ABT-348 as Monotherapy or Combination With Carboplatin or Docetaxel to Treat Advanced Solid Tumors
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Purpose
The purpose of this study is to determine the safety, pharmacokinetics and maximum tolerated dose of ABT-348 as monotherapy and when given in combination with carboplatin or docetaxel.
| Condition | Intervention | Phase |
|---|---|---|
|
Advanced Solid Tumors |
Drug: ABT-348 Drug: ABT-348 and carboplatin Drug: ABT-348 and docetaxel |
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 1 Study Evaluating the Safety and Pharmacokinetics of ABT-348 as Monotherapy, in Combination With Carboplatin or in Combination With Docetaxel in Subjects With Advanced Solid Tumors |
- Determine the safety profile (Adverse events by toxicity grade and relationship to study drug, serious adverse events, adverse events leading to discontinuation and relevant clinical laboratory abnormalities) of ABT-348 as monotherapy or in combination [ Time Frame: At each treatment visit ] [ Designated as safety issue: Yes ]
- Study the pharmacokinetic of ABT-348 [ Time Frame: At study visits ] [ Designated as safety issue: No ]
- Dose limiting toxicity determination [ Time Frame: At each treatment visit until dose-limiting toxicities observed ] [ Designated as safety issue: Yes ]
- Evaluate safety at the recommended Phase 2 dose (RPTD) and schedule of ABT-348 as monotherapy, when in combination with carboplatin or in combination with docetaxel. [ Time Frame: At RPTD treatment visit ] [ Designated as safety issue: Yes ]
- Evaluate preliminary efficacy data regarding objective response rate (ORR), time to progression (TTP), duration of overall response, and ECOG performance status of ABT-348 as monotherapy, when in combination with carboplatin or docetaxel. [ Time Frame: At each treatment visit ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 120 |
| Study Start Date: | March 2010 |
| Estimated Study Completion Date: | September 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Monotherapy, once daily |
Drug: ABT-348
An oral dose of ABT-348, once daily on Day 1, Day 8, and Day 15 of each 28 day cycle.
|
| Experimental: Combination with carboplatin |
Drug: ABT-348 and carboplatin
An oral dose of ABT-348 will begin in Cycle 2on Day 1 and Day 8; and an IV dose of carboplatin (AUC 5.0) on Day 1 of each 21-day cycle.
|
| Experimental: Combination with docetaxel |
Drug: ABT-348 and docetaxel
ABT-348 dosing will begin in Cycle 2. An oral dose of ABT-348 on Day 1 and Day 8; and an IV dose of docetaxel (75 mg/m2) on Day 1 of each 21-day cycle.
|
| Experimental: Monotherapy, twice daily |
Drug: ABT-348
An oral dose of ABT-348, twice daily on Day 1, Day 8, and Day 15 of each 28 day cycle
|
| Experimental: IV Monotherapy, once daily |
Drug: ABT-348
An IV administration of ABT-348 two hour infusion on Day 1, Day 8 and Day 15 of each 28 day cycle.
|
Detailed Description:
The primary purpose of this study is to determine the safety, pharmacokinetics and maximum tolerated dose of ABT-348 as monotherapy and when given in combination with carboplatin or docetaxel. The secondary purpose of this study is to evaluate safety at the recommended Phase 2 dose and evaluate preliminary efficacy data regarding objective response rate time to progression, duration of overall response, and ECOG performance status of ABT-348 as monotherapy and when given in combination with carboplatin or docetaxel.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Histological confirmation of locally advanced or metastatic solid tumor.
- That is either refractory after standard of care therapy for the disease for which standard of care therapy is not reliably effective or does not exists, or
- For which carboplatin has been determined to be an appropriate therapy, per the investigator, or
- For which docetaxel has been determined to be an appropriate therapy, per the investigator.
- Eastern Cooperative Oncology Group Status of 0-2
- Serum creatinine value of ≤ 1.5 times the upper limit of normal (ULN) and either an estimated creatinine clearance value as determined by the Cockcroft-Gault formula or based on a 24 hour urine collection creatinine clearance value of ≥ 50 mL/min
- Adequate liver function as demonstrated by serum bilirubin < 2 x ULN and AST and ALT ≤ 2.5 x ULN
- Adequate bone marrow as demonstrated by absolute neutrophil count (ANC) ≥ 1,500/mm2 (1.5 x 109/L); Platelets ≥ 100,000/mm2 (100 x 109/L); Hemoglobin ≥ 9.0 g/dL (1.4 mmol/L)
- QTc interval < 500 msec
- Left Ventricular Ejection Fraction > 50%
- Women of child-bearing potential and men must agree to use adequate contraception (one of the following listed below) prior to the study entry, for the duration of study participation and up to 3 months following completion of therapy.
- Capable of understanding and complying with parameters as outlined in the protocol and able to sign informed consent, approved by an Institutional Review Board (IRB) prior to the initiation of any screening or study-specific procedures.
Exclusion Criteria:
- Subject has known active CNS involvement. The subject has untreated brain or meningeal metastases.
- Subject has received anti-cancer therapy within a period of 21 days or 5 half lives (whichever is shorter) prior to Study Day 1
- Subject has unresolved toxicities from prior anti-cancer therapy, grade 2 or higher clinically significant toxicity (excluding alopecia)
- Subject has had major surgery within 28 days prior to Study Day 1
- Subject currently exhibits symptomatic or persistent, uncontrolled hypertension defined as diastolic blood pressure > 90 mmHg or systolic blood pressure > 140 mmHg
- Subject has proteinuria grade > 1
- Subject is receiving therapeut ic anticoagulation therapy. Low dose anti coagulation (e.g., low dose heparin or warfarin) for catheter prophylaxis will be permitted.
- Clinically significant uncontrolled condition(s)
- Psychiatric illness/social situation that would limit compliance with study requirements
- Subject has a known infection with HIV, Hepatitis B or Hepatitis C
- Subject with poorly controlled diabetes mellitus
- Subject enrolled in Arm A, B, C and D is unable to swallow or absorb oral tablets normally
- Any medical condition which in the opinion of the study investigator places the subject at an unacceptably high risk for toxicities
- Female subjects who are lactating or pregnant
- Subject enrolled in Arm E has hypersensitivity to drugs formulated with polyethoxylated castor oli (Cremophor)
Contacts and Locations| Contact: Brian Oliver, BS | 1-866-4228-662/1-866-4ABT-ONC | brian.oliver@abbvie.com |
| Contact: Patty Hintzman | 1-866-4228-662/1-866-4ABT-ONC | patty.hintzman@abbvie.com |
| United States, Illinois | |
| Site Reference ID/Investigator# 26525 | Recruiting |
| Chicago, Illinois, United States, 60637 | |
| Principal Investigator: Site Reference ID/Investigator# 26525 | |
| United States, Texas | |
| Site Reference ID/Investigator# 26524 | Recruiting |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: Site Reference ID/Investigator# 26524 | |
| Study Director: | Gary Gordon, MD | AbbVie |
More Information
No publications provided
| Responsible Party: | AbbVie ( AbbVie (prior sponsor, Abbott) ) |
| ClinicalTrials.gov Identifier: | NCT01110486 History of Changes |
| Other Study ID Numbers: | M10-944 |
| Study First Received: | March 26, 2010 |
| Last Updated: | March 28, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Neoplasms Docetaxel Carboplatin |
Antineoplastic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 23, 2013