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A Study Of Selective Cyclin Dependent Kinase Inhibitor P1446A-05 In Subjects With Advanced Refractory Malignancies (Serenity)

Primary Purpose

Solid Tumor, Hematologic Malignancy

Status
Completed
Phase
Phase 1
Locations
India
Study Type
Interventional
Intervention
P1446A-05
Sponsored by
Piramal Enterprises Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid Tumor

Eligibility Criteria

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

Inclusion Criteria:

  1. Subjects must have histologically and/ or cytologically confirmed solid malignant tumor or hematologic malignancy that is refractory to currently available treatment or for which no standard treatment exists
  2. Subjects of either sex and more than or equal to 18 years of age
  3. ECOG (Eastern Cooperative Oncology Group) performance status less than or equal to 2
  4. Subjects with life expectancy of at least 4 months
  5. Hemoglobin greater than or equal to 8 g/dl
  6. Absolute neutrophil count greater than or equal to 1000/mm3
  7. Platelet count greater than or equal to 50,000/ mm3
  8. Total bilirubin less than or equal to 1.5 X institutional upper limit of normal (ULN)
  9. AST/ALT less than or equal to 3 X institutional upper limit of normal (ULN)
  10. Creatinine less than or equal to 1.5 X institutional upper limit of normal (ULN)
  11. Ability to understand and willingness to sign a written informed consent document.

Exclusion criteria

  1. Subjects who have received radiotherapy, chemotherapy or biologic/targeted anticancer agents within 4 weeks prior to day 1 of study drug administration (6 weeks for nitrosoureas or mitomycin C) or have not recovered completely from adverse effects of any prior radiotherapy, chemotherapy or biologic/targeted agents
  2. Subjects who have received autologous or allogeneic bone marrow transplant within 6 months of day 1 of study drug administration
  3. Subjects with known brain metastases at the time of screening
  4. Subjects who had received any other investigational drug within 1 month or within five half-lives of the other investigational agent, whichever is longer prior to day 1 of study drug administration or who have not completely recovered from adverse effects of the investigational agent received prior to this period.
  5. History of allergic reactions attributed to compounds of similar chemical structure to P1446A-05.
  6. Subjects on immunosuppressive therapy.
  7. History of unstable angina or myocardial infarction or stroke within previous 6 months.
  8. Subjects with uncontrolled inter-current illness including, but not limited to active infection, symptomatic congestive heart failure, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  9. Subjects known to be suffering from infection with HIV, Tuberculosis, Hepatitis C or Hepatitis B.
  10. History of any other prior malignancy except for curatively treated basal cell or squamous cell carcinoma of skin, in situ cervical cancer, in situ breast cancer, in situ prostate cancer or any other cancer for which the subject has been diseasefree for at least 3 years.
  11. Women who are pregnant or lactating.
  12. Women of childbearing potential [defined as a sexually mature woman who has not undergone hysterectomy or who has not been naturally postmenopausal for at least 24 consecutive months (i.e. who has had menses any time in the preceding 24 consecutive months)] and men, not agreeing to use adequate contraception (e.g., hormonal or barrier method of birth control or abstinence) prior to study entry (after signing the informed consent document), during the duration of study participation and for at least 4 weeks after withdrawal from the study, unless they are surgically sterilised.
  13. Any condition, including laboratory abnormalities, that in the opinion of the investigator places the subject at an unacceptable risk or deems the subject not suitable for participation in the study.

Sites / Locations

  • Tata Memorial Centre
  • Ruby Hall Clinic
  • Jehangir Hospital
  • SEAROC Cancer Centre,
  • Bhagwan Mahaveer Cancer Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

P1446A-05

Arm Description

Outcomes

Primary Outcome Measures

To determine the maximum tolerated dose (MTD) and dose limiting toxicities (DLT) of P1446A-05 in subjects with advanced refractory malignancies

Secondary Outcome Measures

1 To evaluate safety and tolerability ,pharmacokinetics of P1446A-05 in study population 2. To evaluate efficacy of P1446A-05 3. To perform exploratory analysis of biomarkers associated with use of P1446A-05 in the study population

Full Information

First Posted
February 3, 2009
Last Updated
November 20, 2012
Sponsor
Piramal Enterprises Limited
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1. Study Identification

Unique Protocol Identification Number
NCT00840190
Brief Title
A Study Of Selective Cyclin Dependent Kinase Inhibitor P1446A-05 In Subjects With Advanced Refractory Malignancies
Acronym
Serenity
Official Title
An Open Label, Multicenter Phase I Study Of Selective Cyclin Dependent Kinase Inhibitor P1446A-05 In Subjects With Advanced Refractory Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
November 2012
Overall Recruitment Status
Completed
Study Start Date
December 2008 (undefined)
Primary Completion Date
March 2011 (Actual)
Study Completion Date
September 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Piramal Enterprises Limited

