Phase I, Dose Escalation of SAR125844 in Asian Solid Tumor Patients (SARMETA)
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Purpose
Primary Objective:
In the dose escalation: to determine the maximum tolerated dose (MTD) of SAR125844.
In the expansion cohort: to evaluate the preliminary anti-tumoral effect of SAR125844.
Secondary Objectives:
To characterize and confirm the global safety profile of SAR125844 including cumulative toxicities.
To assess preliminary antitumor activity of SAR125844. To explore the pharmacodynamic effects (PDy) of SAR125844. To evaluate the pharmacokinetic profile of SAR125844. To explore the relationship of MET gene amplification status with anti-tumor effects.
To evaluate other pharmacodynamic biomarkers.
| Condition | Intervention | Phase |
|---|---|---|
|
Neoplasm Malignant |
Drug: SAR125844 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase I, Dose Escalation Study of Safety, Pharmacokinetic and Pharmaco-Dynamic of SAR125844 Administered Weekly as Intravenous Infusion in Asian Adult Patients With Advanced Malignant Solid Tumors |
- Dose escalation to determine the maximum tolerated dose (MTD) of SAR125844 [ Time Frame: At day 28 of Cycle 1 of each treated patient, DLT is assessed ] [ Designated as safety issue: Yes ]
- Expansion cohort to evaluate the preliminary anti-tumoral effect of SAR125844 [ Time Frame: Anticancer activity is assessed at day 28 and then every 8 weeks thereafter up to an expected maximum of 2 years ] [ Designated as safety issue: No ]
- Number of patients with treatment emergent events [ Time Frame: Up to a maximum of 2 years ] [ Designated as safety issue: Yes ]
- Assessment of PK parameter Cmax [ Time Frame: Up to a maximum of 2 years ] [ Designated as safety issue: No ]
- Assessment of PK parameter AUCs [ Time Frame: Up to a maximum of 2 years ] [ Designated as safety issue: No ]
- Assessment of PK parameter CL [ Time Frame: Up to a maximum of 2 years ] [ Designated as safety issue: No ]
- Assessment of PD parameter ShedMET [ Time Frame: Up to a maximum of 2 years ] [ Designated as safety issue: No ]
- Assessment of PD parameter HGF [ Time Frame: Up to a maximum of 2 years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 60 |
| Study Start Date: | September 2012 |
| Estimated Study Completion Date: | February 2016 |
| Estimated Primary Completion Date: | February 2016 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Dose escalation
SAR125844 will be administered as weekly IV infusion. Four weekly administrations are considered as 1 cycle. The starting dose is 260mg/m2.
|
Drug: SAR125844
Pharmaceutical form:Concentrate for solution Route of administration: intravenous |
Detailed Description:
For both cohorts, escalation and expansion, the duration of the study for one patient will include a period for inclusion of up to 3 weeks and a 4-week treatment cycle(s).The patient may continue treatment until disease progression, unacceptable toxicity or willingness to stop, followed by a minimum of 30-days follow-up.
If a patient treated in dose escalation part or in an expansion cohort, continues to benefit from the treatment at the time of Clinical Study Report, the patient can continue study treatment for a maximum of 1 year and will continue to undergo all assessments as per the study flowchart. Such patients will be followed at least until 30 days after the last IMP administration.
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion criteria:
- Solid tumor patients for whom no standard therapy is available and high total MET protein expression and/or MET gene amplification.
- At the recommended dose (expansion cohort): only patients with measurable disease and MET gene amplification.
Exclusion criteria:
- Patient less than 20 years old.
- ECOG performance status > 2.
- Poor bone marrow reserve as defined by absolute neutrophils count < 1.5 x 109/L or platelets < 100 x 109/L.
- Poor organ function as defined by one of the following:
- Total bilirubin > 1.5 x ULN
- AST, ALT, alkaline phosphatase >2.5 x ULN or > 5 x ULN in case of documented liver metastasis
- Serum creatinine > 1.5 x ULN, or serum creatinine between 1.0 and 1.5 x UNL associated with calculated creatinine clearance < 60 mL/min
- Proteinuria > 500mg/24h
- Pregnant or breast-feeding women. Sexually active (males and females) who do not agree to use medically acceptable methods of contraception during the course of the study and for 3 months following discontinuation of study drug. Female patients of childbearing potential must have a negative pregnancy test at screening.
- Known or symptomatic brain metastasis (other than totally resected or previously pre-irradiated and no progressive/relapsing) or lepto-meningeal carcinomatosis.
- No resolution of any specific toxicities (excluding alopecia) related to any prior anti- cancer -therapy to grade ≤ 1 according to the NCI CTCAE v.4.03.
- Wash out period of less than 3 weeks from previous antitumor therapy or any investigational treatment, (and less than 6 weeks in case of prior nitrozo-urea and or mitomycin C treatment).
- Any surgery with major risk of bleeding performed less than 10 days prior to study treatment administration.
- Any other severe underlying medical conditions, which could impair the ability to participate in the study.
- Patients treated with potent CYP3A inhibitor.
- Patients treated with CYP3A inducers.
- Known hypersensitivity or any adverse event related to the study drug excipient (Captisol®).
- Prior treatment with any MET inhibitor compound (selective or not).
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Contacts and Locations| Contact: For site information, send an email with site number to | Contact-Us@sanofi.com |
| Japan | |
| Investigational Site Number 392001 | Recruiting |
| Kashiwa-Shi, Japan | |
| Korea, Republic of | |
| Investigational Site Number 410001 | Recruiting |
| Seoul, Korea, Republic of, 110-744 | |
| Study Director: | Clinical Sciences & Operations | Sanofi |
More Information
No publications provided
| Responsible Party: | Sanofi |
| ClinicalTrials.gov Identifier: | NCT01657214 History of Changes |
| Other Study ID Numbers: | TED12337, U1111-1126-7527 |
| Study First Received: | July 24, 2012 |
| Last Updated: | February 19, 2013 |
| Health Authority: | Korea: Food and Drug Administration |
Additional relevant MeSH terms:
|
Neoplasms |
ClinicalTrials.gov processed this record on June 13, 2013