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A Study to Evaluate the Safety, Tolerability, and Activity of Lonafarnib and Docetaxel (Study P04467AM1)(TERMINATED)

Phase 1
Terminated
Conditions
Lung Cancer
Gastric Cancer
Breast Cancer
Prostate Cancer
Ovarian 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
GroupInterventionDescription
Docetaxel plus lonafarnib (single arm)Docetaxel plus lonafarnibDocetaxel plus lonafarnib
Primary Outcome Measures
NameTimeMethod
Rate of prostate-specific antigen (PSA) responsesUntil disease progression, unacceptable dose delays or reductions, or unacceptable toxicity
Incidence of adverse events and dose-limiting toxicitiesUntil disease progression, unacceptable dose delays or reductions, or unacceptable toxicity
Secondary Outcome Measures
NameTimeMethod
Proportion of subjects with dose-limiting toxicitiesUntil disease progression, unacceptable dose delays or reductions, or unacceptable toxicity
Plasma lonafarnib concentrationsUntil disease progression, unacceptable dose delays or reductions, or unacceptable toxicity
RECIST-defined radiological response rateUntil disease progression, unacceptable dose delays or reductions, or unacceptable toxicity
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