Study of PX-866 and Docetaxel in Solid Tumors
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
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 |
- Progression Free Survival [ Time Frame: 42 days ] [ Designated as safety issue: No ]
- 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 |
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
Hide Study 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 | |
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