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

1. august 2018 oppdatert av: 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.

Studieoversikt

Detaljert beskrivelse

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

Studietype

Intervensjonell

Registrering (Faktiske)

59

Fase

  • Fase 1

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

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

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

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

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 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

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
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
Tiltaksbeskrivelse
Tidsramme
Total 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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. august 2013

Primær fullføring (Faktiske)

24. januar 2018

Studiet fullført (Faktiske)

24. januar 2018

Datoer for studieregistrering

Først innsendt

1. mars 2013

Først innsendt som oppfylte QC-kriteriene

2. mars 2013

Først lagt ut (Anslag)

5. mars 2013

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

2. august 2018

Siste oppdatering sendt inn som oppfylte QC-kriteriene

1. august 2018

Sist bekreftet

1. august 2018

Mer informasjon

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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