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A Phase I Study of Various Administration Schedules of RO4929097 With Multi-parameter Assessment (Biomarkers, Pharmacokinetics, Pharmacodynamics) in Patients With Advanced Solid Cancers


Phase 1
18 Years
N/A
Open (Enrolling)
Both
Unspecified Adult Solid Tumor, Protocol Specific

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Trial Information

A Phase I Study of Various Administration Schedules of RO4929097 With Multi-parameter Assessment (Biomarkers, Pharmacokinetics, Pharmacodynamics) in Patients With Advanced Solid Cancers


PRIMARY OBJECTIVES:

I. To determine the safety profile of 6 different administration schedules of
gamma-secretase inhibitor RO4929097 in patients with advanced solid malignancies.

SECONDARY OBJECTIVES:

I. To determine pharmacokinetic (PK) parameters of gamma-secretase inhibitor RO4929097
administered using 6 different administration schedules.

II. To assess the preliminary antitumor activity of gamma-secretase inhibitor RO4929097 in
these patients.

TERTIARY OBJECTIVES:

I. To assess the pharmacodynamic (PD) effects of gamma-secretase inhibitor RO4929097 on
Notch signaling pathway in tumor and surrogate tissues, as well as soluble markers of
angiogenesis in plasma, when administered using 6 different dosing schedules. (Exploratory)
II. To evaluate the relationship between PK and PD effects in an attempt to define the
optimal biological dosing schedule (OBDS) that can provide a sustained inhibition of Notch
signaling pathway over time with a tolerable toxicity profile. (Exploratory) III. To
correlate inhibition of Notch signaling pathway measured in tumor and surrogate tissues with
preliminary antitumor activity and assess the potential clinical predictive value of OBDS as
defined above. (Exploratory) IV. To assess the effect of the various pharmacogenomic
polymorphisms of the cytochrome P450 pathway on PK and PD parameters. (Exploratory)

OUTLINE: This is a multicenter, dose-escalation study. Patients are assigned to 1 of 6 dose
schedules.

GROUP A: Patients receive oral gamma-secretase inhibitor RO4929097 once daily on days 1-3
and 8-10.

GROUP B: Patients receive oral RO4929097 once daily on days 1-7.

GROUP C: Patients receive oral RO4929097 once daily on days 1, 3, 5, 7, 9, 11, 13, 15, 17,
19, and 21.

GROUP D: Patients receive oral RO4929097 once daily on days 1, 8, and 15.

GROUP E: Patients receive oral RO4929097 once daily on days 1, 4, 8, 11, 15, and 18.

GROUP F: Patients receive oral RO4929097 once daily days 1-5, 8-12, and 15-19.

Treatment in all groups repeats every 3 weeks in the absence of disease progression or
unacceptable toxicity. Patients undergo tumor biopsies at baseline and between days 15 and
22 in the first course of treatment. Plasma samples are collected periodically for
pharmacokinetic, pharmacodynamic, and pharmacogenomic analysis and to assess levels of
adipsin and markers of angiogenesis.

After completion of study treatment, patients are followed up for 4 weeks.


Inclusion Criteria:



- Histologically or cytologically confirmed solid malignancy

- Metastatic or unresectable disease

- Standard curative or palliative measures do not exist or are no longer effective

- Measurable disease, defined as ≥ 1 lesion that can be accurately measured in ≥ 1
dimension (longest diameter to be recorded) as ≥ 20 mm with conventional techniques
or as ≥ 10 mm with spiral CT scan

- No known brain metastases

- ECOG performance status (PS) 0-1 (Karnofsky PS 70-100%)

- Life expectancy > 12 weeks

- Leukocytes ≥ 3,000/mm^3

- ANC ≥ 1,500/mm^3

- Platelet count ≥ 100,000/mm^3

- Hemoglobin ≥ 9 g/dL

- Total bilirubin normal

- AST/ALT ≤ 2.5 times upper limit of normal

- Serum creatinine normal OR creatinine clearance ≥ 60 mL/min

- No uncontrolled hypocalcemia, hypomagnesemia, hyponatremia, hypophosphatemia, or
hypokalemia, defined as < lower limit of normal despite adequate electrolyte
supplementation

- QTc ≤ 450 msec in males and a QTc ≤ 470 in females, as measured by ECG using Bazett's
formula

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use 2 forms of contraception (i.e., barrier contraception and 1
other method of contraception) for ≥ 4 weeks before, during, and for ≥ 12 months
after completion of study treatment

- Willing to undergo 2 tumor biopsies (unless medically contraindicated)

- Able to swallow medication

- No malabsorption syndrome or other condition that would interfere with intestinal
absorption

- No diarrhea ≥ grade 2 not under control with standard antidiarrhea medications

- No uncontrolled concurrent illness including, but not limited to, any of the
following:

- Ongoing or active infection

- Symptomatic congestive heart failure

- Unstable angina pectoris

- Cardiac arrhythmia other than chronic, stable atrial fibrillation

- Psychiatric illness or social situations that would limit compliance with study
requirements

- No history of risk factors for QT interval prolongation including, but not limited
to, a family or personal history of any of the following:

- Long QT syndrome

- A history of torsades de pointes

- Recurrent syncope without known etiology

- Sudden unexpected death

- Female patients may not donate ova during or after study treatment

- No blood donation during and for ≥ 12 months after completion of study treatment

- No serologic positivity for hepatitis A, B, or C; history of liver disease; or other
forms of hepatitis or cirrhosis

- No HIV-positive patients on combination antiretroviral therapy

- No history of allergic reactions attributed to compounds of similar chemical or
biologic composition to gamma-secretase inhibitor RO4929097 or other agents used in
this study

- No other concurrent agents or therapies administered with the intent to treat the
patient's malignancy

- No prior gamma-secretase inhibitors

- Any number of prior treatment regimens allowed

- At least 4 weeks since prior radiotherapy or systemic therapy (6 weeks for prior
carmustine or mitomycin C)

- Exceptions may be made for low-dose, nonmyelosuppressive radiotherapy for
symptomatic palliation

- Recovered from the adverse events due to prior therapy to < CTCAE grade 2 (except
alopecia)

- No other concurrent investigational agents

- No concurrent medications with narrow therapeutic indices that are metabolized by
cytochrome P450, including warfarin sodium (Coumadin®)

- No concurrent medications that are strong inducers/inhibitors or substrates of CYP3A4

- No concurrent medications or food that may interfere with the metabolism of
gamma-secretase inhibitor RO4929097 including ketoconazole, grapefruit, or grapefruit
juice

- No antiarrhythmics or other concurrent medications with known potential to prolong QT
interval

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Safety profile of six different administration schedules of RO4929097

Outcome Time Frame:

Up to 4 weeks

Safety Issue:

Yes

Principal Investigator

Lillian Siu

Investigator Role:

Principal Investigator

Investigator Affiliation:

University Health Network-Princess Margaret Hospital

Authority:

United States: Food and Drug Administration

Study ID:

NCI-2011-01550

NCT ID:

NCT01096355

Start Date:

February 2010

Completion Date:

Related Keywords:

  • Unspecified Adult Solid Tumor, Protocol Specific

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