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A Phase 1 Trial of ABI-011 in Patients With Advanced Solid Tumors or Lymphomas

This study has been terminated.
Sponsor:
Information provided by (Responsible Party):
Celgene Corporation
ClinicalTrials.gov Identifier:
NCT01163071
First received: June 15, 2010
Last updated: November 3, 2011
Last verified: October 2011
  Purpose

The purpose of this study is to determine the MTD and/or RP2D of ABI-011 when administered by IV on Day 1, Day 8 and Day 15 with one week of rest for patients with advanced solid tumor malignancies and lymphomas.


Condition Intervention Phase
Advanced Solid Tumors
Drug: ABI-011
Phase 1

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase I Trial of ABI-011 Administered Weekly in Patients With Advanced Solid Tumors or Lymphomas

Resource links provided by NLM:


Further study details as provided by Celgene Corporation:

Primary Outcome Measures:
  • DLT's and MTD Safety and Toxicity profile [ Time Frame: During Cycle 1, treatment period, End of Study and Follow-Up, approximately up to 2 years ] [ Designated as safety issue: Yes ]
    Evaluate PK and PD of ABI-011. Preliminary assessment of tumor response.


Secondary Outcome Measures:
  • Safety and toxicity profile of repeated dosing of ABI-011 [ Time Frame: End of study and follow up, approximately up to 2 years ] [ Designated as safety issue: Yes ]
    Number of subjects with Adverse Events; laboratory assessments, ECG assessments, opthalmologic assessments

  • Evaluate plasma PK of ABI-011 on this schedule [ Time Frame: End of Study and follow-up, Up to two years ] [ Designated as safety issue: Yes ]
  • Assess biological activity and PD of ABI-011 [ Time Frame: End of study and follow-up, approximately 2 years ] [ Designated as safety issue: Yes ]
  • Make preliminary assessment of tumor response [ Time Frame: End of study and follow-up, approximately 2 years ] [ Designated as safety issue: Yes ]
  • Assess biological activity/exploratory during treatment C1, C2, EOS [ Time Frame: End of Study and follow-up, aproximately two years ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 60
Study Start Date: March 2011
Estimated Study Completion Date: September 2014
Estimated Primary Completion Date: July 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: ABI-011 Drug: ABI-011
ABI-011

Detailed Description:

Dose limiting toxicities (DLT), maximum tolerated dose (MTD)

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Must be equal or greater 18 years of age
  • ECOG performance status less than or equal to 2 (Appendix 2)
  • Pts. must be willing and able to sign informed consent
  • Cytologically or histologically confirmed solid tumor malignancy or lymphoma for which no standard approved therapy is available. Patients should have accessible tumor lesions amendable to 2 serial biopsies which would not put the patient or their treatment at risk
  • Pt. agrees and is willing to provide 2 serial tumor biopsies(optional on first phase, mandatory on 2nd phase)
  • During the dose escalation phase, measurable or non-measurable disease as defined by RECIST criteria. At 2nd phase, only patients with measurable disease
  • Life expectancy of equal or greater than 12 weeks
  • All AEs of any prior chemotherapy, surgery or radiotherapy, must have resolved to grade equal to or less than 1
  • The following laboratory results must be present within 14 days of initial ABI-011 administration

    • Hemoglobin greater or equal to 9g/dL
    • Absolute neutrophils count(ANC)greater or equal to 1.5 x 10^9/L
    • Platelet count is greater or equal to 100 x 10^9/L
    • Serum bilirubin less than or equal to 1.5 x upper limit of normal (ULN)
    • Aspartate transaminase (AST) and alanine transaminase (ALT)is less than or equal to 2.5 ULN(except if liver metastases are present; then values must be less than or equal to 5 x ULN)
    • Potassium, corrected calcium and magnesium WNL
    • Serum Creatinine less than or equal to 1.5 x ULN
    • Activated aPTT,PT,INR,WNL
    • WNL levels : Troponin I and T, CK-MB,BNP
  • At least one measurable lesion should be evaluable (DCE-MRI eligibility criteria)and meet at least one of the criteria below:

