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Phase I Study of the Proteosome Inhibitor CEP 18770 in Patients With Solid Tumours or Non-Hodgkin's Lymphomas

This study has been completed.
Sponsor:
Information provided by:
Ethical Oncology Science
ClinicalTrials.gov Identifier:
NCT00572637
First received: December 12, 2007
Last updated: May 19, 2010
Last verified: May 2010
  Purpose

This Phase 1 escalating-dose study is designed to assess, the safety, tolerability, pharmacokinetics, and pharmacodynamics of the novel proteasome inhibitor CEP 18770, given intravenously as single agent, in patients with advanced, incurable solid tumours or NHL, and to identify the recommended dose of CEP 18770 to be used in Phase 2 studies.


Condition Intervention Phase
Solid Tumors
Lymphoma, Non-Hodgkin
Drug: CEP-18770
Phase 1

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: An Open-Label, Dose-escalation, Phase I Study to Determine the Maximum Tolerated Dose, Recommended Dose, Pharmacokinetics, and Pharmacodynamics of the Proteosome Inhibitor CEP 18770 Given Intravenously as Single Agent in Patients With Advanced Solid Tumours or Non-Hodgkin's Lymphomas

Resource links provided by NLM:


Further study details as provided by Ethical Oncology Science:

Primary Outcome Measures:
  • Dose Limiting Toxicities (DLT) and Maximum Tolerated Dose (MTD) of CEP 18770 [ Time Frame: Within the first 21-day cycle ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Pharmacokinetics of CEP-18770 following single and multiple dose administration. [ Time Frame: Within the first 21-day cycle ] [ Designated as safety issue: No ]
  • Profile and time course of inhibition and recovery of proteasome activity [ Time Frame: Within the first 21-day cycle ] [ Designated as safety issue: No ]
  • Antineoplastic activity evaluated with internationally accepted response criteria [ Time Frame: throughout the study period ] [ Designated as safety issue: No ]

Estimated Enrollment: 55
Study Start Date: November 2007
Study Completion Date: March 2010
Primary Completion Date: March 2010 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: CEP-18770
    Administered as intravenous infusion on days 1, 4, 8, and 11 of a 21-day cycle up to 6 cycles. Starting dose 0,1 mg/sqm
Detailed Description:

This is an open-label, multicenter, dose-escalating study to determine the MTD and dose limiting toxicities (DLTs) of CEP 18770, a novel proteasome inhibitor. The study will also characterize the pharmacokinetics and the pharmacokinetic/pharmacodynamic relationship of CEP 18770, and assess the safety and tolerability of CEP-18770 treatment as well as any effect on tumour response whenever possible.

Patients will be treated intravenously with CEP 18770 on days 1, 4, 8, and 11 of a 21-day cycle period. Additional cycles may be administered, up to 6, as long as patients are maintaining their performance status and appear to be receiving clinical benefit from the study.

Safety data will be collected for all patients in order to determine the toxicity and reversibility of toxicity of CEP 18770. Formal assessments will be performed throughout the study including at baseline, prior to each dose of study medication every week, and 30 days following the last dose of study drug. Patients with drug-related toxicities will continue to be reviewed until resolution or stabilization of the toxicity. Pharmacokinetic and pharmacodynamic parameters will also be assessed in each cohort of patients during cycle 1. Where applicable, tumour measurements will be documented and any observed anti-tumour activity will be evaluated.

The study will follow a conventional MTD design with patients recruited in cohorts of 3 patients, with criteria to expand to 6 patients. Enrolment for each cohort will begin when the required number of patients in the prior cohort have completed one 21-day cycle of study drug treatment at the current dose level without experiencing a DLT. Once the MTD has been determined, additional 10 patients will be treated at the MTD to further explore the toxicity of this dose, and its suitability for Phase II studies.

