Advanced Solid Tumors Clinical Trial
Official title:
Phase Ib of CC-5013 and Paclitaxel in Patients With Advanced Solid Tumors
This is a dose finding, open-label, uncontrolled, dose-escalation trial to determine the
maximum Tolerated Dose (MTD) of the combination of CC-5013 (Lenalidomide)and paclitaxel in
patients with advanced solid tumors.
Other purposes of the study are:
1. Define the safety profile of the CC-5013 and paclitaxel given in combination
2. Define the pharmacokinetics of CC-5013 and paclitaxel given in combination
3. Define the pharmacodynamic effects of the combination by monitoring potential
biomarkers of the different biological activities of each component of the regimen
4. Define the optimal biological dose (OBD) and the dose recommended (RD) for phase II
studies in selected tumor types (breast, ovary, prostate, NSCLC)
5. Collect evidence of antitumor activity in selected tumor types
The new immunomodulatory drugs (IMiD) derivatives of thalidomide (CC-5013 lenalidomide and
CC4047 pomalidomide) are endowed of direct antitumor activity besides the indirect effects
attributed to antiangiogenic, antiinflammatory and T-cell co-stimulatory properties.
Combination therapy with cytotoxic agents or other anticancer drugs could lead to additive
or synergistic interactions and support their clinical development in tumor types in which
the specific activities of IMiDs could be of potential value.
Combinations with weekly paclitaxel could be of interest because of its antiangiogenic
activity, antitumor activity in prostate, NSCLC, ovary, breast cancer, tumor types in which
IMiD could be of clinical value because of either enhancement of tumor specific immunity
(ovary, prostate) or inhibition of Treg function (breast, NSCLC, ovary).
;
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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