A Phase Ia, Open-Label, Dose-Escalation Study of the Safety and Pharmacokinetics of GDC-0152, an IAP Protein Antagonist, Administered Intravenously to Patients With Locally Advanced or Metastatic Malignancies
Inclusion Criteria
Inclusion Criteria
- Histologically documented, incurable, locally advanced or metastatic solid
malignancies, or non-Hodgkin's lymphoma (NHL) without leukemic phase
- Disease (either target or non-target lesions) that can be assessed by imaging studies
and/or physical examination
- For patients with solid tumors or NHL without leukemic phase, disease progression on
or after standard therapy, or a malignancy for which there is no standard therapy
- All prior therapy-related toxicities have recovered to baseline-grade toxicity with
the exception of alopecia.
- Life expectancy of ≥ 60 days
- Resting oxygen saturation ≥ 92% on room air
- Agreement to use an effective form of contraception for the duration of the study
Exclusion Criteria
- History of central nervous system disease
- Chemotherapy, cancer hormonal therapy (except GnRH agonists), radiotherapy, or
immunotherapy within 4 weeks prior to Day 1 (6 weeks for nitrosoureas or mitomycin)
- Use of any other investigational agent or device
- Major surgery or significant traumatic injury within 3 weeks prior to Day 1
- Pregnant or nursing
- Clinically significant cardiovascular disease, New York Heart Association (NYHA)
Classification Grade 2 or greater congestive heart failure, a ventricular arrhythmia
requiring medication within 1 year prior to Day 1, or NYHA Grade 2 or greater
peripheral vascular disease on Day 1
- Known HIV infection
- Patients with ongoing inflammatory processes or a Grade ≥ 2 fever or Grade ≥ 2
fever-associated constitutional symptoms (including rigors/chills, sweating, and
others determined by the investigator), or a clinically significant systemic
infection within the last month
- 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
- History of any chronic liver disease, active hepatic infection, or evidence of
hepatic cirrhosis, or Grade ≥ 2 liver dysfunction.
- Baseline oxygen requirement or history of pulmonary fibrosis
- Any signs or symptoms Grade ≥ 2 by National Cancer Institute Common Terminology
Criteria for Adverse Events, Version 3.0, at study entry except for alopecia, pain,
asymptomatic Grade 2 diffusing capacity of the lung for carbon monoxide (at the
discretion of the investigator) or where otherwise specified
- Patients who need to take a concomitant medication, dietary supplement, or food that
is a known inhibitor/inducer of the CYP3A4/5 and/or the 2C8 metabolic pathway or that
has a narrow therapeutic window and involves these enzymes for their metabolism