A Phase 1 Study of CC-486 as a Single Agent and in Combination With Carboplatin or ABI-007 in Subjects With Relapsed or Refractory Solid Tumors

This study is currently recruiting participants.
Verified May 2013 by Celgene Corporation
Sponsor:
Information provided by (Responsible Party):
Celgene Corporation
ClinicalTrials.gov Identifier:
NCT01478685
First received: November 21, 2011
Last updated: May 10, 2013
Last verified: May 2013
  Purpose

The purpose of the study is to evaluate the safety and to define the Maximal Tolerated Dose (MTD) or the Maximal Administered Dose (MAD) of oral azacitidine as a single agent and in combination with carboplatin (CBDCA) or paclitaxel protein bound particles (ABI-007,ABX) in subjects with relapsed or refractory solid tumors.


Condition Intervention Phase
Relapsed or Refractory Solid Tumors
Drug: CC-486 plus Carboplatin
Drug: CC-486 plus ABI-007
Drug: CC-486
Phase 1

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase 1 Study of CC-486 as a Single Agent and in Combination With Carboplatin or ABI-007 in Subjects With Relapsed or Refractory Solid Tumors

Resource links provided by NLM:


Further study details as provided by Celgene Corporation:

Primary Outcome Measures:
  • Adverse Events [ Time Frame: Up to 2 years ] [ Designated as safety issue: Yes ]
    Number of participants with adverse events using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) criteria, Version 4.0.


Secondary Outcome Measures:
  • Cmax [ Time Frame: Up to 30 days ] [ Designated as safety issue: No ]
    Maximum observed concentration in plasma (Cmax)

  • AUC [ Time Frame: Up to 30 days ] [ Designated as safety issue: No ]
    Area under the concentration-time curve (AUC)

  • Tmax [ Time Frame: Up to 30 days ] [ Designated as safety issue: No ]
    Time to maximum concentration (tmax);

  • T1/2 [ Time Frame: Up to 30 days ] [ Designated as safety issue: No ]
    Terminal half-life (t1/2)

  • CL/F [ Time Frame: Up to 30 days ] [ Designated as safety issue: No ]
    Apparent total body clearance (CL/F)

  • Vz/F [ Time Frame: Up to 30 days ] [ Designated as safety issue: No ]
    Apparent volume of distribution (Vz/F).

  • DNA Methylation [ Time Frame: Up to 30 days ] [ Designated as safety issue: No ]
    Change from baseline (Cycle 1 Day 1 pre-dose) in DNA methylation (global and gene-specific assays) in whole blood and tumor tissue (as available in Part 1)

  • DNMT1 protein levels [ Time Frame: Up to 30 days ] [ Designated as safety issue: No ]
    Reduction from baseline (Cycle 1 Day 1 predose) in DNMT1 protein levels in tumor tissue (as available in Part 1)

  • Tumor Response Rate [ Time Frame: Up to 2 years ] [ Designated as safety issue: No ]
    Tumor response rate

  • Number of participants who survive without disease progression [ Time Frame: Up to 2 years ] [ Designated as safety issue: No ]
    Number of participants who survive without disease progression


Estimated Enrollment: 160
Study Start Date: November 2011
Estimated Study Completion Date: January 2014
Estimated Primary Completion Date: November 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Arm A: CC-486 plus Carboplatin Drug: CC-486 plus Carboplatin

CC-486 will be administered at doses between 100-300 mg daily for either 14 or 21 days depending on tolerability

Carboplatin will be given on Day 1 of every 21 Days at a dosage of AUC x4

Experimental: Arm B: CC-486 plus ABI-007 Drug: CC-486 plus ABI-007

CC-486 will be administered at doses between 100-300 mg daily for either 14 or 21 days depending on tolerability

ABI-007 will be administered on two of every three weeks at a dosage of 100 mg/m2

Experimental: Arm C: CC-486 Drug: CC-486
CC-486 will be administered at doses between 100-300 mg daily for either 14 or 21 days depending on tolerability

  Eligibility

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

Inclusion Criteria:

  1. Men and women, 18 years or older at the time of signing the Informed Consent Document (ICD).
  2. Understand and voluntarily sign an ICD prior to any study-related assessments or procedures are conducted.
  3. Able to adhere to the study visit schedule and other protocol requirements.
  4. With histological or cytological confirmation of advanced unresectable solid tumors, including those who have progressed on (or not been able to tolerate) standard anticancer therapy, or for whom no other effective therapy exists, or for who declines standard therapy.
  5. Consent to screening tumor biopsy (for accessible tumors when appropriate [optional in Part 1, mandatory in Part 2]).
  6. Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 2.
  7. The following laboratory values:

