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Study Summary
No. 2007-0683:.......Advanced Cancers......Razelle Kurzrock......Investigational Cancer Therapeutics
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Study Summary Title
Study Summary
Number:
2007-0683
Study Title:A Multi-Center, Open-Label, Phase I Study of Single Agent R7112 Administered Orally in Patients with Advanced Malignancies, Except all Forms of Leukemia.
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Physician New Patient Referral
Name:Razelle KurzrockPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Investigational Cancer TherapeuticsReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-794-1226
Contact us about clinical trials
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General Information
Disease Group:Advanced CancersSupported By:F. Hoffmann-La Roche Inc.
Phase of Study:Phase IReturn
Visit:
During Cycles 1, 2 and 3 patients will return Days 1, 10, 15, and 22 of each
28-day cycle. For Cycles 4 and beyond, patients will return on Days 1 and 10,
and at the follow-up visit approximately 28 days after the last dose.
Treatment
Agents:
Midazolam Hydrochloride
R7112
Home Care:N/A
Treatment Loc:Both at MDACC & outside MDACC at one or more Collaborating Sites or Institutions
Estimated
Length of Stay
in Houston:
N/A
Description/
Intervention:
The goal of this clinical research study is to find the highest tolerable dose
of R7112 that can be given to patients with advanced cancer, but not leukemia.
The safety of this drug will be studied. Researchers also want to learn how
R7112 interacts with midazolam and how food may affect the amount of R7112 in
the blood.
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Study Objectives / Outcomes
Primary Objectives:
  • Determine the maximum tolerated dose (MTD) and the associated dose schedule every 28 days.
  • Characterize the DLTs and overall safety profile of escalated dose levels of the compound.
  • Explore daily vs twice daily dosing regimens regarding safety and tolerability

Secondary Objectives:
  • Determine the pharmacokinetic (PK) parameters of the compound (and its major metabolites, if warranted).
  • Assess the PD effect of R7112 on the PK of midazolam at MTD during the "tail" portion of the study.
  • Assess PD effects of the compound.
  • Assess clinical responses and symptomatic improvement, if any.
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Study Status Information
Study Activation / Registration Date:01/07/2008
IRB Review and Approval Date:01/07/2008
Study Type:Phase I
Recruitment Status:Closed
Projected Accrual:104
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Patient must have histologically or cytologically confirmed advanced malignancies, except all forms of leukemia, for which standard curative or palliative measures do not exist, are no longer effective, or are not acceptable to the patient.

2) For the dose escalation part of the study, at screening, every effort will be made to acquire patient's archival tumor tissue samples obtained at the time of the original cancer diagnosis. If not available, fresh tumor tissue may be obtained at the discretion of PI.

3) For the "tail" portion, sarcoma patients with wt p53 as determined by AmpliChip analysis on FFPE tumor tissue sample obtained from fresh tumor biopsy during screening or from Archival tumor tissue. Archival tumor tissue to determine p53 mutation status may only be used if the patient has NOT received ANY antitumor therapy in between the time the tissue was collected and the start of study. A fresh tumor biopsy will still be required for biomarker analyses prior to the start of study medication for patients in which archival tumor tissue was used to determine p53 mutation status.

4) Ability to understand and the willingness to sign a written informed consent form.

5) Life expectancy of >/= 12 weeks.

6) Able to comply with all aspects of the protocol, as determined by the PI.

7) Age >/= 18 years.

8) ECOG performance status of 0 to 1.

9) Female patients with child-bearing potential must have a negative pregnancy test within the seven days before the study first drug administration.

10) Patient must be willing to use effective methods of contraception. Female patients must be postmenopausal, surgically sterile, or they must agree to use a physical barrier method of contraception. Oral or injectable contraceptive agents can not be the sole method of contraception. Male patients must be surgically sterile or agree to use acceptable method of contraception.

11) There are no limitations on additional, allowable type and amount of prior therapy. Acute toxicities from any prior therapy, surgery, or radiotherapy must have resolved to NCI-CTCAE Grade </= 1. The last dose of prior therapy must be >/= 21 days prior the first administration of study drug R7112 (this would satisfy the recognized requirement of at least 5 times the terminal half-life period for most drugs currently used, including most of the RTK inhibitors).

