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A Phase 1 Dose-Escalation Study in Advanced Solid Tumors, Lymphomas or Multiple Myeloma (Study P05538AM2)
This study is currently recruiting participants.
Verified by Schering-Plough, January 2010
First Received: July 28, 2008   Last Updated: January 19, 2010   History of Changes
Sponsor: Schering-Plough
Collaborator: AVEO Pharmaceuticals, Inc.
Information provided by: Schering-Plough
ClinicalTrials.gov Identifier: NCT00725634
  Purpose

The primary objective of this study is to determine safety, tolerability, dose-limiting toxicities and recommended dose of SCH 900105 administered intravenously (IV) to subjects with relapsed or refractory solid tumors, lymphoma or multiple myeloma.


Condition Intervention Phase
Neoplasms
Lymphoma
Multiple Myeloma
Drug: SCH 900105
Phase I

Study Type: Interventional
Study Design: Treatment, Open Label, Uncontrolled, Single Group Assignment, Safety Study
Official Title: A Phase 1 Study of SCH 900105 Administered by IV Infusion in Advanced Solid Tumors, Lymphomas or Multiple Myeloma

Resource links provided by NLM:


Further study details as provided by Schering-Plough:

Primary Outcome Measures:
  • Safety, tolerability, and dose-limiting toxicities will be used to determine the recommended Phase 2 dose (RP2D) of SCH 900105 [ Time Frame: Throughout treatment. ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Pharmacokinetics of SCH 900105 [ Time Frame: Throughout treatment and then during follow-up, 30 days and 60 days (if feasible) after the last dose of study medication. ] [ Designated as safety issue: No ]
  • Preliminary evaluation of tumor responses [ Time Frame: Throughout treatment ] [ Designated as safety issue: No ]
  • Gene expression profiling of RNA from peripheral blood mononuclear cells and/or bone marrow. [ Time Frame: Throughout treatment ] [ Designated as safety issue: No ]
  • Serum concentrations of hepatocyte growth factor (HGF)/SCH 900105 complex. [ Time Frame: Throughout treatment ] [ Designated as safety issue: No ]
  • Standardized uptake value measured by positron-emission tomography scan. [ Time Frame: Screening Visit and Cycle 3 Day 1. ] [ Designated as safety issue: No ]
  • Serum concentrations of exploratory biomarkers (HGF, s-Met, angiogenic and inflammation markers). [ Time Frame: Throughout treatment ] [ Designated as safety issue: No ]

Estimated Enrollment: 40
Study Start Date: August 2008
Estimated Study Completion Date: May 2010
Estimated Primary Completion Date: May 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Single arm: Experimental
Subjects will be enrolled sequentially and treated with SCH 900105 in dose-escalating cohorts to determine the RP2D of SCH 900105. The number of cohorts enrolled and the maximum dose administered will depend on observed drug-related dose-limiting toxicity during the first two cycles (Days 1 to 14 of Cycle 1, and/or Days 1 to 14 of Cycle 2). There will be 3 to 6 subjects per cohort, and dose escalation will be performed following the traditional 3+3 rule. Up to 12 additional subjects may be enrolled at the RP2D for an expanded safety assessment (RP2D Safety Expansion Cohort). Up to 12 additional subjects may be enrolled at the RP2D for preliminary assessment of activity in multiple myeloma (Exploratory Cohort for Multiple Myeloma).
Drug: SCH 900105
SCH 900105 will be given as an intravenous infusion in dose-escalating cohorts at 2, 5, 10 or 20 mg/kg.

  Eligibility

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

Inclusion Criteria:

For Advanced Solid Tumors or Lymphoma:

  • Diagnosis of advanced solid tumor malignancy or lymphoma (Hodgkin's or non-Hodgkin's).
  • Histological or cytological evidence of malignancy.
  • Advanced malignancy, metastatic or unresectable, that has recurred or progressed after standard therapy (ST) or failed ST, or for which no ST currently exists.
  • If ST exists, the subject is unwilling to receive it or is not a candidate for it.
  • Disease currently not amenable to curative surgery.
  • Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 or 1. Subjects with ECOG PS of 2 will be considered only after discussion between the investigator and the medical monitor.
  • Age >=18 years, either sex, and any race.
  • Adequate hematologic, hepatic, renal, and coagulation function with:

    • Hemoglobin >=9 g/dL,
    • White blood cell count >=3000/mm^3,
    • Absolute neutrophil count (ANC) >=1500/mm^3,
    • Platelet count >=100,000/mm^3,
    • Serum bilirubin <=1.5 x upper limit of normal (ULN),
    • For subjects in the dose escalation cohorts: serum AST/ALT <=3 × ULN for the reference laboratory,
    • For subjects in the RP2D safety expansion cohorts:

      • without known hepatic metastasis: serum AST/ALT <=3 × ULN for the reference laboratory,
      • with known hepatic metastasis: serum AST/ALT <=5 × ULN,
    • Serum creatinine <=1.5 x ULN or calculated creatinine clearance >60 mL/min,
    • Prothrombin time (PTT) <=1.5 x ULN and international normalized ratio (INR) >=1.5 x ULN.
  • Subjects with abnormal liver function tests (LFTs) must be screened for Hepatitis B and C (unless screened within 6 months prior to study enrollment) and can only be enrolled if screening is negative.

