- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT00738751
Phase I Study of LBH589 & Erlotinib for Advanced Aerodigestive Tract Cancers
3 février 2015 mis à jour par: H. Lee Moffitt Cancer Center and Research Institute
Phase I Study of LBH589 in Combination With Erlotinib for Advanced Aerodigestive Tract Cancers (CLBH5889CUS11T)
The main purpose of the study is to:
- Determine the safety and tolerability of erlotinib and LBH589B.
- Establish a recommended phase II expansion dosing of LBH589B and erlotinib in patients with advanced aerodigestive tract cancers.
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Type d'étude
Interventionnel
Inscription (Réel)
44
Phase
- La phase 1
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
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Florida
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Tampa, Florida, États-Unis, 33612
- H. Lee Moffitt Cancer Center & Research Institute
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
18 ans et plus (Adulte, Adulte plus âgé)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Tout
La description
Inclusion Criteria:
- Histologically or cytologically documented diagnosis of advanced/metastatic NSCLC or Head and Neck cancer.
- Male or female patients aged ≥ 18 years old
- Ability to provide written informed consent obtained prior to participation in the study and any related procedures being performed
- Have progressive and measurable disease that can be measured by Response Evaluation Criteria in Solid Tumors (RECIST) criteria
- Patients must have discontinued prior systemic chemotherapy by 14 days.
Patients must meet the following laboratory criteria:
- Serum albumin ≥ 3g/dL
- Aspartic transaminase (AST/SGOT) and alanine transaminase (ALT/SGPT) ≤ 2.5 x upper limit of normal (ULN)or ≤ 5.0 x ULN if the transaminase elevation is due to leukemic involvement
- Serum bilirubin ≤ 1.5 x ULN
- Serum creatinine ≤ 1.5 x ULN or 24-hour creatinine clearance ≥ 50 ml/min
- Serum potassium ≥ lower limit of normal (LLN) and ≤ ULN
- Serum phosphorous ≥ LLN
- Serum total calcium (corrected for serum albumin) or serum ionized calcium ≥ LLN
- Serum magnesium ≥ LLN
- Absolute neutrophil count (ANC) (ANC: segmented and bands) ≥ 1.5 X10^9/L
- Platelets ≥ 100 X 10^9/L
- Baseline multiple gated acquisition imaging (MUGA) or echocardiogram (ECHO) must demonstrate left ventricular ejection fraction (LVEF) ≥ the lower limit of the institutional normal
- Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 1
- Reproductive potential must be either terminated (by surgery, radiation, or menopause) or attenuated by the use of an approved contraceptive method during and for 3 to 6 months following the study.
- Patient instructed that intravenous (IV) bisphosphonates will be withheld for the first 8 weeks of LBH589 therapy due to risk of hypocalcemia.
Exclusion Criteria:
Impaired cardiac function including any one of the following:
- Screening electrocardiogram (ECG) with a corrected QT (QTc) > 450 msec confirmed by central laboratory prior to enrollment to the study
- Patients with congenital long QT syndrome
- History of sustained ventricular tachycardia
- Any history of ventricular fibrillation or torsades de pointes
- Bradycardia defined as heart rate < 50 beats per minute. Patients with a pacemaker and heart rate ≥ 50 beats per minute are eligible.
- Patients with a myocardial infarction or unstable angina within 6 months of study entry
- Congestive heart failure - New York Heart Association (NYHA) class III or IV
- Right bundle branch block and left anterior hemiblock (bifascicular block)
- Patients with a history of uncontrolled or chronic atrial fibrillation.
- Uncontrolled hypertension, blood pressure (BP) >180/110 on 3 separate occasions despite oral antihypertensive medications
- Concomitant use of drugs with a risk of causing torsades de pointes Concomitant use of CYP3A4 inhibitors
- Patients with documented central nervous system or leptomeningeal metastasis (brain metastasis) at the time of study entry. Patients with prior brain metastasis may be considered if they have completed their treatment for brain metastasis, no longer require corticosteroids, and are asymptomatic.
- Patients with unresolved diarrhea > Common Terminology Criteria for Adverse Events (CTCAE) grade 1
- Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of oral LBH589
- Other concurrent severe and/or uncontrolled medical conditions
- Patients who have received chemotherapy < 14 days, any investigational drug < 14 days or undergone major surgery < 4 weeks prior to starting study drug or who have not recovered from side effects of such therapy.
- Concomitant use of any anti-cancer therapy (except erlotinib) or radiation therapy.
- Female patients who are pregnant or breast feeding or patients of reproductive potential not using two effective methods of birth control. Women of childbearing potential (WOCBP) must have a negative serum pregnancy test within 7 days of the first administration of oral LBH589
- Male patients whose sexual partners are WOCBP not using effective birth control
- Patients with known positivity for human immunodeficiency virus (HIV) or hepatitis C; baseline testing for HIV and hepatitis C is not required
- Patients with any significant history of non-compliance to medical regimens or with inability to grant a reliable informed consent
- Patients who are not willing to refrain from wearing contact lenses during study participation will be excluded.
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: N / A
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
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Expérimental: Dose Escalation Followed by Expansion
Eligible participants were enrolled in a 3+3 dose-escalation design to determine the maximum tolerated dose (MTD) of twice weekly panobinostat plus daily erlotinib at 4 planned dose levels (DLs).
