Phase 1 Study and Dose Seeking Study of an Intravenous Formulation of the Anthracycline Analog GPX-150 in Patients With Solid Tumors
Overview
- Phase
- Phase 1
- Intervention
- GPX-150 for Injection
- Conditions
- Advanced Solid Tumors - Phase 1 Population
- Sponsor
- Gem Pharmaceuticals
- Enrollment
- 27
- Locations
- 1
- Primary Endpoint
- Define maximum tolerated dose and identify dose limiting toxicities following IV administration of GPX-150 for Injection once every 3 weeks
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
This is a Phase 1 safety and dose escalation study to define the maximum tolerated dose (MTD) and identify the dose limiting toxicities (DLT) following IV administration of GPX-150 once every 3 weeks. Escalating doses starting at the dose of 14 mg/m2 and increasing to the dose of 265 mg/m2 will be administered IV once every 3 weeks for up to 8 cycles of treatment. Patients who have previously received an anthracycline are limited to 4 cycles of treatment.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patient is at least 18 years of age.
- •Patient has a histologically or cytologically confirmed diagnosis of solid tumor.
- •Patient has progressive disease
- •Patient is considered to have incurable disease and is not a candidate for known effective systemic treatment.
- •Patient has a performance status of at least 70% on Karnofsky scale.
- •Patient has not received any cytotoxic chemotherapy or other investigational agents within 4 weeks of the first treatment in this study (6 weeks for mitomycin or nitrosourea). Patients should receive supportive care as indicated. Patients currently receiving blood transfusions or erythropoiesis-stimulating agents should continue receiving them as per the ASCO guidelines. Patients requiring palliative radiation therapy should complete their course of radiation treatment 4 weeks before the first study treatment.
- •Patient may have received unlimited prior hormonal therapy, but this must have been completed at least 4 weeks prior to the first study treatment, and progressive disease documented following withdrawal of hormone therapy. Patient with hormone-refractory prostate cancer on long acting LHRH agents may continue on these agents.
- •Patient may have received unlimited prior biological or immunological therapy without limitation, but this must have been completed at least 4 weeks prior to the first study treatment.
- •Patient has fully recovered from any previous surgery (at least 4 weeks since major surgery) and radiation therapy (at least 4 weeks since the end of treatment).
- •Patient has recovered from reversible toxicity of prior therapy. Permanent and stable side effects or changes are acceptable if ≤ to Grade
Exclusion Criteria
- •Patient is pregnant or breast-feeding.
- •Patient has a history of hypersensitivity to anthracyclines.
- •Patient has received a cumulative dose of doxorubicin that exceeds 300 mg/m2 or a cumulative dose of epirubicin that exceeds 540 mg/m
- •Patient has received an anthracycline within 6 months prior to entry into the study.
- •Patient has brain metastases unless asymptomatic and stable off glucocorticoids.
- •Prior history of CHF, myocardial infarction within 6 months prior to enrollment, active ischemic heart disease, or uncontrolled hypertension.
- •Patient requires active medical therapy for CHF or arrhythmia.
- •Patients with \> Grade l motor neuropathy or \> Grade 2 sensory neuropathy.
- •Patient has participated in a study of any investigational drug within 4 weeks prior to the first study treatment.
- •Patient has received chemotherapy, hormonal therapy (with the exception of LHRH for prostate cancer), immunotherapy, biological therapy, or radiotherapy within 4 weeks prior to the first study treatment.
Arms & Interventions
GPX-150 for Injection
GPX-150 is administered IV on Day 1, followed by a 20 day rest period, every 3 weeks.
Intervention: GPX-150 for Injection
Outcomes
Primary Outcomes
Define maximum tolerated dose and identify dose limiting toxicities following IV administration of GPX-150 for Injection once every 3 weeks
Time Frame: Every 3 weeks
Secondary Outcomes
- Pharmacokinetics and any antitumor activity(Every 3 weeks)