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase I open label study to evaluate safety and efficacy of P1446A-05 in subjects with advanced refractory malignancies. Subjects of solid tumors or hematologic malignancies will be included. This is a dose escalation study following an accelerated titration design. It is expected that around 50 subjects would be enrolled in the study.Safety assessment will be conducted on the basis of vital signs, physical examination and laboratory investigations undertaken at regular intervals as per the schedule.
Detailed Description
This is a phase I open label study to evaluate safety and efficacy of P1446A-05 in subjects with advanced refractory malignancies. Subjects of solid tumors or hematologic malignancies will be included as per selection criteria. Starting dose for P1446A-05 in this study is 75 mg orally once daily for 14 days followed by 7 days rest. This constitutes one cycle for P1446A-05.Three patients will be enrolled in first cohort at this starting dose of P1446A-05. If this dose is well tolerated then dose escalation will be undertaken for subsequent cohorts as per accelerated titration design as described in protocol till maximum tolerated dose(MTD) for P1446A-05 is determined. The MTD will be the recommended phase 2 dose. 10 additional patients might be enrolled at this MTD to further evaluate safety and efficacy. It is expected that around 50 subjects would be enrolled in the study.Safety assessment will be conducted on the basis of vital signs, physical examination and laboratory investigations undertaken at regular intervals as per the schedule.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumor, Hematologic Malignancy

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
P1446A-05
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
P1446A-05
Intervention Description
P1446A-05 available as 25mg,50mg,100mg capsule. Subjects will be enrolled at at different dose levels of P1446A-05 to be taken once a day for 14 days followed by 7 days rest.This constitutes one cycle of P1446A-05. Four such cycles will be administered.
Primary Outcome Measure Information:
Title
To determine the maximum tolerated dose (MTD) and dose limiting toxicities (DLT) of P1446A-05 in subjects with advanced refractory malignancies
Time Frame
End of cycle 1 (3 weeks)
Secondary Outcome Measure Information:
Title
1 To evaluate safety and tolerability ,pharmacokinetics of P1446A-05 in study population 2. To evaluate efficacy of P1446A-05 3. To perform exploratory analysis of biomarkers associated with use of P1446A-05 in the study population
Time Frame
End of cycle 1 (3 weeks)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects must have histologically and/ or cytologically confirmed solid malignant tumor or hematologic malignancy that is refractory to currently available treatment or for which no standard treatment exists Subjects of either sex and more than or equal to 18 years of age ECOG (Eastern Cooperative Oncology Group) performance status less than or equal to 2 Subjects with life expectancy of at least 4 months Hemoglobin greater than or equal to 8 g/dl Absolute neutrophil count greater than or equal to 1000/mm3 Platelet count greater than or equal to 50,000/ mm3 Total bilirubin less than or equal to 1.5 X institutional upper limit of normal (ULN) AST/ALT less than or equal to 3 X institutional upper limit of normal (ULN) Creatinine less than or equal to 1.5 X institutional upper limit of normal (ULN) Ability to understand and willingness to sign a written informed consent document. Exclusion criteria Subjects who have received radiotherapy, chemotherapy or biologic/targeted anticancer agents within 4 weeks prior to day 1 of study drug administration (6 weeks for nitrosoureas or mitomycin C) or have not recovered completely from adverse effects of any prior radiotherapy, chemotherapy or biologic/targeted agents Subjects who have received autologous or allogeneic bone marrow transplant within 6 months of day 1 of study drug administration Subjects with known brain metastases at the time of screening Subjects who had received any other investigational drug within 1 month or within five half-lives of the other investigational agent, whichever is longer prior to day 1 of study drug administration or who have not completely recovered from adverse effects of the investigational agent received prior to this period. History of allergic reactions attributed to compounds of similar chemical structure to P1446A-05. Subjects on immunosuppressive therapy. History of unstable angina or myocardial infarction or stroke within previous 6 months. Subjects with uncontrolled inter-current illness including, but not limited to active infection, symptomatic congestive heart failure, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements. Subjects known to be suffering from infection with HIV, Tuberculosis, Hepatitis C or Hepatitis B. History of any other prior malignancy except for curatively treated basal cell or squamous cell carcinoma of skin, in situ cervical cancer, in situ breast cancer, in situ prostate cancer or any other cancer for which the subject has been diseasefree for at least 3 years. Women who are pregnant or lactating. Women of childbearing potential [defined as a sexually mature woman who has not undergone hysterectomy or who has not been naturally postmenopausal for at least 24 consecutive months (i.e. who has had menses any time in the preceding 24 consecutive months)] and men, not agreeing to use adequate contraception (e.g., hormonal or barrier method of birth control or abstinence) prior to study entry (after signing the informed consent document), during the duration of study participation and for at least 4 weeks after withdrawal from the study, unless they are surgically sterilised. Any condition, including laboratory abnormalities, that in the opinion of the investigator places the subject at an unacceptable risk or deems the subject not suitable for participation in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Minish Jain, M.D.
Organizational Affiliation
Consultant
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Naresh Somani, D.M.
Organizational Affiliation
Sr. Hemato-Oncologist & Pediatric Oncologist
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Anish Maru, D.M.
Organizational Affiliation
Senior Consultant and Director
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Shona Nag, M.D.
Organizational Affiliation
Consultant Medical Oncologist
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Sudeep Gupta, D.M.
Organizational Affiliation
Oncology Associate Professor
Official's Role
Principal Investigator
Facility Information:
Facility Name
Tata Memorial Centre
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400012
Country
India
Facility Name
Ruby Hall Clinic
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411 001
Country
India
Facility Name
Jehangir Hospital
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411001
Country
India
Facility Name
SEAROC Cancer Centre,
City
Jaipur
State/Province
Rajasthan
ZIP/Postal Code
302013
Country
India
Facility Name
Bhagwan Mahaveer Cancer Hospital
City
Jaipur
State/Province
Rajasthan
ZIP/Postal Code
302017
Country
India

12. IPD Sharing Statement

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A Study Of Selective Cyclin Dependent Kinase Inhibitor P1446A-05 In Subjects With Advanced Refractory Malignancies

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