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Study of the Safety and Tolerability of Oral Capsule Form of PCI-24781 in Advanced Cancer Patients
This study is currently recruiting participants.
Study NCT00562224   Information provided by Pharmacyclics
First Received: November 19, 2007   Last Updated: May 12, 2009   History of Changes

November 19, 2007
May 12, 2009
November 2007
June 2009   (final data collection date for primary outcome measure)
Dose limiting toxicity assessment at the end of the first 28 day cycle. [ Time Frame: at the end of the first 28 day cycle ] [ Designated as safety issue: Yes ]
Dose limiting toxicity assessment at the end of the first 28 day cycle. [ Time Frame: at the end of the first 28 day cycle ]
Complete list of historical versions of study NCT00562224 on ClinicalTrials.gov Archive Site
Measure: Adverse event assessed through 30 days after last dose of study drug Measure: Tumor response Measure: Pharmacokinetic/Pharmacodynamic assessments [ Time Frame: AE through 30 days after last dose of study drug, Tumor response at the end of every 2nd 28 day cycle, PK/PD assessments on Day 1, 2, 3 (or 4 or 5), and Day 8 of cycle 1 ] [ Designated as safety issue: Yes ]
Measure: Adverse event assessed through 30 days after last dose of study drug Measure: Tumor response Measure: Pharmacokinetic/Pharmacodynamic assessments [ Time Frame: AE through 30 days after last dose of study drug, Tumor response at the end of every 2nd 28 day cycle, PK/PD assessments on Day 1, 2, 3 (or 4 or 5), and Day 8 of cycle 1 ]
 
Study of the Safety and Tolerability of Oral Capsule Form of PCI-24781 in Advanced Cancer Patients
Phase I Dose-Escalation Study of the Safety, Pharmacokinetics, and Pharmacodynamics of PCI-24781 Administered Orally in Patients With Advanced Cancer

To determine the highest dose of study drug that can be taken without causing serious side effects in patients with advanced cancer. The study will look at safety of the study drug and whether the treatment schedule is tolerated by patients.

 
Phase I
Interventional
Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety Study
  • Neoplasms by Site
  • Lymphoma, Non-Hodgkin
  • Hodgkin Disease
  • Multiple Myeloma
  • Leukemia, Lymphocytic, Chronic
Drug: PCI-24781
Experimental: All study subjects will receive PCI-24781 (study drug).
Buggy JJ, Cao ZA, Bass KE, Verner E, Balasubramanian S, Liu L, Schultz BE, Young PR, Dalrymple SA. CRA-024781: a novel synthetic inhibitor of histone deacetylase enzymes with antitumor activity in vitro and in vivo. Mol Cancer Ther. 2006 May;5(5):1309-17.

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
36
September 2009
June 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • age ≥ 18 years
  • Histologically confirmed, measurable solid tumor, non-Hodgkin's lymphoma, Hodgkin's disease, chronic lymphocytic leukemia, or multiple myeloma that has relapsed after standard therapy or for which no standard therapy exists
  • Ability to swallow oral capsules without difficulty
  • Estimated life expectancy > 12 weeks
  • ECOG performance status ≤ 2
  • Creatinine ≤ 1.5 × institutional upper limit of normal (ULN)
  • Total bilirubin ≤ 1.5 × institutional ULN (unless elevated from documented Gilbert's syndrome)
  • AST and ALT ≤ 2.5 × institutional ULN (≤ 5 × institutional ULN in the presence of liver metastases)
  • Platelet count ≥ 100,000/µL
  • ANC ≥ 1500/µL
  • Hgb ≥ 9.0 g/dL
  • Patients with previously treated, stable, asymptomatic brain metastases who are not on corticosteroids are eligible
  • Willing and able to sign a written informed consent-

Exclusion Criteria:

  • Patients who have had immunotherapy, chemotherapy, or radiotherapy within 4 weeks (within 6 weeks for nitrosoureas or mitomycin C) prior to first day of drug dosing
  • Patients who have undergone major surgery within 4 weeks prior to first day of drug dosing
  • Patients who have received another investigational drug within 4 weeks
  • Evidence of leptomeningeal metastasis
  • Patients unable to swallow oral medications or with pre-existing gastrointestinal disorders that might interfere with proper absorption of the oral drugs (eg, WDHA syndrome, carcinoid syndromes, diarrhea due to infections, malabsorption syndromes secondary to surgery or chemotherapy)
  • Uncontrolled illness including but not limited to: ongoing or active infection, symptomatic congestive heart failure (New York Heart Association Class III or IV heart failure), unstable angina pectoris, cardiac arrhythmia, and psychiatric illness that would limit compliance with study requirements
  • Patients with risk factors for, or who are receiving medications known to prolong QTc interval and that may be associated with Torsades de Pointes
  • QTc prolongation (defined as a QTc interval ≥ 450 msecs) or other significant ECG abnormalities including 2nd degree AV block type II, 3rd degree AV block, or bradycardia (ventricular rate less than 50 beats/min).
  • History of myocardial infarction, acute coronary syndromes (including unstable angina), coronary angioplasty and/or stenting within the past 6 months.
  • Patients with known HIV infection
  • Pregnant or lactating women (female patients of child-bearing potential must have a negative serum pregnancy test within 14 days of first day of drug dosing, or, if positive, a pregnancy ruled out by ultrasound)
Both
18 Years and older
No
Contact: Martha Guerra, BA, RN 408-215-3455 mguerra@pcyc.com
Contact: Nancy Szakacs, BS, MBA 408-774-3329 nszakacs@pcyc.com
United States
 
NCT00562224
Ahmed Hamdy, MD, Pharmacyclics
PCYC-0402
Pharmacyclics
 
Principal Investigator: Samir Undevia, MD University of Chicago
Pharmacyclics
May 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP