A Study Evaluating the Safety, Tolerability, and Pharmacokinetics of GDC-0425 Administered With and Without Gemcitabine in Patients With Refractory Solid Tumors or Lymphoma
Primary Purpose
Solid Tumor
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
GDC-0425
gemcitabine
Sponsored by

About this trial
This is an interventional treatment trial for Solid Tumor focused on measuring solid cancers
Eligibility Criteria
Inclusion Criteria:
- Age >= 18 years
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 1
- Signed Informed Consent Form
- Histologically or cytologically documented, locally advanced or metastatic solid tumors or lymphoma for which standard therapy either does not exist or has proven ineffective or intolerable
- Adequate hematologic and end-organ (liver and kidney) function
- For female patients of childbearing potential and male patients with partners of childbearing potential, agreement by the patient that the patient and/or partner will use an effective form of contraception
- Patients enrolled in certain phases must be willing to provide fresh and/or archival tumor samples
Exclusion Criteria:
- History of prior significant toxicity from a same class of agents as GDC-0425 or gemcitabine requiring discontinuation of treatment
- Allergy, hypersensitivity or contraindication to the GDC-0425 formulation or gemcitabine
- Experimental therapy or anti-cancer therapy within 4 weeks prior to the first dose of study drug treatment
- Radiotherapy within 2 weeks prior to first dose of study drug treatment
- More than two regimens of cytotoxic chemotherapy for the treatment of locally advanced or metastatic cancer
- History of receiving high-dose chemotherapy requiring bone marrow or stem cell support
- History of receiving radiation to more than 25% of bone marrow-bearing areas
- Acute drug-related toxicities from previous therapies have not resolved prior to study entry, except for alopecia and mild neuropathy
- Current severe, uncontrolled systemic disease (including but not limited to clinically significant cardiovascular, pulmonary, or renal disease or ongoing or active infection) excluding cancer
- Significant heart disease and heart dysfunction including but not limited to uncontrolled severe hypertension, heart failure, and reduced cardiac contractility
- Uncontrolled ascites, due to diseases other than cancer
- Inability or unwillingness to swallow pills/capsules
- History of malabsorption or other condition that would interfere with drug absorption
- Any history of active stomach and/or intestine bleeding within the 6 months prior to screening
- Known HIV infection
- Pregnancy, lactation, or breastfeeding
- Known brain metastases that are untreated, symptomatic, or require therapy to control symptoms
- Inability to comply with study and follow up procedures
Sites / Locations
- Karmanos Cancer Institute..
- Sarah Cannon Cancer Center
- Institut Gustave Roussy; Ser. de Med. Nucleaire; Cancerologie Endo
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
A
Arm Description
Outcomes
Primary Outcome Measures
Incidence of all adverse events graded according to NCI CTCAE, v4.0
Incidence of dose limiting toxicities (DLTs)
Pharmacokinetic property of GDC-0425: determination of plasma drug concentration
Pharmacokinetic property of GDC-0425: exposure
Pharmacokinetic property of GDC-0425: half-life
Severity of all adverse events graded according to NCI CTCAE, v4.0
Secondary Outcome Measures
Antitumor activity of GDC-0425 in combination with gemcitabine: determination of tumor response using RECIST v1.1 for patients with measurable disease
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01359696
Brief Title
A Study Evaluating the Safety, Tolerability, and Pharmacokinetics of GDC-0425 Administered With and Without Gemcitabine in Patients With Refractory Solid Tumors or Lymphoma
Official Title
An Open-Label, Phase I, Dose Escalation Study Evaluating the Safety, Tolerability, and Pharmacokinetics of GDC-0425 Administered With and Without Gemcitabine in Patients With Refractory Solid Tumors or Lymphoma
Study Type
Interventional
2. Study Status
Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
July 11, 2011 (Actual)
Primary Completion Date
May 29, 2014 (Actual)
Study Completion Date
May 29, 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.
