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RDEA119 and Sorafenib Combination Dose Escalation Study
This study is currently recruiting participants.
Verified by Ardea Biosciences, Inc., January 2010
First Received: November 4, 2008   Last Updated: January 13, 2010   History of Changes
Sponsor: Ardea Biosciences, Inc.
Information provided by: Ardea Biosciences, Inc.
ClinicalTrials.gov Identifier: NCT00785226
  Purpose

Phase 1/2 dose escalation study to investigate the combination of RDEA119 and sorafenib in advanced cancer patients


Condition Intervention Phase
Advanced Cancer
Drug: RDEA119 and Sorafenib
Phase I
Phase II

Study Type: Interventional
Study Design: Treatment, Open Label, Single Group Assignment, Safety Study
Official Title: A Phase 1/2 Study of the Combination of RDEA119 and Sorafenib in Patients With Advanced Cancer

Resource links provided by NLM:


Further study details as provided by Ardea Biosciences, Inc.:

Primary Outcome Measures:
  • To evaluate the safety and tolerability of escalating continuous oral dosing of RDEA119 in combination with sorafenib in advanced cancer patients. [ Time Frame: 28 Days ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Determine PK and PD of drugs in combination, describe responses, correlate toxicity and response profiles to select biomarkers, and evaluate the safety and tolerability of the MTD of this combination in select tumors in Phase 2 portion. [ Time Frame: 28 days ] [ Designated as safety issue: No ]

Estimated Enrollment: 60
Study Start Date: October 2008
Estimated Study Completion Date: December 2010
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
RDEA119 with Sorafenib: Experimental Drug: RDEA119 and Sorafenib
Total daily doses of RDEA119 from 10 mg/day to 100 mg/day and sorafenib from 400 mg/day to 800 mg/day.

  Eligibility

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

Inclusion Criteria:

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
  • Histological or cytological confirmed diagnosis of a solid tumor which is unresectable and locally advanced, or metastatic in which no proven effective therapy exists or for patients who are intolerant to such therapy. Patients enrolled in the expanded MTD phase of the study must have either HCC or another select tumor type (melanoma, head and neck, colorectal, breast, or thyroid). In the non-HCC group, the tumor must be amenable to biopsy and the patient must be willing to consent to biopsy.
  • Life expectancy of > 3 months.
  • Evidence of measurable disease by RECIST criteria on computer assisted tomography (CT) or magnetic resonance imaging (MRI).
  • Normal/adequate swallowing capability, functional small bowel intact, and no malabsorption problems (in order to maximally quantify PK absorption characteristics).
  • Amylase and lipase < or equal to 2 x upper limit of normal (ULN).
  • Hemoglobin > or equal to 9 g/L.
  • ANC > or equal to 1,500/mm3.
  • Platelet count > or equal to 100,000/mm3.
  • Total bilirubin < or equal to 1.5 x ULN (For patients with HCC, refer to criterion number 14).
  • Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) < or equal to 2.5 x ULN (< or equal to 5 x ULN for patients with liver involvement).
  • PT-INR/PTT < or equal to 1.5 x ULN (Patients who are being prophylactically anti-coagulated with an agent such as coumadin or low molecular weight heparin (LMWH) or therapeutically anti-coagulated with LMWH will be allowed to participate provided that they meet these criteria; in addition, these patients must be monitored at appropriate intervals throughout the study).
  • Patients with HCC should have a Child-Pugh score of 5-6 (Class A).
  • Creatinine < or equal to 1.5 x ULN.
  • Patients must not be pregnant or breast-feeding, as chemotherapy is thought to present substantial risk to the fetus/infant. Men and women of reproductive potential may not participate in this study unless they have agreed to use an effective contraceptive method while on study.
  • No severe or uncontrolled intercurrent illness that in the opinion of the investigator would adversely impact the safety or efficacy of the treatment.
  • Ability to understand and willingness to sign a written informed consent form.
  • Patients must be within normal range cardiac function as measured by echocardiogram or multiple-gated acquisition (MUGA) scan.

Exclusion Criteria:

  • Previous treatment with sorafenib that required a dose reduction due to toxicity.
  • Previous treatment with RDEA119.
  • Patients who have had cytotoxic chemotherapy or radiotherapy within 4 weeks prior to entering the study, those who have not recovered from adverse events due to agents administered more than 4 weeks earlier, those who have concurrent use of cytotoxic chemotherapy not indicated in the study protocol, or those with use of any other investigational agents < 4 weeks from the first dose of the study drug.
  • Previous or concurrent cancer that is distinct in primary site or histology from the cancer being evaluated in the study except cervical carcinoma in situ, treated basal cell carcinoma, superficial bladder tumors [Ta, Tis & T1] or any cancer curatively treated > 3 years prior to study entry.
  • Swallowing dysfunction and/or malabsorption syndrome that would impair sorafenib and RDEA119 treatment.
  • Cardiac disease: Congestive heart failure > New York Heart Association (NYHA) Class 2. Patients must not have unstable angina or new onset angina (within the last 3 months) or myocardial infarction (MI) within the past 6 months.
  • Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy.
  • Known human immunodeficiency virus (HIV) infection.
  • Thrombotic or embolic events such as cerebrovascular accident including transient ischemic attacks within the past 6 months.
  • Evidence or history of bleeding diathesis or coagulopathy.
  • Major surgery, open biopsy or significant traumatic injury within 4 weeks of first dose of study drug.
  • The use of inhibitors or inducers of CYP3A4 and CYP2C19 enzymes, as well as the concurrent treatment with any of the agents listed in Section 3.7 of the protocol. These and other medications that are inhibitors and inducers of CYP3A4 and CYP2C19 should be discussed with the sponsor.
  • Patients with known hypersensitivity to any of the drugs or components given in this protocol.
  • Patients with abdominal fistula, gastrointestinal (GI) perforation, intra-abdominal abscess, or small bowel resection, any of which is within 6 months of study entry.
  • Patients with abdominal radiation resulting in chronic diarrhea.
  • Patients with documented central nervous system (CNS) metastasis who are not off steroids and other CNS therapies.
  • Evidence of uncontrolled active infections.
  • Other serious medical or psychiatric illness that would not permit the patient to be managed according to the protocol.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00785226

Contacts
Contact: Beth Sheedy 858.652.6604 bsheedy@ardeabio.com
Contact: Diane Leffingwell 858.652.6659 dleffingwell@ardeabio.com

Locations
United States, New York
Roswell Park Cancer Institute Recruiting
Buffalo, New York, United States, 14263
Contact     877-275-7724     askrpci@roswellpark.org    
United States, Pennsylvania
University of Pennsylvania Recruiting
Philadelphia, Pennsylvania, United States, 19104
Sponsors and Collaborators
Ardea Biosciences, Inc.
Investigators
Study Director: Neil Clendeninn, MD, PhD Ardea Biosciences, Inc.
  More Information

No publications provided

Responsible Party: Ardea Biosciences ( Kimberly Manhard, Sr. VP Regulatory Affairs and Operations )
Study ID Numbers: RDEA119-103
Study First Received: November 4, 2008
Last Updated: January 13, 2010
ClinicalTrials.gov Identifier: NCT00785226     History of Changes
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Neoplasms
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Enzyme Inhibitors
Protein Kinase Inhibitors
Sorafenib
Pharmacologic Actions

ClinicalTrials.gov processed this record on February 08, 2010