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Safety Study of Ridaforolimus in Patients With Advanced, Refractory or Recurrent Malignancies (MK-8669-001 AM5)(COMPLETED)

26 agosto 2015 aggiornato da: Merck Sharp & Dohme LLC

A Phase I, Sequential Cohort, Dose Escalation Trial to Determine the Safety, Tolerability, and Maximum Tolerated Dose of Weekly Administration of AP23573, an mTOR Inhibitor, in Patients With Refractory or Advanced Malignancies

Phase 1 trial to determine the safety, tolerability and maximum tolerated dose (MTD) of ridaforolimus in patients with refractory or recurrent malignancies, including myeloma and lymphoma.

Panoramica dello studio

Stato

Completato

Intervento / Trattamento

Descrizione dettagliata

The primary objectives of the study are to determine the safety, tolerability, and MTD of ridaforolimus when administered once weekly for 4 weeks (4 week cycle). The secondary objectives of the study are to characterize the pharmacokinetic profile of ridaforolimus, to evaluate potential pharmacodynamic markers of ridaforolimus, and to obtain preliminary information on the antineoplastic activity of ridaforolimus.

Protocol Outline: This is a dose-escalation study. Patients receive ridaforolimus over 30 minutes by intravenous infusion once weekly for 8 weeks (two 4-week cycles). If tolerated, a total of at least 2 cycles will be administered (8-week treatment period). Treatment repeats every 4 weeks in the absence of disease progression or unacceptable toxicity.

Tipo di studio

Interventistico

Iscrizione (Effettivo)

46

Fase

  • Fase 1

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

(Patients must meet each of the following criteria to be eligible for participation in the study).

  • Male or female patients, ≥ 18 years of age.
  • Patients with a documented measurable or evaluable malignancy, including myeloma or lymphoma, that is recurrent, advanced, or metastatic.
  • Patients with disease that is currently refractory to, or not amenable to, standard therapy.
  • Patients with disease that is currently not amenable to surgical intervention.
  • Patients with Karnofsky performance status of ≥ 70% (Eastern Cooperative Oncology Group [ECOG] performance status of 0 or 1) and an anticipated life expectancy of ≥ 3 months.
  • Patients either not of childbearing potential, or agreeing to use a medically effective method of contraception.
  • Patients with the ability to understand and give written informed consent.

Exclusion Criteria:

(Patients meeting any of the following criteria are ineligible for participation in the study)

  • Women who are pregnant or lactating.
  • Patients with primary central nervous system (CNS) malignancies. Patients with leukemia, any form.
  • Patients with certain hematologic abnormalities.
  • Patients with certain serum chemistry abnormalities at baseline.
  • Patients with known or suspected hypersensitivity to either drugs formulated with polysorbate 80 (Tween 80) or any other excipient contained in the test drug formulation.
  • Patients with known hypersensitivity to macrolide antibiotics (e.g., clarithromycin, erythromycin, azithromycin).
  • Patients with significant cardiovascular disease.
  • Patients with active CNS metastases (or leptomeningeal disease) not controlled by prior surgery or radiotherapy. Note: Patients with treated brain metastases will be eligible if they are on a stable dose of corticosteroids or are without change in brain disease status for at least 4 weeks following related therapy (e.g., whole brain radiation, surgery).
  • Patients with known human immunodeficiency virus (HIV) infection.
  • Patients with any active infection.
  • Patients with inadequate recovery from any prior surgical procedure, or patients having undergone any major surgical procedure within 2 weeks prior to study entry. Note: Patients having undergone recent placement of a central venous access port will be considered eligible for enrollment if they have recovered.
  • Patients who have any other life-threatening illness or organ system dysfunction which, in the opinion of the Investigator, would either compromise the patient's safety or interfere with evaluation of the safety of the test drug.
  • Patients with a psychiatric disorder or altered mental status that would preclude understanding of the informed consent process and/or completion of the necessary studies.
  • Patients with the inability, in the opinion of the Investigator, to comply with the protocol requirements.

Drugs and Other Treatments to be Excluded (Either during or within 4 weeks prior to study entry, unless otherwise noted)

  • Chemotherapeutic agents (standard or experimental).
  • Other antineoplastic agents.
  • Immunotherapy (including vaccines) or biological response modifier therapy.
  • Systemic replacement hormonal therapy for life-threatening non-oncology diseases.
  • Herbal preparations or related over-the-counter (OTC) preparations containing herbal ingredients (e.g., St John's Wort) during or within 2 weeks prior to study entry.
  • Any prior therapy with rapamycin, CCI-779, or any other rapamycin analog.
  • Any other experimental therapy during the course of the study.
  • Radiotherapy for the primary malignancy or metastases.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Non randomizzato
  • Modello interventistico: Assegnazione di gruppo singolo
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Cohort 1: Ridaforolimus 6.25 mg

Administered intravenously once weekly for 4 weeks (1 cycle).

