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Study of XL281 in Adults With Solid Tumors
This study is currently recruiting participants.
Verified by Exelixis, August 2009
First Received: March 23, 2007   Last Updated: August 13, 2009   History of Changes
Sponsor: Exelixis
Information provided by: Exelixis
ClinicalTrials.gov Identifier: NCT00451880
  Purpose

The purpose of this study is to determine the safest dose of the multiple Raf kinase inhibitor (including c-Raf, B-Raf, and the activated mutant B-RafV600E) XL281, how often it should be taken, and how well subjects with cancer tolerate XL281. This study will also determine how the body reacts to XL281 when it is taken with and without food, and with and without Pepcid (famotidine), a drug that inhibits stomach acid production.


Condition Intervention Phase
Cancer
Non-Small-Cell Lung Cancer
Colorectal Cancer
Papillary Thyroid Cancer
Melanoma
Drug: XL281
Drug: famotidine
Phase I

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety Study
Official Title: A Phase 1 Dose-Escalation Study of the Safety and Pharmacokinetics of XL281 Administered Orally to Subjects With Solid Tumors

Resource links provided by NLM:


Further study details as provided by Exelixis:

Primary Outcome Measures:
  • Safety, tolerability, and maximum tolerated dose (MTD) of once daily or twice daily oral administration of XL281 [ Time Frame: Assessed at periodic visits ] [ Designated as safety issue: Yes ]
  • To assess the pharmacokinetic/pharmacodynamic/preliminary clinical activity relationship following XL281 administration in different tumor types from subjects treated at the MTD [ Time Frame: Assessed at periodic visits ] [ Designated as safety issue: No ]
  • To determine the bioavailability of XL281 under fed and fasted conditions, and with or without the concomitant use of a single dose of famotidine in subjects with solid tumors [ Time Frame: Assessed during the second, third, and fourth week of the first cycle of dosing ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Plasma pharmacokinetics of once daily or twice daily oral administration of XL281 [ Time Frame: Assessed at periodic visits ] [ Designated as safety issue: No ]

Estimated Enrollment: 160
Study Start Date: February 2007
Estimated Study Completion Date: December 2010
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Arm 1: Experimental
XL281 administered once a day
Drug: XL281
Gelatin capsules supplied as 5-, 25-, and 100-mg strengths
Arm 2: Experimental
XL281 administered twice a day
Drug: XL281
Gelatin capsules supplied as 5-, 25-, and 100-mg strengths
Arm 3: Experimental
XL281 administered once a day. Subjects in this arm will be dosed under fed conditions, fasted conditions, and with a concomitant single dose of 40 mg famotidine, during the second, third, and fourth week of the first cycle.
Drug: XL281
Gelatin capsules supplied as 5-, 25-, and 100-mg strengths
Drug: famotidine
single dose, supplied as 20-mg or 40-mg tablets

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Key Inclusion Criteria:

  • The subject has a histologically confirmed solid tumor that is metastatic or unresectable, and for which standard curative or palliative measures do not exist or are no longer effective, and there are no therapies known to prolong survival. Subjects treated at the MTD (once- or twice- daily) must have a diagnosis of colorectal cancer, non-small-cell lung cancer (no longer recruiting), melanoma, or papillary thyroid cancer. Certain other eligibility requirements must also be met.
  • The subject is ≥18 years old.
  • The subject has an Eastern Cooperative Oncology Group (ECOG) performance status ≤2.
  • The subject has adequate organ and marrow function.
  • The subject is capable of understanding the protocol and has signed the informed consent document.
  • Sexually active subjects (male and female) must use medically acceptable methods of contraception during the course of the study and for 3 months after study drug discontinuation.
  • Female subjects of childbearing potential must have a negative pregnancy test at screening.
  • The subject has had no other diagnosis of malignancy (unless non-melanoma skin cancer, carcinoma in situ of the cervix, or a malignancy diagnosed ≥5 years ago, and has had no evidence of disease for 5 years prior to screening for this study).
  • The subject must meet certain other eligibility requirements.

