临床试验/NCT02540876

NCT02540876已完成1 期

A Pilot Study for Ilorasertib (ABT-348) in Patients With CDKN2A-deficient Advanced Solid Cancers: A Series of Individual Patient Cross-Over Studies With Growth Trajectory Assessment

University of Chicago1 个研究点分布在 1 个国家目标入组 12 人开始时间: 2015年9月8日最近更新: 2019年4月22日

适应症

干预措施

试验速览

阶段: 1 期
状态: 已完成
发起方: University of Chicago
入组人数: 12
试验地点: 1
主要终点: Change in tumor burden.

研究概览研究设计入排标准研究组 & 干预措施结局指标研究者研究点记录与标识符相似试验

研究概览

简要总结

This pilot phase I trial studies how well ilorasertib works in treating patients with cyclin-dependent kinase inhibitor 2A (CDKN2A)-deficient solid cancers that have spread to other places in the body and usually cannot be cured or controlled with treatment (advanced) or have spread to other places in the body (metastatic) and cannot be removed by surgery. Ilorasertib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

研究设计

研究类型: Interventional
分配方式: Na
干预模型: Single Group
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

•Eligible and consent to the Institutional Review Board (IRB) 13-0002 registry trial protocol
•Subjects must have histologically confirmed solid malignancy that is metastatic or unresectable
•The patient should have received all established therapies where there is a clear, superior available regimen available for the patient and the patient should have demonstrated progressive disease on or since completion of the last treatment regimen
•Patients must have measurable disease defined as lesions that can be accurately measured in at least one dimension (longest diameter to be recorded) as >= 2 cm with conventional techniques or as >= 1 cm with spiral CT scan
•Patients must have prior CT scan images available for investigators to collect
•Patients must have available tumor molecular profiling from Clinical Laboratory Improvement Amendments (CLIA)-certified labs or have available archived tissue to be sent to such a laboratory in the context of this investigation
•Molecular testing in a CLIA-certified laboratory must have demonstrated a deletion involving the CDKN2A locus or a mutation within the locus that can be deemed from best available evidence to be likely to cause inactivation of a gene within or protein encoded by CDKN2A; sequencing or fluorescence in situ hybridization (FISH)/chromogenic in situ hybridization (CISH) methods are acceptable; the investigators will consider analyses performed according to similar standards as applied by Foundation Medicine (likely to be the most common source of molecular diagnostic data for patients in this trial)
•At least 3 weeks must have passed since any prior anti-tumor therapies including chemotherapy, radiation therapy or any other anti-cancer treatments
•Serum creatinine value of < 1.5 times the upper limit of normal (ULN) and either an estimated creatinine clearance value of > 50 mL/min as determined by the Chronic Kidney Disease Epidemiology (CKD EPI) or MDRD (Modification of Diet in Renal Disease) formulae or a creatinine clearance value of > 50 mL/min based on a 24 hour urine collection
•Subject has adequate liver function as demonstrated by serum bilirubin < 2 x ULN and Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =< 2.5 x ULN. For subjects with liver metastasis, adequate liver function is demonstrated by serum bilirubin =< 2 x ULN and AST/ALT =< 5.0 x ULN
•Subject has adequate bone marrow as demonstrated by absolute neutrophil count (ANC) >= 1,500/mm^3 (1.5 x 10^9/L); platelets >= 100,000/mm^2 (100 x 10^9/L); hemoglobin >= 9.0 g/dL (1.4 mmol/L)
•Subject has QTc interval < 500 msec on baseline electrocardiogram
•Subject has blood pressure controlled to < 150 mmHg systolic and < 95 mmHg diastolic at screening
•Subject has a documented left ventricular ejection fraction > 50%
•Women of child-bearing potential and men must agree to use adequate contraception (one of the following listed below) prior to the study entry, for the duration of study participation and up to 3 months following completion of therapy; women of child-bearing potential must have a negative pregnancy test within 7 days prior to initiation of treatment and post-menopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential
•Acceptable contraception
•Total abstinence from sexual intercourse (minimum one complete menstrual cycle)
•Vasectomized male subjects or vasectomized partner of female subjects
•Double-barrier method (condoms, contraceptive sponge, diaphragm or vaginal ring with spermicidal jellies or cream)
•Additionally, male subjects (including those who are vasectomized) whose partners are pregnant or might be pregnant must agree to use condoms for the duration of the study and for 3 months following completion of therapy
•Eastern Cooperative Oncology Group (ECOG) performance status: 0-1
•Patients must be able to provide written informed consent

