. Amplification(s) and/or mutation frequencies will be defined according to the standard of the test used.
- ECOG Performance Status 0-2
- Women of childbearing potential must have a negative baseline blood pregnancy test. Women and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) for the duration of study and for at least 30 days after discontinuation of study drug (the half life of palbociclib is about 27 hours in patients with cancer).
- Subjects must be off other anti-tumor agents for at least 5 half lives of the agent or 4 weeks from the last day of treatment, whichever is shorter. Endocrine therapies (for example for breast or prostate cancer) and anti-Her2 therapies (for example, trastuzumab or lapatinib) are allowed to continue while on this study.
- Subjects may not be receiving any other experimental agents.
- Ability to understand and willingness to sign a written consent document.
Exclusion Criteria:
- Pregnant or lactating women.
- Subjects who have not recovered from toxicities as a result of prior anticancer therapy, except alopecia and infertility. Recovery is defined as < Grade 2 severity per Common Terminology Criteria for Adverse Events Version 4.0(1) (CTCAE v4.0) or to their clinical baseline.
- Inability to swallow pills or determination by the investigator that absorption of oral medication would be impaired.
- Major surgery (not including placement of central lines) within 3 weeks prior to trial enrollment or planned surgery during the course of this study.
- Any medical condition which, in the opinion of the investigator, would preclude study participation
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Palbociclib 125 mg
Palbociclib is administered orally at a starting dose of 125 mg/day for three weeks followed by one week off.
Study measurements will be obtained at baseline and about every 8 weeks thereafter.
Subjects will continue study drug until disease progression or unacceptable toxicity.
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Palbociclib 125 mg is administered orally at a starting dose of 125 mg/day for three weeks followed by one week off.
Study evaluations include physical exams, performance status, vital signs, laboratory blood tests, and radiographic or MRI imaging.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Response rates in subjects with advanced cancer and aberrations of cyclin pathway gene(s) who are treated with palbociclib
Time Frame: Every 8 weeks from date of enrollment until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months.
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Radiographic or MRI imaging will be assessed approximately every 8 weeks for disease progression.
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Every 8 weeks from date of enrollment until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Time Frame: Every 2-4 weeks from date of enrollment until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months.
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Complete physical exams will be assessed every 2 to 4 weeks during treatment to evaluate the number of patients with a drug toxicity and disease progression.
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Every 2-4 weeks from date of enrollment until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months.
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Number of Participants With Abnormal Laboratory Values and/or Adverse Events That Are Related to Treatment
Time Frame: Every 2-4 weeks from date of enrollment, assessed up to 36 months.
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Laboratory blood tests will be assessed every 2 to 4 weeks during treatment to evaluate the number of patients for drug toxicity and disease progression.
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Every 2-4 weeks from date of enrollment, assessed up to 36 months.
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Scott Lippman, MD, UCSD
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ANTICIPATED)
July 1, 2018
Primary Completion (ANTICIPATED)
February 1, 2020
Study Completion (ANTICIPATED)
February 1, 2024
Study Registration Dates
First Submitted
March 3, 2017
First Submitted That Met QC Criteria
April 20, 2017
First Posted (ACTUAL)
April 21, 2017
Study Record Updates
Last Update Posted (ACTUAL)
June 21, 2018
Last Update Submitted That Met QC Criteria
June 19, 2018
Last Verified
June 1, 2018
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- UCSD IIT 150729
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
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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