Advance Solid Tumors Clinical Trial
Official title:
A Phase I Study Evaluating the Safety and Pharmacokinetics of SAR240550 Administered Twice Weekly in Patients With Advanced Solid Tumors.
| Verified date | May 2013 |
| Source | Sanofi |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | Japan: Ministry of Health, Labor and Welfare |
| Study type | Interventional |
Primary Objective:
- To determine a dose of SAR240550 to be further studied in combination with chemotherapy
regimens
Secondary Objectives:
- To determine the dose limiting toxicity (DLT) of SAR240550 and SAR240550 in combination
with chemotherapy regimen (gemcitabine and carboplatin
- To assess safety profiles: significant laboratory changes and adverse events (AEs)
- To make a preliminary assessment of antitumor effect in study subjects per Response
Evaluation Criteria in Solid Tumors (RECIST) with measurable disease
- To characterize SAR240550 and metabolites, 4-iodo-3-amino benzamide (IABM) and
4-iodo-3-amino-benzoic acid (IABA), pharmacokinetics
- To collect blood samples for glutathione S-transferase (GST) genotypes at baseline)
Based on data generated by BiPar/Sanofi, it is concluded that iniparib does not possess
characteristics typical of the PARP inhibitor class. The exact mechanism has not yet been
fully elucidated, however based on experiments on tumor cells performed in the laboratory,
iniparib is a novel investigational anti-cancer agent that induces gamma-H2AX (a marker of
DNA damage) in tumor cell lines, induces cell cycle arrest in the G2/M phase in tumor cell
lines, and potentiates the cell cycle effects of DNA damaging modalities in tumor cell
lines. Investigations into potential targets of iniparib and its metabolites are ongoing.
| Status | Completed |
| Enrollment | 18 |
| Est. completion date | February 2013 |
| Est. primary completion date | February 2013 |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 20 Years and older |
| Eligibility |
Inclusion criteria: - Histologically or cytologically documented advanced solid tumor that was refractory to standard therapy or for which no standard therapy is available Exclusion criteria: - Eastern Cooperative Oncology Group (ECOG) performance status of =2 - Known hematological malignancies - Symptomatic or untreated brain metastases requiring concurrent treatment, inclusive of but not limited to surgery, radiation, and corticosteroids - Myocardial infarction within 6 months of study Day 1, unstable angina, congestive heart failure with New York Heart Association >class II, uncontrolled hypertension - Active human immunodeficiency virus infection, hepatitis C virus, or chronic hepatitis B infection - Major surgery within 28 days of study Day 1 - Not recovered from all previous therapies (i.e. radiation, surgery, and medications) - Adverse events related to previous therapies must be Common Terminology Criteria for Adverse Events (CTCAE) grade = 1 (except alopecia) at screening or returned to the subject's baseline prior to their most recent previous therapy - Inadequate organ and bone marrow function Radiation therapy within 14 days of study Day 1 - Chemotherapy or antibody therapy for treatment of underlying malignancy within 21 days of study Day 1 - Concurrent or prior (within 7 days of study Day 1) anticoagulation therapy - Currently enrolled or was enrolled within 30 days of completing other investigational drug study, or receiving other investigational agent not approved for any indications - Subject who had been previously enrolled in this study . Not available for follow-up assessment - Any kind of disorder that compromised the ability of the subject to give written informed consent and/or comply with the study procedures - Patient who is judged by the investigator as not suitable for participation in the study The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial. |
Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
| Country | Name | City | State |
|---|---|---|---|
| Japan | Sanofi-Aventis Investigational Site Number 392001 | Kobe-Shi | |
| Japan | Sanofi-Aventis Investigational Site Number 392002 | Matsuyama-Shi |
| Lead Sponsor | Collaborator |
|---|---|
| Sanofi |
Japan,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Dose Limiting Toxicity in cycle 1 | 3 Weeks | Yes | |
| Secondary | Efficacy assessment as tumor response defined by Response Evaluation Criteria in Solid Tumors (RECIST) | 30 days after the last injection | No | |
| Secondary | Safety based on clinical and laboratory tests and Adverse Events (AEs) | 30 days after the last injection | Yes | |
| Secondary | Pharmacokinetics of SAR240550 | Cycle 1 and Cycle 2 | No | |
| Secondary | Pharmacodynamics of SAR240550 | Cycle1, Cycle 2 and 30 days after the last injection | No | |
| Secondary | Pharmacogenomic analysis of glutathione S-transferase (GST) genotypes | Cycle 1 | No |