Study to Investigate AKT Inhibitor GSK690693 in Subjects With Relapsed or Refractory Hematologic Malignancies

This study has been withdrawn prior to enrollment.
(Study Cancelled before enrollment)
Sponsor:
Information provided by:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00666081
First received: April 22, 2008
Last updated: December 18, 2008
Last verified: December 2008
  Purpose

This is a two-part study in subjects with hematologic malignancies designed to find the maximum tolerated dose (MTD) of GSK690693 (Part 1). Part 2 is designed to determine the efficacy of GSK690693 in a subset of subjects with hematologic malignancies.


Condition Intervention Phase
Cancer
Drug: GSK690693
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase I Open-Label Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Potential Anti-Cancer Activity of the AKT Inhibitor GSK690693 in Subjects With Relapsed or Refractory Hematologic Malignancies

Resource links provided by NLM:


Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • To characterize a range of doses and to identify the MTD of GSK690693 when dosed daily for 5 consecutive days every 21 days as an IV infusion over 4 h. [ Time Frame: 21 days ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Plasma pharmacokinetic parameters of GSK690693. To evaluate the response of refractory hematologic malignancies to treatment with GSK690693. [ Time Frame: 21 days ] [ Designated as safety issue: Yes ]
  • Blood levels of GSK690693 to derive pharmacokinetic parameters [ Time Frame: 21 days ] [ Designated as safety issue: No ]
  • Tumor responses [ Time Frame: 21 days ] [ Designated as safety issue: No ]

Estimated Enrollment: 61
Study Start Date: April 2008
Estimated Study Completion Date: December 2009
Estimated Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Cohort 1
GSK690693 for injection. This is a dose escalation study.
Drug: GSK690693
Administered intravenously at a concentration between 0.1 - 4.8 mg/mL by slow infusion over 4 h.
Other Name: GSK690693

  Eligibility

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

Inclusion Criteria:

  • Histologically- or cytologically-confirmed diagnosis of a hematologic malignancy that has relapsed or is refractory after standard therapy, AND that is not associated with human immunodeficiency virus (HIV) infection or solid organ transplant.
  • Signed written consent provided.
  • At least 18 years of age.
  • A woman is eligible to enter and participate in the study if she is of: Non-childbearing potential , or is post-menopausal .
  • A man with a female partner of childbearing potential is eligible to enter and participate in the study if he has either had a prior vasectomy or agrees to use adequate contraception (as described above) during the study, and up to 3 months after last dose of study drug.
  • Fasting glucose that is not elevated.
  • Laboratory values within ranges defined in the protocol

Exclusion Criteria:

  • Previously diagnosed diabetes mellitus (type 1 or 2), or gestational diabetes.
  • Symptomatic or untreated central nervous system (CNS) involvement by the hematologic malignancy (including primary CNS lymphoma). Subjects who were previously treated for CNS involvement, and are asymptomatic without anti-epileptic medications or steroids for at least 2 months are eligible.
  • Subjects who have undergone an allogeneic stem cell transplant.
  • Unresolved toxicity from previous anti-cancer therapy as agreed to by Medical Monitor and the Investigator,.
  • Major surgery within the past 28 days.
  • Chemotherapy, radiotherapy, immunotherapy, or investigational drug therapy within 21 days (or 42 days for prior nitrosoureas or mitomycin C) prior to the first dose of study medication. For subjects with acute leukemia, anti-cancer chemotherapy (including corticosteroids) may be administered up to 7 days prior to the first dose of study medication. Chemotherapy given at a dose and schedule that is not expected to have delayed toxicity can be given with an interval of 14 days or more from the first dose. Hydroxyurea may be administered up to 7 days prior to the first dose of study medication.
  • Current use of oral corticosteroids, with the exception of inhaled or topical corticosteroids.
  • Evidence of severe or uncontrolled systemic disease (e.g., unstable or uncompensated respiratory, hepatic, or renal disease).
  • Any female who is pregnant or lactating.
  • Any serious or unstable pre-existing medical, psychiatric, or other condition (including lab abnormalities) that could interfere with subject safety or with obtaining informed consent.
  • Significant ECG abnormalities.
  • Use of medications known to prolong the QTc interval within 14 days (or 5 half-lives) prior to the first dose of study medication.
  • History of myocardial infarction, acute coronary syndromes, unstable angina or coronary angioplasty/stenting/bypass grafting within the past 6 months.
  • Left ventricular ejection fraction (LVEF) less than 50% by echocardiogram (ECHO) or multiple gated acquisition (MUGA) scanning.
  • Use of theophylline within 14 days of the first dose of study medication.
  • Current use of warfarin ≥4 mg per day; however, low molecular weight heparin and prophylactic low-dose warfarin are permitted, if PT/PTT < 1.2 x ULN.
  • Concurrent condition that in the Investigator's opinion would jeopardize the subject's ability to comply with the protocol.
  • History of allergic reactions attributed to compounds of similar chemical composition to GSK690693.
  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: NCT00666081

Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials GlaxoSmithKline
  More Information

No publications provided

Responsible Party: Study Director, GSK
ClinicalTrials.gov Identifier: NCT00666081     History of Changes
Other Study ID Numbers: AKT108169
Study First Received: April 22, 2008
Last Updated: December 18, 2008
Health Authority: United States: Food and Drug Administration
United States: Institutional Review Board

Keywords provided by GlaxoSmithKline:
Pazopanib, paclitaxel, carboplatin

Additional relevant MeSH terms:
Hematologic Neoplasms
Neoplasms by Site
Neoplasms
Hematologic Diseases

ClinicalTrials.gov processed this record on July 24, 2014