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- Essai clinique NCT00875264
Open-Label Study to Determine the Maximum Tolerated Oral Dose of the Kinase Inhibitor CEP-11981 in Patients With Advanced Cancer
24 juillet 2012 mis à jour par: Cephalon
An Open-Label Study to Determine the Maximum Tolerated Oral Dose of the Kinase Inhibitor CEP-11981 in Patients With Advanced Cancer
The primary objective of this study is to determine the maximum tolerated dose (MTD) and dose-limiting toxicities of CEP-11981 in patients with advanced, relapsed/refractory solid tumors.
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Type d'étude
Interventionnel
Inscription (Réel)
43
Phase
- La phase 1
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
Key Inclusion Criteria:
The patient:
- has a histologically or cytologically confirmed solid tumor that has relapsed or is refractory. Additionally, the tumor must be considered unresponsive or poorly responsive to accepted treatment modalities.
- has a life expectancy of at least 12 weeks.
- has an Eastern Cooperative Oncology Group (ECOG) performance score of 0, 1, or 2.
- has normal neurologic examination findings. Patients having neurologic signs and symptoms indicative of brain metastases must undergo magnetic resonance imaging (MRI) to rule out brain metastases.
- has fully recovered from any prior surgical procedure(s).
- has fully recovered from reversible side effects of prior therapy for cancer including radiation therapy, chemotherapy, and immunotherapy.
- is in appropriate health as determined by medical and psychiatric history, medical examination, electrocardiography (ECG), serum chemistry and hematology tests, and urinalysis.
- if a woman of childbearing potential (not surgically sterile or who are not 2 years postmenopausal), must use a medically accepted method of contraception and must agree to continue use of this method for the duration of the study and for 30 days after participation in the study. Acceptable methods of contraception include abstinence, barrier method with spermicide, intrauterine device (IUD), or steroidal contraceptive (oral, transdermal, implanted, and injected) in conjunction with a barrier method.
- if a man, not surgically sterile or who is capable of producing offspring, must practice abstinence or use a barrier method of birth control, and must agree to continue use of this method for the duration of the study and for 30 days after participation in the study.
- is willing and able to comply with study restrictions and to return to the clinic for evaluations (including follow-up).
Key Exclusion Criteria:
The patient:
- has any of the following hematologic values: absolute neutrophil count (ANC) less than 1500/mm3, platelet count less than 100000/mm3, hemoglobin less than 9 g/dL.
- has any of the following hepatic function values: bilirubin greater than 1.5 times the upper limit of normal (ULN), alanine aminotransferase (ALT) or aspartate aminotransferase (AST) greater than 2.0 times the ULN in the absence of known hepatic metastases, or ALT or AST greater than 3.0 times the ULN in the presence of known hepatic metastases.
- has a serum creatinine value greater than 1.5 mg/dL.
- has known cerebral metastases.
- is currently on warfarin or heparin therapy.
- has any pre-existing coagulopathy, recent hemoptysis, gross hematuria, or gastrointestinal bleeding, and a history of a clinically significant cardiovascular or cerebrovascular event within 6 months prior to study entry.
- has uncontrolled hypertension defined as a blood pressure measurement greater than 150 mm Hg systolic or 90 mm Hg diastolic with medication.
- is receiving any other antineoplastic treatment for solid tumors. (Continuing hormonal treatment is permitted.)
- has received any investigational drug within the past 4 weeks.
- has previously been enrolled in the study or received CEP-11981.
- has known hypersensitivity to gelatin or lactose monohydrate.
- is a woman who is pregnant or lactating.
- has taken a medication known to be a potent inducer of CYP1A2, CYP2C8, or CYP3A4 within 4 weeks prior to the first dose of study drug.
- has taken a medication known to be a potent inhibitor of CYP1A2, CYP2C8, or CYP3A4 within 2 weeks prior to the first dose of study drug.
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 |
---|---|
Expérimental: 1
At least one 6-week (42-day) cycle in which patients will be treated daily with CEP-11981 for 28 days, followed by a treatment-free period of 14 days.
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Patients will be treated with oral CEP-11981 once daily for 28 days, followed by a treatment-free period of 14 days.
This 42-day (6-week) period will constitute 1 cycle.
The starting dose for the study will be 3 mg/m2.
Dose escalation from this starting dose follows a modified Fibonacci sequence.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
---|---|
Determine the maximum tolerated dose (MTD) and dose-limiting toxicities (DLTs) of CEP-11981, as defined in the Study Protocol.
Délai: At least one 6-week (42-day) cycle, which includes 28 days treatment during each cycle
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At least one 6-week (42-day) cycle, which includes 28 days treatment during each cycle
|
Mesures de résultats secondaires
Mesure des résultats |
Délai |
---|---|
Tumor response or progression using Response Evaluation Criteria in Solid Tumors (RECIST) criteria.
Délai: At least one 6-week (42-day) cycle, which includes 28 days treatment during each cycle
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At least one 6-week (42-day) cycle, which includes 28 days treatment during each cycle
|
Measurement of Pharmacokinetic parameters
Délai: Cycle 1 (42 days) and Day 1 of Cycle 2
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Cycle 1 (42 days) and Day 1 of Cycle 2
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Safety and tolerability of CEP-11981
Délai: At least one 6-week (42-day) cycle, which includes 28 days treatment during each cycle
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At least one 6-week (42-day) cycle, which includes 28 days treatment during each cycle
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
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 septembre 2007
Achèvement primaire (Réel)
1 juin 2011
Achèvement de l'étude (Réel)
1 juin 2011
Dates d'inscription aux études
Première soumission
1 avril 2009
Première soumission répondant aux critères de contrôle qualité
2 avril 2009
Première publication (Estimation)
3 avril 2009
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
25 juillet 2012
Dernière mise à jour soumise répondant aux critères de contrôle qualité
24 juillet 2012
Dernière vérification
1 juillet 2012
Plus d'information
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 CEP-11981 (kinase inhibitor)
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University of Michigan Rogel Cancer CenterRecrutementAdénocarcinome pancréatique | Tumeur neuroendocrine pancréatique | Carcinome neuroendocrinien pancréatique | Carcinome adénosquameux | Tumeur neuroendocrinienne gastro-intestinale | Carcinome neuroendocrinien gastro-intestinal | Carcinome neuroendocrine de la prostateÉtats-Unis
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Barbara Ann Karmanos Cancer InstituteNational Cancer Institute (NCI)InconnueCarcinome de la prostate résistant à la castration | Carcinome métastatique de la prostate | Cancer de la prostate de stade IVB AJCC v8 | Niveaux de castration de testostérone | Carcinome de la prostate métastatique dans l'osÉtats-Unis