Phase I Study to Assess the Safety, Pharmacokinetics, & Pharmacodynamics of GSK923295 in Subjects w/ Refractory Cancer

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00504790
First received: July 18, 2007
Last updated: December 6, 2012
Last verified: November 2012
  Purpose

This is a Phase I, open-label, first time in human study of GSK923295, in adult subjects with cancers that do not respond to standard therapy. This study will be conducted in two stages; a dose-escalation stage (Stage 1) and an expansion cohort stage (Stage 2).


Condition Intervention Phase
Cancer
Drug: GSK923295
Phase 1

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase I, Open-Label, Dose-Escalation, First Time in Human Study to Evaluate the Safety Profile, Pharmacokinetics, and Pharmacodynamics of GSK923295 in Subjects With Refractory Cancers

Resource links provided by NLM:


Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • Safety: - physical exam [ Time Frame: at screen & Day(D) 1 of each cycle and follow-up(F/U) ] [ Designated as safety issue: No ]
  • - vital signs and lab tests [ Time Frame: at screen & D1, 8, 15, & 22 for each cycle & F/U ] [ Designated as safety issue: No ]
  • - ECGs [ Time Frame: at screen and D1, 8 & 15 for each cycle & F/U ] [ Designated as safety issue: No ]
  • continuous monitoring of adverse events [ Time Frame: each visit ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Plasma samples of GSK923295 taken at: [ Time Frame: - Day 1 & 15 (Cycle 1) for Stage 1 ] [ Designated as safety issue: No ]
    used to measure levels of the drug in blood over time

  • Plasma samples of GSK923295 taken at: [ Time Frame: - Day 1 of each cycle for Stage 2 ] [ Designated as safety issue: No ]
    used to monitor levels of the drug in blood


Enrollment: 39
Study Start Date: June 2007
Study Completion Date: April 2012
Primary Completion Date: January 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: GSK923295
anti-mitotic compound under study
Drug: GSK923295
anti-mitotic compound
Other Name: GSK923295

  Show Detailed Description

  Eligibility

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

Inclusion Criteria:

  • Signed, written informed consent provided.
  • a) Stage 1 Subjects: Histologically or cytologically confirmed diagnosis of solid tumor malignancy that is not responsive to accepted standard therapies, or for which there is no standard therapy.

    b) Stage 2 Subjects: Histologically or cytologically confirmed diagnosis of solid tumor malignancy, non-Hodgkin's lymphoma, or chronic lymphocytic leukemia that is not responsive to accepted standard therapies, or for which there is no standard therapy.

  • Performance Status score of 0 or 1 according to the Eastern Cooperative Oncology Group (ECOG) scale.
  • 18 years old or older.
  • Male or female
  • A female is eligible to enroll in the study if she is of:

    • Non-childbearing potential (i.e., physiologically incapable of becoming pregnant) including any woman who:
    • Has had a hysterectomy, or
    • Has had a bilateral oophorectomy (ovariectomy), or
    • Has had a bilateral tubal ligation, or
    • Is post-menopausal (demonstrate total cessation of menses for greater than or equal to one year).
    • Childbearing potential, has a negative serum pregnancy test at screening, and agrees to one of the following from at least two weeks prior to study enrolment until completion of the Post Study procedures:
    • An intrauterine device (IUD) with a documented failure rate of less than 1% per year.
    • Vasectomized partner who is sterile and is the sole sexual partner for that woman.
    • Complete abstinence from sexual intercourse.
    • Double barrier contraception defined as condom with spermicidal jelly, foam, suppository, or film; OR diaphragm with spermicide; OR male condom and diaphragm.
  • A male is eligible to enter and participate in the study if he either agrees to abstain from sexual intercourse or use a condom and occlusive cap (diaphragm or cervical/vault cap) with spermicidal foam/gel/film/cream/suppository from the first dose administered until completion of the Post-Treatment procedures; or is surgically sterile.
  • Adequate organ systems function as defined in the protocol.
  • Subjects may have measurable lesions according to RECIST criteria in Stage 1. It is required in Stage 2 that subjects with solid tumors have measurable lesions according to RECIST criteria.
  • Paraffin-embedded archival tumor tissue available for testing.
  • At least one target tumor accessible to serial core needle biopsies at study entry (screening) and one additional time point post-dose Cycle 1. Note: optional for Stage 1 (Dose Escalation); it is mandatory for Stage 2 (Expansion Cohort)