  Eligibility

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

Inclusion Criteria:

  • diagnosis of relapsed or refractory solid tumour or non-Hodgkin's lymphoma
  • unresponsive or poorly responsive to accepted treatment modalities
  • expected survival of at least 12 weeks
  • Eastern Cooperative Oncology Group (ECOG) performance score of 0 or 1
  • fully recovered from any prior surgical procedure(s) and from reversible side effects of prior therapy for cancer including radiation therapy, chemotherapy, and immunotherapy (exceptions: alopecia and grade 1 neurotoxicity).
  • al least 4 weeks from last cancer therapy (or 6 weeks from previous mitomycin C; 2 weeks from previous biological therapy; 8 weeks from previous bevacizumab)
  • no more than 3 previous chemotherapies for advanced disease (excluding TKIs)
  • good health as determined by a medical and psychiatric history, medical examination, ECG, serum chemistry, hematology, urinalysis, and serology.
  • for women of childbearing potential use of a medically accepted method of contraception for the duration of the study and for 60 days after the last administration of study drug
  • for men not surgically sterile use of an accepted method of birth control for the duration of the study and for 60 days after the last administration of study drug
  • willingness and ability to comply with study requirements

Exclusion Criteria:

  • Any of the following hematologic values: absolute neutrophil count (ANC) less than 1500/mm3, platelet count less than 100,000/mm3, or hemoglobin less than 9 g/dL
  • Any of the following hepatic function values: bilirubin greater than 1.5 times the upper limit of normal (ULN) or alanine aminotransferase (ALT) or aspartate aminotransferase (AST) greater than 2.5 times the ULN
  • Serum creatinine value greater than 1.5 mg/dL.
  • Known cerebral metastases or active CNS disease
  • Signs indicating potential major bone marrow involvement
  • Significant neurotoxicity (higher than grade 1 as defined by NCI-CTC scale v. 3.0 and/or a TNSc value ≥ 3)
  • Any concomitant cancer related treatment. (Continuing endocrine treatment at stable doses is allowed; treatment must be ongoing for at least 4 weeks)
  • Concomitant treatment with steroids
  • Previous treatment with high-dose chemotherapy with PBSC support
  • Any investigational drug within the past 4 weeks
  • Any medications which are human cytochrome P450 34A (CYP3A4) substrates within 1 week, or 5 half-lives (whichever is longer) before the first administration of study drug or need for continuous treatment with these medications during the study
  • Known hypersensitivity to boronic acid derivatives or excipients in the CEP-18770 formulation.
  • Any condition which, in the judgment of the Investigator, would place the subject at undue risk or interfere with the results of the study, or make the subject otherwise unsuitable (e.g., risk factors for neurological toxicities)
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00572637

Locations
Italy
Europen Institute of Oncology
Milano, Italy, 20141
Switzerland
IOSI - Oncology Institute of Southern Switzerland - Ospedale S. Giovanni
Bellinzona, Switzerland, 6500
Kantonsspital St. Gallen
St. Gallen, Switzerland, 9007
Sponsors and Collaborators
Ethical Oncology Science
Investigators
Principal Investigator: Cristiana Sessa, MD, PhD Oncology Institute of Southern Switzerland - Ospedale S. Giovanni Bellinzona CH
  More Information

No publications provided

Responsible Party: Gabriella Camboni, VP Development, EOS (Ethical Oncology Science)
ClinicalTrials.gov Identifier: NCT00572637     History of Changes
Other Study ID Numbers: E-CEP\I\01
Study First Received: December 12, 2007
Last Updated: May 19, 2010
Health Authority: Italy: National Institute of Health
Switzerland: Swissmedic

Additional relevant MeSH terms:
Lymphoma
Lymphoma, Non-Hodgkin
Neoplasms
Immune System Diseases
Immunoproliferative Disorders
Lymphatic Diseases
Lymphoproliferative Disorders
Neoplasms by Histologic Type
Delanzomib
Proteasome Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Protease Inhibitors

ClinicalTrials.gov processed this record on November 20, 2014