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An Open-label, Dose Escalating Phase Ib Study for the Assessment of Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Multiple Intravenous Doses of GLPG0187 in Subjects With Solid Tumors


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

Thank you

Trial Information

An Open-label, Dose Escalating Phase Ib Study for the Assessment of Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Multiple Intravenous Doses of GLPG0187 in Subjects With Solid Tumors


Patients with pathologically confirmed diagnosis of advanced, recurrent, or metastatic
cancer and who are refractory to standard therapy or for whom no standard therapy exists
will first receive a one-hour infusion of a defined dose of GLPG0187. If well tolerated, one
week later a three-week continuous infusion is started. If according to the investigator a
subject has a clinical benefit from treatment with GLPG0187, the treatment cycle may be
repeated until disease progression, Dose Limiting Toxicity (DLT), or the patient chooses to
stop or cannot/will not comply with study procedures.

Throughout treatment, safety and tolerability will be monitored. Within one patient, a fixed
dose (infusion rate) will be used. If at a given dose-level sufficient patients have been
treated without reaching DLT, the dose for the next group of patients will be increased.
This can be repeated until DLT is established, or the scheduled maximum dosage is reached.


Inclusion Criteria:



- Pathologically confirmed diagnosis of advanced, recurrent, or metastatic cancer who
are refractory to standard therapy or for whom no standard therapy exist.

- Age of 18 years or older.

- Measurable (according to RECIST 1.1) and evaluable disease as determined by the
Investigator.

- ECOG Performance Status ≤ 2.

- Estimated life expectancy of at least 12 weeks.

- Toxicities incurred as a result of previous anticancer therapy (radiation therapy,
chemotherapy, or surgery) must be resolved to ≤ Grade 2.

- Written informed consent according to local guidelines.

Exclusion Criteria:

- Prior Treatment:

- Less than 4 weeks since the last treatment with other cancer therapies, (i.e.
endocrine therapy, immunotherapy, chemotherapy, etc.), and < 6 weeks for
nitrosoureas and Mitomycin C.

- Prior therapy with integrin receptor antagonists

- Current Treatment:

- Chronic daily treatment with corticosteroids (dose of 10 mg/day or more
methylprednisolone or equivalent), with the exception of inhaled steroids.

- Current or recent (within 30 days of first study treatment) treatment with
another investigational drug or participation in another investigational study.

- Hematology, coagulation and biochemistry:

- Inadequate bone marrow function: Absolute Neutrophil Count (ANC): < 1.5 x
10E9/L, or platelet count <100 x 10E9/L or hemoglobin < 6 mmol/L.

- Inadequate liver function, defined as:

- Serum (total) bilirubin > 2 x the Upper Limit of Normal (ULN) for the
institution;

- Aspartate Amino Transferase (ASAT) or Alanine Amino Transferase (ALAT) >
2.5 x ULN (> 5 x ULN in subjects with liver metastases);

- Alkaline phosphatase levels > 2.5 x ULN (> 5 x ULN in subjects with liver
metastases, or > 10 x ULN in subjects with bone metastases).

- Inadequate renal function, defined as:

- Serum creatinine > 1.5 x ULN

- Urine dipstick for proteinuria > 2+.

- Other:

- Clinically symptomatic or progressive brain metastases

- Clinical Leptomeningeal metastases

- Pregnancy or lactation. Serum pregnancy test to be assessed within 7 days prior
to study treatment start, or within 14 days with a confirmatory urine pregnancy
test within 7 days prior to study treatment start.

- For women of childbearing potential (defined as <2 years after last menstruation
and not surgically sterile): absence of effective, non-hormonal means of
contraception (intrauterine contraceptive device, barrier method of
contraception in conjunction with spermicidal gel).

- Major surgical procedure (including open biopsy, excluding central line IV and
portacath) within 28 days prior to the first study treatment, or anticipation of
the need for major surgery during the course of the study treatment.

- Congestive heart failure NYHA Class III and IV. Cardiac arrhythmias (except for
atrioventricular block type I, Mobitz type, and II, Wenckebach type) signs and
symptoms of relevant cardiovascular disease.

- Known hypersensitivity to any of the study drugs or excipients.

- Evidence of any other medical conditions (such as psychiatric illness,
infectious diseases, physical examination or laboratory findings) that may
interfere with the planned treatment, affect subject compliance or place the
subject at high risk from treatment-related complications.

Type of Study:

Interventional

Study Design:

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

Outcome Measure:

Safety and tolerability

Outcome Description:

Patients will be monitored for cardiovascular safety (ECG) and adverse events, and blood- and urine-samples taken before and at fixed timepoints after a one-hour infusion of GLPG0187; if patients tolerate the treatment well, procedures will be repeated before and at fixed timepoints after the start of a three-week continuous infusion patients. Through monitoring and analysis of the blood- and urine-samples, it will be established whether the study medication would have any negative effects on the patient's general condition. Results will indicate whether DLT has occurred.

Outcome Time Frame:

Four weeks + three-week cycles

Safety Issue:

Yes

Principal Investigator

Giocondo Lorenzon, MSc

Investigator Role:

Study Director

Investigator Affiliation:

Galapagos SASU

Authority:

Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)

Study ID:

GLPG0187-CL-102

NCT ID:

NCT01313598

Start Date:

March 2011

Completion Date:

June 2013

Related Keywords:

  • Solid Tumors
  • Patients with solid tumors
  • Treatment-refractory
  • Neoplasms

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