Study of PX-866 and Docetaxel in Solid Tumors

This study is currently recruiting participants.
Verified December 2012 by Oncothyreon Inc.
Sponsor:
Information provided by (Responsible Party):
Oncothyreon Inc.
ClinicalTrials.gov Identifier:
NCT01204099
First received: September 15, 2010
Last updated: December 20, 2012
Last verified: December 2012
  Purpose

Phase 1: To determine the maximally tolerated dose (MTD) or recommended dose (RD) and any potential efficacy of PX-866 in combination with docetaxel in patients with solid tumors.

Phase 2: To determine the antitumor activity and safety of PX-866 in combination with docetaxel versus docetaxel alone in patients with NSCLC or SCCHN.


Condition Intervention Phase
Non Small Cell Lung Cancer (NSCLC)
Squamous Cell Carcinoma of the Head and Neck (SCCHN)
Drug: Docetaxel
Drug: PX-866 and Docetaxel
Phase 1
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Phase 1/2 Study of PX-866 and Docetaxel in Patients With Solid Tumors

Resource links provided by NLM:


Further study details as provided by Oncothyreon Inc.:

Primary Outcome Measures:
  • Progression Free Survival [ Time Frame: 42 days ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Objective response rate (ORR) [ Time Frame: 42 days ] [ Designated as safety issue: No ]
  • Incidence and severity of adverse events [ Time Frame: 42 days ] [ Designated as safety issue: Yes ]
  • Overall survival [ Time Frame: 42 days ] [ Designated as safety issue: No ]

Estimated Enrollment: 206
Study Start Date: September 2010
Estimated Study Completion Date: February 2013
Estimated Primary Completion Date: December 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Docetaxel (NSCLC)
IV docetaxel administered once every three weeks as per standard of care. Treatment continues until disease progression, unacceptable toxicity or withdrawal of consent.
Drug: Docetaxel
Other Name: taxotere
Experimental: PX-866 and Docetaxel (NSCLC)
Oral PX-866 administered daily at the RD in combination with IV docetaxel administered once every three weeks on a 21 day cycle. Treatment continues until disease progression, unacceptable toxicity or withdrawal of consent.
Drug: PX-866 and Docetaxel
Active Comparator: Docetaxel (SCCHN)
IV docetaxel administered once every three weeks as per standard of care. Treatment continues until disease progression, unacceptable toxicity or withdrawal of consent.
Drug: Docetaxel
Other Name: taxotere
Experimental: PX-866 and Docetaxel (SCCHN)
Oral PX-866, administered daily at the RD in combination with IV docetaxel administered once every three weeks on a 21 day cycle. Treatment continues until disease progression, unacceptable toxicity or withdrawal of consent.
Drug: PX-866 and Docetaxel

Detailed Description:

This is a Phase 1/2 open-label study. In the Phase 1 part of the study, PX-866 was given in combination with docetaxel to patients with incurable locally advanced, recurrent or metastatic cancer.

Phase 2 of the study is an open-label, randomized evaluation of the antitumor activity and safety of PX-866, administered at the MTD/RD identified in Phase 1 (8mg daily), in combination with docetaxel versus docetaxel alone in patients with locally advanced, recurrent, or metastatic NSCLC (Group 1) or patients with locally advanced, recurrent, or metastatic SCCHN (Group 2).

Group 1 (patients with locally advanced, recurrent, or metastatic NSCLC) is now closed to enrollment.

All treatments will be administered on a 21-day cycle. Docetaxel 75 mg/m2 will be administered IV on Day 1 of each 21-day cycle. PX-866 will be administered orally or via PEG tube (if applicable) once per day on Days 1 to 21 of all treatment cycles in patients randomized to the treatment arm containing PX-866.

Patients will be evaluated for progression approximately every 6 weeks. Patients with stable disease (SD) or better, per investigator assessment, will receive repeat cycles of treatment on a 21-day schedule until disease progression, unacceptable toxicity or withdrawal of consent.

