A Study to Evaluate the Safety, Tolerability, and Activity of Lonafarnib and Docetaxel (Study P04467AM1)(TERMINATED)
Phase 1
Terminated
- Conditions
- Lung CancerGastric CancerBreast CancerProstate CancerOvarian Cancer
- Interventions
- Registration Number
- NCT00539968
- Lead Sponsor
- Merck Sharp & Dohme LLC
- Brief Summary
This study will determine the best doses of docetaxel and lonafarnib when the two anti-cancer agents are used in combination. Patients with tumors for which treatment with docetaxel would be appropriate are eligible. A second part of the study will further examine the effectiveness of the combination treatment in men with prostate cancer.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 5
Inclusion Criteria
- For Part 1: Subjects may be male or female and must be at least 18 years of age.
- For Part 1: Cancer for which docetaxel treatment is appropriate.
- For Part 1: Docetaxel-naïve
- For Part 2: Subjects must be male and at least 18 years of age.
- For Part 2: Subjects must have adenocarcinoma of the prostate confirmed by histologic/cytologic biopsy.
- For Part 2: Subjects must have progressive, metastatic, AIPC and a PSA of 10 ng/ml or more after hormonal therapy prior to docetaxel treatment. Progressive disease is defined as a consistently increasing serum PSA level within 28 days prior to docetaxel administration.
- Adequate organ function within 3 weeks prior to first study drug administration.
- Performance status (ECOG) is less than or equal to 2.
- Subject understands and agrees to procedures and participation by signing informed consent form.
- Agrees to use medically accepted form of contraception.
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Exclusion Criteria
- Receipt of or need to continue to receive prohibited medications (listed in the protocol) more recently than the washout period (indicated in the protocol).
- Surgery within 3 weeks prior to first study drug administration.
- History within 5 years prior to first study drug administration of another malignancy except adequately treated Stage I/II basal/squamous cell skin cancer.
- Radiation therapy to more than 25% of his/her total bone marrow during life.
- Radiation therapy within 3 weeks prior to first study drug administration.
- Known hypersensitivity to prednisone, docetaxel, polysorbate 80, lonafarnib, or any excipients associated with these medications.
- Known contraindication to steroid use.
- Known leptomeningeal or CNS metastasis.
- Heart, vascular, or seizure disorder (detailed list in the protocol) within 6 months prior to first study drug administration.
- Baseline QTc interval greater than 450 msec.
- Grade 2 or more peripheral neuropathy or drug-related toxicity per CTCAE. Exceptions are noted in the protocol.
- Any clinically significant condition or situation that the investigator thinks would interfere with the study evaluations or subject's participation.
- Subject is part of staff personnel involved in the study.
- Subject has known clinically significant immunosuppression.
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Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Docetaxel plus lonafarnib (single arm) Docetaxel plus lonafarnib Docetaxel plus lonafarnib
- Primary Outcome Measures
Name Time Method Rate of prostate-specific antigen (PSA) responses Until disease progression, unacceptable dose delays or reductions, or unacceptable toxicity Incidence of adverse events and dose-limiting toxicities Until disease progression, unacceptable dose delays or reductions, or unacceptable toxicity
- Secondary Outcome Measures
Name Time Method Proportion of subjects with dose-limiting toxicities Until disease progression, unacceptable dose delays or reductions, or unacceptable toxicity Plasma lonafarnib concentrations Until disease progression, unacceptable dose delays or reductions, or unacceptable toxicity RECIST-defined radiological response rate Until disease progression, unacceptable dose delays or reductions, or unacceptable toxicity