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Phase 1 Weekly Dosing of SCH 727965 in Patients With Advanced Cancer (Study P04629AM6)

Primary Purpose

Solid Tumors, Lymphoma, Non-Hodgkin, Multiple Myeloma

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
SCH 727965
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid Tumors

Eligibility Criteria

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

Inclusion Criteria:

  • Age >=18 years, either sex, any race.
  • Eastern Cooperative Oncology Group performance status of 0, 1, or 2.
  • There must be no known standard therapy, or disease must be refractory to standard therapy
  • Adequate hematologic, renal, and hepatic organ function and laboratory parameters
  • For advanced solid tumors, non-Hodgkin's lymphoma, or multiple myeloma:

    • Participants must have histologically proven solid tumors, non-Hodgkin's lymphoma, or multiple myeloma.
    • Evaluable malignancy must be present by computed tomography or magnetic resonance imaging, obtained within 4 weeks prior to the start of treatment with SCH 727965.
  • Subjects with multiple myeloma must have measurable disease defined as:

    • Serum monoclonal protein greater than 0.5 g/dL or urine light chain excretion of greater than 0.2 g/24-hour obtained within 4 weeks prior to the start of treatment.
    • Participants with lower M protein values or nonsecretory myeloma are eligible if measurable disease can be established within 4 weeks prior to start of treatment, such as:

      • serum free light chain ratio greater than 5 times the normal ratio limit; and/or
      • measurable soft tissue plasmacytoma greater than 2 cm, by either physical examination and/or applicable radiographs; and/or
      • bone marrow involvement greater than 30%.
  • For B-cell chronic lymphocytic leukemia (B-CLL):

    • Diagnosis of B-CLL according to the National Cancer Institute Working Group (NCI-WG) criteria or a histological diagnosis of small lymphocytic lymphoma.
    • Disease must be evaluable according to NCI-WG response criteria.

Exclusion Criteria:

  • Symptomatic brain metastases or primary central nervous system malignancy.
  • Previous radiation therapy to >25% of the total bone marrow.
  • Previous treatment with SCH 727965.
  • Known HIV infection.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    Advanced solid tumors

    Non-Hodgkin's lymphoma and multiple myeloma

    B cell chronic lymphocytic leukemia

    Arm Description

    Participants with advanced solid tumors treated with SCH 727965 in dose-escalation cohorts

    Participants with non-Hodgkin's lymphoma or multiple myeloma treated with SCH 727965

    Participants with B-cell chronic lymphocytic leukemia treated with SCH 727965 in dose-escalation cohorts

    Outcomes

    Primary Outcome Measures

    Safety and tolerability of SCH 727965, including maximum administered dose and dose-limiting toxicity.
    In participants with advanced solid tumors, non Hodgkin's lymphoma or multiple myeloma, pharmacodynamic effects of SCH 727965 with an ex vivo lymphocyte stimulation assay of participant's peripheral blood lymphocytes.

    Secondary Outcome Measures

    Full Information

    First Posted
    March 26, 2009
    Last Updated
    April 17, 2015
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00871663
    Brief Title
    Phase 1 Weekly Dosing of SCH 727965 in Patients With Advanced Cancer (Study P04629AM6)
    Official Title
    A Phase 1 Dose-Escalation Study of the Safety, Pharmacokinetics, and Pharmacodynamics of the Cyclin-Dependent Kinase (CDK) Inhibitor SCH 727965 Administered Weekly in Subjects With Advanced Malignancies
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    August 2006 (undefined)
    Primary Completion Date
    October 2012 (Actual)
    Study Completion Date
    October 2012 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The study will evaluate the safety, tolerability, maximum administered dose, and dose limiting toxicity of SCH 727965 administered as an intravenous infusion on Days 1, 8 and 15 of each 28 day cycle in participants with solid tumors, non Hodgkins lymphoma, multiple myeloma or chronic lymphocytic leukemia.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Solid Tumors, Lymphoma, Non-Hodgkin, Multiple Myeloma, Leukemia, Lymphocytic, Chronic. B-Cell

