A Phase I-II Study to Evaluate the Safety, Tolerability and Anti-Disease Activity of the Aminopeptidase Inhibitor, CHR-2797, in Elderly and/or Treatment Refractory Patients With Acute Myeloid Leukemia or Multiple Myeloma
This is an open-label, non-randomised, multi-centre phase I-II study of CHR-2797
administered orally once a day. The study involves two distinct phases:
Phase I: an open-label, dose-escalating phase of the study to explore the safety,
tolerability, and pharmacokinetics (PK) of CHR-2797. Cohorts of 3-6 patients each will be
treated with escalating, once daily, oral doses of CHR-2797 for 84 days (12 weeks), of which
the first 28 days constitute the dose finding/ DLT phase. The starting dose will be 60 mg
once daily. Doses will be increased in a stepwise fashion by around 40 percent per step
until the MTD is reached. The proportion of patients with Multiple Myeloma will be limited
to one third: one per cohort of 3 or 2 per cohort of 6. It is anticipated that 24-30
patients will be enrolled in the phase I portion of the trial. A decision will be made with
regard to the disease indication to be tested in phase II (either AML/MDS or MM or both),
after completion of phase I, or following definition of MTD.
Phase II: the recommended dose as determined in phase I, will be administered for 84 days to
a maximum of 40 patients. The primary objective is to determine whether CHR-2797 has
sufficient biological activity against the disease(s) under study. A multinomial stopping
rule has been included in the design that incorporates objective responses and early
progression into a decision to stop or continue this phase I/II trial. An interim assessment
will be performed after 15 patients have received the maximum acceptable dose (MAD) dose of
CHR-2797 with clearly defined early stopping rules.
There will be a clinical conference at the end of every cohort in the phase I portion of the
study, between phase I and II and after the first 15 patients have completed therapy in
phase II.
Interventional
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Phase I: To determine the safety, tolerability, dose-limiting toxicity (DLT) and maximum tolerated dose (MTD) of CHR-2797 when administered orally, once daily.
first 28 days of treatment
Yes
Gareth Morgan, MD
Principal Investigator
Royal Marsden Hospital, UK
Belgium: The Federal Public Service (FPS) Health, Food Chain Safety and Environment
CHR-2797-002
NCT00689000
May 2006
December 2007
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