A Safety, Pharmacokinetic and Pharmacodynamic Study of Kevetrin in Patients With Advanced Solid Tumors

Inclusion Criteria:

• Males / females, ≥ 18 years old, any race / ethnicity, who can provide written Informed Consent
• Life expectancy ≥ 3 months
• Pathologically confirmed solid tumor, locally advanced / metastatic, refractory after standard therapy, or for which no effective curative or surgical treatment options are available
• Measurable disease on baseline imaging per RECIST 1.1 criteria
• ECOG performance status ≤ 1
• Liver function:
• Bilirubin ≤ 1.5 X upper limit of normal
• AST, SGOT, ALT, SGPT ≤ 2.5 X upper limit of normal, < 5 upper limit if there are liver metastases
• Renal function:
• Serum creatinine within normal limits
• Hematologic status:
• Absolute neutrophil count ≥ 1500 cells/mm3.
• Platelet count ≥ 100,000/mm3.
• Hemoglobin ≥ 9 g/dL
• Coagulation status:
• Coagulation Prothrombin time ≤ 1.5 X upper limit
• Partial thromboplastin time ≤ 1.5 X upper limit
• Males must agree to use condoms during sex to prevent spillage of semen for the duration of the study and for 3 months after the patient leaves the study
• Females in the study must not be pregnant or breast feeding and not planning to become pregnant or breast feed for the duration of the study, and for at least three months after study completion
• Women of childbearing potential must commit to using a double barrier method of contraception, an intrauterine device, or sexual abstinence for the duration of the study and for at least three months after study completion
• Serum pregnancy test for women of child bearing potential must be negative at entry into study
• Written voluntary informed consent: the patient is capable of complying with the requirements of the written Informed Consent Form and complying with protocol requirements

Exclusion Criteria:

• History of significant disease that in the Investigator's opinion would put the patient at high risk on the trial
• Cognitive impairment sufficient to render the patient incapable of giving informed consent
• History of clinically significant psychiatric illness that would prevent the patient from providing a valid ICF and complying with protocol requirements
• Unwillingness or inability to comply with procedures required in this protocol
• History or presence of alcoholism or drug abuse within the past 2 years
• Patients who have had a major surgical procedure within the past 6 weeks
• History of HIV, hepatitis B, or hepatitis C
• Active, uncontrolled bacterial, viral, or fungal infections requiring systemic therapy
• Women of childbearing potential who are lactating, pregnant or there is the likelihood of becoming pregnant within the coming 12 months; a positive serum beta-human chorionic gonadotropin test at time of screening for entry into study
• New York Heart Association Class III or IV, cardiac disease, myocardial infarction within the past 6 months, unstable arrhythmia, or evidence of ischemia on ECG
• Patients with a mean QTc interval greater than 480ms are excluded. Avoid concomitant administration of agents that prolong the QT interval, except at the discretion of the investigator. If advised, patients should discontinue the use of these agents at least 2 weeks before the study begins. No uncontrolled arrhythmias.
• Patients currently receiving other investigational agents
• Participation in a study of an investigational drug within 4 weeks prior to the planned first day of study drug administration
• Patients who have undergone radiation within the past 4 weeks
• Treatment with molecularly targeted agents within the past 3 weeks prior to planned first study drug administration. Patients who were receiving standard chemotherapy or experimental therapies must wait 4 weeks from their last dose prior to the planned first study drug administration. Patients treated with nitrosoureas or mitomycin C must wait 6 weeks from their last dose prior to the planned first study drug administration.
• Patients with known brain metastases may be excluded from this study. However, patients may be eligible if scans show limited disease or repeat scans show stable disease in the opinion of the investigator and patients have no ill effect from the metastases.
• Herbal supplements are prohibited 1 week prior to the planned first study drug administration, during the clinical study, and up to the time that the patient is discharged from the study
• Patients who have been exposed to medications, herbal preparations, or foods known to be predominant Cytochrome P450 2C9, 2C19, 2D6, 3A4/5 substrates, strong inhibitors or inducers within 7 days of planned first study treatment day
• Patients who in the opinion of the Investigator would not be able to provide reliable study data or be available for study follow-up