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    123 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Advanced solid tumors
    Arm Type
    Experimental
    Arm Description
    Participants with advanced solid tumors treated with SCH 727965 in dose-escalation cohorts
    Arm Title
    Non-Hodgkin's lymphoma and multiple myeloma
    Arm Type
    Experimental
    Arm Description
    Participants with non-Hodgkin's lymphoma or multiple myeloma treated with SCH 727965
    Arm Title
    B cell chronic lymphocytic leukemia
    Arm Type
    Experimental
    Arm Description
    Participants with B-cell chronic lymphocytic leukemia treated with SCH 727965 in dose-escalation cohorts
    Intervention Type
    Drug
    Intervention Name(s)
    SCH 727965
    Intervention Description
    Dose escalation of SCH 727965 IV administered in 28-day cycles, on Days 1, 8, and 15 of each 28-day cycle.
    Primary Outcome Measure Information:
    Title
    Safety and tolerability of SCH 727965, including maximum administered dose and dose-limiting toxicity.
    Time Frame
    End of trial
    Title
    In participants with advanced solid tumors, non Hodgkin's lymphoma or multiple myeloma, pharmacodynamic effects of SCH 727965 with an ex vivo lymphocyte stimulation assay of participant's peripheral blood lymphocytes.
    Time Frame
    End of trial

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Age >=18 years, either sex, any race. Eastern Cooperative Oncology Group performance status of 0, 1, or 2. There must be no known standard therapy, or disease must be refractory to standard therapy Adequate hematologic, renal, and hepatic organ function and laboratory parameters For advanced solid tumors, non-Hodgkin's lymphoma, or multiple myeloma: Participants must have histologically proven solid tumors, non-Hodgkin's lymphoma, or multiple myeloma. Evaluable malignancy must be present by computed tomography or magnetic resonance imaging, obtained within 4 weeks prior to the start of treatment with SCH 727965. Subjects with multiple myeloma must have measurable disease defined as: Serum monoclonal protein greater than 0.5 g/dL or urine light chain excretion of greater than 0.2 g/24-hour obtained within 4 weeks prior to the start of treatment. Participants with lower M protein values or nonsecretory myeloma are eligible if measurable disease can be established within 4 weeks prior to start of treatment, such as: serum free light chain ratio greater than 5 times the normal ratio limit; and/or measurable soft tissue plasmacytoma greater than 2 cm, by either physical examination and/or applicable radiographs; and/or bone marrow involvement greater than 30%. For B-cell chronic lymphocytic leukemia (B-CLL): Diagnosis of B-CLL according to the National Cancer Institute Working Group (NCI-WG) criteria or a histological diagnosis of small lymphocytic lymphoma. Disease must be evaluable according to NCI-WG response criteria. Exclusion Criteria: Symptomatic brain metastases or primary central nervous system malignancy. Previous radiation therapy to >25% of the total bone marrow. Previous treatment with SCH 727965. Known HIV infection.

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    25708835
    Citation
    Flynn J, Jones J, Johnson AJ, Andritsos L, Maddocks K, Jaglowski S, Hessler J, Grever MR, Im E, Zhou H, Zhu Y, Zhang D, Small K, Bannerji R, Byrd JC. Dinaciclib is a novel cyclin-dependent kinase inhibitor with significant clinical activity in relapsed and refractory chronic lymphocytic leukemia. Leukemia. 2015 Jul;29(7):1524-9. doi: 10.1038/leu.2015.31. Epub 2015 Feb 24.
    Results Reference
    background
    PubMed Identifier
    24131779
    Citation
    Nemunaitis JJ, Small KA, Kirschmeier P, Zhang D, Zhu Y, Jou YM, Statkevich P, Yao SL, Bannerji R. A first-in-human, phase 1, dose-escalation study of dinaciclib, a novel cyclin-dependent kinase inhibitor, administered weekly in subjects with advanced malignancies. J Transl Med. 2013 Oct 16;11:259. doi: 10.1186/1479-5876-11-259.
    Results Reference
    result

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    Phase 1 Weekly Dosing of SCH 727965 in Patients With Advanced Cancer (Study P04629AM6)

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