  Eligibility

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

Inclusion Criteria:

  • At least 18 years at time of consent
  • Agrees to use a medically accepted form of contraception from the time of consent to completion of all follow up study visits
  • If female of child bearing potential, negative pregnancy test (not required for post menopausal females)
  • Signed an informed consent document that has been approved by an institutional review board or independent ethics committee (IRB/IEC)
  • Has either locally advanced, recurrent, or metastatic NSCLC for which they have received at least 1 and no more than 2 prior systemic treatment regimens that may include up to 1 platinum based chemotherapy regimen and/or an epidermal growth factor receptor (EGFR) inhibitor OR locally advanced, recurrent or metastatic SCCHN for which they have received at least one and no more than two prior systemic treatment regimens.
  • Measurable disease per Response Evaluation Criteria In Solid Tumors
  • Eastern Cooperative Oncology Group (ECOG) 0 or 1
  • In the opinion of the clinical investigator, life expectancy >3 months
  • Adequate hematologic function as defined by:

    • Hemoglobin ≥ 9 g/dL
    • Absolute neutrophil count (ANC) ≥1500 cells/µL
    • Platelets ≥100,000/µL
  • Adequate hepatic function as defined by the following:

    • Bilirubin ≤ ULN
    • Aspartate aminotransaminase (AST/SGOT) and alanine aminotransferase (ALT/SGPT) ≤1.5 x upper limit of normal (ULN)
  • Creatinine level ≤1.5 x ULN

Exclusion Criteria:

  • Has medical, social, or psychosocial factors that, in the opinion of the investigator, could impact safety or compliance with study procedures
  • Is breastfeeding
  • Treatment with any systemic chemotherapy, epidermal growth factor receptor (EGFR) inhibitor, radiation or experimental agent within 4 weeks of study drug dosing. Washout period following palliative radiation should be discussed with the study medical monitor
  • Previous treatment with docetaxel except for patients in Phase 2 who received a docetaxel containing regimen as part of adjuvant or neoadjuvant therapy which was completed at least 6 months prior to study drug dosing
  • Previous treatment with a phosphatidylinositol 3 kinase (PI 3K) inhibitor
  • Known human immunodeficiency virus (HIV)
  • Known or suspected clinically active brain metastases. Previously treated and stable brain metastases are allowable. Stable brain metastases are defined as no change on CT scan or MRI for minimum of two months AND no change in steroid dose for a minimum of four weeks, unless change due to intercurrent infection or other acute event
  • Grade >2 peripheral neuropathy, as defined by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), Version 4.02
  • Any other significant medical or psychiatric condition that in the opinion of the investigator renders the patient inadequate for participation
  • History of severe hypersensitivity reactions to docetaxel or to other drugs formulated with polysorbate
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01204099

