An Open-Label, Two Part, Phase I/II Study to Investigate the Safety, Pharmacokinetics, Pharmacodynamics, and Clinical Activity of the MEK Inhibitor GSK1120212 in Combination With the AKT Inhibitor GSK2110183 in Subjects With Solid Tumors and Multiple Myeloma
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 335
- 试验地点
- 1
- 主要终点
- Part 2A: Number of patients whose disease responds to study drugs, as determined by Overall Response Rate (ORR)
研究概览
简要总结
The purpose of this study is to determine whether the MEK inhibitor and the AKT inhibitor can be given in combination and if the combination is effective treatment for patients with solid tumors, including breast cancer and endometrial cancer, and for patients with multiple myeloma.
详细描述
This is an open-label, two part, Phase I/II study to investigate the safety, pharmacokinetics, pharmacodynamics, and clinical activity of the MEK inhibitor GSK1120212 administered in combination with the AKT inhibitor GSK2110183 in subjects with solid tumors and multiple myeloma.
In Part 1, the safety and tolerability of a range of doses for GSK1120212 and GSK2110183 dosed in combination will be investigated; pharmacokinetics will also be analyzed to determine whether there is a drug-drug interaction between GSK1120212 and GSK2110183 when dosed in combination.
The second part of the study will focus on evaluation of the clinical efficacy of the combination as well as the pharmacodynamic response in subjects with proteasome-refractory multiple myeloma (Part 2A) or solid tumors, putatively endometrial and triple negative breast cancer (Part 2B).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- •Chemotherapy, radiotherapy, immunotherapy or other anti-cancer therapy including investigational drugs within 14 days prior to the first dose of any one of the investigational drugs described in this study.
- •History of an allogenic stem cell transplant. Subjects with a history of an autologous stem cell transplant are NOT excluded from Part 2A if they meet Part 2A inclusion criteria.
- •Current use of prohibited medication during treatment with GSK1120212 and/ or GSK
- •History of Type 1 diabetes.
- •Anticoagulants are permitted only if the subject meets PTT and INR entry criteria. Their use must be monitored in accordance with local institutional practice.
- •Presence of active gastrointestinal disease or other condition that could affect gastrointestinal absorption (eg, malabsorption syndrome) or predispose subject to gastrointestinal ulceration.
- •Evidence of mucosal or internal bleeding.
- •Any major surgery within the last 4 weeks.
- •Any serious or unstable pre-existing medical, psychiatric, or other condition (including lab abnormalities) that could interfere with the subject's safety or providing informed consent.
- •Known active infection requiring parenteral or oral anti-infective treatment.
- •Evidence of severe or uncontrolled systemic diseases (eg, unstable or uncompensated respiratory, hepatic, renal or cardiac disease, unstable hypertension).
- •Subjects with brain metastases are excluded if their brain metastases are: symptomatic, treated (surgery, radiation therapy) but not clinically and radiologically stable one month after therapy (as assessed by at least 2 distinct contrast enhanced MRI or CT scans over at least a one month period) OR asymptomatic and untreated but > 1 cm in the longest dimension.
- •Subjects with small (less than or equal to 1cm in the longest dimension), asymptomatic brain metastases that do not need immediate therapy can be enrolled. Subjects with solid tumors on a stable (ie, unchanged) dose of corticosteroids for more than one month, or those who have been off corticosteroids for at least 2 weeks can be enrolled. Subjects must also be off of enzyme-inducing anticonvulsants for more than 4 weeks.
- •Subjects with leptomeningeal disease are excluded.
- •QTcF interval greater than or equal to 470msecs.
- •Subjects with bundle branch block (BBB) or pacemaker.
- •Other clinically significant ECG abnormalities including 2nd degree (Type II) or 3rd degree atrioventricular (AV) block.
- •History of myocardial infarction, acute coronary syndromes (including unstable angina), coronary angioplasty, or stenting or bypass grafting within 6 months of Screening.
- •Class II, III or IV heart failure as defined by the New York Heart Association (NYHA) functional classification system.
- •Known hypersensitivity to any of the components of the study treatment.
- •Pregnant or lactating female.
- •Any malignancy related to HIV or solid organ transplant; history of known HIV, history of known HBV surface antigen positivity (subjects with documented laboratory evidence of HBV clearance may be enrolled) or positive HCV antibody.
- •History or current evidence/ risk of retinal vein occlusion (RVO) or central serous retinopathy (CSR): history of RVO or CSR, or predisposing factors to RVO or CSR at the time of screening (eg, uncontrolled glaucoma or ocular hypertension, uncontrolled systemic disease such as hypertension, diabetes mellitus, or history of hyperviscosity or hypercoagulability syndromes); visible retinal pathology as assessed by ophthalmic exam that is considered a risk factor for RVO or CSR, such as evidence of new optic disc cupping, evidence of new visual field defects, intraocular pressure (IOP) > 24mmHg.
