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A Phase 1, Multicenter, Open-Label, Dose-Escalation, Safety, Pharmacokinetic, and Pharmacodynamic Study of E6201 in Subjects With Advanced Solid Tumors
This study is currently recruiting participants.
Verified March 2011 by Eisai Inc.

First Received on November 19, 2008.   Last Updated on March 31, 2011   History of Changes
Sponsor: Eisai Inc.
Information provided by: Eisai Inc.
ClinicalTrials.gov Identifier: NCT00794781
  Purpose

The purpose of this study is to determine the maximum tolerated dose (MTD), safety, tolerability, pharmacokinetics, pharmacodynamics and preliminary anti-tumor activity of E6201 in subjects with advanced solid tumors.


Condition Intervention Phase
Advanced Solid Tumors
Drug: E6201
Phase I

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase 1, Multicenter, Open-Label, Dose-Escalation, Safety, Pharmacokinetic, and Pharmacodynamic Study of E6201 in Subjects With Advanced Solid Tumors

Resource links provided by NLM:


Further study details as provided by Eisai Inc.:

Primary Outcome Measures:
  • Maximum tolerated dose and dose-limiting toxicities as determined in Part A. [ Time Frame: Time Frame: During Cycle 1: 28 days ] [ Designated as safety issue: Yes ]
  • Safety parameters (adverse events, laboratory data, vital signs, electrocardiogram data, Eastern Cooperative Oncology Group [ECOG] scores, and physical and neurological exams). [ Time Frame: During Parts A and B: approximately 26 months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Pharmacokinetics. [ Time Frame: Obtained prior to infusion on Day 1 of Cycle 1 (Baseline), during the infusion at 15 and 30 minutes (just prior to end of infusion), then after the end of infusion at 5 and 30 minutes, and 1, 2, 4, 8, 24, and 48 hours on Days 1 and 15 of Cycle 1 only. ] [ Designated as safety issue: No ]
  • Pharmacodynamics [ Time Frame: Prior to and post-infusion at timepoints between Days 1 and 15, and on Day 1 of Cycle 2 ] [ Designated as safety issue: No ]
  • Preliminary efficacy: Tumor assessments of objective response rate based on review of computed tomography and magnetic resonance imaging scans using Modified Response Evaluation Criteria in Solid Tumors. [ Time Frame: Performed at baseline and every other cycle. ] [ Designated as safety issue: No ]

Estimated Enrollment: 65
Study Start Date: June 2008
Estimated Study Completion Date: June 2012
Estimated Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: E6201
    Part A (Dose Escalation): Intravenous (IV) infusion administered over 30 minutes once weekly for 3 weeks (Days 1, 8, and 15). The first 3 to 6 subjects of the first cohort will receive 20 mg/m^2/week for a cycle of 3 weeks followed by a 1-week rest period. Subsequent dose escalations may increase at increments of 100% until two Grade 2 toxicities or 1 dose-limiting toxicity (DLT) are observed in a dose group. Thereafter, doses will be increased in increments of 50% or less until the maximum tolerated dose (MTD) is determined. Part B (MTD Expansion): After the MTD is determined in Part A, 15 additional subjects will continue to receive cycles at the MTD.
  Eligibility

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

Inclusion Criteria:

Subjects must meet all of the following criteria to be eligible to participate in this study:

  1. Willing and able to comply with the protocol and provide written informed consent.
  2. Age greater than or equal to 18 years.
  3. Histologically and/or cytologically confirmed metastatic solid tumors which have progressed after treatment with approved therapies or for which there are no standard effective therapies available. Part B allows metastatic BRAF mutated melanoma and CNS metastases (treated or untreated from a primary melanoma).
  4. Female subjects of childbearing potential must agree to use medically acceptable methods of contraception, such as abstinence, double-barrier method (e.g., condom and spermicide; condom, diaphragm, and spermicide), intrauterine device (IUD), or have a vasectomised partner. Female subjects who use hormonal contraceptives must also use an additional approved method of contraception (as described previously). Contraceptive measures must start either prior to or at Screening and continue throughout the entire study period and for 2 months after the last dose drug is administered. Pregnant and/or lactating females are excluded.
  5. Male subjects must agree to use contraceptive methods such as abstinence, or double-barrier method (e.g., condom and spermicide; condom, diaphragm, and spermicide). Contraceptive measures must start either prior to or at Screening and continue throughout the entire study period and for 2 months after the last dose of study drug is administered.
  6. Adequate bone marrow function defined as:

    • Absolute neutrophil count (ANC) greater than or equal to 1.5 x 10^9/L
    • Hemoglobin greater than or equal to 9.0 g/dL; however, a hemoglobin value < 9.0 g/dL is acceptable if it is corrected to greater than or equal to 9.0 g/dL by growth factor or transfusion before the start of treatment
    • Platelet count greater than or equal to 100 x 10^9/L.
  7. Adequate renal function defined as:

    • Serum creatinine < 1.5 mg/dL or calculated creatinine clearance >50 mL/minute per the Cockcroft-Gault formula
  8. Adequate liver function defined as:

    • Total Bilirubin within normal limits
    • Alkaline phosphatase (AP), alanine transaminase (ALT), and aspartate transaminase (AST) less than or equal to 2.5 x upper limit of normal (ULN)
    • AP, ALT, and AST less than or equal to 5 x ULN in the case of liver metastases and liver-specific AP less than or equal to 3 x ULN in the case of bone metastases
  9. Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 1.
  10. Life expectancy > 3 months.