Exclusion Criteria:

A subject will not be eligible for inclusion in this study if any of the following criteria apply:

  • Any major surgery OR prior anti-cancer therapy including but not limited to chemotherapy, radiotherapy, immunotherapy, biological therapy, or investigational therapy within the past 28 days (42 days for prior nitrosureas or mitomycin C).
  • Prior allogeneic or autologous bone marrow transplant.
  • Greater than 30% bone marrow irradiated.
  • Unresolved toxicity ≥ Grade 2 from previous anti-cancer therapy (except alopecia).
  • History of hemolytic anemia (either congenital or acquired) OR current laboratory evidence of hemolysis (Grade 1CTCAE or greater) that includes at least one of the following:

    • Decrease in serum haptoglobin (outside normal institutional laboratory values)
    • Increase in indirect bilirubin (outside normal institutional laboratory values)
    • Peripheral blood smear consistent with hemolysis (presence of schistocytes)
  • Pre-existing peripheral neuropathy or other neurological toxicity ≥ Grade 2.
  • Female subjects who are pregnant or lactating.
  • Any serious or unstable pre-existing medical, psychiatric, active infection or other condition (including lab abnormalities) that could interfere with subject safety or obtaining informed consent.
  • Psychological, familial, sociological or geographical conditions that do not permit compliance with the study protocol.
  • QTc prolongation defined as a QTc interval greater than or equal to 450 msecs.
  • Other significant ECG abnormalities including 2nd or 3rd degree AV block or bradycardia (ventricular rate less than 50 beats/min).
  • History of myocardial infarction, acute coronary syndromes (including unstable angina), coronary angioplasty and/or stenting within the past 6 months.
  • For subjects with a history of myocardial infarction, congestive heart failure, abnormal left ventricular ejection fraction (LVEF), or prior anthracycline exposure, LVEF must be assessed within 28 days of the first dose of study drug by one of the following methods: MUGA or ECHO. An LVEF measurement of < 50% will exclude the subject from participation in the study.
  • Class III, or IV heart failure as defined by the New York Heart Association (NYHA) functional classification system.
  • Current use of warfarin ≥ 4 mg per day. NOTE: Low molecular weight heparin and prophylactic low-dose warfarin are permitted. PT/PTT must meet the inclusion criteria.
  • Current use of prohibited medications in accordance with the guidelines detailed in the protocol in the "Prohibited Medications" section.
  • Current use of drugs with risk of torsade de pointes as described in the protocol.
  • Evidence of symptomatic or untreated central nervous system involvement (i.e., brain metastases, leptomeningeal disease, cord compression).
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00504790

Locations
United States, California
GSK Investigational Site
Duarte, California, United States, 91010
United States, Michigan
GSK Investigational Site
Detroit, Michigan, United States, 48201
United States, Wisconsin
GSK Investigational Site
Madison, Wisconsin, United States, 53792-5666
Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials GlaxoSmithKline
  More Information

Publications:
Chung V, Fleming RA, Johnson BM, Gauvin J, Cyr TL, Lager JJ, Lu E, Alberti DB, Williams B, Weber BL, Synold T, Holen KD. A phase 1 and first time in human study of the centromere associated protein E (CENP-E) inhibitor GSK923295A in patients with advanced solid rumors. American Association of Clinical Research Annual Meeting 2008, Oral Presentation, Abstract LB 246
Fleming RA, Holen KD, Cyr TL, Johnson BM, Gauvin JL, Lager JJ, Williams B, Alberti DB, Weber BL, Grilley-Olson JE, Chung V. A phase I dose escalation and pharmacokinetic study of the novel mitotic checkpoint inhibitor GSK923295A in patients with solid tumors. (Poster). EORTC/NCI/AACR Molecular Targets and Cancer Therapeutics Meeting, Geneva, Switzerland, 2008

Responsible Party: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT00504790     History of Changes
Other Study ID Numbers: CPE107602
Study First Received: July 18, 2007
Last Updated: December 6, 2012
Health Authority: United States: Food and Drug Administration

Keywords provided by GlaxoSmithKline:
GSK923295,
First Time in Human,
pharmacodynamics
cancer,
maximally tolerated dose, pharmacokinetics,
Refractory Cancer
CENPE,
Phase I,

ClinicalTrials.gov processed this record on July 23, 2014