4. Oversight
5. Study Description
Brief Summary
This is an open-label, multicenter, Phase I, dose-escalation study to assess the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of GDC-0425 administered with and without gemcitabine.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumor
Keywords
solid cancers
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
40 (Actual)
8. Arms, Groups, and Interventions
Arm Title
A
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
GDC-0425
Intervention Description
Oral escalating dose
Intervention Type
Drug
Intervention Name(s)
gemcitabine
Intervention Description
Intravenous repeating dose
Primary Outcome Measure Information:
Title
Incidence of all adverse events graded according to NCI CTCAE, v4.0
Time Frame
Up to 1 year
Title
Incidence of dose limiting toxicities (DLTs)
Time Frame
Up to 35 days
Title
Pharmacokinetic property of GDC-0425: determination of plasma drug concentration
Time Frame
Up to 12 months or early study discontinuation
Title
Pharmacokinetic property of GDC-0425: exposure
Time Frame
Up to 12 months or early study discontinuation
Title
Pharmacokinetic property of GDC-0425: half-life
Time Frame
Up to 12 months or early study discontinuation
Title
Severity of all adverse events graded according to NCI CTCAE, v4.0
Time Frame
Up to 1 year
Secondary Outcome Measure Information:
Title
Antitumor activity of GDC-0425 in combination with gemcitabine: determination of tumor response using RECIST v1.1 for patients with measurable disease
Time Frame
Up to 12 months or early study discontinuation
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age >= 18 years
Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 1
Signed Informed Consent Form
Histologically or cytologically documented, locally advanced or metastatic solid tumors or lymphoma for which standard therapy either does not exist or has proven ineffective or intolerable
Adequate hematologic and end-organ (liver and kidney) function
For female patients of childbearing potential and male patients with partners of childbearing potential, agreement by the patient that the patient and/or partner will use an effective form of contraception
Patients enrolled in certain phases must be willing to provide fresh and/or archival tumor samples
Exclusion Criteria:
History of prior significant toxicity from a same class of agents as GDC-0425 or gemcitabine requiring discontinuation of treatment
Allergy, hypersensitivity or contraindication to the GDC-0425 formulation or gemcitabine
Experimental therapy or anti-cancer therapy within 4 weeks prior to the first dose of study drug treatment
Radiotherapy within 2 weeks prior to first dose of study drug treatment
More than two regimens of cytotoxic chemotherapy for the treatment of locally advanced or metastatic cancer
History of receiving high-dose chemotherapy requiring bone marrow or stem cell support
History of receiving radiation to more than 25% of bone marrow-bearing areas
Acute drug-related toxicities from previous therapies have not resolved prior to study entry, except for alopecia and mild neuropathy
Current severe, uncontrolled systemic disease (including but not limited to clinically significant cardiovascular, pulmonary, or renal disease or ongoing or active infection) excluding cancer
Significant heart disease and heart dysfunction including but not limited to uncontrolled severe hypertension, heart failure, and reduced cardiac contractility
Uncontrolled ascites, due to diseases other than cancer
Inability or unwillingness to swallow pills/capsules
History of malabsorption or other condition that would interfere with drug absorption
Any history of active stomach and/or intestine bleeding within the 6 months prior to screening
Known HIV infection
Pregnancy, lactation, or breastfeeding
Known brain metastases that are untreated, symptomatic, or require therapy to control symptoms
Inability to comply with study and follow up procedures
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chia Portera, M.D., Ph.D.
Organizational Affiliation
Genentech, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Karmanos Cancer Institute..
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
Sarah Cannon Cancer Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Institut Gustave Roussy; Ser. de Med. Nucleaire; Cancerologie Endo
City
Villejuif
ZIP/Postal Code
94805
Country
France
12. IPD Sharing Statement
Learn more about this trial
A Study Evaluating the Safety, Tolerability, and Pharmacokinetics of GDC-0425 Administered With and Without Gemcitabine in Patients With Refractory Solid Tumors or Lymphoma
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