EUCTR2009-017477-38-DE进行中(未招募)不适用
An Open-Label, Dose-Escalation, Phase IB/ II Study to Investigate the Safety, Pharmacokinetics, Pharmacodynamics and Clinical Activity of the MEK Inhibitor GSK1120212 in Combination with Oral Everolimus in Subjects with Solid Tumors
试验速览
- 阶段
- 不适用
- 状态
- 进行中(未招募)
- 入组人数
- 100
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- All
入选标准
- •A subject will be eligible for inclusion in this study only if all of the following criteria
- •1. Capable of giving written informed consent, which includes compliance with the
- •requirements and restrictions listed in the consent form.
- •2. Age 18 years old or older and able to swallow oral medication.
- •3. Performance Status score of 0 or 1 according to the Eastern Cooperative Oncology
- •(ECOG) scale for Phase IB/Dose Escalation Cohort. Subjects with ECOG PS of 2
- •can be enrolled for Phase IB/Expansion Cohort and Phase II.
- •4. Tumor Type criteria:
- •Phase IB/Dose Escalation Cohort
- •o Histologically or cytologically confirmed diagnosis of solid tumor malignancy:
- •That is relapsed/refractory
- •OR is potentially responsive to everolimus
- •OR for which there is no standard or curative therapy
- •OR for subjects who refuse standard therapy
- •Phase IB/Expansion Cohort
- •o Pancreatic cancer: Histologically or cytologically confirmed diagnosis of metastatic pancreatic cancer. Subjects with locally advanced surgically unresectable disease are also eligible.
- •o Measurable disease by RECIST 1.1.
- •o KRAS- mutant NSCLC: Histologically or cytologically confirmed diagnosis of metastatic NSCLC
- •o Measurable disease by RECIST 1.1 [Eisenhauer, 2009].
- •5. Fasting glucose < 126mg/dL
- •6. Male subjects must agree to use one of the contraception methods listed in
- •Section 7.1.2. This criterion must be followed from the time of the first dose of
- •study medication until 4 weeks after the last dose of study medication. However, the
- •Sponsor advises that contraception be used for a total of 16 weeks following the last
- •dose (based on the lifecycle of sperm).
- •7. A female subject is eligible to participate if she is of:
- •Non-childbearing potential defined as pre-menopausal females with a
- •documented tubal ligation or hysterectomy; or postmenopausal defined as 12
- •months of spontaneous amenorrhea [in questionable cases a blood sample with
- •simultaneous follicle stimulating hormone (FSH) > 40 MlU/mL and estradiol <
- •40 pg/mL (<140 pmol/L) is confirmatory]. Females on hormone replacement
- •therapy (HRT) and whose menopausal status is in doubt will be required to use
- •one of the contraception methods in Section 7.1.1 if they wish to continue their
- •HRT during the study. Otherwise, they must discontinue HRT to allow
- •confirmation of post-menopausal status prior to study enrollment. For most
- •forms of HRT, at least 2-4 weeks will elapse between the cessation of therapy
- •and the blood draw; this interval depends on the type and dosage of HRT.
- •Following confirmation of their post-menopausal status, they can resume use of
- •HRT during the study without use of a contraceptive method.
- •Child-bearing potential and agrees to use one of the contraception methods listed
- •in Section 7.1 for an appropriate period of time (as determined by the product
- •label or investigator) prior to the start of dosing to sufficiently minimize the risk
- •of pregnancy at that point. Female subjects must agree to use contraception until
- •4 weeks after the last dose of study medication.
- •Note: Oral contraceptives are not reliable due to potential drug-drug interaction
- •8. Calcium phosphate product = 4.0 mmol2/L2 (50 mg2/dL2)
- •9. Adequate organ system function as defined in Table 10 of the protocol
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- 另有 3 项未显示
排除标准
- •A subject will not be eligible for inclusion in this study if any of the following criteria
- •1. Malignancies related to HIV or solid organ transplant.
- •2. Primary malignant brain tumors.
- •3. Chemotherapy, radiotherapy, or immunotherapy within 28 days (or 42 days for prior nitrosoureas or mitomycin C) prior to the first dose of GSK1120212. Chemotherapy regimens given continuously or on a weekly basis with limited potential for delayed toxicity are permitted with approval of a GSK Medical Monitor if dosing of that agent is terminated at least 14 days prior to the first dose of GSK1120212.
- •4. Use of an investigational anti-cancer drug within 28 days or 5 half-lives, whichever
- •is shorter preceding the first dose of GSK1120212 – as long as a minimum of 14
- •days has passed between the last dose of the prior investigational anti-cancer drug
- •and the first dose of GSK1120212.
- •5. Previous treatment with an mTOR inhibitor unless approved by GSK Medical
- •6. Previous treatment with GSK1120212.
- •7. History of sensitivity to any of the study medications, or components thereof or a
- •history of drug or other allergy that, in the opinion of the investigator or GSK
- •Medical Monitor, contraindicates their participation.
- •8. Known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs
- •chemically related to the study drug, DMSO, or excipients (see GSK1120212
- •Investigator Brochure [GlaxoSmithKline Document Number RM2007/00107/00].
- •(To date there are no known FDA approved drugs chemically related to
- •GSK1120212).
- •9. Use of a prohibited medication (as defined in Section 8.2).
- •10. Current use of anticoagulants (e.g. warfarin, heparin) at therapeutic levels within
- •seven days prior to the first dose of GSK1120212. Low dose (prophylactic) low
- •molecular weight heparin (LMWH) is permitted provided that subject’s PT and PTT
- •meet entry criteria. Subjects required therapeutic levels of LMWH must receive
- •approval from GSK Medical Monitor and monitored appropriately as clinically
- •11. Gastrointestinal disease predicted to interfere with absorption of an oral drug,
- •systemic disease, major surgery, or social/psychological issues that in the opinion of
- •investigators would jeopardize compliance with protocol.
- •12. History of retinal vein occlusion (RVO) or central serous retinopathy (CSR).
- •13. Predisposing factors to RVO including uncontrolled hypertension, uncontrolled
- •diabetes, uncontrolled hyperlipidemia, and coagulopathy.
- •14. Visible retinal pathology as assessed by ophthalmologic exam that is considered a
- •risk factor for RVO or CSR.
- •15. Intraocular pressure > 21mm Hg as measured by tonography.
- •16. Glaucoma diagnosed within 1 month prior to study Day 1.
- •17. Symptomatic or untreated leptomeningeal or brain metastases or spinal cord
- •compression. Subjects previously treated for these conditions that are asymptomatic
- •and off corticosteroids for at least two weeks are permitted. Subjects are not
- •permitted to receive enzyme inducing anti-epileptic drugs (EIAEDs).
- •18. Unresolved toxicity greater than common terminology criteria for adverse events
- •(CTCAE) grade 1 from previous anti-cancer therapy except alopecia (if applicable)
- •unless agreed to by a GSK Medical Monitor and the Investigator.
- •19. History of acute coronary syndromes (including unstable angina), coronary
- •angioplasty, or stenting within the past 24 weeks.
- •20. QTc interval = 480 msecs.
- •21. Class II, III, or IV heart failure as defined by the New York Heart Association
- •(NYHA) functional
研究者
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