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Study of XL184 (Cabozantinib) in Adults With Advanced Malignancies

Phase 1
Completed
Conditions
Lymphoma
Cancer
Thyroid Carcinoma
Interventions
Registration Number
NCT00215605
Lead Sponsor
Exelixis
Brief Summary

The purpose of this study is to determine the best and safest dose of XL184 administered orally. XL184 is a new chemical entity that inhibits VEGFR2, MET and RET, kinases implicated in tumor formation, growth and migration. To determine the highest safe dose, subjects will receive different amounts of the drug. The first group of subjects will receive the lowest dose of XL184. As long as no medically unacceptable side effects are noted, the dose will be increased for the next group. When the maximum tolerated dose (MTD) is reached, at least 20 subjects with Medullary Thyroid Cancer (MTC) will be enrolled to evaluate the effect of XL184 in this population.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
85
Inclusion Criteria
  • Histologically confirmed advanced malignancy (solid tumor or lymphoma) that is metastatic or unresectable for which standard curative measures do not exist or are no longer effective
  • Eastern Cooperative Oncology Group (ECOG) performance status </= 2
  • Life expectancy greater than 3 months
  • Adequate organ and marrow function
  • Written informed consent
  • Use of acceptable methods of contraception during the course of the study and for 3 months after completion of study
  • In the MTD expanded cohort: at least 20 subjects with metastatic and/or advanced/locally recurrent Medullary Thyroid Cancer not appropriate for surgical resection with measurable disease as defined by RECIST
Exclusion Criteria
  • Chemotherapy, immunotherapy or radiation within 4 weeks (or nitrosoureas or mitomycin C within 6 weeks) before the first scheduled dose of XL184
  • Administration of an investigational drug within 30 days of the first dose of XL184
  • Subject has not recovered from adverse events due to investigational agents or other medications administered more than 4 weeks before study enrollment
  • Known brain metastases
  • Uncontrolled intercurrent illness
  • Pregnancy or breastfeeding
  • Known HIV positive
  • Known allergy or hypersensitivity to any of the components of the XL184 formulation

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
1XL184-
Primary Outcome Measures
NameTimeMethod
Safety, tolerability, maximum tolerated dose (MTD), and dose-limiting toxicity of oral administration of XL184Assessed during periodic visits
Evaluate plasma pharmacokinetics and estimate renal elimination of oral administration of XL184Assessed during periodic visits
Secondary Outcome Measures
NameTimeMethod
Long-term safety/tolerability of XL184 after oral administration for up to 1 yearAssessed during periodic visits
Evaluate preliminary tumor response after repeated XL184 administrationAssessed during periodic visits
In MTD expanded cohort: Progression-free survival and duration of response in subjects with advanced or recurrent medullary thyroid cancerAssessed during periodic visits

Trial Locations

Locations (5)

Fox Chase Cancer Center

🇺🇸

Philadelphia, Pennsylvania, United States

Johns Hopkins University

🇺🇸

Baltimore, Maryland, United States

Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

University of Chicago

🇺🇸

Chicago, Illinois, United States

Univ. of Texas MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

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