排除标准

•Patients with hospitalization within 4 weeks of treatment initiation date for co-morbid conditions or any complication of disease or therapy that is deemed by the principal investigator as unstable or incompletely treated
•Patients with any psychiatric or social condition that leads them to be unlikely to adhere to the study schedule and contribute to the primary objectives
•Women that are pregnant or lactating are excluded from this study
•Subject has known active central nervous system (CNS) involvement; the subject has untreated brain or meningeal metastases; CT scans are not required to rule out brain or meningeal metastases unless there is a clinical suspicion of central nervous system disease; subjects with treated brain metastases that are radiographically or clinically stable for at least 4 weeks after therapy and have no evidence of cavitation or hemorrhage in the brain lesion(s) are eligible, providing that they are asymptomatic, and do not require corticosteroids (must have discontinued steroids at least 1 week prior to study drug administration)
•Subject has had major surgery within 28 days prior to study day 1
•Subject has proteinuria defined by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE version [v] 4.0) grade > 1 at baseline as measured by a urine dipstick (2+ or greater) and confirmed by a 24 hour urine collection (>= 1 g/24 hrs); subjects may be re-screened if proteinuria is shown to be controlled with or without intervention
•Subject is taking any oral anticoagulant
•History of:
•Symptomatic congestive heart failure
•Unstable angina pectoris or cardiac arrhythmia (subjects with stable atrial fibrillation are not excluded)
•Adrenal insufficiency
•Subject is unable to swallow or absorb oral tablets normally
•Subject takes cytochrome P450, family 3, subfamily A (CYP3A) inhibitors within 3 days or inducers within 7 days prior to the study drug administration; any questions or clarifications of these determinations should be brought to the attention of the principal investigator (PI); the PI will make the final determination on when it is safe to initiate ABT-348 (ilorasertib) therapy under circumstances where the magnitude or relevance of possible CYP3A4 inhibitors/inducers is unclear in the protocol appendix

研究组 & 干预措施

Treatment (ilorasertib)

Experimental

Patients receive ilorasertib PO BID on days 1, 8, 15, 29, and 36. Treatment repeats every 28 days for up to 2 courses in the absence of disease progression or unacceptable toxicity.

干预措施: Ilorasertib (Drug)

Treatment (ilorasertib)

Experimental

Patients receive ilorasertib PO BID on days 1, 8, 15, 29, and 36. Treatment repeats every 28 days for up to 2 courses in the absence of disease progression or unacceptable toxicity.

干预措施: Laboratory Biomarker Analysis (Other)

结局指标

主要结局

Change in tumor burden.

时间窗: 22 weeks

Change in tumor measurements from baselines through end of study.

次要结局

Number of patients with response as per Response Evaluation Criteria in Solid Tumors (RECIST).(Up to week 12)

研究者

发起方

University of Chicago

申办方类型

Other

责任方

Sponsor

研究点 (1)

Loading locations...

相似试验

终止

2 期

Phase II Study of Ilorasertib (ABT348) in Patients With CDKN2A Deficient Solid TumorsAdvanced Cancers

NCT02478320M.D. Anderson Cancer Center12

进行中（未招募）

2 期

Testing Olaparib and AZD6738 in IDH1 and IDH2 Mutant TumorsMalignant Solid NeoplasmRefractory CholangiocarcinomaRefractory Malignant Solid Neoplasm

NCT03878095National Cancer Institute (NCI)24

已完成

1 期

NCT02381535National Cancer Institute (NCI)2

已完成

1 期

Alisertib and Pembrolizumab for the Treatment of Patients With Rb-deficient Head and Neck Squamous Cell CancerHead and Neck Squamous Cell CarcinomaMalignant Solid Neoplasm

NCT04555837M.D. Anderson Cancer Center24

已完成

2 期

NCT01664897M.D. Anderson Cancer Center29