    • At least one measurable lesions should be at least 3 cm in diameter and should not be near the diaphragm or mediastinum
    • Lesions should be solid masses that enhance with contrast, without signs of calcification on the most recent computed tomography (CT) or magnetic resonance (MRI)scan
  • Pts. must be willing to practice contraceptive methods for the duration of the study and for one month following study completion. Female patients must be postmenopausal, surgically sterile or they must agree to use acceptable methods of birth control. Male patients must be surgically sterile or agree to use an acceptable method of contraception.
  • Women of childbearing potential must have a negative serum pregnancy test(B-hCG)within 72 hours prior to first study drug administration

Exclusion Criteria:

  • Inability to comply with study and follow-up procedures
  • Women who are pregnant or lactating
  • Treatment with chemotherapy, hormonal therapy(except leuprolide for prostate cancer), immunotherapy, biologic therapy, or radiation therapy as cancer therapy within 4 weeks before initiation of study treatment. Six weeks should have elapsed if prior chemotherapy treatment included nitrosoureas or mitomycin C
  • Pts. who have received antibody-based therapies within 28 days or 5 half-lives of the agent, whichever time period is longer
  • Major surgery within 6 weeks before first study drug administration
  • Prior treatment with tumor vascular disruptive agents
  • Any uncontrolled medical or psychiatric risk factors
  • Central nervous system(CNS)metastases.
  • History of diabetic retinopathy. All patients must be evaluated by an ophthalmologist prior to study treatment
  • Any history of myopathy, either peripheral or cardiac
  • Current use of medications that may have the potential of QTc prolongation
  • History of allergy or hypersensitivity to any compound of the ABI-011 formulation
  • Active uncontrolled bacterial, viral, or fungal infection, requiring systemic therapy
  • Pt.has known infection with human immunodeficiency virus (HIV),or known chronic Hepatitis B or Hepatitis C
  • Inability to be venipunctured and/or tolerate venous access
  • History of other carcinoma within past 5 years
  • Pts. requiring therapeutic anticoagulation with either coumadin or low molecular weight heparin or with history of any bleeding diathesis. Low dose aspirin and low dose coumadin for catheter maintenance are allowed
  • Lung tumors in a central position.
  • Cardiac exclusion criteria:

    • Left ventricular ejection fraction (LVEF)< 50% by echocardiography;
    • Previous history of MI or ischemic heart disease
    • EKG findings suggestive of current or previous ischemic heart disease, including left bundle branch block
    • Prior treatment with chemotherapy agents known to potentially cause cardiotoxicity
    • Class III or IV heart failure as defined by the New York Heart(NYHA) functional classification
    • Congenital or acquired long QT syndrome
    • Uncontrolled hypertension
    • Current or past history of clinically significant arrhythmias
    • QTc prolongation
    • HO Symptomatic PVD (Venous or arterial)
  • Seizure disease requiring current anticonvulsant treatment
  • HO previous CVA or TIA
  • HO inflammatory bowel disease (active or past) or active PUD
  • HO previous, whole abdomen radiation therapy or more than Grade 1 residual toxicity from previous radiation therapy.
  • History of autoimmune disease or vascular disease (venous or arterial)
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01163071

Locations
United States, Michigan
Karmanos Cancer Center Institute
Detroit, Michigan, United States, 48201
United States, Texas
CTRC @ The Utah Health Science Center @ San Antonio
San Antonio, Texas, United States, 78229
Sponsors and Collaborators
Celgene Corporation
Investigators
Principal Investigator: Patricia M LoRusso, DO Karmanos Cancer Institute Hudson-Webber Cancer Research Center
Principal Investigator: John Sarantopoulos, MD Cancer Therapy Research Center at the University Health Sciences Center at San Antonio
  More Information

No publications provided

Responsible Party: Celgene Corporation
ClinicalTrials.gov Identifier: NCT01163071     History of Changes
Other Study ID Numbers: CA601
Study First Received: June 15, 2010
Last Updated: November 3, 2011
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Neoplasms

ClinicalTrials.gov processed this record on November 20, 2014