Clinical Trials /

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

NCT01804530

Description:

The objective of this study is to determine the safety, pharmacokinetics, maximum tolerated dose/recommended Phase 2 dose, and efficacy of PLX7486.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Terminated

Phase:

Phase 1

Trial Eligibility

Document

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

DrugSynonymsArms
PLX7486 TsOHPLX7486-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

NameTypeDescriptionInterventions
PLX7486-TsOH, Dose escalation and RP2DExperimentalPart 1: Open-label, sequential PLX7486-TsOH single-agent dose escalation in approximately 60 patients with solid tumors.
  • PLX7486 TsOH

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