A Study of Aneustat (OMN54) in Patients With Advanced Cancer and Lymphomas
Primary Purpose
Neoplasms
Status
Completed
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
Aneustat (OMN54)
Sponsored by

About this trial
This is an interventional treatment trial for Neoplasms focused on measuring Advanced Cancer, Lymphoma, Refractory
Eligibility Criteria
Inclusion Criteria:
- Histological or cytological evidence of malignancy
- Male or female, 18 years or older
- Presence of advanced tumours, i.e., measurable or non-measurable disease (RECIST criteria, version 1.1)that have recurred or progressed following standard therapy
- Able to swallow the oral capsule form of the drug
- Failed at least one previous therapeutic regimen and either no longer are candidates for standard therapy, have no standard therapy available, or choose not to pursue standard therapy.
Haematology within 7 days of Day 1 (initial dose):
- Hemoglobin (Hb) > 9.0 g/dL
- Platelets ≥ 100,000 cells/mm3 (or, ≥100 x 10/L)
- Absolute neutrophil count (ANC) > 1.5 cells x109/L (or, > 1500 cells/mm3)
Chemistry within 7 days of Day 1 (initial dose):
- AST(SGOT)/ALT(SGPT) ≤ 2.5 x ULN if no liver metastases, AST(SGOT)/ALT(SGPT) < 5 x ULN if liver metastases
- Bilirubin < 1.5 x ULN unless Gilbert's Syndrome
- Serum creatinine ≤ 1.25 ULN
Coagulation within 7 days of Day 1 (initial dose):
*INR ≤ 1.5
- ECOG Performance Status between 0 - 2 and estimated life expectancy of > 3 months.
- Having the initiative and means to be compliant with the protocol (as judged by the Principal Investigator) and is within a feasible geographical proximity of the study center to make the required study visits.
- Written informed consent obtained prior to any study screening procedures
- Females of childbearing potential (a female is considered of childbearing potential unless she is postmenopausal, i.e., no menses for at least 12 consecutive months, or is without a uterus) must have a negative urine pregnancy test (UPT) within 7 days of Day 1 (initial dose)
- Females of childbearing potential must agree to use an effective method of contraception (i.e., sexual abstinence, condoms, intrauterine device, diaphragm) from Screening period and throughout study participation.
Exclusion Criteria:
- Patient has uncontrolled or symptomatic brain metastases (If a patient has brain metastases and is on steroids, the steroid dose must be stable for at least 30 days prior to Day 1 dosing).
- Use of an investigational medication or device within 30 days of initiating study therapy (Day 1).
- Major surgery within 30 days prior to first dose (Day 1).
- Radiotherapy, chemotherapy, or immunotherapy within 28 days prior to Day 1 (not including palliative radiotherapy at focal sites).
- Pregnancy or lactation.
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure (NY Heart Association Class III or IV, see Appendix 3), unstable angina pectoris, unstable cardiac arrhythmia, uncontrolled hypertension or psychiatric illness/social situations that would limit compliance with study requirements.
- Screening (within approximately 28 days of registration) 12-lead electrocardiogram (ECG) that is abnormal and clinically significant
- Refractory nausea and vomiting, chronic gastrointestinal diseases (e.g., inflammatory bowel disease), or significant bowel resection that would preclude adequate absorption.
- Use of warfarin, i.e., Coumadin®, Jantoven® within 7 days prior to Day 1 (initial dosing)
- Intolerance or aversion to porcine ingredients that are used for the OMN54 oral capsules in the investigational medicine, OMN54 (Aneustat™).
- Known hypersensitivity to any of the three botanical constituents of Aneustat™ (OMN54), or other similar plants; or to plants belonging to Labiatae or Lamiaceae families, soy, or Aneustat™ (OMN54) excipients
- Use of Sophora subprostrata root (SSR) or herba serissae within 14 days prior to Day 1.
Sites / Locations
- BC Cancer Agency-Vancouver Centre
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Aneustat (OMN54)
Arm Description
Outcomes
Primary Outcome Measures
Maximum Tolerated Dose (MTD) of two dosing regimens (once daily and twice daily)
The maximum tolerated dose (MTD) is defined as the dose, based on data from 6 patients (or 5 patients if one patient has withdrawn due to non-Aneustat (OMN54) related reasons), below the non-tolerated dose (DL T).
Dose Limiting Toxicity (DLT) of two dosing regimens (once daily and twice daily)
Assessment per Common Terminology Criteria for Adverse Events (CTCAE) v4.03.
Plasma blood concentrations of chemical markers
These measurements are intended to characterize the pharmacokinetics of Aneustat (OMN54)
Secondary Outcome Measures
Tumor Response
Tumor response as per RECIST criteria version 1.1, and tumor markers in plasma, as applicable
Measurement of pathway biomarkers in plasma
Plasma concentrations of cancer-related proteins to help characterize Aneustat (OMN54) activity
Full Information
NCT ID
NCT01555242
First Posted
March 13, 2012
Last Updated
April 7, 2015
Sponsor
Omnitura Therapeutics, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT01555242
Brief Title
A Study of Aneustat (OMN54) in Patients With Advanced Cancer and Lymphomas
Official Title
A Phase I, Open-Label, Multiple Dose Study to Assess the Safety, Tolerability and Pharmacokinetics of Oral Aneustat™ (OMN54) Administered on a Daily Oral Regimen in Patients With Advanced Cancer and Lymphomas
Study Type
Interventional
2. Study Status
Record Verification Date
April 2015
Overall Recruitment Status
Completed
Study Start Date
August 2012 (undefined)
Primary Completion Date
January 2014 (Actual)
Study Completion Date
January 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Omnitura Therapeutics, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a phase I, open-label, multiple dose, dose escalation study to assess the safety, tolerability and pharmacokinetics of Aneustat™ (OMN54), a novel therapy, administered orally in patients with advanced cancer and lymphomas.