In the absence of disease progression or unacceptable toxicity, patients could continue to receive additional cycles.

Altri nomi:
  • AP23573
  • MK-8669
  • ridaforolimus era noto anche come deforolimus fino a maggio 2009
Sperimentale: Cohort 2: Ridaforolimus 12.5 mg

Administered intravenously once weekly for 4 weeks (1 cycle).

In the absence of disease progression or unacceptable toxicity, patients could continue to receive additional cycles.

Altri nomi:
  • AP23573
  • MK-8669
  • ridaforolimus era noto anche come deforolimus fino a maggio 2009
Sperimentale: Cohort 3: Ridaforolimus 25 mg

Administered intravenously once weekly for 4 weeks (1 cycle).

In the absence of disease progression or unacceptable toxicity, patients could continue to receive additional cycles.

Altri nomi:
  • AP23573
  • MK-8669
  • ridaforolimus era noto anche come deforolimus fino a maggio 2009
Sperimentale: Cohort 4: Ridaforolimus 50 mg

Administered intravenously once weekly for 4 weeks (1 cycle).

In the absence of disease progression or unacceptable toxicity, patients could continue to receive additional cycles.

Altri nomi:
  • AP23573
  • MK-8669
  • ridaforolimus era noto anche come deforolimus fino a maggio 2009
Sperimentale: Cohort 5: Ridaforolimus 100 mg

Administered intravenously once weekly for 4 weeks (1 cycle).

In the absence of disease progression or unacceptable toxicity, patients could continue to receive additional cycles.

Altri nomi:
  • AP23573
  • MK-8669
  • ridaforolimus era noto anche come deforolimus fino a maggio 2009
Sperimentale: Cohort 6: Ridaforolimus 75 mg

Administered intravenously once weekly for 4 weeks (1 cycle).

In the absence of disease progression or unacceptable toxicity, patients could continue to receive additional cycles.

Altri nomi:
  • AP23573
  • MK-8669
  • ridaforolimus era noto anche come deforolimus fino a maggio 2009

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Lasso di tempo
Maximum Tolerated Dose (MTD)
Lasso di tempo: Cycle 1 (within the first 4 weeks)
Cycle 1 (within the first 4 weeks)
Number of Participants Reporting Adverse Events (AE)
Lasso di tempo: Throughout study duration and up to approximately 1 month after the last dosing cycle (Cycle 1 Day 1 to approximately 10 months)
Throughout study duration and up to approximately 1 month after the last dosing cycle (Cycle 1 Day 1 to approximately 10 months)
Number of Participants Discontinuing Due to AEs
Lasso di tempo: Throughout study duration (Cycle 1 Day 1 to approximately 9 months)
Throughout study duration (Cycle 1 Day 1 to approximately 9 months)

Misure di risultato secondarie

Misura del risultato
Lasso di tempo
Best Overall Tumor Response
Lasso di tempo: 8 weeks
8 weeks
Maximum Concentration (Cmax) of Ridaforolimus
Lasso di tempo: Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
Area Under the Curve (AUC[0 to Infinity]) of Ridaforolimus
Lasso di tempo: Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
Apparent Terminal Half-Life (t1/2) of Ridaforolimus
Lasso di tempo: Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
Clearance (CL) of Ridaforolimus
Lasso di tempo: Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
Volume of Distribution at Steady State (Vss) of Ridaforolimus
Lasso di tempo: Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
Phosphorylated 4E Binding Protein 1 (Phospho-4E-BP1) Blood Levels
Lasso di tempo: Screening, Cycle 1 Days 1, 2, 3, 6/7, 8; Cycle 2 Day 1
Screening, Cycle 1 Days 1, 2, 3, 6/7, 8; Cycle 2 Day 1

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio

1 aprile 2003

Completamento primario (Effettivo)

1 ottobre 2005

Completamento dello studio (Effettivo)

1 ottobre 2005

Date di iscrizione allo studio

Primo inviato

8 maggio 2003

Primo inviato che soddisfa i criteri di controllo qualità

9 maggio 2003

Primo Inserito (Stima)

12 maggio 2003

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Stima)

27 agosto 2015

Ultimo aggiornamento inviato che soddisfa i criteri QC

26 agosto 2015

Ultimo verificato

1 agosto 2015

Maggiori informazioni

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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