A Phase Ib, Open-Label, Dose-Scheduling Study of Hedgehog Pathway Inhibitor GDC-0449 in Patients With Locally Advanced or Metastatic Solid Tumors That Are Refractory to Standard Therapy or for Whom No Standard Therapy Exists
Inclusion Criteria
Inclusion Criteria
- Histologically documented, incurable, locally advanced or metastatic solid malignancy
that has progressed after first-line and second-line therapy (if there is a
second-line therapy that has been shown to provide clinical benefit); patients with
basal cell carcinoma will be excluded from this study unless they do not qualify for
another open GDC-0449 clinical trial
- For patients with disease that is evaluable by physical examination only, diagnosis
must also include biomarker confirmation
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
- Documented negative pregnancy test for women of childbearing potential and agreement
to use an effective form of contraception for the duration of the study
- Adequate hematopoietic capacity
- Adequate hepatic function
- Adequate renal function
- At least 3 weeks since last chemotherapy, investigational agent, radiation therapy,
or major surgical procedure and recovery to pre-treatment baseline or stabilization
of all treatment-related toxicities
Exclusion Criteria
- Known, untreated central nervous system (CNS) malignancies or treated brain
metastases that are not radiographically stable for ≥ 3 months
- Active infection requiring intravenous (IV) antibiotics
- Clinically significant history of liver disease, including cirrhosis, current alcohol
abuse, or current known active infection with hepatitis
- Any medical condition or diagnosis that would likely impair absorption of an orally
administered drug (e.g., gastrectomy, ileal bypass, chronic diarrhea, gastroparesis)
- Any other diseases, metabolic dysfunction, physical examination finding, or clinical
laboratory finding giving reasonable suspicion of a disease or condition that
contraindicates the use of an investigational drug or that may affect the
interpretation of the results or renders the patient at high risk from treatment
complications
- Pregnant or lactating
- Treatment with excluded medications, including strong CYP450 inhibitors and inducers