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Study Of Safety And Tolerability Of GW786034 Given With Lapatinib In Cancer Patients

Primary Purpose

Carcinoma, Renal Cell

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
GW786034
lapatinib
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Carcinoma, Renal Cell focused on measuring Cancer GW786034 Lapatinib Pazopanib

Eligibility Criteria

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

Inclusion criteria: Histologically or cytologically confirmed diagnosis of advanced solid tumor refractory to standard therapy or for whom there is no standard therapy. Females are eligible if they are of: a) Non-childbearing potential (i.e., physiologically incapable of becoming pregnant), including any female who: had a hysterectomy. had a bilateral oophorectomy (ovariectomy). had a bilateral tubal ligation. is post-menopausal (a demonstration of total cessation of menses for 1 year). childbearing potential, has a negative serum pregnancy test at screening, and agrees to one of the following: an IUD with a documented failure rate of less than 1% per year. vasectomized partner who is sterile prior to the female patient's entry and is the sole sexual partner for that female. complete abstinence from sexual intercourse for 14 days before exposure to investigational product, throughout the clinical trial, and for at least 14 days after the last dose of investigational product. double-barrier contraception (condom with spermicidal jelly, foam suppository, or film; diaphragm with spermicide; or male condom and diaphragm with spermicide). ECOG (Eastern Cooperative Oncology Group) PS 0 or 1. Adequate bone marrow function. Platelets greater than or equal to 75,000/mm3. ANC greater than or equal to 1,500/mm3 (1.5 x 109/L). Hgb greater than or equal to 9 g/dL (5 mmol/L). CLcr > 50 mL/min as calculated by the Cockcroft-Gault formula. Total bilirubin less than or equal to 1.5 x upper limit of normal. PT/INR/PTT less than or equal to 1.2 x upper limit of normal. AST/ALT less than or equal to 3 x upper limit of normal. Has LVEF within normal range or above 50% based on MUGA/ECHO. Urinalysis for protein is < 2 (negative, trace, or 1). NOTE: If urinalysis is 2 or greater then a 24 hour urine for protein must demonstrate less than 1 gram of protein in 24 hours for patient to be eligible for enrollment. Able to swallow and retain oral medication. Has a life expectancy of at least 12 weeks. Exclusion criteria: Had prior treatment with either study drug. Has brain metastases. Uncontrolled hypertension (BP higher than 150/90 SBP/DBP). Have heart failure. Have DVT (deep vein thrombosis) or arterial thrombosis, MI (myocardial infarction), angina, or has had angioplasty and/or stenting within last 3 months. Has allergy to drug similar to lapatinib (e.g. allergic to Iressa(gefitinib) or Tarceva(erlotinib). Is using therapeutic doses of anti-coagulant. Has had major surgery, hormonal therapy, chemotherapy, radiotherapy, or other investigational agent within last 28 days. Pregnant or lactating. History or current GI (gastrointestinal) condition that alters stomach or gut emptying from normal (e.g. major surgery on the stomach). Bowel obstruction or chronic diarrhea. Psychological or geographical conditions that would prevent him/her from being a good candidate. Do not have accessible veins for venipuncture. History of prolonged QTc on ECG.

Sites / Locations

  • GSK Investigational Site
  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Cohort 4

Cohort 5

Cohort 6

Cohort 7

Cohort 8

Cohort 9

Cohort 10

Arm Description

Subjects will receive GW786034 500 milligrams and lapatinib 750 milligrams.

Subjects will receive GW786034 250 milligrams and lapatinib 750 milligrams.

Subjects will receive GW786034 250 milligrams and lapatinib 1000 milligrams.

Subjects will receive GW786034 500 milligrams and lapatinib 1000 milligrams.

Subjects will receive GW786034 250 milligrams and lapatinib 1250 milligrams.

Subjects will receive GW786034 400 milligrams and lapatinib 1250 milligrams.

Subjects will receive GW786034 200 milligrams and lapatinib 1500 milligrams.

Subjects will receive GW786034 400 milligrams and lapatinib 1500 milligrams.

Subjects will receive GW786034 400 milligrams and lapatinib 1000 milligrams.