Detailed Description
Patients who complete a 28-day cycle, may be eligible to continue receiving Aneustat™ (OMN54) in 4-week increments for up to 6 cycles (inclusive of cycle 1) if further treatment is judged to be of possible benefit; if patient has not experienced unacceptable toxicity; and no study withdrawal criteria has been met.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neoplasms
Keywords
Advanced Cancer, Lymphoma, Refractory
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
22 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Aneustat (OMN54)
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Aneustat (OMN54)
Intervention Description
100 mg active/capsule; oral administration; 28 days/cycle (up to 6 cycles total) 1,000 mg QD 2,000 mg QD 1,500 mg BID 2,000 mg BID 2,500 mg BID
Primary Outcome Measure Information:
Title
Maximum Tolerated Dose (MTD) of two dosing regimens (once daily and twice daily)
Description
The maximum tolerated dose (MTD) is defined as the dose, based on data from 6 patients (or 5 patients if one patient has withdrawn due to non-Aneustat (OMN54) related reasons), below the non-tolerated dose (DL T).
Title
Dose Limiting Toxicity (DLT) of two dosing regimens (once daily and twice daily)
Description
Assessment per Common Terminology Criteria for Adverse Events (CTCAE) v4.03.
Title
Plasma blood concentrations of chemical markers
Description
These measurements are intended to characterize the pharmacokinetics of Aneustat (OMN54)
Secondary Outcome Measure Information:
Title
Tumor Response
Description
Tumor response as per RECIST criteria version 1.1, and tumor markers in plasma, as applicable
Title
Measurement of pathway biomarkers in plasma
Description
Plasma concentrations of cancer-related proteins to help characterize Aneustat (OMN54) activity
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Histological or cytological evidence of malignancy
Male or female, 18 years or older
Presence of advanced tumours, i.e., measurable or non-measurable disease (RECIST criteria, version 1.1)that have recurred or progressed following standard therapy
Able to swallow the oral capsule form of the drug
Failed at least one previous therapeutic regimen and either no longer are candidates for standard therapy, have no standard therapy available, or choose not to pursue standard therapy.
Haematology within 7 days of Day 1 (initial dose):
Hemoglobin (Hb) > 9.0 g/dL
Platelets ≥ 100,000 cells/mm3 (or, ≥100 x 10/L)
Absolute neutrophil count (ANC) > 1.5 cells x109/L (or, > 1500 cells/mm3)
Chemistry within 7 days of Day 1 (initial dose):
AST(SGOT)/ALT(SGPT) ≤ 2.5 x ULN if no liver metastases, AST(SGOT)/ALT(SGPT) < 5 x ULN if liver metastases
Bilirubin < 1.5 x ULN unless Gilbert's Syndrome
Serum creatinine ≤ 1.25 ULN
Coagulation within 7 days of Day 1 (initial dose):
*INR ≤ 1.5
ECOG Performance Status between 0 - 2 and estimated life expectancy of > 3 months.
Having the initiative and means to be compliant with the protocol (as judged by the Principal Investigator) and is within a feasible geographical proximity of the study center to make the required study visits.
Written informed consent obtained prior to any study screening procedures
Females of childbearing potential (a female is considered of childbearing potential unless she is postmenopausal, i.e., no menses for at least 12 consecutive months, or is without a uterus) must have a negative urine pregnancy test (UPT) within 7 days of Day 1 (initial dose)
Females of childbearing potential must agree to use an effective method of contraception (i.e., sexual abstinence, condoms, intrauterine device, diaphragm) from Screening period and throughout study participation.
Exclusion Criteria:
Patient has uncontrolled or symptomatic brain metastases (If a patient has brain metastases and is on steroids, the steroid dose must be stable for at least 30 days prior to Day 1 dosing).
Use of an investigational medication or device within 30 days of initiating study therapy (Day 1).
Major surgery within 30 days prior to first dose (Day 1).
Radiotherapy, chemotherapy, or immunotherapy within 28 days prior to Day 1 (not including palliative radiotherapy at focal sites).
Pregnancy or lactation.
Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure (NY Heart Association Class III or IV, see Appendix 3), unstable angina pectoris, unstable cardiac arrhythmia, uncontrolled hypertension or psychiatric illness/social situations that would limit compliance with study requirements.
Screening (within approximately 28 days of registration) 12-lead electrocardiogram (ECG) that is abnormal and clinically significant
Refractory nausea and vomiting, chronic gastrointestinal diseases (e.g., inflammatory bowel disease), or significant bowel resection that would preclude adequate absorption.
Use of warfarin, i.e., Coumadin®, Jantoven® within 7 days prior to Day 1 (initial dosing)
Intolerance or aversion to porcine ingredients that are used for the OMN54 oral capsules in the investigational medicine, OMN54 (Aneustat™).
Known hypersensitivity to any of the three botanical constituents of Aneustat™ (OMN54), or other similar plants; or to plants belonging to Labiatae or Lamiaceae families, soy, or Aneustat™ (OMN54) excipients
Use of Sophora subprostrata root (SSR) or herba serissae within 14 days prior to Day 1.
Facility Information:
Facility Name
BC Cancer Agency-Vancouver Centre
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 4E6
Country
Canada
12. IPD Sharing Statement
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A Study of Aneustat (OMN54) in Patients With Advanced Cancer and Lymphomas
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