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Safety Study of Ridaforolimus in Patients With Advanced, Refractory or Recurrent Malignancies (MK-8669-001 AM5)(COMPLETED)

Primary Purpose

Tumors, Lymphoma, Multiple Myeloma

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

About this trial

This is an interventional treatment trial for Tumors focused on measuring Advanced, refractory or recurrent solid tumors

Eligibility Criteria

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

Inclusion Criteria: (Patients must meet each of the following criteria to be eligible for participation in the study). Male or female patients, ≥ 18 years of age. Patients with a documented measurable or evaluable malignancy, including myeloma or lymphoma, that is recurrent, advanced, or metastatic. Patients with disease that is currently refractory to, or not amenable to, standard therapy. Patients with disease that is currently not amenable to surgical intervention. Patients with Karnofsky performance status of ≥ 70% (Eastern Cooperative Oncology Group [ECOG] performance status of 0 or 1) and an anticipated life expectancy of ≥ 3 months. Patients either not of childbearing potential, or agreeing to use a medically effective method of contraception. Patients with the ability to understand and give written informed consent. Exclusion Criteria: (Patients meeting any of the following criteria are ineligible for participation in the study) Women who are pregnant or lactating. Patients with primary central nervous system (CNS) malignancies. Patients with leukemia, any form. Patients with certain hematologic abnormalities. Patients with certain serum chemistry abnormalities at baseline. Patients with known or suspected hypersensitivity to either drugs formulated with polysorbate 80 (Tween 80) or any other excipient contained in the test drug formulation. Patients with known hypersensitivity to macrolide antibiotics (e.g., clarithromycin, erythromycin, azithromycin). Patients with significant cardiovascular disease. Patients with active CNS metastases (or leptomeningeal disease) not controlled by prior surgery or radiotherapy. Note: Patients with treated brain metastases will be eligible if they are on a stable dose of corticosteroids or are without change in brain disease status for at least 4 weeks following related therapy (e.g., whole brain radiation, surgery). Patients with known human immunodeficiency virus (HIV) infection. Patients with any active infection. Patients with inadequate recovery from any prior surgical procedure, or patients having undergone any major surgical procedure within 2 weeks prior to study entry. Note: Patients having undergone recent placement of a central venous access port will be considered eligible for enrollment if they have recovered. Patients who have any other life-threatening illness or organ system dysfunction which, in the opinion of the Investigator, would either compromise the patient's safety or interfere with evaluation of the safety of the test drug. Patients with a psychiatric disorder or altered mental status that would preclude understanding of the informed consent process and/or completion of the necessary studies. Patients with the inability, in the opinion of the Investigator, to comply with the protocol requirements. Drugs and Other Treatments to be Excluded (Either during or within 4 weeks prior to study entry, unless otherwise noted) Chemotherapeutic agents (standard or experimental). Other antineoplastic agents. Immunotherapy (including vaccines) or biological response modifier therapy. Systemic replacement hormonal therapy for life-threatening non-oncology diseases. Herbal preparations or related over-the-counter (OTC) preparations containing herbal ingredients (e.g., St John's Wort) during or within 2 weeks prior to study entry. Any prior therapy with rapamycin, CCI-779, or any other rapamycin analog. Any other experimental therapy during the course of the study. Radiotherapy for the primary malignancy or metastases.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    Cohort 1: Ridaforolimus 6.25 mg

    Cohort 2: Ridaforolimus 12.5 mg

    Cohort 3: Ridaforolimus 25 mg

    Cohort 4: Ridaforolimus 50 mg

    Cohort 5: Ridaforolimus 100 mg

    Cohort 6: Ridaforolimus 75 mg

    Arm Description

    Outcomes

    Primary Outcome Measures

    Maximum Tolerated Dose (MTD)
    Number of Participants Reporting Adverse Events (AE)
    Number of Participants Discontinuing Due to AEs

    Secondary Outcome Measures

    Best Overall Tumor Response
    Maximum Concentration (Cmax) of Ridaforolimus
    Area Under the Curve (AUC[0 to Infinity]) of Ridaforolimus
    Apparent Terminal Half-Life (t1/2) of Ridaforolimus
    Clearance (CL) of Ridaforolimus
    Volume of Distribution at Steady State (Vss) of Ridaforolimus
    Phosphorylated 4E Binding Protein 1 (Phospho-4E-BP1) Blood Levels

