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Phase 2 Study of Oral MKC-1 in Patients With Unresectable or Metastatic Pancreatic Cancer

Primary Purpose

Pancreatic Cancer

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
MKC-1
Sponsored by
CASI Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pancreatic Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Provide written informed consent and Health Insurance Portability and Accountability Act authorization for release of protected health information before any study related assessments
  • Have histologically confirmed pancreatic cancer and measurable disease according to RECIST
  • Have failed at least one prior chemotherapy regimen in either the neoadjuvant, adjuvant, or first-line metastatic setting
  • Be at least 18 years of age at the time of consent
  • Have an Eastern Cooperative Oncology Group performance status of 0 or 1
  • Have the following laboratory results, within 10 days before the first MKC 1 administration:

    1. Hemoglobin greater than or equal to 9 g/dL
    2. Absolute neutrophil count greater than or equal to 1.5 x 109 cells/L
    3. Platelet count greater than or equal to 75 x 109 cells/L
    4. Serum creatinine less than or equal to 1.5 times the upper limit of normal (ULN)
    5. Aspartate transaminase less than or equal to 2.5 times the ULN
    6. Serum albumin greater than or equal to 3.0 g/dL
    7. Total bilirubin less than or equal to the ULN

Exclusion Criteria:

  • Be a pregnant or breast-feeding woman. Female patients must be postmenopausal, surgically sterile, or they must agree to use a barrier method of contraception. Female patients of childbearing potential must have a negative pregnancy test within the 10 days before the first MKC 1 administration. Male patients must be surgically sterile or agree to use an acceptable method of contraception.
  • Have known central nervous system metastases unless they are being treated, are clinically stable, and do not require the use of steroids.
  • Have clinical evidence of significant bowel obstruction, active uncontrolled malabsorption syndromes, or a history of total gastrectomy.
  • Have uncontrolled hypercalcemia (serum calcium-corrected greater than 12 mg/dL).
  • Have a serious cardiac condition (Class III/IV congestive heart failure according to New York Heart Association classification) or documented acute myocardial infarction within the previous 6 months.
  • Have any medical conditions that, in the investigator's opinion, would impose excessive risk to the patient. These conditions include: infection requiring parenteral or oral anti-infective treatment or any altered mental status or any psychiatric condition that would interfere with the understanding of the informed consent.
  • Have had previous malignancies, unless free of recurrence for at least 5 years except cured basal cell carcinoma of the skin or carcinoma-in-situ of the uterine cervix.
  • Be receiving treatment with antiretroviral therapy metabolized through CYP3A4 (including indinavir, nelfinavir, ritonavir, and saquinavir, or any other medications that interfere with CYP3A4).
  • Have, in the opinion of the investigator, any clinically significant existing toxicities from previous chemotherapy therapies.

Sites / Locations

  • Massachusetts General Hospital
  • Dana Farber Cancer Institute

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

1

Arm Description

Outcomes

Primary Outcome Measures

Objective tumor response rate based on tumor measurements according to the RECIST

Secondary Outcome Measures

Full Information

First Posted
December 4, 2007
Last Updated
August 3, 2011
Sponsor
CASI Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00568646
Brief Title
Phase 2 Study of Oral MKC-1 in Patients With Unresectable or Metastatic Pancreatic Cancer
Official Title
A Phase 2 Study of Oral MKC 1, Administered Twice Daily for 14 Consecutive Days in a 28-Day Cycle, in Patients With Unresectable or Metastatic Pancreatic Cancer Who Have Failed at Least One Prior Chemotherapy Regimen in Either the Neoadjuvant, Adjuvant, or First-line Metastatic Setting
Study Type
Interventional

2. Study Status

Record Verification Date
August 2011
Overall Recruitment Status
Completed
Study Start Date
November 2007 (undefined)
Primary Completion Date
April 2009 (Actual)
Study Completion Date
May 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
CASI Pharmaceuticals, Inc.

4. Oversight

5. Study Description

Brief Summary
To determine the antitumor activity of MKC-1 in patients with unresectable or metastatic pancreatic cancer who have failed at least one prior chemotherapy regimen in either the neoadjuvant, adjuvant, or first-line metastatic setting

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pancreatic Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
33 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
MKC-1
Intervention Description
Oral MKC-1 capsules, administered twice daily, for 14 consecutive days, in a 28-day cycles
Primary Outcome Measure Information:
Title
Objective tumor response rate based on tumor measurements according to the RECIST
Time Frame
every 8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Provide written informed consent and Health Insurance Portability and Accountability Act authorization for release of protected health information before any study related assessments Have histologically confirmed pancreatic cancer and measurable disease according to RECIST Have failed at least one prior chemotherapy regimen in either the neoadjuvant, adjuvant, or first-line metastatic setting Be at least 18 years of age at the time of consent Have an Eastern Cooperative Oncology Group performance status of 0 or 1 Have the following laboratory results, within 10 days before the first MKC 1 administration: Hemoglobin greater than or equal to 9 g/dL Absolute neutrophil count greater than or equal to 1.5 x 109 cells/L Platelet count greater than or equal to 75 x 109 cells/L Serum creatinine less than or equal to 1.5 times the upper limit of normal (ULN) Aspartate transaminase less than or equal to 2.5 times the ULN Serum albumin greater than or equal to 3.0 g/dL Total bilirubin less than or equal to the ULN Exclusion Criteria: Be a pregnant or breast-feeding woman. Female patients must be postmenopausal, surgically sterile, or they must agree to use a barrier method of contraception. Female patients of childbearing potential must have a negative pregnancy test within the 10 days before the first MKC 1 administration. Male patients must be surgically sterile or agree to use an acceptable method of contraception. Have known central nervous system metastases unless they are being treated, are clinically stable, and do not require the use of steroids. Have clinical evidence of significant bowel obstruction, active uncontrolled malabsorption syndromes, or a history of total gastrectomy. Have uncontrolled hypercalcemia (serum calcium-corrected greater than 12 mg/dL). Have a serious cardiac condition (Class III/IV congestive heart failure according to New York Heart Association classification) or documented acute myocardial infarction within the previous 6 months. Have any medical conditions that, in the investigator's opinion, would impose excessive risk to the patient. These conditions include: infection requiring parenteral or oral anti-infective treatment or any altered mental status or any psychiatric condition that would interfere with the understanding of the informed consent. Have had previous malignancies, unless free of recurrence for at least 5 years except cured basal cell carcinoma of the skin or carcinoma-in-situ of the uterine cervix. Be receiving treatment with antiretroviral therapy metabolized through CYP3A4 (including indinavir, nelfinavir, ritonavir, and saquinavir, or any other medications that interfere with CYP3A4). Have, in the opinion of the investigator, any clinically significant existing toxicities from previous chemotherapy therapies.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eunice Kwak, MD, PhD
Organizational Affiliation
Massachusetts General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Dana Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
21800081
Citation
Faris JE, Arnott J, Zheng H, Ryan DP, Abrams TA, Blaszkowsky LS, Clark JW, Enzinger PC, Hezel AF, Ng K, Wolpin BM, Kwak EL. A phase 2 study of oral MKC-1, an inhibitor of importin-beta, tubulin, and the mTOR pathway in patients with unresectable or metastatic pancreatic cancer. Invest New Drugs. 2012 Aug;30(4):1614-20. doi: 10.1007/s10637-011-9708-3. Epub 2011 Jul 29.
Results Reference
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Phase 2 Study of Oral MKC-1 in Patients With Unresectable or Metastatic Pancreatic Cancer

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