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Panobinostat was taken twice weekly, for 2 out of 3 weeks of each cycle.
Each cycle was defined as a 21-day period.
Four dose levels of panobinostat in combination with erlotinib were planned: 1) dose level 1 (DL1) = panobinostat 20 mg by mouth (PO) twice weekly for 2 out of 3 weeks + erlotinib 100 mg PO daily; 2) dose level 2 (DL2) = panobinostat 30 mg and erlotinib 100 mg; 3) dose level 3 (DL3) = panobinostat 30 mg and erlotinib 150 mg; and 4) dose level 4 (DL4) = panobinostat 40 mg and erlotinib 150 mg.
Doses were not escalated over the course of treatment of an individual participant.
Autres noms:
Erlotinib was taken daily without interruption.
Each cycle was defined as a 21-day period.
Panobinostat was taken twice weekly, for 2 out of 3 weeks of each cycle.
Four dose levels of panobinostat in combination with erlotinib were planned: 1) dose level 1 (DL1) = panobinostat 20 mg by mouth (PO) twice weekly for 2 out of 3 weeks + erlotinib 100 mg PO daily; 2) dose level 2 (DL2) = panobinostat 30 mg and erlotinib 100 mg; 3) dose level 3 (DL3) = panobinostat 30 mg and erlotinib 150 mg; and 4) dose level 4 (DL4) = panobinostat 40 mg and erlotinib 150 mg.
Doses were not escalated over the course of treatment of an individual participant.
Autres noms:
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
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Maximum Tolerated Dose (MTD)
Délai: 4 Months
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Determine safety and tolerability of erlotinib and LBH589B and establish a recommended phase II expansion dosing of LBH589B and erlotinib in patients with advanced aerodigestive tract cancers.
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4 Months
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
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Disease Control Rate (DCR)
Délai: Up to 48 months
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DCR: The percentage of patients with advanced or metastatic cancer who have achieved complete response (CR), partial response (PR) and stable disease (SD) to a therapeutic intervention in clinical trials of anticancer agents.
CR: is defined as disappearance of all target lesions.
PR: is defined as at least a 30% decrease in the sum of longest diameter (LD) of target lesions taking as reference the baseline sum LD.
SD: is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD taking as references the smallest sum LD since the treatment started.
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Up to 48 months
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Progression Free Survival (PFS) by Cancer Type
Délai: Up to 48 months
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Progressive Disease (PD) is defined as at least a 20% increase in the sum of LD of target lesions taking as references the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.
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Up to 48 months
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Overall Survival (OS) by Cancer Type
Délai: Up to 48 months
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Overall survival (OS) is the duration from date of randomization to date of death from any cause.
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Up to 48 months
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Les enquêteurs
- Chercheur principal: Jhanelle Gray, M.D., H. Lee Moffitt Cancer Center and Research Institute
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Liens utiles
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 novembre 2008
Achèvement primaire (Réel)
1 août 2013
Achèvement de l'étude (Réel)
1 février 2015
Dates d'inscription aux études
Première soumission
18 août 2008
Première soumission répondant aux critères de contrôle qualité
18 août 2008
Première publication (Estimation)
20 août 2008
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
4 février 2015
Dernière mise à jour soumise répondant aux critères de contrôle qualité
3 février 2015
Dernière vérification
1 février 2015
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- MCC-15461
- LBH589 (Autre identifiant: Novartis)
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .
Essais cliniques sur Cancer de la tête et du cou
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Mathematica Policy Research, Inc.Boston Children's Hospital; Department of Health and Human ServicesPas encore de recrutementIntervention précoce, éducation (Head Start et Early Head Start Access and Participation)États-Unis
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Novartis PharmaceuticalsRecrutementAdvanced EGFRmutant NonSmallSellLungCancer (NSCLC),KRAS G12-mutant NSCLC,Esophageal SquamousCellCancer (SCC),Head/Neck SCC,MélanomePays-Bas, Corée, République de, Espagne, Taïwan, Japon, Italie, Canada, États-Unis, Singapour
Essais cliniques sur Panobinostat (LBH589)
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Abdullah KutlarSecura Bio, Inc.RecrutementDrépanocytoseÉtats-Unis
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Centre Leon BerardComplété
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Dana-Farber Cancer InstituteNovartis; Brigham and Women's HospitalComplétéMacroglobulinémie de WaldenströmÉtats-Unis
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NovartisComplétéLymphome cutané à cellules T | TumeursJapon
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University of Wisconsin, MadisonNovartis PharmaceuticalsRésiliéTumeurs neuroendocrinesÉtats-Unis
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City of Hope Medical CenterNational Cancer Institute (NCI)Complété
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Duke UniversityNovartisRetiré
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Novartis PharmaceuticalsComplétéTumeurs solides avancéesSuisse, Pays-Bas, États-Unis, Royaume-Uni
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Novartis PharmaceuticalsComplétéLeucémie myéloïde aiguë | Leucémie réfractaireBelgique, Corée, République de, Turquie, Allemagne, Australie, France, Suisse, Royaume-Uni, Espagne, Italie, Pérou, États-Unis
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Novartis PharmaceuticalsComplétéCancer de l'oesophage | Cancer de la prostate | Cancer de la tête et du couBelgique