BP31510 (Ubidecarenone,USP) Nanosuspension for Intravenous Injection to Patients With Solid Tumors
Metastatic Cancer, Cancer, Solid Tumor
About this trial
This is an interventional other trial for Metastatic Cancer focused on measuring metastatic cancer, solid tumor, unresectable tumor, brain cancer, lymphoma
Eligibility Criteria
Inclusion Criteria:
- The patient has a histologically confirmed solid tumor that is metastatic or unresectable for which standard measures do not exist or are no longer effective. (Patients with primary brain cancer or lymphoma are permitted. Patients with brain metastases are allowed if whole brain radiation was performed and is documented stable for ≥ 6 weeks)
- The patient is at least 18 years old.
- The patient has an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
- The patient has a life expectancy of > 3 months.
- Sexually active patients and their partners agree to use an accepted method of contraception during the course of the study
- Female patients of childbearing potential must have a negative pregnancy test within 1 week prior to beginning study treatment.
- The patient has adequate organ and marrow function as follows:
- ANC ≥ 1500 mm3, platelets ≥ 100,000/mm3, hemoglobin ≥ 9 g/dL,
- serum creatinine ≤1.8 mg/dL or creatinine clearance > 50 mL/min (Appendix I);
- bilirubin ≤ 1.5 mg/dL; alanine aminotransferase (ALT), aspartate transaminase (AST) ≤ 2.5 times the upper limit of normal if no liver involvement or ≤ 5 times the upper limit of normal with liver involvement.
- The patient has serum electrolytes (including calcium, magnesium, phosphorous, sodium and potassium) within normal limits (supplementation to maintain normal electrolytes is allowed).
- The patient has adequate coagulation: prothrombin time (PT), partial thromboplastin time (PTT), and an International Normalized Ratio within normal limits.
- The patient is capable of understanding and complying with the protocol and has signed the informed consent document.
Exclusion Criteria:
- The patient has uncontrolled intercurrent illness including, but not limited to uncontrolled infection, symptomatic congestive heart failure (NYHA class III and IV), uncontrolled cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- The patient has active heart disease including myocardial infarction within previous 3 months, symptomatic coronary artery disease, arrhythmias not controlled by medication, unstable angina pectoris, or uncontrolled congestive heart failure (NYHA class III and IV)
- The patient has received chemotherapy or radiotherapy within 4 weeks or has received nitrosoureas or mitomycin C within 6 weeks prior to the first dose of study drug.
- The patient has received radiation to ≥ 25% of his or her bone marrow within 4 weeks of the first dose of study drug.
- The patient has received an investigational drug within 30 days of the first dose of study drug.
- The patient has not recovered to grade ≤ 1 adverse events (AEs) due to investigational drugs or other medications, administered more than 2 weeks prior to the first dose of study drug, with the exception of neurotoxicity attributed to oxaliplatin or taxanes, which must have recovered to < 2 prior to study initiation.
- The patient is pregnant or lactating.
- The patient is known to be positive for the human immunodeficiency virus (HIV). The effect of BPM31510 on HIV medications is unknown. Note: HIV testing is not required for eligibility, but if performed previously and was positive, the patient is ineligible for the study.
- The patient has an inability or unwillingness to abide by the study protocol or cooperate fully with the investigator or designee.
- The patient is receiving digoxin, digitoxin, lanatoside C or any type of digitalis alkaloids.
- The patient is receiving colony stimulating factors (CSFs) that cannot be held during the monitoring period for dose-limiting toxicities (DLT).
- The patient has uncontrolled or severe coagulopathies or a history of clinically significant bleeding within the past 6 months, such as hemoptysis, epistaxis, hematochezia, hematuria, or gastrointestinal bleeding.
- The patient has a known predisposition for bleeding such as von Willebrand's disease or other such condition.
- The patient requires therapeutic doses of any anticoagulant, including LMWH. Concomitant use of warfarin, even at prophylactic doses, is prohibited.
Sites / Locations
- Palo Alto Medical Foundation
- Weill Cornell Solid Tumor Oncology Practice
- The University of Texas MD Anderson Cancer Center
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
BP31510 monotherapy
BP31510 in combination with chemotherapy
Starting dose level of BPM31510 will be 66 mg/kg administered by IV infusion over 48 hours 2 times per week of each 28-day cycle.The 2 doses will be administered over 4 consecutive days.The study drug will be administered undiluted via a central venous access device and the infusion rate will be controlled by a programmable ambulatory infusion pump. first dose of each week of the cycle a loading dose will be infused over 1 hour with the remainder of the dose volume infused over 47 hours.At each dose level of Arm 1 and Arm 2, patients will be treated for either 8 hours at minimum of outpatient monitoring or inpatient monitoring for the first 24-hrs of the first infusion of Cycle 1. second dose of each week of the cycle, the total dose volume given over 48 hours with no loading dose.
standard 3+3 design will be used for Arm 2 of the study. BPM31510 will be started at one dose level below the dose that has been studied and determined to be safe in the monotherapy portion of the trial. Arm 2 patients will be enrolled onto one of 3 chemotherapies, gemcitabine, 5-FU, or docetaxel according to the dose levels below: Gemcitabine IV once weekly at a starting dose of 600 mg/m2 ; 5-Fluorouracil (5-FU) IV once weekly at a starting dose of 350 mg/m2 with leucovorin (LV) 100 mg/m2; OR Docetaxel IV once weekly at a starting dose of 20 mg/m2. Note:Both BPM31510 and the chemotherapy agent can escalate simultaneously in Cohorts 3 and 4 only if there are no DLTs observed in the previous cohorts. If one or more DLTs are observed, then intermediate dose levels will be added where one agent is escalated.