Additionally, subjects enrolled in Part B (MTD expansion) of the study MUST meet the following criteria:

  1. Have at least 1 tumor lesion at Screening measurable by Modified RECIST (Response Evaluation Criteria in Solid Tumors) criteria using either CT/MRI or photography (as appropriate) and which measures ≥1.5 cm in the longest dimension for a non-lymph node and ≥ 2.0 cm in the longest dimension for a lymph node.
  2. Have at least 1 tumor lesion accessible to biopsy.
  3. Have a B-type RAF kinase (BRAF)-mutated tumor (including brain metastases) as established either by a BRAF-gene analysis report from a qualified laboratory, or by a BRAF-gene analysis of archival tissue during the Screening Period, or by a BRAF-gene analysis of tumor biopsy tissue obtained at Screening.

Exclusion Criteria:

Subjects who meet any of the following criteria are not eligible to participate in this study:

  1. Primary or metastatic central nervous system (CNS) tumors are not allowed in Part A unless treated and stable. Stability is proven by at least 2 contrast-enhanced CT or MRI scans obtained at least 8 weeks apart, with the most recent scan obtained within 28 days of the first infusion of E6201. In Part B, untreated or unstable metastatic brain tumors are allowed.
  2. Known human immunodeficiency virus (HIV), hepatitis B or C, or severe/uncontrolled infections or intercurrent illness that is unrelated to the tumor.
  3. Prior surgery, radiotherapy, chemotherapy, biologic therapy, or investigational agents within 4 weeks prior to the first infusion and prior immunotherapy, hormonal, or molecular-targeted therapy within 2 weeks prior to the first infusion. All acute toxicities related to prior treatments should have resolved.
  4. For Part A, a history of malignancy other than the present diagnosis (except treated non-melanoma skin cancer or carcinoma in situ of the cervix), or stable primary CNS tumors, unless in complete remission and off all therapy for that disease for a minimum of 5 years. For Part B, untreated or unstable metastatic brain tumors are allowed.
  5. QT interval corrected for rate (QTc) > 450 msec on the electrocardiogram (ECG) obtained at Screening (Day -14 to 0) using the Fridericia method for QTc analysis. For Part B, QTc > 450 msec on the electrocardiogram (ECG) obtained at Screening (Day -21 to 0) using the Fridericia method for QTc analysis.
  6. History or substance or alcohol abuse which, in the opinion of the investigator, would prohibit participation in the study.
  7. History of clinically significant cardiac impairment, congestive heart failure >New York Heart Association (NYHA) cardiac disease classification Class II, unstable angina, or myocardial infarction during the previous 6 months, or serious cardiac arrhythmia.
  8. Current significant co-morbid disease which, in the opinion of the investigator, would exclude the subject from the study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00794781

Contacts
Contact: Eisai Medical Services Oncology 1-877-873-4724

Locations
United States, Arizona
Recruiting
Scottsdale, Arizona, United States
United States, California
Recruiting
Los Angeles, California, United States
United States, Nevada
Recruiting
Las Vegas, Nevada, United States
United States, New Hampshire
Recruiting
Lebanon, New Hampshire, United States
United States, New York
Recruiting
Albany, New York, United States
United States, South Carolina
Recruiting
Greenville, South Carolina, United States
United States, Texas
Recruiting
Austin, Texas, United States
Recruiting
Dallas, Texas, United States
Recruiting
San Antonio, Texas, United States
Recruiting
Tyler, Texas, United States
United States, Virginia
Recruiting
Norfolk, Virginia, United States
United States, Washington
Not yet recruiting
Vancouver, Washington, United States
Sponsors and Collaborators
Eisai Inc.
Investigators
Study Director: Eisai Medical Services Eisai Inc.
  More Information

No publications provided

Responsible Party: Eisai US Medical Services, Eisai Medical Research Inc.
ClinicalTrials.gov Identifier: NCT00794781     History of Changes
Other Study ID Numbers: E6201-A001-102
Study First Received: November 19, 2008
Last Updated: March 31, 2011
Health Authority: United States: Food and Drug Administration

Keywords provided by Eisai Inc.:
Cancer
solid tumors

Additional relevant MeSH terms:
Neoplasms

ClinicalTrials.gov processed this record on February 09, 2012