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A Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of JNJ-42756493 in Patients with Advanced or Refractory Solid Tumors or Lymphoma

Phase 1
Conditions
eoplasms, Lymphoma, Adenocarcinoma Esophagogastric Junction
Registration Number
JPRN-jRCT2080223021
Lead Sponsor
Janssen Pharmaceutical K.K.
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Sex
All
Target Recruitment
33
Inclusion Criteria

Part 1:
- Histologically or cytologically confirmed solid malignancy or lymphoma that is metastatic or unresectable, and for which standard curative treatment is no longer effective

Part 2:
- Histologically or cytologically confirmed gastric adenocarcinoma including gastroesophageal junctions that is metastatic, locally advanced or unresectable, and for which standard treatment is no longer
effective or tolerable
- Eastern Cooperative Oncology Group performance status score 0 or 1
- Adequate bone marrow, liver, and renal function according to protocol-defined criteria within the 7 days prior to Day 1 of Cycle 1
- Laboratory values within protocol-defined parameters
- Agrees to protocol-defined use of effective contraception
- Negative urine pregnancy test at screening for women of child bearing potential

Exclusion Criteria

- Has had chemotherapy, radiotherapy, immunotherapy, or treatment with an investigational anticancer agent within 3 weeks (nitrosoureas and mitomycin C within 6 weeks) before the first administration of study drug (localized radiation therapy for palliative purposes and ongoing luteinizing hormone-releasing hormone agonists and antagonists for patients with prostate cancer, bisphosphonates and denosumab are permitted
- History or current condition of uncontrolled cardiovascular disease as defined in the protocol
- Taking medications known to have a risk of causing QTc prolongation and Torsades de Pointes or known as strong CYP3A inhibitors or inducers
- Left ventricular ejection fraction less than (<) 50 percent (%) as assessed by echocardiography performed at screening
- Uncontrolled intercurrent illness including, but not limited to, poorly controlled hypertension or diabetes, ongoing active infection, psychiatric illness, or a risk of gastrointestinal perforation
- Woman who is pregnant, breast-feeding, or planning to become pregnant or a man who plans to father a child while enrolled in this study or within 3 months after the last dose of study drug
- Not recovered from reversible, clinically significant toxicity of prior anticancer therapy
- Presence of any medical condition that requires intact wound healing capacity and is expected to endanger participant safety if wound healing capacity would be severely reduced during administration of the investigational agent
- Major surgery within 4 weeks before enrollment
- Known human immunodeficiency virus infection
- Known hepatitis B or C (except hepatocellular carcinoma)
- Active, symptomatic, or untreated brain metastasis

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
umber of participants affected by adverse events by MedDRA system organ class (SOC) and Preferred term (PT)<br>Up to 30 days after the last dose of study medication
Secondary Outcome Measures
NameTimeMethod
Maximum/Minimum observed plasma concentration of JNJ-42756493<br>Up to Part 2 Cycle 4 (each cycle is 28 days) Day 1<br>Time correspondent to the maximum observed plasma concentration of JNJ-42756493<br>Up to Part 2 Cycle 4 (each cycle is 28 days) Day 1<br>Area under the plasma concentration-time curve from time 0 to 24 hours of JNJ-42756493<br>Up to Part 2 Cycle 4 (each cycle is 28 days) Day 1<br>Half-life of JNJ-42756493<br>Up to Part 2 Cycle 4 (each cycle is 28 days) Day 1<br>Apparent volume of distribution of JNJ-42756493<br>Up to Part 2 Cycle 4 (each cycle is 28 days) Day 1<br>Total clearance of drug of JNJ-42756493<br>Up to Part 2 Cycle 4 (each cycle is 28 days) Day 1<br>Accumulation index of JNJ-42756493<br>Up to Part 2 Cycle 4 (each cycle is 28 days) Day 1<br>Number of participants with complete/partial response<br>Up to Part 2 Cycle 4 (each cycle is 28 days) Day 1<br>Number of participants with stable / progressive disease<br>Up to Part 2 Cycle 4 (each cycle is 28 days) Day 1
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