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Safety and Pharmacokinetic Profile of CKD-581 (CKD-581)

Primary Purpose

Lymphoma, Multiple Myeloma

Status
Completed
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
CKD-581
Sponsored by
Chong Kun Dang Pharmaceutical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lymphoma

Eligibility Criteria

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

Inclusion Criteria:

  • 20 years and older
  • Histologically or cytologically confirmed Lymphoma or Multiple myeloma that have failed to standard therapy or for which no life prolonging treatment exists
  • ECOG(Eastern cooperative oncology) performance status ≤ 2
  • Life expectancy 12 weeks
  • Hematopoietic: ANC(Absolute Neutrophil Count) ≥ 1,500/mm3, Platelet count(PLT) ≥ 100,000/mm3, Hemoglobin ≥ 9.0g/dL
  • Hepatic: Total bilirubin > 1.5×upper limit of normal(except Gilbert's syndrome patients), aspartate aminotransferase(AST) > 3×upper limit of normal, alanine aminotransferase(ALT) > 3×upper limit of normal(AST, ALT ≤ 5.0×ULN in case of liver metastases)
  • Renal: serum creatinine ≤ 1.5×upper limit of normal
  • Serum calcium ≤ upper limit of normal (If the Multiple myeloma only)
  • Signed a written informed consent

Exclusion Criteria:

  • Have symptoms with Brain metastases
  • History of Ischemic heart disease(e.g., myocardial infarction, unstable angina pectoris) or Clinically significant heart disease such as NYHA Class III and IV Congestive atrial arrhythmias, within 6 months prior to first dose of study drug
  • Acute infection or blooding tendencies that would preclude study compliance
  • Other psychiatric disorders or other conditions that would preclude study compliance
  • Receiving antitumor therapy(surgery, immunotherapy or chemotherapy) within 4 weeks prior to first dose of study drug(6 weeks for nitrosoureas and mitomycin C, 2 weeks for radiation therapy)
  • Other concurrent antitumor therapy
  • Have Cardiac disease by nature
  • Administration history of Histone Deacetylase Inhibitor
  • History of Serious hypersensitivity or allergy
  • Pregnant or nursing, active serum pregnancy test. Fertile patients must use effective contraception
  • Participation in a clinical trial within 4 weeks of first dose of study drug

Sites / Locations

  • ASAN Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment

Arm Description

CKD-581

Outcomes

Primary Outcome Measures

Maximum Tolerated Dose

Secondary Outcome Measures

Dose Limiting Toxicity
Pharmacokinetics
PK parameters(AUC, Cmax) of CKD-581 & metabolites
Objective response rate
Progression Free survival

Full Information

First Posted
April 16, 2012
Last Updated
October 4, 2016
Sponsor
Chong Kun Dang Pharmaceutical
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1. Study Identification

Unique Protocol Identification Number
NCT01580371
Brief Title
Safety and Pharmacokinetic Profile of CKD-581
Acronym
CKD-581
Official Title
Phase I Clinical Trial to Assess the Safety and Pharmacokinetic Profile of CKD-581 in Patients With Lymphoma or Multiple Myeloma Failed to Standard Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Completed
Study Start Date
May 2012 (undefined)
Primary Completion Date
March 2016 (Actual)
Study Completion Date
June 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chong Kun Dang Pharmaceutical

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is to determine the maximum tolerated dose (MTD), dose limiting toxicity (DLT), safety and pharmacokinetics (PK) profile of a single agent CKD-581 injection in patients with Lymphoma failed to standard therapy. The usefulness of the this regimen is evaluated by response rate, progression free survival.
Detailed Description
Recently, the role of transcriptional repression through epigenetic modulation in carcinogenesis has been clinically validated with several inhibitors of histone deacetylases and DNA methyltransferases. It has long been recognized that epigenetic alterations of tumor suppressor genes was one of the contributing factors in carcinogenesis. Inhibitors of histone deacetylase (HDAC) de-repress genes that subsequently result in growth inhibition, differentiation and apoptosis of cancer cells. CKD-581 is developed for HDAC inhibitors. Such as to determine the maximum tolerated dose (MTD), dose limiting toxicity (DLT), safety and pharmacokinetics (PK) profile of a single agent CKD-581 injection in patients with Lymphoma failed to standard therapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lymphoma, Multiple Myeloma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
39 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment
Arm Type
Experimental
Arm Description
CKD-581
Intervention Type
Drug
Intervention Name(s)
CKD-581
Other Intervention Name(s)
Histone Deacetylase Inhibitor
Intervention Description
CKD-581 qd for Day 1, 8 and 15 every 28days/Cycle
Primary Outcome Measure Information:
Title
Maximum Tolerated Dose
Time Frame
Up to 28 days (For 1st cycle)
Secondary Outcome Measure Information:
Title
Dose Limiting Toxicity
Time Frame
Up to 28 days (For 1st cycle)
Title
Pharmacokinetics
Description
PK parameters(AUC, Cmax) of CKD-581 & metabolites
Time Frame
0, 0.25, 1, 1.5, 2, 2.25, 2.5, 3, 3.5, 4, 6, 8, 12, 24 hrs post dose(1st cycle Day1, 15)
Title
Objective response rate
Time Frame
every 56 days (every 2 cycle)
Title
Progression Free survival
Time Frame
up to progression

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 20 years and older Histologically or cytologically confirmed Lymphoma or Multiple myeloma that have failed to standard therapy or for which no life prolonging treatment exists ECOG(Eastern cooperative oncology) performance status ≤ 2 Life expectancy 12 weeks Hematopoietic: ANC(Absolute Neutrophil Count) ≥ 1,500/mm3, Platelet count(PLT) ≥ 100,000/mm3, Hemoglobin ≥ 9.0g/dL Hepatic: Total bilirubin > 1.5×upper limit of normal(except Gilbert's syndrome patients), aspartate aminotransferase(AST) > 3×upper limit of normal, alanine aminotransferase(ALT) > 3×upper limit of normal(AST, ALT ≤ 5.0×ULN in case of liver metastases) Renal: serum creatinine ≤ 1.5×upper limit of normal Serum calcium ≤ upper limit of normal (If the Multiple myeloma only) Signed a written informed consent Exclusion Criteria: Have symptoms with Brain metastases History of Ischemic heart disease(e.g., myocardial infarction, unstable angina pectoris) or Clinically significant heart disease such as NYHA Class III and IV Congestive atrial arrhythmias, within 6 months prior to first dose of study drug Acute infection or blooding tendencies that would preclude study compliance Other psychiatric disorders or other conditions that would preclude study compliance Receiving antitumor therapy(surgery, immunotherapy or chemotherapy) within 4 weeks prior to first dose of study drug(6 weeks for nitrosoureas and mitomycin C, 2 weeks for radiation therapy) Other concurrent antitumor therapy Have Cardiac disease by nature Administration history of Histone Deacetylase Inhibitor History of Serious hypersensitivity or allergy Pregnant or nursing, active serum pregnancy test. Fertile patients must use effective contraception Participation in a clinical trial within 4 weeks of first dose of study drug
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dok Hyun Yoon, Ph.D
Organizational Affiliation
88,Olympic-ro 43-gil, Songpa-gu, Seoul 138-736, Korea
Official's Role
Study Chair
Facility Information:
Facility Name
ASAN Medical Center
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety and Pharmacokinetic Profile of CKD-581

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