NCT01392521已完成1 期
Phase Ib Trial of the Combination of PI3K Inhibitor BAY 80-6946 and Allosteric-MEK Inhibitor BAY 86-9766 in Subjects With Advanced Cancer
适应症
干预措施
相关药物
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- Bayer
- 入组人数
- 64
- 主要终点
- Maximum Tolerated Dose
研究概览
简要总结
The PI3K (phosphoinositol 3-Kinase) inhibitor Copanlisib and the MEK (mitogen-activated protein kinase) inhibitor Refametinib (BAY86-9766)have both been tested as single agent treatments in other phase I studies. This study will test the combination of these two drugs to try and answer the following questions:
- What are the side effects of the combination of Copanlisib and Refametinib (BAY86-9766)when given together at different/increasing dose levels?
- What dose level of Copanlisib and Refametinib (BAY86-9766) should be tested in future clinical research studies?
- How much Copanlisib is in the blood at specific times after administration and does adding Refametinib (BAY86-9766) have an affect?
- How much Refametinib (BAY86-9766) is in the blood at specific times after administration and does adding Copanlisib have an affect?
- Does the combination of Refametinib (BAY86-9766) and Copanlisib have an effect on tumors?
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
- •Age greater than/equal to 18 years old
- •ECOG Performance Status of 0 - 1
- •Life expectancy of at least 12 weeks
- •Patients with advanced, histologically or cytologically confirmed solid tumors, refractory to any standard therapy or have no standard therapy available
- •LVEF (left ventricular ejection fraction) > or = to the lower limit of normal for the institution
- •Radiographically or clinically evaluable tumor
- •Adequate bone marrow, liver and renal function as assessed by the following laboratory requirements to be conducted within 14 days prior to start of first dose:
- •Hemoglobin > 9.0 g/dL
- •Absolute neutrophil count (ANC) > or = 1500/mm3
- •Platelet count > or = 100,000 /mm3
- •Total bilirubin < or = 1.5 times the upper limit of normal
- •ALT (alanine aminotransferase) and AST (aspartate aminotransferase) < or = 2.5 x upper limit of normal (< or = 5 x upper limit of normal for patients with liver involvement)
- •PT-INR (prothrombin-international normalized ratio) and PTT (partial thromboplastin time) < or = 1.5 times the upper limit of normal
- •Serum creatinine < or = 1.5 times the upper limit of normal
排除标准
- •History of impaired cardiac function or clinically significant cardiac disease (i.e. congestive heart failure (CHF) NYHA (New York Heart Association) Class III or IV); active coronary artery disease, myocardial infarction within 6 months of study entry; new onset or unstable angina within 3 months of study entry, or cardiac arrhythmias requiring anti-arrhythmic therapy
- •Type 1 or type 2 diabetes mellitus or fasting glucose > 125 mg/dL or HgBA1c > or = 7.0
- •Use of systemic corticosteroids within 2 weeks of study entry
- •History of retinal vein occlusion
- •Known glucose-6-phosphate dehydrogenase (G6PD) deficiency
- •Active clinically serious infection
- •Uncontrolled hypertension
- •Positive for HIV, or chronic Hepatitis B or C
- •Subjects undergoing renal dialysis
- •Known bleeding diathesis
- •Ongoing substance abuse
- •Pregnant or breast-feeding women
研究组 & 干预措施
Arm 1
Experimental
干预措施: Copanlisib + Refametinib (BAY86-9766) (Drug)
结局指标
主要结局
Maximum Tolerated Dose
时间窗: 2 years
Comparison of the Copanlisib AUC when given alone with the AUC when given with Refametinib (BAY86-9766)
时间窗: At day 15
Comparison of the Refametinib (BAY86-9766) AUC when given alone with the AUC when given with Copanlisib
时间窗: At day 15
次要结局
- Tumor Response as measured by RECIST 1.1 criteria(3 years)
- Biomarker evaluation including analysis of pathway activation in blood and plasma(3 years)
- Pharmacodynamic biomarker evaluation analysis using paired tumor biopsies(3 years)
- Tumor Response as measured by FDG-PET at MTD and expansion cohort(s)(3 years)
研究者
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