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A Phase I Open-label, Non-randomized, Dose-escalation First-in-man Trial to Investigate the c-Met Kinase Inhibitor EMD 1204831 in Subjects With Advanced Solid Tumors


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

Thank you

Trial Information

A Phase I Open-label, Non-randomized, Dose-escalation First-in-man Trial to Investigate the c-Met Kinase Inhibitor EMD 1204831 in Subjects With Advanced Solid Tumors


This is a an open-label, dose-escalation, first-in-man (FIM) study designed to explore the
safety, tolerability, pharmacokinetics, and clinical activity of an investigational drug,
EMD 1204831, in patients with advanced solid tumors who have not responded to previous
therapies or for whom no other therapies are available. Subjects will receive EMD 1204831
twice a day (BID) during each 21-day cycle until disease progression or unacceptable
toxicity.


Inclusion Criteria:



Main Inclusion Criteria

1. Histologically or cytologically confirmed solid tumor, either refractory standard
therapy or for which no effective standard therapy is available

2. Measurable or evaluable disease, as defined by RECIST 1.0

3. Men or women aged ≥ 18 years

4. ECOG performance status of 0 to 2

5. Adequate hematological function: Hemoglobin ≥ 9.0 g/dL; Neutrophils > 1.5 x 109/L;
Platelets ≥ 100 x 109/L

6. Adequate liver function: Total bilirubin ≤ 1.5 x ULN; AST/ ALT ≤ 2.5 x ULN

7. For subjects with liver metastases: Total bilirubin ≤ 1.5 x ULN; AST/ALT ≤ 5 ULN

8. Adequate renal function: Serum creatinine < 1.5 x ULN, and/or Calculated creatinine
clearance > 60 mL/min

9. Resolution of all acute chemotherapy, radiotherapy or surgery-related AEs to Grade
≤1, except for alopecia

10. Recovery from any surgical intervention

11. Subjects enrolling after the MTD has been determined must present specific c-Met
alterations (overexpression, amplification, mutation)

Exclusion Criteria:

Main Exclusion Criteria

1. Received chemotherapy, immunotherapy, hormonal therapy (except subjects with prostate
cancer), biologic therapy, or any other investigational agent or anticancer therapy
within 28 days (or five half-lives for non-cytotoxics, whichever is shorter), of Day
1 of trial treatment (six weeks for nitrosureas or mitomycin C)

2. Received extensive prior radiotherapy on more than 30% of bone marrow

3. Symptomatic primary tumors or metastasis of brain and/or central nervous system,
uncontrolled with antiepileptics and requiring high doses of steroids

4. Medical history of liver fibrosis/ cirrhosis

5. Medical history of surgery within six weeks prior to enrollment

6. Neuropathy Grade ≥ 2

7. Requires concurrent treatment with a non-permitted drug

8. Absence or abnormal pupillary reflex

Type of Study:

Interventional

Study Design:

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

Outcome Measure:

To determine the maximum tolerated dose (MTD) of EMD 1204831 in subjects with advanced solid tumors

Outcome Time Frame:

After first cycle of treatment

Safety Issue:

No

Principal Investigator

Manfred Klevasath, MD

Investigator Role:

Study Director

Investigator Affiliation:

Merck KGaA

Authority:

United States: Food and Drug Administration

Study ID:

EMR200096-001

NCT ID:

NCT01110083

Start Date:

April 2010

Completion Date:

Related Keywords:

  • Solid Tumors
  • Phase 1
  • advanced solid tumors
  • refractory to standard therapy
  • Patients with solid tumors, either refractory to standard therapy or for which no effective standard therapy is available
  • Neoplasms

Name

Location

M.D. Anderson Cancer Center Houston, Texas  77030