研究组 & 干预措施
Part 1: Cohort 3a
GSK1120212 2mg + GSK2110183 100mg
干预措施: GSK2110183 (Drug)
Part 1: Cohort 3b
GSK1120212 1.5mg + GSK2110183 125mg
干预措施: GSK1120212 (Drug)
Part 1: Cohort 3b
GSK1120212 1.5mg + GSK2110183 125mg
干预措施: GSK2110183 (Drug)
Part 2A and 2B: GSK1120212 + GSK2110183 Dose Combination 1
One of two dose combination levels (GSK1120212+GSK2110183) based on data from Part 1 of the trial
干预措施: GSK1120212 (Drug)
Part 1: Cohort 3a
GSK1120212 2mg + GSK2110183 100mg
干预措施: GSK1120212 (Drug)
Part 2A and 2B: GSK1120212 + GSK2110183 Dose Combination 1
One of two dose combination levels (GSK1120212+GSK2110183) based on data from Part 1 of the trial
干预措施: GSK2110183 (Drug)
Part 2A and 2B: GSK1120212 + GSK2110183 Dose Combination 2
One of two dose combination levels (GSK1120212+GSK2110183) based on data from Part 1 of the trial
干预措施: GSK1120212 (Drug)
Part 2A and 2B: GSK1120212 + GSK2110183 Dose Combination 2
One of two dose combination levels (GSK1120212+GSK2110183) based on data from Part 1 of the trial
干预措施: GSK2110183 (Drug)
Part 1: Cohort 1
GSK1120212 1.5mg + GSK2110183 50mg
干预措施: GSK1120212 (Drug)
Part 1: Cohort 1
GSK1120212 1.5mg + GSK2110183 50mg
干预措施: GSK2110183 (Drug)
Part 1: Cohort 2
GSK1120212 1.5mg + GSK2110183 100mg
干预措施: GSK1120212 (Drug)
Part 1: Cohort 2
GSK1120212 1.5mg + GSK2110183 100mg
干预措施: GSK2110183 (Drug)
Part 1: Cohort 4a
GSK1120212 2mg + GSK2110183 125mg
干预措施: GSK1120212 (Drug)
Part 1: Cohort 4a
GSK1120212 2mg + GSK2110183 125mg
干预措施: GSK2110183 (Drug)
Part 2A: GSK1120212 2mg
Maximum tolerated dose of GSK1120212 as determined in prior single-agent trials
干预措施: GSK1120212 (Drug)
Part 2A; GSK2110183 125mg
GSK2110183 125mg
干预措施: GSK2110183 (Drug)
Part 2A: GSK2110183 MTD
Maximum tolerated dose (MTD) as determined in ongoing single agent trial PKB115340
干预措施: GSK2110183 (Drug)
结局指标
主要结局
Part 2A: Number of patients whose disease responds to study drugs, as determined by Overall Response Rate (ORR)
时间窗: Every four weeks for up to one year.
Defined as stringent complete response, complete response, very good partial response, or partial response, using the International Myeloma Working Group (IMWG) Uniform Response Criteria for Multiple Myeloma
Part 1: Safety and tolerability in first 4 weeks as determined by the number of patients with adverse events, serious adverse events, dose reductions or delays, withdrawals due to toxicities and changes in lab values and vital signs from baseline
时间窗: Weekly during first four weeks.
Adverse events, serious adverse events, dose reductions or delays, withdrawals due to toxicities and changes in laboratory values and vital signs
Part 1: Safety and tolerability in continuation as determined by the number of patients with adverse events, serious adverse events, dose reductions or delays, withdrawals due to toxicities and changes in lab values and vital signs from baseline
时间窗: Every four weeks for up to one year.
Adverse events, serious adverse events, dose reductions or delays, withdrawals due to toxicities and changes in laboratory values and vital signs
Part 2B: Number of patients whose disease responds to study drugs, as determined by Overall response rate (ORR)
时间窗: Until disease progression or for up to one year.
Defined as confirmed complete response or confirmed partial response rate, using Response Evaluation Criteria in Solid Tumors (RECIST) v 1.1
次要结局
- Part 1: Profile of pharmacokinetic parameters following repeat-dose administration of GSK1120212 and GSK2110183 in combination versus repeat-dose administration of monotherapy GSK2110183 and GSK1120212(Day 15 and Day 29 at predose and 1h, 2h, 3h, 4h, 6h, 8h 11h, 18h and 24h postdose)
- Part 2B: Number of patients whose disease responds to study drugs, as shown by PFS; duration of response; change from baseline measures in biomarkers in the PI3K/ATK and MAPK pathways; genetic alterations in PI3K/AKT/RAS/RAF pathway(Every 8 weeks)
- Part 2A: Number of patients whose disease responds to study drugs, as shown by PFS; duration of response; change from baseline measures in biomarkers in the PI3K/ATK and MAPK pathways; genetic alterations in PI3K/AKT/RAS/RAF pathway(Every 4 weeks)
