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A Phase 1 Dose Escalation Study of ARQ 197 Given Twice Daily Continuously in Adult Patients With Advanced Solid Tumors


Phase 1
18 Years
N/A
Not Enrolling
Both
Cancer, Advanced Solid Tumors

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Trial Information

A Phase 1 Dose Escalation Study of ARQ 197 Given Twice Daily Continuously in Adult Patients With Advanced Solid Tumors


Patients will take ARQ 197 orally twice daily continuously at dose levels specified for
their respective dose cohorts. The ARQ 197 starting dose will be a total daily dose of 200
mg (100 mg bid). ARQ 197 treatment will be continued until progression of disease,
unacceptable toxicity, or another discontinuation criterion is met. In the case of toxicity,
dose adjustment is permitted. A treatment cycle is designed as four weeks (28 days) and
will be repeated without therapy interruption.


Inclusion Criteria:



- Signed written informed consent must be obtained and documented according to ICH GCP,
the local regulatory requirements, and permission to use private health information
in accordance with HIPPA prior to study-specific screening procedures

- A histologically or cytologically confirmed advanced solid tumor, including 10
patients with advanced prostate cancers in the expansion cohort.

- ≥ 18 years of age.

- Patients must have accessible tumor that is safely amenable to tumor biopsies.

- Measurable disease as defined by Response Evaluation Criteria in Solid Tumors

- Tumor imageable by DCE-MRI preferably > 3cm in abdomen, pelvis, head/neck or
peripheral limb (only for 12 patients undergoing MRI studies including DCE-MRI and
DW-MRI in the expanded cohort)

- Karnofsky performance status (KPS) ≥ 70% or Eastern Cooperative Oncology Group (ECOG)
performance status 0 to 1

- Male or female patients of child-producing potential must agree to use contraception
or avoidance of pregnancy measures during the study and for 30 days after the last
ARQ 197 dose

- Females of childbearing potential must have a negative serum pregnancy test

- Aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 2.5 × upper limit of
normal (ULN) or ≤ 5.0 × ULN with metastatic liver disease

- Hemoglobin ≥ 10 g/dl

- Total bilirubin ≤ 1.5 × ULN

- Creatinine ≤ 1.5 x ULN

- Absolute neutrophil count ≥ 1.5 x 10^9/L

- Platelets ≥ 100 x 10^9/L

The following inclusion criteria apply to patients with prostate cancer only:

- Histologically documented adenocarcinoma of the prostate, clinically refractory or
resistant to hormone therapy, as documented by progression following castration

- PSA or radiological evidence for progressive prostate cancer

- Ongoing gonadal androgen deprivation therapy with LHRH analogues or orchiectomy.
Patients who have not had an orchiectomy must be maintained on effective LHRH
analogue therapy before and during the trial.

- Castrate testosterone level [< 50 ng/dL or < 2.00 nmol/L (nmol/L x 28.8 = ng/dL)]

Exclusion Criteria:

- Anti-cancer chemotherapy, radiotherapy, immunotherapy, or investigational agents
within four weeks prior to first dose of ARQ 197

- Surgery within 4 weeks prior to first dose

- Known untreated brain metastases

- Pregnant or breastfeeding

- Significant gastrointestinal disorder(s), in the opinion of the Principal
Investigator, (e.g., Crohn's disease, ulcerative colitis, extensive gastric
resection)

- Unable or unwilling to swallow ARQ 197 capsules twice daily

- Uncontrolled intercurrent illness including, but not limited to ongoing or active
infection, clinically significant non-healing or healing wounds, symptomatic
congestive heart failure, unstable angina pectoris, cardiac arrhythmia, significant
pulmonary disease (shortness of breath at rest or mild exertion), uncontrolled
infection or psychiatric illness/social situations that would limit compliance with
study requirements

- For patients undergoing magnetic resonance imaging (MRI) studies (including DCE-MRI
and DW-MRI) in the expanded cohort:

- Contraindications to MRI, e.g. contraindicated metal implants

- Patients with Creatinine > x1 ULN

- Patients without antecubital fossa venous access

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Safety, tolerability

Outcome Time Frame:

ARQ 197 treatment will be continued until progression of disease, unacceptable toxicity, or another discontinuation criterion is met

Safety Issue:

Yes

Principal Investigator

Johann DeBono, MBChB, FRCP

Investigator Role:

Principal Investigator

Investigator Affiliation:

The Royal Marsden Hospital

Authority:

United States: Food and Drug Administration

Study ID:

ARQ 197-103

NCT ID:

NCT00612209

Start Date:

April 2007

Completion Date:

February 2010

Related Keywords:

  • Cancer, Advanced Solid Tumors
  • ARQ 197, advanced solid tumors, phase 1, dose escalation, pharmacodynamics, safety
  • Neoplasms

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