Description:
This dose-escalation study will evaluate the safety, tolerability, pharmacokinetic (PK),
pharmacodynamic, and explore antitumor activity of M3541 in combination with fractionated
palliative radiotherapy (RT) in subjects with solid tumors with malignant lesions in the
thorax, abdominal cavity, head and neck region, or extremities likely to benefit from
palliative RT.
Title
- Brief Title: M3541 in Combination With Radiotherapy in Subjects With Solid Tumors
- Official Title: A Phase I, Open-label, Uncontrolled, Multicenter, Dose-escalation Study of M3541 in Combination With Palliative Radiotherapy in Subjects With Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
MS200770_0001
- NCT ID:
NCT03225105
Conditions
Interventions
Drug | Synonyms | Arms |
---|
M3541 | | M3541 + Palliative Radiotherapy (RT) |
Purpose
This dose-escalation study will evaluate the safety, tolerability, pharmacokinetic (PK),
pharmacodynamic, and explore antitumor activity of M3541 in combination with fractionated
palliative radiotherapy (RT) in subjects with solid tumors with malignant lesions in the
thorax, abdominal cavity, head and neck region, or extremities likely to benefit from
palliative RT.
Trial Arms
Name | Type | Description | Interventions |
---|
M3541 + Palliative Radiotherapy (RT) | Experimental | | |
Eligibility Criteria
Inclusion Criteria:
- Subjects must have solid tumors with malignant lesions in the thorax, abdominal
cavity, head and neck region, or extremities (any histology) likely to benefit from
palliative radiotherapy; subjects requiring palliative RT for lesions in the spine or
lesions adjacent to the spinal cord are excluded from this study
- Eastern Cooperative Oncology Group performance status (ECOG PS) =< 2
- Life expectancy >= 3 months
- Adequate hematologic, hepatic, and renal function
- Agree to use highly effective contraception (that is, methods with a failure rate of
less than 1 percent per year) if the subject is male or a female of childbearing
potential (female partners of childbearing potential of male subjects must also agree
to use highly effective contraception)
- Other protocol defined inclusion criteria could apply
Exclusion Criteria:
- Use of other anticancer therapy within 15 days before the first dose of M3541
administration and should not be within the "at risk follow-up period" for that
specific anticancer therapy. The use of any investigational agent is not allowed
within 28 days before the first dose of M3541
- Residual toxicity due to previous anticancer therapy with no return to baseline or =<
Grade 1 (except alopecia) according to CTCAE V4.03
- Extensive prior RT on more than 30 percent of bone marrow reserves (by Investigator
judgment), or prior bone marrow/stem cell transplantation within 5 years before study
start
- Prior RT to the same region that would be irradiated in this study
- Subjects at increased risk for radiation toxicities, such as known collagen vascular
disease (example, scleroderma, Sjogren's disease, etc) or other inherited radiation
hypersensitivity syndromes (example, Gorlin syndrome, Fanconi anemia,
ataxia-telangiectasia, etc.)
- Surgical intervention within 28 days prior to the first dose of M3541 administration
- Known central nervous system metastases causing clinical symptoms or metastases that
require therapeutic intervention. Subjects with a history of treated central nervous
system (CNS) metastases (by surgery or radiation therapy) are not eligible unless they
have fully recovered from treatment, demonstrated no progression for at least 2
months, and do not require continued steroid therapy. Subjects with CNS metastases
incidentally detected during Screening that do not cause clinical symptoms and for
which standard of care suggests no therapeutic intervention is indicated, should be
discussed with the Sponsor Medical Responsible
- Active difficulty swallowing, malabsorption or other chronic gastrointestinal disease
or conditions (including pancreas deficiency requiring Creon therapy) that may hamper
compliance and/or absorption of M3541
- Subjects currently receiving or unable to stop using medications or herbal supplements
known to be potent inhibitors of cytochrome P450 (CYP) 3A and / or P-glycoprotein
(P-gp) (CYP and / P-gp must stop at least 1 week before treatment with M3541) or
potent inducers of CYP3A or P-gp (must stop at least 3 weeks before treatment with
M3541) or drugs mainly metabolized by CYP3A with a narrow therapeutic index (must stop
at least 1 day prior).