12) Adequate bone marrow function as defined by: ANC of >/= 1.5 x 10^9/L. Platelets count of >/= lower limit of normal. Hemoglobin of >/= 9.0 g/dl.

13) Adequate hepatic function assessed by: Serum total bilirubin </= 2 mg/dl, unless resulting from hemolysis. AST/ALT </= 2.5 x institutional ULN (or </= 5 x ULN if liver metastases).

14) Adequate renal function assessed by: Serum creatinine within reference lab normal limits, or creatinine clearance (by Cockcroft Gault formula, >/= 50 ml/min for patients in whom, in the PI judgment, serum creatinine level may not adequately reflect renal function).

15) Patients with prior CNS metastases that have had therapy, are off steroids and asymptomatic, are eligible.

16) Patients with chronic, stable, rate-controlled, atrial fibrillation are eligible.

Exclusion Criteria:1) Patients with history of any form of leukemia.

2) Patients must not have received hormonal therapy for at least 2 weeks before first dose of study medication. Patients with prostate cancer who are not surgically castrated should remain on GnRH analogues.

3) Patients receiving any other investigational or commercial agents or therapies administered with the intention to treat their malignancy within 21 days of first receipt of study drug.

4) Patients with pre-existing GI disorders that may interfere with proper absorption of the drug(s), as per investigator discretion.

5) Patients with history of allergic reactions attributed to components of the formulated product.

6) Patients with history of seizure disorders or unstable CNS metastases.

7) Patients with QTc prolongation (Men > 450 msec, Women > 470 msec), symptomatic CHF; unstable angina pectoris, cardiac arrhythmia.

8) Patients with a history of a long QT syndrome.

9) Patients receiving CYP3A4 substrates and inhibitors within 7 days prior to the first dose of R7112 or receiving CYP3A4 inducers within 14 days prior to the first dose of R7112. Every effort should be made to discontinue use of CYP3A4 substrates & inhibitors and/or CYP3A4 inducers with the appropriate washout period prior to the start of R7112 therapy. (Cont. in #10)

10) If the discontinuation of CYP3A4 substrates & inhibitors and/or CYP3A4 inducers is not medically feasible & no suitable substitutes are available, this should be documented in the eCRF and extreme caution should be taken with continued use of these medications during the study. Prophylactic use of certain anti-emetics is permissible.

11) Patients who must stay on treatment with drugs known to prolong QT interval and may have a proarrhythmic effect. Prophylactic use of certain anti-emetics is permissible.

12) Patients with evidence of electrolyte imbalance such as hypokalemia, hyperkalemia, hypocalcemia, hypercalcemia (corrected for serum albumin level), hypomagnesemia, and hypermagnesemia or Grade >/= 2, as per NCI-CTCAE, version 3.0.

13) Patients with uncontrollable intercurrent illness including, but not limited to: symptomatic neurologic illness; active, uncontrolled, systematic (including opportunistic), life-threatening, or clinically significant infection at the time of planned study drug treatment; uncontrolled pulmonary disease or hypoxia; psychiatric illness that would limit compliance with study requirements as per investigator discretion.

14) Pregnant or breast feeding patients.

15) Patients with reproductive potential not willing to use effective method of contraception.

16) HIV-positive patients receiving combination anti-retroviral therapy.

17) In the "tail" portion of the study, patients known or found to have p53 mutation

18) Patients with known coagulopathy, platelet disorder or history of non-drug induced thrombocytopenia.

19) Patients requiring anticoagulant/anti-platelet therapy.

20) Patients who refuse to potentially receive blood products and/or have a hypersensitivity to blood products.

21) Patients with known bone marrow disorders which may interfere with normal bone marrow recovery, i.e. tumor involvement, fibrosis.

22) For "TAIL": Patients unwilling to undergo a tumor biopsy at screening and during Cycle 1.

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Links
Registration Number: NCT00559533
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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