Description:
The objective of this study is to determine the safety, pharmacokinetics, maximum tolerated
dose/recommended Phase 2 dose, and efficacy of PLX7486.
Title
- Brief Title: Phase 1 Study of PLX7486 as Single Agent in Patients With Advanced Solid Tumors
- Official Title: A Phase 1 Study to Assess Safety, Pharmacokinetics, and Pharmacodynamics of PLX7486 as a Single Agent in Patients With Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
PLX119-01
- NCT ID:
NCT01804530
Conditions
- Solid Tumor
- Tumors of Any Histology With Activating Trk (NTRK) Point or NTRK Fusion Mutations
- Tenosynovial Giant Cell Tumor
Interventions
Drug | Synonyms | Arms |
---|
PLX7486 TsOH | | PLX7486-TsOH, Dose escalation and RP2D |
Purpose
The objective of this study is to determine the safety, pharmacokinetics, maximum tolerated
dose/recommended Phase 2 dose, and efficacy of PLX7486.
Detailed Description
Part 1. Open-label, sequential PLX7486 TsOH single-agent dose escalation in approximately 60
patients with solid tumors.
Trial Arms
Name | Type | Description | Interventions |
---|
PLX7486-TsOH, Dose escalation and RP2D | Experimental | Part 1: Open-label, sequential PLX7486-TsOH single-agent dose escalation in approximately 60 patients with solid tumors. | |
Eligibility Criteria
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
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Safety of PLX7486 as single agent as measured by adverse events and serious adverse events. |
Time Frame: | 1 year |
Safety Issue: | |
Description: | Area under the plasma concentration-time curve [AUC0-t, AUC0-inf] will be used to assess the pharmacokinetic profile of PLX7486. |
Secondary Outcome Measures
Measure: | Duration of response (DOR) |
Time Frame: | 1 year |
Safety Issue: | |
Description: | 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. |
Measure: | Progression-Free Survival (PFS) |
Time Frame: | 6 month |
Safety Issue: | |
Description: | 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. |
Measure: | Overall Response Rate (ORR) |
Time Frame: | 1year |
Safety Issue: | |
Description: | |
Measure: | Overall Survival (OS) |
Time Frame: | 1 year |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Terminated |
Lead Sponsor: | Plexxikon |
Trial Keywords
- solid tumors
- activating NTRK point or fusion mutations
- Tenosynovial giant cell tumor
- TGCT
Last Updated
August 2, 2018