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Open Label, Dose Escalation Trial of Oral Eg5 Kinesin-spindle Inhibitor 4SC-205 in Patients With Advanced Malignancies (AEGIS)

Primary Purpose

Advanced and Incurable Solid Tumors, Malignant Lymphomas

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
4SC-205
Sponsored by
4SC AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced and Incurable Solid Tumors focused on measuring 4SC-205, Solid tumors, Lymphomas, Phase I

Eligibility Criteria

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

Main Inclusion Criteria:

  • One or more evaluable target lesion according to RECIST (by CT-scan, MRI or calipers), of which at least one evaluable target lesion (proven by CT or MRI) has to be located in the lung.
  • Progressive disease as defined by new or progressive lesions on CT-scan, MRI, bone scan or by increase of PSA.
  • Histologically or cytologically documented diagnosis of primary or metastatic solid tumors or malignant lymphomas refractory to prior standard therapy or for which no standard therapy exists. Entry will include, but is not limited to patients with prostate and breast cancer refractory to hormone treatment, ovarian cancer, head and neck cancer, non-small cell lung cancer, bladder cancer, colorectal cancer, kidney cancer, malignant melanoma or malignant lymphoma. Patients who have refused standard therapies are also eligible.
  • ECOG Performance Status 0-2.
  • Acceptable liver, renal and bone marrow function.

Main Exclusion Criteria:

  • Prior treatment with other EG5 inhibitors.
  • Antineoplastic therapy including chemotherapy, radiotherapy, endocrine therapy, immunotherapy or use of other investigational agents within the last 2 weeks or a longer period depending on the defined characteristics of the agents used (e.g. 6 weeks for mitomycin C or nitrosourea). Patients must have recovered from any treatment-related toxicity (except for alopecia, fatigue and grade 1 neurotoxicity) prior to registration.
  • Patients with a history of other malignancies unless having undergone definitive treatment more than 5 years prior to entry into the study and without evidence of recurrent malignant disease, excluding patients with basal cell carcinoma of the skin; superficial carcinoma of the bladder; carcinoma of the prostate with a current PSA < 0.1 ng/ml; or cervical intraepithelial neoplasia.
  • Patients with a history of significant cardiovascular, neurological, endocrine, gastrointestinal, respiratory or inflammatory illness.
  • Patients with a history of, who were treated for, or who are suspected of having, hepatitis B, hepatitis C or HIV.

Sites / Locations

  • Universitätsklinikum Essen
  • Klinik für Tumorbiologie an der Albert-Ludwigs-Universität Freiburg (KTB)

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

4SC-205

Arm Description

Outcomes

Primary Outcome Measures

Safety and tolerability of repeated ascending oral doses of 4SC-205. Determination of the maximum tolerated dose (MTD) and dose-limiting toxicities (DLT).

Secondary Outcome Measures

Pharmacokinetics
Anti-cancer activity of 4SC-205 after 6 weeks of treatment.
Effects of EG5 inhibition on biomarker modulation.

Full Information

First Posted
February 5, 2010
Last Updated
April 10, 2015
Sponsor
4SC AG
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1. Study Identification

Unique Protocol Identification Number
NCT01065025
Brief Title
Open Label, Dose Escalation Trial of Oral Eg5 Kinesin-spindle Inhibitor 4SC-205 in Patients With Advanced Malignancies
Acronym
AEGIS
Official Title
Open Label, Dose Escalation Trial of Oral 4SC-205 in Patients With Advanced Malignancies: First-In-Man Study of a Newly Developed, Oral Inhibitor of Kinesin-spindle Protein, Eg5
Study Type
Interventional

2. Study Status

Record Verification Date
April 2015
Overall Recruitment Status
Completed
Study Start Date
January 2010 (undefined)
Primary Completion Date
April 2015 (Actual)
Study Completion Date
April 2015 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
4SC AG

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of the study is to investigate safety and tolerability of repeated ascending oral doses of 4SC-205 in patients with advanced and incurable solid tumors or malignant lymphomas.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced and Incurable Solid Tumors, Malignant Lymphomas
Keywords
4SC-205, Solid tumors, Lymphomas, Phase I

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
4SC-205
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
4SC-205
Intervention Description
Repeated ascending oral doses of 4SC-205.
Primary Outcome Measure Information:
Title
Safety and tolerability of repeated ascending oral doses of 4SC-205. Determination of the maximum tolerated dose (MTD) and dose-limiting toxicities (DLT).
Time Frame
6 weeks
Secondary Outcome Measure Information:
Title
Pharmacokinetics
Time Frame
6 weeks
Title
Anti-cancer activity of 4SC-205 after 6 weeks of treatment.
Time Frame
6 weeks
Title
Effects of EG5 inhibition on biomarker modulation.
Time Frame
6 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Main Inclusion Criteria: One or more evaluable target lesion according to RECIST (by CT-scan, MRI or calipers), of which at least one evaluable target lesion (proven by CT or MRI) has to be located in the lung. Progressive disease as defined by new or progressive lesions on CT-scan, MRI, bone scan or by increase of PSA. Histologically or cytologically documented diagnosis of primary or metastatic solid tumors or malignant lymphomas refractory to prior standard therapy or for which no standard therapy exists. Entry will include, but is not limited to patients with prostate and breast cancer refractory to hormone treatment, ovarian cancer, head and neck cancer, non-small cell lung cancer, bladder cancer, colorectal cancer, kidney cancer, malignant melanoma or malignant lymphoma. Patients who have refused standard therapies are also eligible. ECOG Performance Status 0-2. Acceptable liver, renal and bone marrow function. Main Exclusion Criteria: Prior treatment with other EG5 inhibitors. Antineoplastic therapy including chemotherapy, radiotherapy, endocrine therapy, immunotherapy or use of other investigational agents within the last 2 weeks or a longer period depending on the defined characteristics of the agents used (e.g. 6 weeks for mitomycin C or nitrosourea). Patients must have recovered from any treatment-related toxicity (except for alopecia, fatigue and grade 1 neurotoxicity) prior to registration. Patients with a history of other malignancies unless having undergone definitive treatment more than 5 years prior to entry into the study and without evidence of recurrent malignant disease, excluding patients with basal cell carcinoma of the skin; superficial carcinoma of the bladder; carcinoma of the prostate with a current PSA < 0.1 ng/ml; or cervical intraepithelial neoplasia. Patients with a history of significant cardiovascular, neurological, endocrine, gastrointestinal, respiratory or inflammatory illness. Patients with a history of, who were treated for, or who are suspected of having, hepatitis B, hepatitis C or HIV.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Klaus Mross, PD Dr. med.
Organizational Affiliation
Klinik für Tumorbiologie an der Albert-Ludwigs-Universität Freiburg (KTB)
Official's Role
Principal Investigator
Facility Information:
Facility Name
Universitätsklinikum Essen
City
Essen
Country
Germany
Facility Name
Klinik für Tumorbiologie an der Albert-Ludwigs-Universität Freiburg (KTB)
City
Freiburg
Country
Germany

12. IPD Sharing Statement

Learn more about this trial

Open Label, Dose Escalation Trial of Oral Eg5 Kinesin-spindle Inhibitor 4SC-205 in Patients With Advanced Malignancies

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