An Open-Label, Phase I, Dose Escalation Study Evaluating the Safety, Tolerability, and Pharmacokinetics of GDC-0425 Administered With and Without Gemcitabine in Patients With Refractory Solid Tumors or Lymphoma
Overview
- Phase
- Phase 1
- Intervention
- GDC-0425
- Conditions
- Solid Tumor
- Sponsor
- Genentech, Inc.
- Enrollment
- 40
- Locations
- 3
- Primary Endpoint
- Incidence of all adverse events graded according to NCI CTCAE, v4.0
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
This is an open-label, multicenter, Phase I, dose-escalation study to assess the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of GDC-0425 administered with and without gemcitabine.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age \>= 18 years
- •Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 1
- •Signed Informed Consent Form
- •Histologically or cytologically documented, locally advanced or metastatic solid tumors or lymphoma for which standard therapy either does not exist or has proven ineffective or intolerable
- •Adequate hematologic and end-organ (liver and kidney) function
- •For female patients of childbearing potential and male patients with partners of childbearing potential, agreement by the patient that the patient and/or partner will use an effective form of contraception
- •Patients enrolled in certain phases must be willing to provide fresh and/or archival tumor samples
Exclusion Criteria
- •History of prior significant toxicity from a same class of agents as GDC-0425 or gemcitabine requiring discontinuation of treatment
- •Allergy, hypersensitivity or contraindication to the GDC-0425 formulation or gemcitabine
- •Experimental therapy or anti-cancer therapy within 4 weeks prior to the first dose of study drug treatment
- •Radiotherapy within 2 weeks prior to first dose of study drug treatment
- •More than two regimens of cytotoxic chemotherapy for the treatment of locally advanced or metastatic cancer
- •History of receiving high-dose chemotherapy requiring bone marrow or stem cell support
- •History of receiving radiation to more than 25% of bone marrow-bearing areas
- •Acute drug-related toxicities from previous therapies have not resolved prior to study entry, except for alopecia and mild neuropathy
- •Current severe, uncontrolled systemic disease (including but not limited to clinically significant cardiovascular, pulmonary, or renal disease or ongoing or active infection) excluding cancer
- •Significant heart disease and heart dysfunction including but not limited to uncontrolled severe hypertension, heart failure, and reduced cardiac contractility
Arms & Interventions
A
Intervention: GDC-0425
A
Intervention: gemcitabine
Outcomes
Primary Outcomes
Incidence of all adverse events graded according to NCI CTCAE, v4.0
Time Frame: Up to 1 year
Pharmacokinetic property of GDC-0425: determination of plasma drug concentration
Time Frame: Up to 12 months or early study discontinuation
Pharmacokinetic property of GDC-0425: exposure
Time Frame: Up to 12 months or early study discontinuation
Pharmacokinetic property of GDC-0425: half-life
Time Frame: Up to 12 months or early study discontinuation
Severity of all adverse events graded according to NCI CTCAE, v4.0
Time Frame: Up to 1 year
Incidence of dose limiting toxicities (DLTs)
Time Frame: Up to 35 days
Secondary Outcomes
- Antitumor activity of GDC-0425 in combination with gemcitabine: determination of tumor response using RECIST v1.1 for patients with measurable disease(Up to 12 months or early study discontinuation)