    • Absolute neutrophil count (ANC) ≥ 1.5 X 10^9/L
    • Hemoglobin (Hgb) ≥90 g/L
    • Platelets (plt) ≥ 100 x 10^9/L
    • Potassium within normal range, or correctable with supplements;
    • AST and ALT ≤2.5 x Upper Limit Normal (ULN) or ≤5.0 x ULN if liver tumor is present;
    • Serum total bilirubin ≤ 1.5 x ULN
    • Serum creatinine ≤ 1.5 x ULN, or 24-hr clearance ≥ 60ml/min; and
    • Negative serum pregnancy test within 7 days before starting study treatment in females of childbearing potential (FCBP)
  8. Part 2 only: Measureable tumor (types to be determined during Part 1)
  9. Females of child-bearing potential {defined as a sexually mature women who

    • has not undergone a hysterectomy (the surgical removal of the uterus) or bilateral oophorectomy (the surgical removal of both ovaries) or,
    • has not been naturally postmenopausal for at least 24 consecutive months (i.e., has had menses at any time during the preceding 24 consecutive months} must

      • agree to the use of a physician- approved contraceptive method (oral, injectable, or implantable hormonal contraceptive ; tubal ligation; intra-uterine device; barrier contraceptive with spermicide; or vasectomized partner) while on oral azacitidine and for 3 months following the last dose of study medication; and
      • have a negative serum pregnancy test during screening
  10. Male subjects with female partner of childbearing potential must agree to the use of a physician-approved contraceptive method throughout the course of the study to avoid fathering a child during the course of the study and for 6 months following the last dose of oral azacitidine.

Exclusion Criteria:

  1. Any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study.
  2. Any condition, including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study.
  3. Any condition that confounds the ability to interpret data from the study.
  4. Symptomatic central nervous system metastases. Subjects with brain metastases that have been previously treated and are stable for 6 weeks are allowed.
  5. Known acute or chronic pancreatitis.
  6. Any peripheral neuropathy ≥ NCI CTCAE grade 2.
  7. Persistent diarrhea or malabsorption ≥ NCI CTCAE grade 2, despite medical management.
  8. Impaired ability to swallow oral medication.
  9. Unstable angina, significant cardiac arrythmia, or New York Heart Association (NYHA) class 3 or 4 congestive heart failure.
  10. Prior systemic cancer-directed treatments or investigational modalities ≤ 5 half lives or 4 weeks, whichever is shorter, prior to starting study drug or who have not recovered from side effects of such therapy. (except alopecia).
  11. Major surgery ≤ 2 weeks prior to starting a study drug or who have not recovered from side effects of such therapy.
  12. Pregnant or breast feeding.
  13. Known Human Immunodeficiency Virus (HIV) infection.
  14. Known chronic hepatitis B or C virus (HBV/HCV) infection, unless this is a comorbidity in subjects with HCV.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01478685

Contacts
Contact: Associate Director, Clinical Trial Disclosure 1-888-260-1599 clinicaltrialdisclosure@celgene.com

Locations
United States, Arizona
Virginia G. Piper Cancer Center at Scottsdale Healthcare Recruiting
Scottsdale, Arizona, United States, 85258
United States, California
UCSF-Helen Diller Family Comprehensive Cancer Care Center Recruiting
San Francisco, California, United States, 94115
United States, Indiana
Indiana University Recruiting
Indianapolis, Indiana, United States, 46202
United States, Michigan
Karmanos Cancer Institute Recruiting
Detroit, Michigan, United States, 48201-2014
United States, South Carolina
Greenville Hospital System, Institute for Translational Oncology Research Recruiting
Greenville, South Carolina, United States, 29605
United States, Tennessee
Sarah Cannon Research - Drug Development Unit Recruiting
Nashville, Tennessee, United States, 37203
United States, Texas
START Recruiting
San Antonio, Texas, United States, 78229
France
Centre Georges-François Leclerc Recruiting
Dijon, France, 21079
Institut Curie Recruiting
Paris, France, 75005
Netherlands
Stichting Het Nederlands Kanker Instituut - Antoni van Leeuwenhoek Ziekenhuis Recruiting
Amsterdam, Netherlands, 1066
Erasmus MC Recruiting
Rotterdam, Netherlands, 3015
Spain
Hospital Universitario 12 de Octubre Recruiting
Madrid, Spain, 28041
Hospital General Universitario Gregorio Marañón Recruiting
Madrid, Spain, 28009
Sponsors and Collaborators
Celgene Corporation
Investigators
Study Director: Jorge F. DiMartino, M.D., Ph.D Celgene Corporation
  More Information

No publications provided

Responsible Party: Celgene Corporation
ClinicalTrials.gov Identifier: NCT01478685     History of Changes
Other Study ID Numbers: AZA-ST-001
Study First Received: November 21, 2011
Last Updated: May 10, 2013
Health Authority: United States: Food and Drug Administration

Keywords provided by Celgene Corporation:
Relapsed or Refractory Solid Tumors

Additional relevant MeSH terms:
Neoplasms
Carboplatin
Paclitaxel
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents, Phytogenic

ClinicalTrials.gov processed this record on April 17, 2014