  Hide Study Locations
Locations
United States, Alabama
University of Alabama at Birmingham Recruiting
Birmingham, Alabama, United States, 35294
Contact: Dayle Craig     205-975-8080     dayle.craig@ccc.uab.edu    
Principal Investigator: Lisle M Nabell, MD            
United States, California
Southwest Cancer Care Recruiting
Escondido, California, United States, 92025
Contact: Mona Bilawa     760-737-2666     mhbilawa@swcancer.com    
Principal Investigator: Michael A Kosmo, MD            
Marin Cancer Care, Inc. Withdrawn
Greenbrae, California, United States, 94904
Bay Area Cancer Research Group, LLC Recruiting
Pleasant Hill, California, United States, 94523
Contact: Kaimiala Cardines     925-676-3200 ext 108     kcardines@bacrg.com    
Principal Investigator: Robert Robels, MD            
Principal Investigator: Ostap Melnyk, MD            
United States, Colorado
University of Colorado Cancer Center Recruiting
Aurora, Colorado, United States, 80045
Contact: Morgan Pittman     720-848-0442     morgan.pittman@ucdenver.edu    
Principal Investigator: Antonio Jimeno, MD            
Eastern Colorado Health Care System - Denver VA Recruiting
Denver, Colorado, United States, 80220
Contact: Jennifer Weisshaupt     303-399-8020 ext 3865     Jennifer.Weisshaupt@UCDenver.edu    
Principal Investigator: Daniel Bowles, MD            
United States, Florida
Cancer Center of Pasco-Pinellas Recruiting
Holiday, Florida, United States, 34619
Contact: Debbie Kisko     727-849-8036     dkisko@tampabay.rr.com    
Principal Investigator: Roberto Araujo, MD            
United States, Kansas
Cancer Center of Kansas Recruiting
Wichita, Kansas, United States, 67214
Contact: Patricia Stone     316-613-4313     pat.stone@cancercenterofkansas.com    
Principal Investigator: Shaker R Dakhil, MD            
United States, Maryland
John Hopkins University Recruiting
Baltimore, Maryland, United States, 21231
Contact: Melinda Downs     410-955-5096     Mhalter1@jhmi.edu    
Principal Investigator: Charles Rudin, MD            
United States, Missouri
Washington University Recruiting
St. Louis, Missouri, United States, 63110
Contact: Jessica Ley     314-747-8092     jley@dom.wustl.edu    
Principal Investigator: Douglas Adkins, MD            
United States, New Mexico
New Mexico Cancer Care Alliance Recruiting
Albuquerque, New Mexico, United States, 87131
Contact: Barbara Kraft     505-925-0380     bakraft@salud.unm.edu    
Principal Investigator: Fa-Chyi Lee, MD            
United States, New York
Montefiore Medical Center Recruiting
Bronx, New York, United States, 10467
Contact: Srikanth Gajavelli     718-920-6193     sgajavel@montefiore.org    
Principal Investigator: Missak Haigentz Jr., MD            
Bronx Lebanon Hospital Withdrawn
Bronx, New York, United States, 10457
Roswell Park Cancer Institute Recruiting
Buffalo, New York, United States, 14263
Contact: Mary Ellen Ross     716-845-1439     MaryEllen.Ross@RoswellPark.org    
Principal Investigator: Yujie Zhao, MD            
New York Oncology, Hematology Recruiting
Latham, New York, United States, 12110
Contact: Kathy Disisto     518-786-3125     kathy.disisto@usoncology.com    
Principal Investigator: Charles H Weissman, MD            
Beth Israel Hospital Recruiting
New York, New York, United States, 10003
Contact: Damien Francois, MS, CCRC     212-367-1740     DFrancoi@chpnet.org    
Principal Investigator: Benjamin Levy, MD            
Columbia University Medical Center Recruiting
New York, New York, United States, 10032
Contact: Shumaila Saad, MD     212-305-0787     ss3967@columbia.edu    
Principal Investigator: Halmos Balazs, MD            
New York University Medical Center Recruiting
New York, New York, United States, 10016
Contact: Audrey Sorenson     212-263-2562     audrey.sorensen@nyumc.org    
Principal Investigator: Nagashree Seetharamu, MD            
United States, Oregon
Kaiser Permanante Northwest Withdrawn
Portland, Oregon, United States, 97227
Northwest Cancer Specialists Recruiting
Tualatin, Oregon, United States, 97062
Contact: Donna Cunningham     503-885-5411     donna.cunningham@usoncology.com    
Principal Investigator: Ian D Schnadig, MD            
United States, Pennsylvania
University of Pennsylvania Recruiting
Philadelphia, Pennsylvania, United States, 19104
Contact: Mona Jacobs-Small     215-662-8632     Mona.Jacobs-Small@uphs.upenn.edu    
Principal Investigator: Tracey L Evans, MD            
University of Pittsburgh Medical Center Recruiting
