A Phase 1, Open-label, Dose-escalation Study of the Safety of SNX-5422 Mesylate in Subjects With Refractory Hematological Malignancies
SNX-5422 is a prodrug for SNX-2112. Correlation has been observed between Hsp90 client
protein level changes and functional effects in cells in in vitro studies of SNX-2112,
supporting inhibition of Hsp90 as the mechanism of action for this compound. SNX-5422 has
demonstrated significant antitumor activity in mouse xenograft models of human tumors,
including breast (BT474, MX-1), colon (HT29), prostate (PC3), and melanoma (A375) with
multiple oral dosing regimens. Pharmacokinetic (PK) studies in mice, rats, and dogs have
shown high bioavailability of SNX-2112 following oral administration of SNX 5422. In mouse
xenograft studies, SNX-2112 was selectively retained in tumor tissue compared with other
tissues. This study will employ critical risk management features including the use of the
NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03, which provides a
scale for consistently grading the severity of AEs, toxicity criteria analyses for dose
escalation, frequent laboratory and clinical observations, correlation of AEs with plasma
concentrations of SNX-5422 and SNX-2112, monitoring of the QTc interval at appropriate time
points, and a conservative dose-escalation scheme.
Interventional
Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Number of patients with dose limiting toxicities
Number of patients with dose-limiting toxicities defined as AEs or laboratory abnormalities of Common Terminology Criteria for Adverse Events [CTCAE] version 4.03 ≥ Grade 3 that are not clearly related to disease progression
First 28 day cycle
Yes
United States: Food and Drug Administration
SNX-5422-CLN1-005
NCT01635712
July 2012
December 2012
Name | Location |
---|---|
Esanex Investigational Site | Nashville, Tennessee 37203 |