Study of an Investigational Drug, ASP3026, in Patients With Advanced Malignancies (Solid Tumors and B-Cell Lymphoma)
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Purpose
This study is to evaluate the safety and anti-tumor activity of ASP3026 in patients with advanced malignancies (solid tumors and B-cell lymphoma).
| Condition | Intervention | Phase |
|---|---|---|
|
Advanced Malignancies B-Cell Lymphoma Solid Tumor Positive for Anaplastic Lymphoma Kinase Positive for Proto-Oncogene Tyrosine-Protein Kinase ROS |
Drug: ASP3026 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | 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 Study of ASP3026 in Subjects With Advanced Malignancies |
- Safety and tolerability of ASP3026 assessed by recording of adverse events, laboratory assessments, vital signs, electrocardiograms (ECGs) and clinical observations [ Time Frame: Up to 30 days after last subject discontinues treatment ] [ Designated as safety issue: No ]
- Pharmacokinetic assessment through analysis of blood and urine samples [ Time Frame: Up to Day 29 ] [ Designated as safety issue: No ]
- Objective response rate (ORR) [ Time Frame: 30 Days after the last subject discontinues treatment ] [ Designated as safety issue: No ]Objective response rate is the proportion of subjects who experience complete response/remission (CR) or partial response/remission (PR)
| Estimated Enrollment: | 73 |
| Study Start Date: | December 2010 |
| Estimated Study Completion Date: | April 2013 |
| Estimated Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: ASP3026 |
Drug: ASP3026
Tablet
|
Detailed Description:
This study will be conducted using a traditional 3 + 3 dose escalation study design. Enrollment of at least 3 subjects is planned for each dosing cohort until the Maximum Tolerated Dose (MTD) is determined. Up to three additional subjects per cohort may be enrolled if each additional subject is known to be positive for Anaplastic Lymphoma Kinase (ALK) or Proto-Oncogene Tyrosine-Protein Kinase ROS (ROS) abnormalities. The decision to expand a cohort or dose escalate will be based on the occurrence of dose limiting toxicities (DLTs) in Cycle 1 that are considered by the Investigator to be related (possibly or probably) to ASP3026. Intra-subject dose escalation will be allowed at the discretion of the investigators. The Safety Data Review Committee may elect to enroll additional subjects in a cohort to further evaluate the dose level. Once the MTD is determined, up to 20 additional subjects will be enrolled at the Recommended Phase 2 Dose. Each cycle will include 28 days of continuous dosing with ASP3026. Treatment with ASP3026 may continue until one of the discontinuation criteria is met.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
Histologically or cytologically confirmed diagnosis of a relapsed/refractory solid tumor or B-cell lymphoma and meets at least 1 of the following criteria:
- Disease progression despite standard therapies
- No standard therapies are available or such therapies are not anticipated to result in a durable response
- Standard therapies are considered unsuitable or have been refused
- Able to take oral medications
- Life expectancy > 12 weeks
- For the expansion cohort of the study, all subjects must be confirmed to be positive for ALK gene abnormalities
- Subjects with stable brain metastasis will be allowed
Exclusion Criteria:
- Active central nervous system (CNS) metastases or leptomeningeal involvement as assessed through medical history review and physical examination
- Known history of a positive test for hepatitis B surface antigen (HBsAg) or hepatitis C antibody (anti-HCV)
- Known hereditary or acquired immunodeficiency syndrome or human immunodeficiency virus (HIV) infection
- Cardiac arrhythmias > Grade 1 using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v. 4.03
- Class 3 or 4 New York Heart Association congestive heart failure, acute coronary syndrome, myocardial infarction or cerebrovascular accident within 6 months prior to Cycle 1, Day 1
- Inadequate bone marrow, renal, and/or hepatic function
- Confirmed active peptic ulcer disease or history of gastrointestinal bleeding within the past 3 months
- Known history of long QT syndrome
Contacts and Locations| Contact: Astellas Pharma Global Development | 800-888-7704 ext 5473 | clintrials.info@us.astellas.com |
| United States, California | |
| University of California - Irvine | Recruiting |
| Orange, California, United States, 92868 | |
| University of California - Davis | Recruiting |
| Sacramento, California, United States, 95817 | |
| United States, Illinois | |
| Univeristy of Chicago | Recruiting |
| Chicago, Illinois, United States, 60637 | |
| United States, Michigan | |
| Karmanos Cancer Institute | Recruiting |
| Detroit, Michigan, United States, 48201 | |
| United States, Texas | |
| MD Anderson Cancer Insititute | Recruiting |
| Houston, Texas, United States, 77030 | |
| South Texas Accelerated Research Therapeutics, LLC | Recruiting |
| San Antonio, Texas, United States, 78229 | |
| Study Director: | Senior Medical Director | Astellas Pharma Global Development |
More Information
No publications provided
| Responsible Party: | Astellas Pharma Inc |
| ClinicalTrials.gov Identifier: | NCT01284192 History of Changes |
| Other Study ID Numbers: | A3026-CL-0101 |
| Study First Received: | January 25, 2011 |
| Last Updated: | December 6, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Astellas Pharma Inc:
|
Advanced Malignancies B-cell Lymphoma Solid Tumor ASP3026 Anaplastic Lymphoma Kinase (ALK) |
Additional relevant MeSH terms:
|
Neoplasms Lymphoma Lymphoma, B-Cell Neoplasms by Histologic Type Lymphoproliferative Disorders |
Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases Lymphoma, Non-Hodgkin |
ClinicalTrials.gov processed this record on May 23, 2013