Clinical Trials /

A Study Of PF-05212384 In Combination With Other Anti-Tumor Agents and in Combination With Cisplatin in Patients With Triple Negative Breast Cancer in an Expansion Arm (TNBC)

NCT01920061

Description:

This study will evaluate PF-05212384 (gedatolisib) PI3K/mTOR inhibitor)) in combination with either docetaxel, cisplatin or dacomitinib in select advanced solid tumors. The study will assess the safety, pharmacokinetics and pharmacodynamics of these combinations in patients with advanced cancer in order to determine the maximum tolerated dose in each combination. The cisplatin combination expansion portion will evaluate the anti tumor activity of PF 05212384 plus cisplatin in patients with TNBC in 2 separate Arms (Arm 1 and Arm 2).

Related Conditions:
  • Adenocarcinoma of the Gastroesophageal Junction
  • Bladder Carcinoma
  • Breast Carcinoma
  • Esophageal Carcinoma
  • Gastric Carcinoma
  • Head and Neck Squamous Cell Carcinoma
  • Non-Small Cell Lung Carcinoma
  • Ovarian Carcinoma
  • Prostate Carcinoma
  • Urothelial Carcinoma
Recruiting Status:

Completed

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Study Of PF-05212384 In Combination With Other Anti-Tumor Agents and in Combination With Cisplatin in Patients With Triple Negative Breast Cancer in an Expansion Arm (TNBC)
  • Official Title: A PHASE 1B OPEN-LABEL THREE-ARM MULTI-CENTER STUDY TO ASSESS THE SAFETY AND TOLERABILITY OF PF-05212384 (PI3K/MTOR INHIBITOR) IN COMBINATION WITH OTHER ANTI-TUMOR AGENTS

Clinical Trial IDs

  • ORG STUDY ID: B2151002
  • SECONDARY ID: 2013-001390-24
  • NCT ID: NCT01920061

Conditions

  • Neoplasm

Interventions

DrugSynonymsArms
PF-05212384 (gedatolisib)Arm A
DocetaxelArm A
CisplatinArm B
DacomitinibArm C

Purpose

This study will evaluate PF-05212384 (gedatolisib) PI3K/mTOR inhibitor)) in combination with either docetaxel, cisplatin or dacomitinib in select advanced solid tumors. The study will assess the safety, pharmacokinetics and pharmacodynamics of these combinations in patients with advanced cancer in order to determine the maximum tolerated dose in each combination. The cisplatin combination expansion portion will evaluate the anti tumor activity of PF 05212384 plus cisplatin in patients with TNBC in 2 separate Arms (Arm 1 and Arm 2).

Trial Arms

NameTypeDescriptionInterventions
Arm AExperimental
  • PF-05212384 (gedatolisib)
  • Docetaxel
Arm BExperimental
  • PF-05212384 (gedatolisib)
  • Cisplatin
Arm CExperimental
  • PF-05212384 (gedatolisib)
  • Dacomitinib
Expansion Arm 1Experimental
  • PF-05212384 (gedatolisib)
  • Cisplatin
Expansion Arm 2Experimental
  • PF-05212384 (gedatolisib)
  • Cisplatin

Eligibility Criteria

        Inclusion Criteria:

        Cisplatin Combination Expansion:

        Arm 1:Patients with TNBC with no prior cytotoxic chemotherapy therapy in the metastatic
        setting; Arm 2: Patients with TNBC and one or two prior cytotoxic therapies in the
        metastatic setting.

          -  Arm A: castrate resistant prostate cancer, advanced breast cancer, or non-small cell
             lunch cancer that are candidates for treatment with a docetaxel-based combination.

          -  Arm B: Urothelial transitional cell cancer, triple negative breast cancer, ovarian
             cancer or non small cell lunch cancer that are candidates for a cisplatin-based
             combination.

          -  Arm C: Her2+ breast cancer refractory to prior herceptin or lapatinib, her2+
             esophagal-gastric cancer, head and neck squamous cell cancer, or non small cell lunch
             cancer that are candidates for treatment with a dacomitinib-based combination.

          -  Availability of archival tumor biopsy sample or willing to provide fresh biopsy if not
             available.

          -  Eastern Cooperative Oncology Group [ECOG] performance must be 0 or 1.

          -  Adequate bone marrow, renal and liver function.

        Exclusion Criteria:

          -  Prior therapy for Cisplatin Combination Expansion:

               -  Prior platinum (carboplatin or cisplatin) in either the adjuvant or metastatic
                  setting;

               -  Prior radiation to >25% bone marrow as estimated by the Investigator.

          -  Patients with known symptomatic brain metastases.

          -  Chemotherapy, radiotherapy, biologics or investigational agent within 4 weeks of the
             lead-in dose.

          -  Major surgery within 4 weeks of the baseline disease assessments.

          -  >2 prior regimens containing cytotoxic chemotherapy in the metastatic setting.

          -  Active bacterial, fungal or viral infection.

          -  Uncontrolled or significant cardiovascular disease.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Number of participants with Dose-limiting toxicities (DLT)
Time Frame:up to 21 days
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Maximum Observed Plasma Concentration (Cmax)
Time Frame:pre-dose, 0.5 hrs, 1, 1.5 2, 4, 6, 24, 72, 96 and 168 hours post-dose on the first two dose of study treatment
Safety Issue:
Description:Counts of participants who had treatment-emergent adverse events (TEAEs), defined as newly occurring or worsening after first dose. Relatedness to [study drug] was assessed by the investigator (Yes/No). Participants with multiple occurrences of an AE within a category were counted once within the category.
Measure:Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
Time Frame:pre-dose, 0.5 hrs, 1, 1.5 2, 4, 6, 24, 72, 96 and 168 hours post-dose around the first two dose of study treatment
Safety Issue:
Description:Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)
Measure:Time to Reach Maximum Observed Plasma Concentration (Tmax)
Time Frame:pre-dose, 0.5 hrs, 1, 1.5 2, 4, 6, 24, 72, 96 and 168 hours post-dose around the first two dose of study treatment
Safety Issue:
Description:
Measure:Gene sequence data
Time Frame:Paired biopsies collected at screening and on Cycle 2 Day 8
Safety Issue:
Description:Expression of biomarkers eg. PIK3CA, KRAS
Measure:QTc interval
Time Frame:Screening, Cycle 1 Day 2, Subsequent cycles on Day 1, 1 hour post infusion of PF-05212384, and end of treatment (Arm C only)
Safety Issue:
Description:QT interval corrected for heart rate using standard correction factors
Measure:Objective tumor response
Time Frame:Baseline up to 18 months
Safety Issue:
Description:Time in weeks from the first documentation of objective tumor response to objective tumor progression or death according to RECIST
Measure:Levels of PI3K pathway protein biomarkers
Time Frame:Paired biopsies collected at screening and on Cycle 2 Day 8
Safety Issue:
Description:Expression of biomarkers eg. pAkt, PTEN, circulating insulin

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Pfizer

Trial Keywords

  • Advanced cancer
  • solid tumors
  • PI3K
  • mTOR
  • PI3K/mTOR
  • metastatic
  • Triple Negative Breast Cancer (TNBC)

Last Updated

December 8, 2020