For the Multiple Myeloma Exploratory Cohort:

  • Diagnosis of symptomatic relapsed or refractory multiple myeloma.
  • Measurable disease assessed by one of the following:

    • Serum monoclonal protein >=1.0 g/dL by protein electrophoresis;
    • >200 mg of monoclonal protein in the urine on 24 hour electrophoresis;
    • Serum immunoglobulin free light chain >=10 mg/dL AND abnormal serum immunoglobulin kappa to lambda free light chain ratio, or
    • Monoclonal bone marrow plasmacytosis >=30% (evaluable disease).
  • At least 2 prior therapies and no more than 4 prior therapies (no more than 3 if stem cell/bone marrow transplant was involved
  • ECOG PS of 0, 1 or 2.
  • Age >=18 years, either sex, and any race.
  • Adequate hematologic, hepatic, renal, and coagulation function with:

    • Hemoglobin >=9 g/dL,
    • ANC >=1000/mm^3,
    • Platelet count >=50,00/mm^3 (Screening platelet count must be independent of platelet transfusions for >=2 weeks),
    • Serum bilirubin <=1.5 x ULN,
    • Serum AST and ALT <=3 x ULN,
    • Serum creatinine <=3.0 mg/dL,
    • PTT <=1.5 x ULN and INR <=1.5 x ULN.
  • All previous cancer chemotherapy, including radiation, hormonal therapy, and surgery, must have been discontinued >=2 weeks prior to first dose of study drug.
  • Subjects with abnormal LFTs must be screened for Hepatitis B and C (unless screened within 6 months prior to study enrollment) and can only be enrolled if screening is negative.

Exclusion Criteria:

For Advanced Solid Tumors or Lymphoma:

  • Primary central nervous system (CNS) malignancy or symptomatic CNS metastases, or leptomeningeal metastases. However, subjects with glioblastoma multiforme may be enrolled in the RP2D Safety Expansion Cohort. Subjects with treated brain metastases that have remained stable for at least 3 months without steroids are allowed. Subjects with spinal cord or nerve root compression who have completed treatment at least 4 weeks prior to the first dose of study drug and are stable without steroid treatment for at least 1 week prior to the first dose of study drug are allowed.
  • Hematologic malignancies other than lymphoma.
  • Radiotherapy within 3 weeks prior to first dose of study drug.
  • Subjects who have received anti-c-Met agents, AMG-102 or any other anti-HGF therapy.
  • Stem cell/bone marrow transplant within 6 months of first dose of study drug.

For the Multiple Myeloma Exploratory Cohort:

  • Active malignancy of any kind requiring or likely to require treatment within the next 12 months, except basal cell skin cancer, in situ cervical cancer, in situ breast cancer, and asymptomatic prostate cancer.
  • Any of the following prior to first dose of study drug: POEMS (polyneuropathy,organomegaly, endocrinopathy, monoclonal protein, and skin changes), plasma cell leukemia, or Waldenstrom's macroglobulinemia.
  • Radiotherapy within 3 weeks prior to first dose of study drug, except when used as a palliative for pain.
  • Maintenance steroid therapies of >20 mg/day prednisone, >4 mg/day dexamethasone, >80 mg/day hydrocortisone, or equivalent
  • Prior therapy involving anti-HGF antibody or c-Met small molecule inhibitor.
  • Allogeneic stem cell/bone marrow transplant within 12 months of first dose of study drug.

For All Subjects:

  • Any of the following within 6 months prior to first dose of study drug: myocardial infarction, severe/unstable angina pectoris, coronary/peripheral artery bypass graft, symptomatic congestive heart failure, cerebrovascular accident, transient ischemic attack or seizure disorder.
  • Serious and/or symptomatic active infection within 14 days prior to first dose of study drug. Subjects with asymptomatic or mild infection who are taking a short course of antibiotics may be allowed after discussion with the medical monitor.
  • Baseline QTc interval as per Bazett's formula: females >470 msec, males >450 msec.
  • Persistent, unresolved Grade 2 or higher drug-related toxicity (except alopecia, erectile dysfunction, hot flashes, and decreased libido) associated with previous treatment.
  • Inadequate recovery from any prior surgical procedure, or major surgical procedure performed within 4 weeks prior to first dose of study drug, or major surgery within 3 weeks prior to first dose of study drug.
  • Known human immunodeficiency virus (HIV) infection, or known HIV-related malignancy.
  • Known active hepatitis B or C.
  • Active alcohol abuse.
  • Subject who has received any medication prohibited in this study more recently than the required washout period prior to first dose of study drug.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00725634

Contacts
Contact: SP Clinical Trial Registry Call Center 1-888-772-8734

Locations
United States, Arizona
Investigational Site 2 Recruiting
Scottsdale, Arizona, United States, 85258
United States, Ohio
Investigational Site 5 Recruiting
Columbus, Ohio, United States, 43210
Contact: Ohio State University Clinical Trial Matching Service     866-627-7616     osu@emergingmed.com    
United States, Texas
Investigational Site 1 Recruiting
San Antonio, Texas, United States, 78229
Sponsors and Collaborators
Schering-Plough
AVEO Pharmaceuticals, Inc.
  More Information

No publications provided

Responsible Party: Schering-Plough ( Head, Clinical Trials Registry & Results Disclosure Group )
Study ID Numbers: P05538
Study First Received: July 28, 2008
Last Updated: January 19, 2010
ClinicalTrials.gov Identifier: NCT00725634     History of Changes
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Neoplasms by Histologic Type
Immunoproliferative Disorders
Immune System Diseases
Hematologic Diseases
Blood Protein Disorders
Vascular Diseases
Paraproteinemias
Hemostatic Disorders
Multiple Myeloma
Lymphatic Diseases
Neoplasms
Hemorrhagic Disorders
Cardiovascular Diseases
Lymphoproliferative Disorders
Lymphoma
Neoplasms, Plasma Cell

ClinicalTrials.gov processed this record on February 08, 2010