Pittsburgh, Pennsylvania, United States, 15232
Contact: Jeanine Andrews, RN     412-623-8968     andrewsj2@upmc.edu    
Principal Investigator: Mark A Socinski, MD            
United States, South Carolina
Medical University of South Carolina Recruiting
Charleston, South Carolina, United States, 29425
Contact: Adam Fiebelkorn     843-792-6349     fiebelko@MUSC.edu    
Principal Investigator: Keisuke Shirai, MD            
United States, Texas
Texas Oncology - South Austin Recruiting
Austin, Texas, United States, 78745
Contact: Terri Bailey     512-447-2202     terri.bailey@usoncology.com    
Principal Investigator: James V.H. Uyeki, MD            
UT Southwestern Medical Center Withdrawn
Dallas, Texas, United States, 75390
Texas Oncology - Baylor Charles A. Sammons Cancer Center Recruiting
Dallas, Texas, United States, 75246
Contact: Marnie Fischer     214-370-1000     marnie.fisher@usoncology.com    
Principal Investigator: Eric Nadler, MD            
Mary Crowley Cancer Center Recruiting
Dallas, Texas, United States, 75201
Contact: Staci Horvath, CCRA     214-658-1937     SHorvath@marycrowley.org    
Principal Investigator: John Nemunaitis, MD            
United States, Virginia
Oncology and Hematology Associates of SW Virginia, DBA Blue Ridge Cancer Care Recruiting
Christiansburg, Virginia, United States, 24073
Contact: Sharon Lavoie     540-982-0237     shary.lavoie@usoncology.com    
Principal Investigator: Jerome H Goldschmidt, Jr., MD            
Virginia Cancer Specialists Recruiting
Fairfax, Virginia, United States, 22031
Contact: Stacy Banks II     703-280-5390     stacey.banks@usoncology.com    
Principal Investigator: Alexander Spira, MD            
Virginia Oncology Associates Recruiting
Newport News, Virginia, United States, 23606
Contact: Helen Clark     757-873-9400     helen.clark@usoncology.com    
Principal Investigator: John Paschold, MD            
United States, Washington
Columbia Basin Hematology & Oncology Recruiting
Kennewick, Washington, United States, 99336
Contact: Heather Johansen     509-783-4637 ext 1     hjohansen@cbho.org    
Principal Investigator: Thomas Rado, MD            
Medical Oncology Associates Recruiting
Spokane, Washington, United States, 99208
Contact: Diane Davis     509-462-2273     davisd@evergreen4cure.com    
Principal Investigator: Arvind Chaundry, MD            
Yakima Valley Memorial Hospital/North Star Lodge Recruiting
Yakima, Washington, United States, 98902
Contact: Beth Parker     509-574-3493     bethparker@yvmh.org    
Principal Investigator: Thomas E Boyd, MD            
Canada, Manitoba
Cancer Care Manitoba Recruiting
Winnipeg, Manitoba, Canada, R3E 0V9
Contact: Heidi Kampen     204-237-2128     Heidi.Kampen@cancercare.mb.ca    
Principal Investigator: Vallerie Gordon, MD            
Canada, Ontario
London Regional Cancer Program Recruiting
London, Ontario, Canada, N6A 4L6
Contact: Daniela Trapsa     519-685-8618     Daniela.Trapsa@lhsc.on.ca    
Principal Investigator: Eric Winquist, MD            
Canada, Quebec
Jewish General Hospital Recruiting
Montreal, Quebec, Canada, H3T1E2
Contact: Shirin Kazemi     514-340-8222 ext 4301     skazemi@jgh.mcgill.ca    
Principal Investigator: Wilson Miller, MD            
CHUS Hopital Fleurimont Recruiting
Sherbrooke, Quebec, Canada, J1H 5N4
Contact: Anick Champoux     819-346-1110 ext 16359     achampoux.chus@ssss.gouv.qc.ca    
Principal Investigator: Patrice Beauregard, MD            
Sponsors and Collaborators
Oncothyreon Inc.
  More Information

No publications provided

Responsible Party: Oncothyreon Inc.
ClinicalTrials.gov Identifier: NCT01204099     History of Changes
Other Study ID Numbers: PX-866-002
Study First Received: September 15, 2010
Last Updated: December 20, 2012
Health Authority: United States: Institutional Review Board
United States: Food and Drug Administration

Keywords provided by Oncothyreon Inc.:
PX-866
Non small cell lung cancer
solid tumors
Squamous cell cancer of the head and neck
docetaxel
NSCLC
taxotere
SCCHN
PI-3K
PI3 kinase
PI3K

Additional relevant MeSH terms:
Carcinoma
Carcinoma, Non-Small-Cell Lung
Carcinoma, Squamous Cell
Lung Neoplasms
Head and Neck Neoplasms
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms
Carcinoma, Bronchogenic
Bronchial Neoplasms
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Lung Diseases
Respiratory Tract Diseases
Neoplasms, Squamous Cell
Docetaxel
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on May 16, 2013