Key Exclusion Criteria:

  • The subject has received anticancer treatment (eg, chemotherapy, radiotherapy, cytokines, or hormones) within 28 days (6 weeks for nitrosoureas or mitomycin C) before the first dose of study drug.
  • The subject has received treatment with a small molecule kinase inhibitor or a hormonal therapy (including investigational kinase inhibitors or hormones) within a certain amount of time before the first dose of study drug.
  • The subject has received any other investigational agent within 28 days of first dose of XL281.
  • The subject has not recovered to Grade ≤1 from adverse events (AEs) or to within 10% of baseline values due to investigational or other agents administered more than 30 days prior to study enrollment. Some irreversible toxicities from previous treatment may be allowed.
  • The subject requires treatment with antacids (continual treatment), proton pump inhibitors, or H2 receptor antagonists.
  • The subject has a primary brain tumor or known brain metastases.
  • The subject has an uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • The subject is pregnant or breastfeeding.
  • The subject is known to be positive for the human immunodeficiency virus (HIV).
  • The subject has an allergy or hypersensitivity to components of the XL281 formulation or to famotidine.
  • The subject is unable or unwilling to abide by the study protocol or cooperate fully with the investigator or designee.
  • The subject is receiving anticoagulation with warfarin or coumarin-related compounds (low-dose warfarin ≤ 1 mg/day, heparin, and low-molecular weight heparin are permitted)
  • The subject must meet certain other eligibility requirements.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00451880

Contacts
Contact: Exelixis Contact Line 1-866-939-4041

Locations
United States, Arizona
Premiere Oncology of Arizona Recruiting
Scottsdale, Arizona, United States, 85260
Contact: Patricia Shannon     480-860-5000     pshannon@premiereoncology.com    
Principal Investigator: Michael S. Gordon, MD            
United States, Michigan
Barbara Ann Karmanos Cancer Institute Not yet recruiting
Detroit, Michigan, United States, 48201
Contact: Amy Weise, DO     313-576-8952     weise@karmanos.org    
Principal Investigator: Patricia LoRusso, MD            
United States, New York
Memorial Sloan Kettering Cancer Center Recruiting
New York, New York, United States, 10021
Contact: Gary Schwartz, MD     212-639-8324     schwartg@mskcc.org    
Principal Investigator: Gary Schwartz, MD            
United States, Tennessee
Sarah Cannon Research Institute Not yet recruiting
Nashville, Tennessee, United States, 37203
Contact: Noel Willcutt, RN     615-339-4214     noel.willcutt@scresearch.net    
Principal Investigator: Johanna Bendell, MD            
United States, Texas
Mary Crowley Cancer Research Center Not yet recruiting
Dallas, Texas, United States, 75246
Contact: Alyssa Roth     972-566-3061     aroth@marycrowley.org    
Principal Investigator: Gerald Edelman, MD            
Sponsors and Collaborators
Exelixis
  More Information

No publications provided

Responsible Party: Exelixis, Inc. ( Kanya Rajangam, MD/Senior Manager, Clinical Research )
Study ID Numbers: XL281-001
Study First Received: March 23, 2007
Last Updated: August 13, 2009
ClinicalTrials.gov Identifier: NCT00451880     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Exelixis:
Cancer
Solid Tumors
NSCLC

Additional relevant MeSH terms:
Thoracic Neoplasms
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Gastrointestinal Diseases
Physiological Effects of Drugs
Neoplasms, Nerve Tissue
Colonic Diseases
Rectal Diseases
Melanoma
Neoplasms by Site
Famotidine
Respiratory Tract Diseases
Lung Neoplasms
Therapeutic Uses
Neoplasms, Germ Cell and Embryonal
Anti-Ulcer Agents
Nevi and Melanomas
Thyroid Diseases
Endocrine Gland Neoplasms
Respiratory Tract Neoplasms
Neoplasms by Histologic Type
Digestive System Neoplasms
Thyroid Neoplasms
Gastrointestinal Agents
Histamine Agents
Endocrine System Diseases
Intestinal Diseases
Histamine H2 Antagonists
Pharmacologic Actions
Intestinal Neoplasms

ClinicalTrials.gov processed this record on February 08, 2010