Status:
COMPLETED
Dose Escalation, Combination Chemotherapy Safety Study of Birinapant (TL32711), in Subjects With Advanced or Metastatic Solid Tumors
Lead Sponsor:
TetraLogic Pharmaceuticals
Conditions:
Cancer
Eligibility:
All Genders
18+ years
Phase:
PHASE1
PHASE2
Brief Summary
This is a dose escalation safety study of birinapant (TL32711) in combination with chemotherapy in subjects with advanced or metastatic solid tumors.
Detailed Description
The purpose of this study is to determine the safety and maximum tolerated dose of birinapant (TL32711) as a 30 minute intravenous infusion once a week, for 2 consecutive weeks, when combined with sta...
Eligibility Criteria
Inclusion
- Confirmed advanced or metastatic malignancy for which the proposed chemotherapy regimen is appropriate in the judgment of the Investigator.
- Prior therapy in dose-escalation and expansion cohorts:
- Dose-escalation cohorts: Subjects may be naïve or may have received prior therapy with the specific chemotherapeutic agent(s) being recommended in the combination arm, provided the subject did not experience life-threatening toxicity attributed to the specific agent(s).
- Expansion cohorts: Subjects have advanced colorectal cancer that had been previously determined to be KRAS mutant. Subjects naïve to irinotecan may be enrolled, and the KRAS mutation status may be wild type or mutant. Subjects previously treated with an irinotecan containing regimen may be enrolled only if they have been previously determined to be KRAS wild type. The irinotecan regimen must not have been associated with life threatening adverse events.
- Subjects evaluated for Arm 5 (liposomal doxorubicin) may not have received \>300 mg/m2 cumulative dose of anthracycline.
- Life expectancy \>3 months.
- Eastern Cooperative Oncology Group (ECOG) performance status of ≤2.
- Adequate renal function
- Adequate hepatic function
- Adequate bone marrow function
- Women of childbearing potential must have a negative serum pregnancy test.
- Women of childbearing potential must agree to use 2 methods of adequate contraception (ie, hormonal and barrier method) prior to enrollment, during the study, and for a period of 30 days following the last dose of TL32711. Males who are sexually active must agree to use a condom during the study and for a period of 30 days following the last dose of TL32711, and if their partner is of childbearing potential, she must agree to use a secondary method of contraception (ie, hormonal, intrauterine device, barrier) during the study and for a period of 30 days following the last dose of TL32711.
Exclusion
- Recent anti-cancer treatment defined as:
- Standard or investigational anti-cancer therapy within 4 weeks prior to first dose of TL32711. Exception: continued hormonal interventions for prostate cancer.
- Radiation therapy within 2 weeks prior to the first dose of TL32711.
- Major surgery within 4 weeks prior to the first dose of TL32711. Subjects must be well recovered from acute effects of surgery prior to enrollment.
- Known or suspected diagnosis of human immunodeficiency virus or chronic active Hepatitis B or C.
- Symptomatic or uncontrolled brain metastases requiring current treatment.
- Impaired cardiac function or clinically significant cardiac disease
- QT interval corrected for heart rate (QTcB) \>480 msec (including subjects on medication).
- Lack of recovery of prior adverse events to Grade ≤1 severity (NCI CTCAE v4) (except alopecia) due to therapy administered prior to the initiation of study drug dosing.
- Nursing or pregnant women.
- Known allergy to any of the formulation components of TL32711.
- Any concurrent disease and/or medical condition that in the opinion of the Investigator that would prevent the subject's participation, render the subject at excessive risk (including excessive risks due to the toxicity profile of the planned combination chemotherapeutic regimen), or limit the subject's compliance with the protocol's required evaluations.
Key Trial Info
Start Date :
October 1 2010
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 1 2014
Estimated Enrollment :
176 Patients enrolled
Trial Details
Trial ID
NCT01188499
Start Date
October 1 2010
End Date
March 1 2014
Last Update
May 30 2016
Active Locations (7)
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1
Holy Cross Hospital
Fort Lauderdale, Florida, United States, 33308
2
Barbara Ann Karmanos Cancer Center
Detroit, Michigan, United States, 48201
3
Roswell Park Cancer Institute
Buffalo, New York, United States, 14263
4
University of Pennsylvania Abramson Cancer Center
Philadelphia, Pennsylvania, United States, 19104