A Phase I/II Study to Evaluate Safety, Tolerability, Pharmacokinetics and Efficacy of Resminostat (4SC-201) in Combination With a Second-line Treatment in Patients With K-ras Mutated Advanced Colorectal Carcinoma
Inclusion Criteria
Inclusion Criteria Phase I:
- Histologically or cytologically confirmed advanced stage colorectal carcinoma
- Documented progression after precedent treatment according to RECIST criteria
- ECOG performance status 0 - 2
- Live expectancy of 12 weeks or more
- Patients must have previously received treatment with 5-FU alone or in combination
with other anti-tumor medications
- Patients foreseen for chemotherapy with FOLFIRI in second or further line treatment
Exclusion Criteria Phase I:
- Patients who have received previous treatment with an HDAC inhibitor
- Anticipation of need for a major surgical procedure or radiation therapy (RT) during
the study
- Therapy with agents known to prolong the QT interval, such as certain antibiotics
(e.g. erythromycin, clarithromycin), antidepressants (e.g. doxepin, amitryptiline) or
neuroleptics (e.g. haloperidol, clozapine)
- Patients who are homozygous for the UGT1A1 and characterized by the presence of an
additional TA repeat in the TATA sequence of the UGT1A1 promoter ((TA)7TAA)). For
patients having shown good tolerability of irinotecan in a precedent treatment line
according to the investigator's judgement, availability of UGT1A1 result is not
mandatory for study inclusion
- Therapy with strong CYP3A4 inhibitors (e.g. ketoconazole) or inductors (e.g.
carbamazepine, phenytoin, St. John's Wort)
- Severe internal disease: insufficiently treated or uncontrolled arterial
hypertension, hemoptoe, New York Heart Association (NYHA) grade II or greater
congestive heart failure, symptomatic coronary heart disease, myocardial infarction
(≤ 12 months prior to inclusion), serious cardiac arrhythmia requiring medication,
peripheral arterial occlusive disease stage II or greater, uncontrolled severe
disease
- Patients with a confirmed QTcF > 480 ms, or a history of additional risk factors for
Torsades de Pointes
- Major surgery within the last 4 weeks
Inclusion Criteria Phase II :
- Histologically or cytologically confirmed advanced stage colorectal carcinoma
- Documented progression after precedent treatment according to RECIST criteria
- K-ras mutation (which contraindicates EGFR inhibitor therapy, results from local
pathology will be accepted for inclusion
- ECOG performance status 0 - 2
- Live expectancy of 12 weeks or more
- Patients must have previously received treatment with 5-FU alone or in combination
with other anti-tumor medications
- Patients foreseen for chemotherapy with FOLFIRI in second line treatment
Exclusion Criteria Phase II arm:
- Patients who have received previous treatment with an HDAC inhibitor
- Anticipation of need for a major surgical procedure or radiation therapy (RT) during
the study
- Therapy with agents known to prolong the QT interval, such as certain antibiotics
(e.g. erythromycin, clarithromycin), antidepressants (e.g. doxepin, amitryptiline) or
neuroleptics (e.g. haloperidol, clozapine)
- Patients who are homozygous for the UGT1A1 and characterized by the presence of an
additional TA repeat in the TATA sequence of the UGT1A1 promoter ((TA)7TAA)).
- Therapy with strong CYP3A4 inhibitors (e.g. ketoconazole) or inductors (e.g.
carbamazepine, phenytoin, St. John's Wort)
- Severe internal disease: insufficiently treated or uncontrolled arterial
hypertension, hemoptoe, New York Heart Association (NYHA) grade II or greater
congestive heart failure, symptomatic coronary heart disease, myocardial infarction
(≤ 12 months prior to inclusion), serious cardiac arrhythmia requiring medication,
peripheral arterial occlusive disease stage II or greater, uncontrolled severe
disease
- Patients with a confirmed QTcF > 480 ms, or a history of additional risk factors for
Torsades de Pointes
- Major surgery within the last 4 weeks