A Bioequivalence Study of Vinorelbine Tartrate Injectable Emulsion in Patients With Advanced Cancer.
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Purpose
This study was a randomized, single dose crossover comparison of the investigational product with a Reference Product (vinorelbine tartrate injection, NAVELBINE®). The primary objective was to demonstrate the equivalence of ANX-530 and the Reference Product, NAVELBINE.
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer Non-small Cell Lung Cancer Non-Hodgkins Lymphoma |
Drug: Vinorelbine Tartrate |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Bio-equivalence Study Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Bioequivalence Study of Vinorelbine Tartrate Injectable Emulsion (ANX-530) in Patients With Advanced Cancer. |
- Time to Reach Maximum Observed Plasma Concentration (Tmax) [ Time Frame: 0-144 hours post dose ] [ Designated as safety issue: No ]
- Maximum Observed Plasma Concentration (Cmax) [ Time Frame: 0-144 hours post-dose ] [ Designated as safety issue: No ]
- Area Under the Plasma Concentratio-Time Curve From Time 0 to the Time of the Last Measurable Concentration (AUClast) [ Time Frame: 0-144 hours post-dose ] [ Designated as safety issue: No ]Determined Using the Linear Trapezoidal Rule
- Area Under the Concentration-Time Curve From Time 0 to Infinity (AUCinf) [ Time Frame: 0-144 hours post-dose ] [ Designated as safety issue: No ]AUCinf = AUClast + (Clast/lamda z)
- Percentage of AUCinf Based on Extrapolation (AUCextrap) [ Time Frame: 0-144 hours post-dose ] [ Designated as safety issue: No ]
- Observed Elimination Rate Constant Associated With the Terminal Portion of the Curve (λ z) [ Time Frame: 0-144 hours post-dose ] [ Designated as safety issue: No ]Estimated via linear regression of the time versus log concentration
- Observed Terminal Elimination Half-Life (t1/2) [ Time Frame: 0-144 hours post-dose ] [ Designated as safety issue: No ]t1/2 = [ln(2)/λ z]
- Time of Last Measurable Concentration (Tlast) [ Time Frame: 0-144 hours post-dose ] [ Designated as safety issue: No ]
- Last Quantifiable Drug Concentration (Clast) [ Time Frame: 0-144 hours post-dose ] [ Designated as safety issue: No ]
- Mean Residence Time (MRTinf) [ Time Frame: 0-144 hours post-dose ] [ Designated as safety issue: No ]MRT = (AUMCinf)/(AUCinf)
| Enrollment: | 31 |
| Study Start Date: | February 2007 |
| Study Completion Date: | December 2007 |
| Primary Completion Date: | November 2007 (Final data collection date for primary outcome measure) |
-
Drug: Vinorelbine Tartrate
- Exelbine (proposed)
- ANX-530
ANX-530 (vinorelbine tartrate injectable emulsion), an investigational drug, is an oil-in-water emulsion of vinorelbine tartrate composed of an oil phase and emulsifier dispersed in an aqueous solution. ADVENTRX Pharmaceuticals, Inc. of San Diego, California, developed ANX-530 as a vinorelbine tartrate formulation to be used in clinical settings where Vinorelbine Tartrate Injection (NAVELBINE) is indicated. Nonclinical toxicology studies suggest either equivalent or less toxicity of ANX-530 compared to Reference Product. In particular, ANX-530 caused less vein toxicity in a rabbit vein irritation model, suggesting ANX-530 could potentially cause less venous irritation than NAVELBINE in a clinical setting. ADVENTRX is investigating whether ANX-530 could substitute for NAVELBINE in these settings.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age > 18 years.
- Advanced cancer potentially sensitive to vinorelbine:
- Breast cancer.
- Stage 3 or 4 non-small cell lung cancer.
- Non-Hodgkins lymphoma.
- Cancer of other histologic type, sensitive to vinca alkaloids.
- Rare tumor type with no standard treatment, for which single agent vinorelbine is appropriate therapy.
- Failure of standard treatment(s) of the tumor.
- Life expectancy of at least three months.
- ECOG performance level 0-2 or Karnofsky score 100-70.
- Hematological and serum chemistry results with defined ranges.
- Willingness and ability to provide written informed consent.
Exclusion Criteria:
- Pregnancy or lactation. In a woman of childbearing potential, a positive pregnancy test result, no pregnancy test result, or no use of reliable contraception, at baseline. A postmenopausal woman will be considered to be of childbearing potential until there has been amenorrhea for at least 12 consecutive months.
- Previous treatment with vinorelbine or mitomycin.
- Any history suggesting or demonstrating resistance to, lack of response to, or intolerance of any prior vinca alkaloid treatment.
- Active infection.
- Prior anticancer therapy completed within four weeks prior to the first day of study treatment.
- Failure to have recovered from any toxicity of previous cancer treatment (patients with alopecia will not be excluded).
- Participation in another experimental drug study within four weeks prior to the first day of study treatment.
- Requirement for any concomitant chemotherapeutic agent other than the study medication.
- Any investigator judgment that the individual would not be an appropriate study subject.
Contacts and Locations| Argentina | |
| Clinical Investigative Site | |
| Buenos Aires, Argentina | |
| Clinical Investigative Site | |
| Mendoza, Argentina | |
| Clinical Investigative Site | |
| Rosario, Argentina | |
| Clinical Investigative Site | |
| Santa Fe, Argentina | |
| Clinical Investigative Site | |
| Tucuman, Argentina | |
| Principal Investigator: | Lino Arboit, M.D. | Fundación Centro Oncológico de Integración Regional - COIR. |
| Principal Investigator: | Gerardo F Arroyo, M.D. | Hospital Privado De Santa Clara De Asis |
| Principal Investigator: | Cesar R Blajman, M.D. | Isis Clínica Especializada |
| Principal Investigator: | Matias Chacon, M.D. | Instituto Médico Espcializado Alexander Fleming |
| Principal Investigator: | Luis E Fein, M.D. | Centro Oncológico |
| Principal Investigator: | Hugo R. Requejo, M.D. | Hospital Regional De Concepción |
| Principal Investigator: | Edgar P Quintana, M.D. | CIMA Salud |
More Information
No publications provided
| Responsible Party: | Chief Executive Officer, Adventrx Pharmaceuticals, Inc. |
| ClinicalTrials.gov Identifier: | NCT00432562 History of Changes |
| Other Study ID Numbers: | 530-01 |
| Study First Received: | February 6, 2007 |
| Results First Received: | January 19, 2012 |
| Last Updated: | January 19, 2012 |
| Health Authority: | United States: Food and Drug Administration Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica |
Additional relevant MeSH terms:
|
Breast Neoplasms Carcinoma, Non-Small-Cell Lung Lung Neoplasms Lymphoma Lymphoma, Non-Hodgkin Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms Lung Diseases Respiratory Tract Diseases |
Neoplasms by Histologic Type Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases Vinorelbine Vinblastine Antineoplastic Agents, Phytogenic Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Tubulin Modulators Antimitotic Agents Mitosis Modulators Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 23, 2013