Subjects will receive GW786034 800 milligrams and lapatinib 1500 milligrams.

Outcomes

Primary Outcome Measures

Changes in pre and post treatment lab values and monitoring/reporting AES.AE's throughout study
Labs every wk first cycle:day 1 subsequent cycles

Secondary Outcome Measures

find max conc of drugs in blood and time it occurs find out if drugs are taken up by the body, how much/for how long find out if drugs affect the size of the tumor. Blood taken day 15, 22 or 37 and tumor assessed every 8 wks

Full Information

First Posted
September 8, 2005
Last Updated
November 13, 2017
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT00158782
Brief Title
Study Of Safety And Tolerability Of GW786034 Given With Lapatinib In Cancer Patients
Official Title
An Open-Label, Safety, Pharmacokinetic and Pharmacodynamic Study of Multiple Doses of GW786034 and Lapatinib Concomitantly Administered in Cancer Patients
Study Type
Interventional

2. Study Status

Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
September 28, 2004 (Actual)
Primary Completion Date
August 21, 2007 (Actual)
Study Completion Date
August 21, 2007 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This Phase I, dose finding study evaluates the safety and tolerability of lapatinib, a dual tyrosine kinase inhibitor, and GW786034, an anti-angiogenesis agent, when given together. The study first will find the best doses using safety and blood concentration data of both agents. This is done enrolling stepwise, cohorts of 3 patients each and the last patient enrolled must reach at least Day 22 of continuous daily dosing before the next cohort at an increased dose can begin. If a patient in a cohort has a dose limiting toxicity before Day 22, then 3 more patients are studied at that same dose. If 2 of 6 patients have dose limiting toxicities within the first 22 days, the next cohort receives the next lowest dose. Otherwise each cohort has an increasing dose of one of the two agents. The second stage of the study will administer the best doses of the agents to about 16 patients to further study safety and collect more blood concentration data (more blood samples in the second phase compared to the first phase). The second stage has the advantage of using the best dose (decreases chance of receiving a sub-therapeutic dose) while it collects more blood samples and requires slightly more long clinic visits.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Carcinoma, Renal Cell
Keywords
Cancer GW786034 Lapatinib Pazopanib

