Description:
This is the first study where BAY1125976 is given to humans. Patients (all comers) will
receive the study drug treatment in a dose-escalation scheme (no placebo group) to determine
the safety, tolerability and maximum tolerated dose (MTD) of BAY1125976. The relative
bioavailability of liquid service formulation and tablets will be determined.
After the MTD is defined breast cancer patients with and without AKT1 mutation will be
treated.
The study will also assess the pharmacokinetics, biomarker status, pharmacodynamic parameters
and tumor response of BAY1125976.
BAY1125976 will be given daily as single oral application. Treatment will be stopped if the
tumor continues to grow, if side effects, which the patient cannot tolerate, occur or if the
patient decides to exit treatment.
Title
- Brief Title: Phase I Dose Escalation Study With an Allosteric AKT 1/2 Inhibitor in Patients
- Official Title: A Phase I, Multi-center, Non-randomized, Open-label, Dose Escalation Design Study to Characterize Safety, Tolerability, Pharmacokinetics and Maximum Tolerated Dose of BAY 1125976 in Subjects With Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
16447
- SECONDARY ID:
2012-004671-39
- NCT ID:
NCT01915576
Conditions
Interventions
Drug | Synonyms | Arms |
---|
BAY1125976 | | BAY1125976 [once daily, dose-esc.] |
BAY1125976 | | BAY1125976 [twice daily, dose-esc.] |
BAY1125976 | | BAY1125976 [MTD] |
Purpose
This is the first study where BAY1125976 is given to humans. Patients (all comers) will
receive the study drug treatment in a dose-escalation scheme (no placebo group) to determine
the safety, tolerability and maximum tolerated dose (MTD) of BAY1125976. The relative
bioavailability of liquid service formulation and tablets will be determined.
After the MTD is defined breast cancer patients with and without AKT1 mutation will be
treated.
The study will also assess the pharmacokinetics, biomarker status, pharmacodynamic parameters
and tumor response of BAY1125976.
BAY1125976 will be given daily as single oral application. Treatment will be stopped if the
tumor continues to grow, if side effects, which the patient cannot tolerate, occur or if the
patient decides to exit treatment.
Trial Arms
Name | Type | Description | Interventions |
---|
BAY1125976 [once daily, dose-esc.] | Experimental | Oral administration once daily. Starting dose is 10 mg and will be escalated depending on any dose-limiting toxicities | |
BAY1125976 [twice daily, dose-esc.] | Experimental | Oral administration twice daily. Starting dose is 40mg twice daily and will be escalated depending on any dose-limiting toxicities | |
BAY1125976 [MTD] | Experimental | Oral administration of the defined MTD which shows optimal safety, PK profile, PD target inhibition and preliminary efficacy (once daily or twice daily) in different patient groups | |
Eligibility Criteria
Inclusion Criteria:
- For dose escalation cohorts: Subjects with advanced, histologically or cytologically
confirmed solid tumors are eligible. Subjects' tumors (all comers) must be refractory
to standard treatment with no standard therapy available, or subjects actively refuse
any treatment, which would be regarded standard. In addition, the investigator must
judge the experimental treatment as clinically and ethically acceptable
- For expansion cohort only: Subjects with histologically or cytologically proven
metastatic breast cancer (with and without AKT1 E17K (G49A) mutation) or subjects with
known AKT1 E17K (G49A) mutation in any other advanced solid tumor with at least one
line of chemotherapy in the metastatic setting and not amenable to surgery with
curative intent
- Subjects must have measurable disease (Response evaluation criteria in solid tumors
(RECIST 1.1)
- Eastern Cooperative Oncology Group (ECOG) Performance Status 0 - 2
- Bone marrow, liver and renal functions as assessed by adequate laboratory methods to
be conducted within 7 days prior to starting study treatment
- Subjects must provide tumor biopsies before treatment
- Recovery to CTCAE (Common Terminology Criteria for Adverse Events Version 4.03) Grade
0 or Grade 1 or recovery to baseline preceding the prior treatment of any previous
drug / procedure-related toxicity (except alopecia, anemia, and hypothyroidism)
Exclusion Criteria:
- History of cardiac disease including congestive heart failure > New York Heart
Association (NYHA) Class II
- Subjects with type 1 or type 2 diabetes mellitus
- Subjects with fasting glucose >125 mg/dL in 2 independent measurements or glycated
hemoglobin (HbA1c) ≥ 7%
- Moderate and severe hepatic impairment, i.e. Child-Pugh B or C
- Active infections of CTCAE (Common Terminology Criteria for Adverse Events Version
4.03) Grade >2 or infections of CTCAE Grade 2 not responding to therapy
- Symptomatic metastatic brain or meningeal tumors unless the patient is > 3 months from
definitive therapy, has a negative imaging study within 4 weeks of study entry and is
clinically stable with respect to the tumor at the time of study entry.
- Subjects undergoing renal dialysis
- Previous or concurrent cancer that is distinct in primary site or histology from the
cancer being evaluated in this study except cervical carcinoma in situ, treated basal
cell carcinoma, superficial bladder tumors (Ta, Tis & T1) or any cancer curatively
treated > 3 years prior to study entry
- Autologous bone marrow transplant or stem cell rescue within 4 months of study entry
- Treatment with oral steroids (dose ≥ 10 mg/day of methylprednisolone or equivalent)
- Clinically relevant findings in the ECG such as a second- or third-degree AV block,
prolongation of the QRS complex over 120 msec or of the QTcF-interval over 450 msec
- Acute toxic effects of previous anticancer chemotherapy or immunotherapy have to be
normalized to CTCAE Grade equal or lower than 1 (excluding alopecia)
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of participants with adverse events as a measure of safety and tolerability |
Time Frame: | up to 2 years |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Food effect assessment |
Time Frame: | up to 2 years |
Safety Issue: | |
Description: | The effect of a high-fat, high-calorie meal on the pharmacokinetic parameters of BAY1125976 will be determined in 6 - 9 subjects in the MTD dose level or a lower dose level receiving the tablet for the cohort of the dose escalation part. |
Measure: | Tumor response will be evaluated based on Response Evaluation Criteria in Solid Tumors (RECIST) definitions |
Time Frame: | up to 2 years |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | Bayer |
Last Updated
December 28, 2016