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A Phase 1 Trial of CBL0137 in Patients With Metastatic or Unresectable Advanced Solid Neoplasm

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01905228
Recruitment Status : Completed
First Posted : July 23, 2013
Last Update Posted : May 21, 2020
Sponsor:
Information provided by (Responsible Party):
Incuron

Brief Summary:
This is an open-label, multi-center, sequential groups, dose-escalation study of CBL0137 administered intravenously in participants with metastatic or unresectable advanced solid malignancies.

Condition or disease Intervention/treatment Phase
Solid Tumors Glioblastoma Drug: CBL0137 Phase 1

Detailed Description:
The primary objective of the study is to determine the maximally tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of CBL0137. The secondary objectives are to describe the dose-limiting toxicity (DLT) and adverse event profile of CBL0137, to describe the pharmacokinetic profile of CBL0137, to document any objective responses to CBL0137. This is a study of CBL0137 with a standard "3+3" design. Escalation will proceed to the MTD based on DLT in the 1st cycle in 1 of 6 participants in a cohort.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 83 participants
Intervention Model: Sequential Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase 1 Trial of CBL0137 in Patients With Metastatic or Unresectable Advanced Solid Neoplasm
Study Start Date : July 2013
Actual Primary Completion Date : May 2019
Actual Study Completion Date : June 2019

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: CBL0137
  • Dose Level 9: 150 mg/m2, IV
  • Dose Level 10: 180 mg/m2, IV
  • Dose Level 11: 240 mg/m2, IV
  • Dose Level 12: 320 mg/m2, IV
  • Dose Level 13: 400 mg/m2, IV
  • Dose Level 14: 540 mg/m2, IV
  • Dose Level 15: 700 mg/m2, IV
  • Dose Level 16: 920 mg/m2, IV
  • Dose Level 17: 1200 mg/m2, IV
  • Dose Level 18: 1600 mg/m2, IV
  • Dose Level 19: 2100 mg/m2, IV
  • Dose Level 20: 2700 mg/m2, IV
Drug: CBL0137

All doses are administered intravenously on Days 1, 8 and 15 of every 28 day cycle.

Number of Cycles: 2 or until progression or unacceptable toxicity develops





Primary Outcome Measures :
  1. Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D) [ Time Frame: At the end of Cycle 1 (each cycle is 28 days) ]
    MTD is defined as dose level at which ≥6 participants have been treated and which is associated with a first-cycle DLT in ≤17% of the participants. Selection of RP2D from within the tolerated dose range will be based on evaluation of short- and long-term safety information together with findings relating to compliance, pharmacokinetics, pharmacodynamics and antitumor activity.



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Ages Eligible for Study:   15 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients must have histological or cytological evidence of a solid neoplasm
  • Patients enrolled in the expansion cohort must have at least one measureable lesion as defined by the RECIST 1.1 criteria for patients with systemic tumors or the RANO criteria for patients with gliomas;
  • Patients with a systemic tumor must:

    • have metastatic or unresectable advanced solid tumors that have recurred or progressed following standard therapy or
    • no longer be candidates for standard therapy or
    • have tumors for which there is no standard therapy
  • Patients with a glioma must:

    • have Grade III (anaplastic astrocytoma, anaplastic oligodendroglioma, anaplastic oligoastrocytoma) disease, Grade IV (glioblastoma) disease, or diffuse intrinsic pontine glioma (DIPG) and;
    • have received prior therapy including radiation and drug therapy and;
    • have documented recurrent disease as defined in the RANO criteria;
  • Patients must be ambulatory and have an ECOG Performance Score of 0 or 1;
  • Patients or their legal representative must be able to provide written informed consent;
  • Patients must have adequate bone marrow reserve as evidenced by:

    • White Blood Cell Count (WBC) > 3,000/µL
    • Absolute Neutrophil Count (ANC) > 1,500/µL
    • Platelet count (PLT) > 75,000/µL
    • Hemoglobin (HGB) > 8.0 gm/dL (patients may be transfused to achieve this HGB level);
  • Patients must have adequate hepatic function as evidenced by:

    • Serum AST/ALT < 3X the upper limit of normal (ULN) for the reference lab (< 5X the ULN for patients with known hepatic metastases)
    • Serum bilirubin < 1.5 x the ULN for the reference lab;

Exclusion Criteria:

  • Patients with active infection or with a fever > 38.50 C within 3 days of the first scheduled day of dosing;
  • Patients with symptomatic CNS metastases who have not undergone surgery and/or radiotherapy and/or who are not neurologically stable;
  • Patients with known hypersensitivity to any of the components of CBL0137;
  • Patients who are receiving concurrent anticancer therapy;
  • Patients receiving enzyme-inducing antiepileptic agents within 14 days prior to the start of study therapy;
  • Males with mean QTcF values of > 450 msec and females with QTcF values of > 470 msec following 3 ECGs conducted 5 minutes apart from each other; patients who are known to have congenital prolonged QT syndromes; or patients who are on medications known to cause prolonged QT intervals on ECG;

Please speak with the PI for the complete Inclusion/Exclusion listing.


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01905228


Locations
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United States, New York
Roswell Park Cancer Institute
Buffalo, New York, United States, 14263
United States, Ohio
University Hospital of Cleveland
Cleveland, Ohio, United States, 44106
Cleveland Clinic
Cleveland, Ohio, United States, 44195
United States, Texas
CTRC at The University of Texas Healh Science Center at San Antonio
San Antonio, Texas, United States, 78229
Sponsors and Collaborators
Incuron
Investigators
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Principal Investigator: John Sarantopoulos, MD The University of Texas Health Science Center at San Antonio
Principal Investigator: Renuka Iyer, MD Roswell Park Cancer Institue
Principal Investigator: Afshin Dowlati, MD University Hospital of Cleveland
Principal Investigator: Manmeet Ahluwalia, MD The Cleveland Clinic

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Responsible Party: Incuron
ClinicalTrials.gov Identifier: NCT01905228    
Other Study ID Numbers: I137-101
First Posted: July 23, 2013    Key Record Dates
Last Update Posted: May 21, 2020
Last Verified: May 2020
Keywords provided by Incuron:
Metastatic Advance Solid Neoplasms
Unresectable Advance Solid Neoplasms
Additional relevant MeSH terms:
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Glioblastoma
Neoplasms
Astrocytoma
Glioma
Neoplasms, Neuroepithelial
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Neoplasms by Histologic Type
Neoplasms, Glandular and Epithelial
Neoplasms, Nerve Tissue