Safety Study of a Liposomal Docetaxel Formulation in Patients With Solid Tumors Who Have Failed Previous Therapies
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Purpose
The purpose of this study is to determine the safety profile, including the maximum tolerated dose (MTD), of ATI-1123 a liposomal formulation of docetaxel, in the treatment of cancer patients with advanced solid tumors.
| Condition | Intervention | Phase |
|---|---|---|
|
Solid Tumor Breast Cancer Ovarian Cancer Pancreatic Cancer Non-Small Cell Lung |
Drug: ATI-1123 (active drug = docetaxel) |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase I, Open-label, Dose-escalation, Safety, Pharmacokinetic, and Pharmacodynamic Study of Intravenously Administered ATI-1123, a Liposomal Docetaxel Formulation, on an Every 3 Week Schedule, in Patients With Advanced Solid Tumors |
- To determine the (MTD) and (DLTs) of ATI-1123 administered every 3 weeks, over a range of doses in patients with advanced solid tumors. [ Time Frame: Duration of study ] [ Designated as safety issue: Yes ]
- To establish the dose recommended for future phase II studies with ATI-1123. [ Time Frame: End of Study ] [ Designated as safety issue: No ]
- To establish the pharmacokinetics of intravenously administered ATI-1123. [ Time Frame: Cycle 1 (various time points within the cycle) ] [ Designated as safety issue: Yes ]
- To observe patients for any evidence of antitumor activity of ATI-1123 by objective radiographic assessment. [ Time Frame: Every 8 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 29 |
| Study Start Date: | December 2009 |
| Study Completion Date: | December 2011 |
| Primary Completion Date: | October 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: ATI-1123 |
Drug: ATI-1123 (active drug = docetaxel)
Dose escalation starting at 15 mg/m2 given once every 3 weeks via IV
Other Names:
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Detailed Description:
The majority of advanced stage human cancers are fatal if not treated promptly and aggressively. Standard treatments include chemotherapy, radiation therapy and surgery. Docetaxel, the active ingredient in ATI-1123 and the FDA approved drug Taxotere, is a chemotherapy given by IV to patients to treat various types of cancers.
Docetaxel is a poorly water soluble semi-synthetic taxane analog commonly used in the treatment of a variety of solid tumors including non-small cell lung, prostate, breast, gastric and head and neck cancer. Because of its poor water solubility it is formulated with co-solvents that can potentially contribute to treatment related adverse events such as hypersensitivity. Current taxane formulations often complicate drug delivery and can alter both pharmacokinetic and toxicity profiles.
Results from nonclinical evaluations show that ATI-1123 retains the antineoplastic activity of docetaxel while removing the need for unwanted solvents like Tween 80. The administration of ATI-1123 versus other docetaxel chemotherapy formulations is expected to reduce hypersensitivity reactions (redness, swelling, itching at the infusion site), eliminate the requirement for premedications, have a broader therapeutic index, and enhance systemic docetaxel exposure.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Understand and sign a written IRB-approved informed consent form.
- Have a histologically confirmed solid tumor.
- Have progressive disease following standard/approved chemotherapy or have no appropriate alternative therapy available.
- Have one or more tumors measurable or evaluable as outlined by modified RECIST or evaluable by CT or MRI scan.
- Have an ECOG performance status of ≤ 2.
- Have a life expectancy of at least 3 months.
- Be ≥ 18 years old.
- Have a negative pregnancy test (if female of childbearing potential)
- Demonstrate acceptable hepatic function:
- Bilirubin ≤ upper limit of normal (ULN)
- AST (SGOT) and ALT (SGPT) ≤ 2.5 times ULN
- Demonstrate acceptable renal function:
- Serum creatinine ≤ 1.5 x ULN, OR calculated creatinine clearance ≥ 60 mL/min/1.73 m2 for patients with creatinine levels above institutional normal (Calculated according to the Cockroft and Gault formula)
- Demonstrate acceptable hematologic status:
- Absolute neutrophil count ≥ 1500/mm3
- Platelet count ≥ 100,000/mm3 (measured within 72 hours prior to initial dose)
- Hemoglobin ≥ 9 g/dL
- Demonstrate acceptable coagulation status:
- PT or INR within 1.5x ULN
- PTT within 1.5x ULN
- Have recovered from prior treatments (eg, surgery, radiation, chemotherapy, investigational therapies) sufficiently prior to Day 1 so that, in the opinion of the Investigator and/or Medical Monitor, the protocol objectives would not be compromised.
- Agree to use an effective contraceptive method (hormonal or barrier method; or abstinence) for the duration of the study and for 30 days after the last dose (for men and women of child-producing potential).
Exclusion Criteria:
- Have New York Heart Association Class III or IV cardiac disease, myocardial infarction within the past 6 months prior to Day 1, unstable arrhythmia, or evidence of ischemia on electrocardiogram (ECG).
- Have a seizure disorder requiring anticonvulsant therapy.
- Have active CNS metastasis. Patients with a history of CNS metastases will be eligible if they have been treated and are stable without symptoms for 4 weeks after completion of treatment, with image documentation required, and must be either off steroids or on stable dose of steroids for ≥ 1 week prior to enrollment.
- Have severe, chronic obstructive pulmonary disease with hypoxemia.
- Have active, uncontrolled bacterial, viral, or fungal infections requiring systemic therapy.
- Are pregnant or nursing.
- Have undergone radiation therapy, surgery, chemotherapy, or investigational therapy within 28 days prior to study entry (6 weeks for nitrosoureas or Mitomycin C).
- Are unwilling or unable to comply with procedures required in this protocol.
- Have a known history of infection with HIV, hepatitis B, or hepatitis C.
- Have a serious nonmalignant disease that, in the opinion of the Investigator and/or the Medical Monitor, could compromise protocol objectives.
- Are currently receiving any other investigational agent.
- Have exhibited allergic reactions to docetaxel, or a similar structural compound, biological agent, or formulation.
Contacts and Locations| United States, Texas | |
| Mary Crowley Cancer Research Centers (MCCRC) | |
| Dallas, Texas, United States, 75230 | |
| Cancer Therapy and Research Center (CTRC) | |
| San Antonio, Texas, United States, 78229 | |
| Principal Investigator: | Anthony W Tolcher, MD | South Texas Accelerated Research Therapeutics (START) |
| Principal Investigator: | John Nemunaitis, MD | Mary Crowley Cancer Research Center |
| Study Chair: | Jon M Rogers, MD | Azaya Therapeutics, Inc (Medical Monitor) |
More Information
Additional Information:
No publications provided
| Responsible Party: | Azaya Therapeutics, Inc. |
| ClinicalTrials.gov Identifier: | NCT01041235 History of Changes |
| Other Study ID Numbers: | ATI1123-101 |
| Study First Received: | December 30, 2009 |
| Last Updated: | September 4, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Azaya Therapeutics, Inc.:
|
Solid Neoplasms Carcinoma Breast Ovarian Ovary Pancreas Pancreatic |
Lung NSCLC Non Small Cell Lung Prostate Gastric Head and Neck |
Additional relevant MeSH terms:
|
Breast Neoplasms Ovarian Neoplasms Pancreatic Neoplasms Neoplasms Neoplasms by Site Breast Diseases Skin Diseases Endocrine Gland Neoplasms Ovarian Diseases Adnexal Diseases Genital Diseases, Female |
Genital Neoplasms, Female Urogenital Neoplasms Endocrine System Diseases Gonadal Disorders Digestive System Neoplasms Digestive System Diseases Pancreatic Diseases Docetaxel Antineoplastic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013