Study of Oral OSI-027 in Patients With Advanced Solid Tumors or Lymphoma
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Purpose
The primary objective of this study is to determine the maximum tolerated dose (MTD) and to establish the recommended phase 2 dose of oral OSI-027 when administered via 3 schedules, namely, intermittent, weekly, and continuous in patients with advanced solid tumors or lymphoma, namely, intermittent, weekly, and continuous.
| Condition | Intervention | Phase |
|---|---|---|
|
Any Solid Tumor or Lymphoma |
Drug: OSI-027 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase 1 Dose-escalation Study of Intermittent, Once Weekly, and Continuous Daily Oral OSI-027 Dosing in Patients With Advanced Solid Tumors or Lymphoma |
- Maximum tolerated dose [ Time Frame: 21 days ] [ Designated as safety issue: Yes ]
- Safety profile of OSI-027 [ Time Frame: up to 5 years ] [ Designated as safety issue: Yes ]
- Pharmacokinetic profile of OSI-027 [ Time Frame: up to 23 days ] [ Designated as safety issue: No ]
- Preliminary pharmacodynamic relationship with OSI-027 systemic exposure [ Time Frame: up to 23 days ] [ Designated as safety issue: No ]
- Preliminary antitumor activity of OSI-027 [ Time Frame: up to 5 years ] [ Designated as safety issue: No ]
| Enrollment: | 128 |
| Study Start Date: | June 2008 |
| Study Completion Date: | February 2013 |
| Primary Completion Date: | February 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Schedule 1
Once daily for 3 days every 7 days
|
Drug: OSI-027
Administered orally
|
|
Experimental: Schedule 2
Once weekly
|
Drug: OSI-027
Administered orally
|
|
Experimental: Schedule 3
Once daily
|
Drug: OSI-027
Administered orally
|
Detailed Description:
The study will open with Schedule 1 (S1, intermittent) with initiation of Schedule 2 (S2, weekly) and Schedule 3 (S3, continuous), which may occur in parallel after observation of clinically significant related dose limiting toxicity (DLT) in the S1 schedule. Dosing will be initiated on Day 1 with intermittent weekly dosing continuing for 21 days (1 Treatment Period). Expansion of Dose Escalation Cohorts may occur for S1 and S2 at the recommended phase 2 dose level(s) and a Biomarker Expansion Cohort may be opened in S1 and/or S2.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically or cytologically documented malignancy (solid tumor or lymphoma)
- Eastern Cooperative Oncology Group Performance Status (ECOG PS) ≤ 2
- Predicted life expectancy of at least 3 months
- Adequate hematopoietic and hepatic function, and normal renal function
- Fasting glucose <7mmol/L at baseline
- Left ventricular ejection fracture (LVEF) by Multiple gated acquisition scan (MUGA)≥ 60%
- Practice effective contraceptive measures throughout study
- Verbal and written informed consent
Prior therapy:
- Chemotherapy, minimum of 3 weeks and recovered from any treatment-related toxicities (except for alopecia, and grade 1 neurotoxicity) prior to registration
- Hormonal, discontinued prior to registration
- Radiation, minimum of 21 days and recovered from toxic effects prior to registration
- Surgery, provided wound healing has occurred
Exclusion Criteria:
- History of significant cardiac disease unless well controlled
- Discontinuation from prior therapy due to cardiac toxicity
- Active or uncontrolled infections
- Serious illness or medical condition that could interfere with study participation
- History of any psychiatric condition that might impair understanding or compliance
- Documented history of diabetes mellitus
- Pregnant or breastfeeding females
- Unstable symptomatic brain metastases, that require steroid or that have required radiation in the last 28 days
- Chronic systemic steroid use for cancer related condition
- History of allergic reactions
- Patients with cataract who are expected to undergo surgery within 6 months of registration
- Use of drugs causing QT interval prolongation within 14 days prior to dosing
- Patients with clinically significant electrolyte imbalances
Contacts and Locations| United States, Michigan | |
| Karmanos Cancer Institute | |
| Detroit, Michigan, United States, 48201 | |
| Belgium | |
| University Hospitals Leuven | |
| Leuven, Belgium, 3000 | |
| United Kingdom | |
| Royal Mardsen Hospital | |
| Sutton, Surrey, United Kingdom, SM2 5PT | |
| Study Director: | Medical Monitor | Astellas Pharma Global Development |
More Information
No publications provided
| Responsible Party: | Astellas Pharma Inc |
| ClinicalTrials.gov Identifier: | NCT00698243 History of Changes |
| Other Study ID Numbers: | OSI-027-101, 2007-006158-25 |
| Study First Received: | June 13, 2008 |
| Last Updated: | April 11, 2013 |
| Health Authority: | United States: Food and Drug Administration United Kingdom: Medicines and Healthcare Products Regulatory Agency Belgium: Federal Agency for Medicinal Products and Health Products |
Keywords provided by Astellas Pharma Inc:
|
OSI-027 Solid tumor Lymphoma |
Additional relevant MeSH terms:
|
Lymphoma Neoplasms Neoplasms by Histologic Type Lymphoproliferative Disorders |
Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases |
ClinicalTrials.gov processed this record on May 19, 2013