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Phase 1 Study of PLX7486 as Single Agent in Patients With Advanced Solid Tumors

1. august 2018 opdateret af: Plexxikon

A Phase 1 Study to Assess Safety, Pharmacokinetics, and Pharmacodynamics of PLX7486 as a Single Agent in Patients With Advanced Solid Tumors

The objective of this study is to determine the safety, pharmacokinetics, maximum tolerated dose/recommended Phase 2 dose, and efficacy of PLX7486.

Studieoversigt

Detaljeret beskrivelse

Part 1. Open-label, sequential PLX7486 TsOH single-agent dose escalation in approximately 60 patients with solid tumors.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

59

Fase

  • Fase 1

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • California
      • Los Angeles, California, Forenede Stater, 90095
        • Ronald Reagan UCLA Medical Center
    • Maryland
      • Baltimore, Maryland, Forenede Stater, 21231
        • John Hopkins Sidney Kimmel Comprehensive Cancer Center
    • Massachusetts
      • Boston, Massachusetts, Forenede Stater, 02114
        • Massachusetts General Hospital Cancer Center
    • South Carolina
      • Charleston, South Carolina, Forenede Stater, 29425
        • Medical University of South Carolina

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria

  • Male or female ≥18 years old
  • Patients with histologically confirmed solid tumors who:

    o Part 1: have tumor progression following standard therapy, have treatment-refractory disease, or for whom there is no effective standard of therapy

  • Women of child-bearing potential must have a negative pregnancy test within 7 days of initiation of dosing and must agree to use an acceptable method of birth control. Women of non-childbearing potential may be included if they are either surgically sterile or have been postmenopausal for ≥1 year. Fertile men must also agree to use an acceptable method of birth control while on study drug and up to 3 months after the last dose of study drug.
  • All associated toxicity from previous or concurrent cancer therapy must be resolved (to ≤Grade 1 or Baseline) prior to study treatment administration
  • Patients with stable, treated brain metastases are eligible for this trial. However, patients must not have required steroid treatment for their brain metastases within 30 days of Screening.
  • Willing and able to provide written informed consent prior to any study related procedures and to comply with all study requirements
  • Karnofsky performance status ≥70%
  • Life expectancy ≥3 months
  • Adequate hematologic, hepatic, and renal function

Exclusion Criteria

  • Other than the primary malignancy, active cancer (either concurrent or within the last 3 years) that requires non-surgical therapy (e.g., chemotherapy or radiation therapy), with the exception of surgically treated basal or squamous cell carcinoma of the skin, melanoma in situ, or carcinoma in-situ of the cervix
  • Chemotherapy within 28 days prior to C1D1
  • Biological therapy within 5 half-lives prior to C1D1
  • Radiation therapy within 28 days or 5 half-lives prior to C1D1, whichever is longer
  • Investigational drug use within 28 days or 5 half-lives, whichever is longer, prior to C1D1
  • Part 1 only: (a) Patients with active or a history of glucose intolerance or diabetes mellitus and (b) Hemoglobin A1c ≥7%
  • ≥Grade 2 sensory neuropathy at baseline
  • Uncontrolled intercurrent illness (i.e., active infection) or concurrent condition that, in the opinion of the Investigator, would interfere with the study endpoints or the patient's ability to participate
  • Refractory nausea and vomiting, malabsorption, small bowel resection that, in the opinion of the Investigator, would preclude adequate absorption
  • Mean QTcF ≥450 msec (for males) or ≥470 msec (for females) at Screening
  • The presence of a medical or psychiatric condition that, in the opinion of the Principal Investigator, makes the patient inappropriate for inclusion in this study

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: PLX7486-TsOH, Dose escalation and RP2D
Part 1: Open-label, sequential PLX7486-TsOH single-agent dose escalation in approximately 60 patients with solid tumors.
PLX7486 TsOH capsules, 50mg

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Safety of PLX7486 as single agent as measured by adverse events and serious adverse events.
Tidsramme: 1 year
1 year
Area under the plasma concentration-time curve [AUC0-t, AUC0-inf]
Tidsramme: 1 year
Area under the plasma concentration-time curve [AUC0-t, AUC0-inf] will be used to assess the pharmacokinetic profile of PLX7486.
1 year
Peak concentration (Cmax)
Tidsramme: 1 year
Peak concentration (Cmax) will be used to assess the pharmacokinetic profile of PLX7486.
1 year
Time to peak concentration (Tmax)
Tidsramme: 1 year
Time to peak concentration (Tmax) will be used to assess the pharmacokinetic profile of PLX7486.
1 year
Half life (t1/2)
Tidsramme: 1 year
Half life (t1/2) will be used to assess the pharmacokinetic profile of PLX7486.
1 year
Terminal elimination rate constant (Kel)
Tidsramme: 1 year
Terminal elimination rate constant (Kel) will be used to assess the pharmacokinetic profile of PLX7486.
1 year

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Samlet overlevelse (OS)
Tidsramme: 1 år
1 år
Duration of response (DOR)
Tidsramme: 1 year
Duration of response is defined as the number of days from the date of initial response (PR or better) to the date of first documented disease progression/relapse or death, whichever occurs first.
1 year
Progression-Free Survival (PFS)
Tidsramme: 6 month
Progression-free survival (PFS) is defined as the number of days from start of therapy to the date of documented disease progression/relapse, whichever occurs first.
6 month
Overall Response Rate (ORR)
Tidsramme: 1year
1year

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. august 2013

Primær færdiggørelse (Faktiske)

24. januar 2018

Studieafslutning (Faktiske)

24. januar 2018

Datoer for studieregistrering

Først indsendt

1. marts 2013

Først indsendt, der opfyldte QC-kriterier

2. marts 2013

Først opslået (Skøn)

5. marts 2013

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

2. august 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

1. august 2018

Sidst verificeret

1. august 2018

Mere information

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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