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Safety and Tolerability Study of TAK-165 in Subjects With Tumors Expressing HER2

Primary Purpose

Breast Neoplasm, Pancreatic Neoplasm, Lung Neoplasm

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
TAK-165
Sponsored by
Takeda
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Neoplasm focused on measuring Gene, HER2, Clinical Trial, Phase I, Breast neoplasm, Pancreatic neoplasm, Ovarian neoplasm, Colorectal neoplasm, Renal neoplasm, Prostate neoplasm, Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Have advanced or metastatic cancer which is refractory to standard therapy or subjects for whom there is no known effective therapy. Have a histologically or cytologically proven diagnosis of a solid tumor known to express HER2. Have a predicted life expectancy of greater than or equal to 12 weeks. Have a Karnofsky Performance Status of greater than or equal to 60% Have recovered from toxicities of prior chemotherapy, surgery, or radiotherapy. Exclusion Criteria: Be pregnant or lactating. Women of childbearing potential must have a negative serum pregnancy test result within 7 days of enrollment into the study. Male and female subjects of childbearing potential (including women who have been amenorrheic for less than 1 year) must use appropriate birth control during the entire duration of the study, or the subject must be surgically sterile. Have symptomatic brain metastasis Have received any other anti-cancer treatment or investigational drug/treatment within 28 days prior to study Day 1. Have a history of another malignancy within the last 5 years. Have inadequate organ function. Have heart failure defined by an ejection fraction of less than or equal to 50% as measured by MUGA. Have Class II, III or IV symptoms of heart failure as defined by the New York Heart Association, or uncontrolled arrhythmias, or recent history of myocardial infarction or angina pectoris. Have a medical condition that may interfere with intake and/or absorption of the study drug (e.g., gastrectomy or resection of major portion of small intestine). Have any other serious disease or condition present at screening or at study Day 1 that might affect life expectancy or make it difficult to successfully manage and follow the subject according to the protocol.

Sites / Locations

  • Arizona Cancer Center
  • The Institute for Drug Development
  • Brooke Army Medical Center/Drug Development Unit
  • South Texas VA, Audie Murphy Division

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

TAK-165 QD

Arm Description

Outcomes

Primary Outcome Measures

Dose Limiting Toxicity
Maximum Tolerated Dose
Optimal Dosing for Phase II Studies.

Secondary Outcome Measures

Clinical Pharmacokinetic Profile of TAK-165
Response Evaluation Criteria in Solid Tumors Documentation of Objective Tumor Response.

Full Information

First Posted
April 24, 2002
Last Updated
January 31, 2012
Sponsor
Takeda
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1. Study Identification

Unique Protocol Identification Number
NCT00034281
Brief Title
Safety and Tolerability Study of TAK-165 in Subjects With Tumors Expressing HER2
Official Title
A Phase I, Open-Label, Dose Escalating, Multiple Dose Study to Determine the Safety, Tolerability, Maximum Tolerated Dose and Pharmacokinetics of Oral TAK-165 Administered Once Daily to Subjects With Tumors Known to Express HER2.
Study Type
Interventional

2. Study Status

Record Verification Date
January 2012
Overall Recruitment Status
Completed
Study Start Date
June 2002 (undefined)
Primary Completion Date
September 2003 (Actual)
Study Completion Date
September 2003 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Takeda

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to investigate a safe dose of TAK-165, once daily (QD), in patients with HER2-tumor expression.
Detailed Description
The human epidermal growth factor receptor 2 (HER2) is a member of the Type 1 family of growth factor tyrosine kinases. HER2 forms hetero- and homo-dimers with other members of this family of tyrosine kinases. As a result of dimerization at the cell surface, intracellular signal transduction is initiated, resulting in cell proliferation. HER2 expression has been observed in a variety of human tumors including breast cancer, non-small cell lung cancer, prostate cancer, pancreatic cancer, renal cell cancer, and ovarian cancer. HER2 overexpression is associated with clinically more aggressive breast cancer, and is an independent predictor of poor prognosis in patients with breast cancer. TAK-165 is an active and selective inhibitor of tyrosine kinase activity of HER2 being developed for patients with lower levels of HER2 expression. This study will seek to determine the safety, tolerability, maximum tolerated dose and pharmacokinetics of TAK-165 administered to subjects with tumors known to express HER2. The total duration of the study will be at minimum 8 weeks, or 56 Days. Subjects without progressive disease after 8 weeks may continue to receive study drug, provided that they do not meet criteria for withdrawal.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Neoplasm, Pancreatic Neoplasm, Lung Neoplasm, Ovarian Neoplasm, Renal Neoplasm
Keywords
Gene, HER2, Clinical Trial, Phase I, Breast neoplasm, Pancreatic neoplasm, Ovarian neoplasm, Colorectal neoplasm, Renal neoplasm, Prostate neoplasm, Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TAK-165 QD
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
TAK-165
Intervention Description
Starting dose of TAK-165 10 mg, tablets, orally, once daily with dose escalation to tolerability for 56 days.
Primary Outcome Measure Information:
Title
Dose Limiting Toxicity
Time Frame
Days 8, 15, 22, 28 and every 14 days thereafter to Final Visit
Title
Maximum Tolerated Dose
Time Frame
Days 8, 15, 22, 28 and every 14 days thereafter to Final Visit
Title
Optimal Dosing for Phase II Studies.
Time Frame
End of Study.
Secondary Outcome Measure Information:
Title
Clinical Pharmacokinetic Profile of TAK-165
Time Frame
Days 8, 15, 22, 28 and every 14 days thereafter to Final Visit
Title
Response Evaluation Criteria in Solid Tumors Documentation of Objective Tumor Response.
Time Frame
Day 56

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have advanced or metastatic cancer which is refractory to standard therapy or subjects for whom there is no known effective therapy. Have a histologically or cytologically proven diagnosis of a solid tumor known to express HER2. Have a predicted life expectancy of greater than or equal to 12 weeks. Have a Karnofsky Performance Status of greater than or equal to 60% Have recovered from toxicities of prior chemotherapy, surgery, or radiotherapy. Exclusion Criteria: Be pregnant or lactating. Women of childbearing potential must have a negative serum pregnancy test result within 7 days of enrollment into the study. Male and female subjects of childbearing potential (including women who have been amenorrheic for less than 1 year) must use appropriate birth control during the entire duration of the study, or the subject must be surgically sterile. Have symptomatic brain metastasis Have received any other anti-cancer treatment or investigational drug/treatment within 28 days prior to study Day 1. Have a history of another malignancy within the last 5 years. Have inadequate organ function. Have heart failure defined by an ejection fraction of less than or equal to 50% as measured by MUGA. Have Class II, III or IV symptoms of heart failure as defined by the New York Heart Association, or uncontrolled arrhythmias, or recent history of myocardial infarction or angina pectoris. Have a medical condition that may interfere with intake and/or absorption of the study drug (e.g., gastrectomy or resection of major portion of small intestine). Have any other serious disease or condition present at screening or at study Day 1 that might affect life expectancy or make it difficult to successfully manage and follow the subject according to the protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Takeda
Official's Role
Study Director
Facility Information:
Facility Name
Arizona Cancer Center
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85258
Country
United States
Facility Name
The Institute for Drug Development
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Brooke Army Medical Center/Drug Development Unit
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78234
Country
United States
Facility Name
South Texas VA, Audie Murphy Division
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78284
Country
United States

12. IPD Sharing Statement

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Safety and Tolerability Study of TAK-165 in Subjects With Tumors Expressing HER2

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