Non-small Cell Lung Cancer Clinical Trial
Official title:
A Phase 1 Study of the Safety, Tolerability, and Pharmacokinetics of Intravenous XMT-1001 in Patients With Advanced Solid Tumors
This amended expansion phase of the protocol is to further the experience at a dose level of
150 mg CPT eq/m2 in patients with Stage IV non-small cell lung cancer (NSCLC) and small cell
lung cancer (SCLC) and to test for preliminary anti-tumor activity in these tumor types. The
MTD was initially defined as 113 mg CPT equivalents(eq)/m2 in the dose escalation part of the
study. However, in the initial expansion phase (Protocol Amendment 11), 11 patients (10 NSCLC
patients and 1 gastric cancer patients) were dosed at 113 mg CPT eq/m2 and less bone marrow
toxicity was observed as compared to more heavily pre-treated patients in the dose escalation
part of the study. Therefore, this amended expansion phase will investigate the safety and
anti-tumor effects of a dose of 150 mg CPT eq/m2.
The study will also determine:
- The safety and tolerability of XMT-1001 at 150 mg CPT eq/m2
- The pharmacokinetics (PK) of XMT-1001 (how XMT-1001 behaves in the body) in patients
Stage IV non-small cell lung carcinoma (NSCLC) and small cell lung cancer
- Evidence of XMT-1001 anti-tumor activity at 150 mg CPT eq/m2
This is an open-label study of XMT-1001 administered intravenously over 4 hours every 21 days (1 Cycle). Blood sampling for PK analyses will be performed immediately prior to dosing, and 9 times after dosing. Patients will be assessed for toxicities known to occur with other drugs of this class, such as bone marrow suppression, elevated liver function enzymes, hemorrhagic cystitis, and diarrhea. Tumor imaging will be performed every 2 cycles. ;
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