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
Subjects will receive GW786034 500 milligrams and lapatinib 750 milligrams.
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
Subjects will receive GW786034 250 milligrams and lapatinib 750 milligrams.
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
Subjects will receive GW786034 250 milligrams and lapatinib 1000 milligrams.
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
Subjects will receive GW786034 500 milligrams and lapatinib 1000 milligrams.
Arm Title
Cohort 5
Arm Type
Experimental
Arm Description
Subjects will receive GW786034 250 milligrams and lapatinib 1250 milligrams.
Arm Title
Cohort 6
Arm Type
Experimental
Arm Description
Subjects will receive GW786034 400 milligrams and lapatinib 1250 milligrams.
Arm Title
Cohort 7
Arm Type
Experimental
Arm Description
Subjects will receive GW786034 200 milligrams and lapatinib 1500 milligrams.
Arm Title
Cohort 8
Arm Type
Experimental
Arm Description
Subjects will receive GW786034 400 milligrams and lapatinib 1500 milligrams.
Arm Title
Cohort 9
Arm Type
Experimental
Arm Description
Subjects will receive GW786034 400 milligrams and lapatinib 1000 milligrams.
Arm Title
Cohort 10
Arm Type
Experimental
Arm Description
Subjects will receive GW786034 800 milligrams and lapatinib 1500 milligrams.
Intervention Type
Drug
Intervention Name(s)
GW786034
Intervention Description
GW786034 (Pazopanib) is an orally active, potent, reversible, small molecule tyrosine kinase inhibitor of vascular endothelial growth factor receptor 1 (VEGFR-1), VEGFR-2, VEGFR-3, platelet-derived growth factor receptor-alpha (PDGFR-alpha), PDGFR-beta, and c-Kit.
Intervention Type
Drug
Intervention Name(s)
lapatinib
Intervention Description
Lapatinib is an oral, reversible, tyrosine kinase inhibitor of both epidermal growth factor receptor-1 (ErbB1) and ErbB2.
Primary Outcome Measure Information:
Title
Changes in pre and post treatment lab values and monitoring/reporting AES.AE's throughout study
Time Frame
throughout study
Title
Labs every wk first cycle:day 1 subsequent cycles
Time Frame
first cycle:day 1 subsequent cycles
Secondary Outcome Measure Information:
Title
find max conc of drugs in blood and time it occurs find out if drugs are taken up by the body, how much/for how long find out if drugs affect the size of the tumor. Blood taken day 15, 22 or 37 and tumor assessed every 8 wks
Time Frame
Blood taken day 15, 22 or 37 and tumor assessed every 8 wks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Histologically or cytologically confirmed diagnosis of advanced solid tumor refractory to standard therapy or for whom there is no standard therapy. Females are eligible if they are of: a) Non-childbearing potential (i.e., physiologically incapable of becoming pregnant), including any female who: had a hysterectomy. had a bilateral oophorectomy (ovariectomy). had a bilateral tubal ligation. is post-menopausal (a demonstration of total cessation of menses for 1 year). childbearing potential, has a negative serum pregnancy test at screening, and agrees to one of the following: an IUD with a documented failure rate of less than 1% per year. vasectomized partner who is sterile prior to the female patient's entry and is the sole sexual partner for that female. complete abstinence from sexual intercourse for 14 days before exposure to investigational product, throughout the clinical trial, and for at least 14 days after the last dose of investigational product. double-barrier contraception (condom with spermicidal jelly, foam suppository, or film; diaphragm with spermicide; or male condom and diaphragm with spermicide). ECOG (Eastern Cooperative Oncology Group) PS 0 or 1. Adequate bone marrow function. Platelets greater than or equal to 75,000/mm3. ANC greater than or equal to 1,500/mm3 (1.5 x 109/L). Hgb greater than or equal to 9 g/dL (5 mmol/L). CLcr > 50 mL/min as calculated by the Cockcroft-Gault formula. Total bilirubin less than or equal to 1.5 x upper limit of normal. PT/INR/PTT less than or equal to 1.2 x upper limit of normal. AST/ALT less than or equal to 3 x upper limit of normal. Has LVEF within normal range or above 50% based on MUGA/ECHO. Urinalysis for protein is < 2 (negative, trace, or 1). NOTE: If urinalysis is 2 or greater then a 24 hour urine for protein must demonstrate less than 1 gram of protein in 24 hours for patient to be eligible for enrollment. Able to swallow and retain oral medication. Has a life expectancy of at least 12 weeks. Exclusion criteria: Had prior treatment with either study drug. Has brain metastases. Uncontrolled hypertension (BP higher than 150/90 SBP/DBP). Have heart failure. Have DVT (deep vein thrombosis) or arterial thrombosis, MI (myocardial infarction), angina, or has had angioplasty and/or stenting within last 3 months. Has allergy to drug similar to lapatinib (e.g. allergic to Iressa(gefitinib) or Tarceva(erlotinib). Is using therapeutic doses of anti-coagulant. Has had major surgery, hormonal therapy, chemotherapy, radiotherapy, or other investigational agent within last 28 days. Pregnant or lactating. History or current GI (gastrointestinal) condition that alters stomach or gut emptying from normal (e.g. major surgery on the stomach). Bowel obstruction or chronic diarrhea. Psychological or geographical conditions that would prevent him/her from being a good candidate. Do not have accessible veins for venipuncture. History of prolonged QTc on ECG.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States
Facility Name
GSK Investigational Site
City
Rotterdam
ZIP/Postal Code
3075 EA
Country
Netherlands

12. IPD Sharing Statement

Citations:
PubMed Identifier
23054212
Citation
de Jonge MJ, Hamberg P, Verweij J, Savage S, Suttle AB, Hodge J, Arumugham T, Pandite LN, Hurwitz HI. Phase I and pharmacokinetic study of pazopanib and lapatinib combination therapy in patients with advanced solid tumors. Invest New Drugs. 2013 Jun;31(3):751-9. doi: 10.1007/s10637-012-9885-8. Epub 2012 Oct 6.
Results Reference
background

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Study Of Safety And Tolerability Of GW786034 Given With Lapatinib In Cancer Patients

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