- Other protocol defined exclusion criteria could apply
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Occurrence of Dose-limiting Toxicities (DLTs) |
Time Frame: | Baseline up to 5 weeks |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Occurrence of Treatment Emergent Adverse Events (TEAEs), Grade >=3 AEs, Serious AEs and Deaths According to Common Terminology Criteria of Adverse Events (CTCAE) version 4.03 |
Time Frame: | Baseline up to 32 months |
Safety Issue: | |
Description: | |
Measure: | Number of Subjects With Clinically Significant Laboratory Abnormalities |
Time Frame: | Baseline up to Day 44 |
Safety Issue: | |
Description: | |
Measure: | Number of Subjects With Clinically Significant Abnormalities in Vital Signs and Physical Examination Findings |
Time Frame: | Baseline up to 32 months |
Safety Issue: | |
Description: | |
Measure: | Number of Subjects With Clinically Significant Electrocardiogram (ECG) Abnormalities |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 8, 12 hours post-dose on Fraction Day [FD] 1; Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 72, 240 hours post-dose on FD 9; pre-dose and 2.25 hours post-dose on FD 2, FD 3, FD 4, FD 5, and FD 6 |
Safety Issue: | |
Description: | |
Measure: | Best Overall Response (BOR) as Assessed by Investigator |
Time Frame: | Baseline, every 6 weeks (starting on Post-treatment Day 42) for the first 6 months, then every 12 weeks thereafter until disease progression, assessed up to 1 year |
Safety Issue: | |
Description: | |
Measure: | Progression Free Survival (PFS) as Assessed by Investigator |
Time Frame: | From first dose of study drug to disease progression onset of other anticancer therapy, or death from any cause, assessed up to 1 year |
Safety Issue: | |
Description: | |
Measure: | Maximum Observed Plasma Concentration (Cmax) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 8, 12 hours post-dose on FD 1; Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 72, 240 hours post-dose on FD 9; pre-dose and 2.25 hours post-dose on FD 2, FD 3, FD 4, FD 5, and FD 6 |
Safety Issue: | |
Description: | |
Measure: | Dose Normalized Maximum Observed Plasma Concentration (Cmax/Dose) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 8, 12 hours post-dose on FD 1; Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 72, 240 hours post-dose on FD 9 |
Safety Issue: | |
Description: | |
Measure: | Time to Reach Maximum Observed Plasma Concentration (Tmax) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 8, 12 hours post-dose on FD 1; Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 72, 240 hours post-dose on FD 9 |
Safety Issue: | |
Description: | |
Measure: | Apparent Terminal Half-Life (t1/2) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 8, 12 hours post-dose on FD 1; Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 72, 240 hours post-dose on FD 9 |
Safety Issue: | |
Description: | |
Measure: | Area Under the Concentration-Time Curve From Time Zero to the Last Quantifiable Sampling Time Point (AUC[0-last]) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 8, 12 hours post-dose on FD 1; Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 72, 240 hours post-dose on FD 9 |
Safety Issue: | |
Description: | |
Measure: | Dose Normalized Area Under the Concentration-Time Curve From Time Zero to the Last Quantifiable Sampling Time Point (AUC[0-last]/dose) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 8, 12 hours post-dose on FD 1; Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 72, 240 hours post-dose on FD 9 |
Safety Issue: | |
Description: | |
Measure: | Area Under the Concentration-Time Curve From Time Zero to 6 Hour Postdose (AUC[0-6h]) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4 and 6 hours post-dose on FD 1 |
Safety Issue: | |
Description: | |
Measure: | Area Under the Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC[0-inf]) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 8 and 12 hours post-dose on FD 1 |
Safety Issue: | |
Description: | |
Measure: | Dose Normalized Area Under the Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC[0-inf]/dose) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 8 and 12 hours post-dose on FD 1 |
Safety Issue: | |
Description: | |
Measure: | Oral Clearance (CL/F) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 8 and 12 hours post-dose on FD 1 |
Safety Issue: | |
Description: | |
Measure: | Oral Clearance at Steady-State (CLss/F) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 72, 240 hours post-dose on FD 9 |
Safety Issue: | |
Description: | |
Measure: | Apparent Volume of Distribution During Terminal Phase (Vz/F) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 8 and 12 hours post-dose on FD 1 |
Safety Issue: | |
Description: | |
Measure: | Apparent Volume of Distribution at Steady-State (Vss/F) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 72, 240 hours post-dose on FD 9 |
Safety Issue: | |
Description: | |
Measure: | Accumulation Ratio for Area Under the Concentration-Time Curve (Racc[AUC]) |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 72, 240 hours post-dose on FD 9 |
Safety Issue: | |
Description: | |
Measure: | Accumulation Ratio for Maximum Concentration (Racc[Cmax]) |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 72, 240 hours post-dose on FD 9 |
Safety Issue: | |
Description: | |
Measure: | Predose Plasma Concentration (Ctrough) of M3541 |
Time Frame: | pre-dose on FD 2, FD 3, FD, 4, FD 5, and FD 6 |
Safety Issue: | |
Description: | |
Measure: | Minimum Observed Plasma Concentration (Cmin) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 72, 240 hours post-dose on FD 9 |
Safety Issue: | |
Description: | |
Measure: | Average Plasma Concentration (Cavg) of M3541 |
Time Frame: | Pre-dose, 0.5, 1, 1.5, 2.25, 3, 4, 6, 72, 240 hours post-dose on FD 9 |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | EMD Serono Research & Development Institute, Inc. |
Trial Keywords
- Solid Tumors
- M3541
- Palliative radiotherapy
- Adenosine triphosphate-competitive inhibitor
Last Updated
September 14, 2020