    Full Information

    First Posted
    May 8, 2003
    Last Updated
    August 26, 2015
    Sponsor
    Merck Sharp & Dohme LLC
    Collaborators
    Ariad Pharmaceuticals
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00060632
    Brief Title
    Safety Study of Ridaforolimus in Patients With Advanced, Refractory or Recurrent Malignancies (MK-8669-001 AM5)(COMPLETED)
    Official Title
    A Phase I, Sequential Cohort, Dose Escalation Trial to Determine the Safety, Tolerability, and Maximum Tolerated Dose of Weekly Administration of AP23573, an mTOR Inhibitor, in Patients With Refractory or Advanced Malignancies
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    April 2003 (undefined)
    Primary Completion Date
    October 2005 (Actual)
    Study Completion Date
    October 2005 (Actual)

    3. Sponsor/Collaborators

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

    4. Oversight

    5. Study Description

    Brief Summary
    Phase 1 trial to determine the safety, tolerability and maximum tolerated dose (MTD) of ridaforolimus in patients with refractory or recurrent malignancies, including myeloma and lymphoma.
    Detailed Description
    The primary objectives of the study are to determine the safety, tolerability, and MTD of ridaforolimus when administered once weekly for 4 weeks (4 week cycle). The secondary objectives of the study are to characterize the pharmacokinetic profile of ridaforolimus, to evaluate potential pharmacodynamic markers of ridaforolimus, and to obtain preliminary information on the antineoplastic activity of ridaforolimus. Protocol Outline: This is a dose-escalation study. Patients receive ridaforolimus over 30 minutes by intravenous infusion once weekly for 8 weeks (two 4-week cycles). If tolerated, a total of at least 2 cycles will be administered (8-week treatment period). Treatment repeats every 4 weeks in the absence of disease progression or unacceptable toxicity.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Tumors, Lymphoma, Multiple Myeloma
    Keywords
    Advanced, refractory or recurrent solid tumors

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Cohort 1: Ridaforolimus 6.25 mg
    Arm Type
    Experimental
    Arm Title
    Cohort 2: Ridaforolimus 12.5 mg
    Arm Type
    Experimental
    Arm Title
    Cohort 3: Ridaforolimus 25 mg
    Arm Type
    Experimental
    Arm Title
    Cohort 4: Ridaforolimus 50 mg
    Arm Type
    Experimental
    Arm Title
    Cohort 5: Ridaforolimus 100 mg
    Arm Type
    Experimental
    Arm Title
    Cohort 6: Ridaforolimus 75 mg
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    ridaforolimus
    Other Intervention Name(s)
    AP23573, MK-8669, ridaforolimus was also known as deforolimus until May 2009
    Intervention Description
    Administered intravenously once weekly for 4 weeks (1 cycle). In the absence of disease progression or unacceptable toxicity, patients could continue to receive additional cycles.
    Primary Outcome Measure Information:
    Title
    Maximum Tolerated Dose (MTD)
    Time Frame
    Cycle 1 (within the first 4 weeks)
    Title
    Number of Participants Reporting Adverse Events (AE)
    Time Frame
    Throughout study duration and up to approximately 1 month after the last dosing cycle (Cycle 1 Day 1 to approximately 10 months)
    Title
    Number of Participants Discontinuing Due to AEs
    Time Frame
    Throughout study duration (Cycle 1 Day 1 to approximately 9 months)
    Secondary Outcome Measure Information:
    Title
    Best Overall Tumor Response
    Time Frame
    8 weeks
    Title
    Maximum Concentration (Cmax) of Ridaforolimus
    Time Frame
    Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
    Title
    Area Under the Curve (AUC[0 to Infinity]) of Ridaforolimus
    Time Frame
    Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
    Title
    Apparent Terminal Half-Life (t1/2) of Ridaforolimus
    Time Frame
    Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
    Title
    Clearance (CL) of Ridaforolimus
    Time Frame
    Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
    Title
    Volume of Distribution at Steady State (Vss) of Ridaforolimus
    Time Frame
    Cycle 1 Day 1, Cycle 1 Day 8, Cycle 2 Day 1
    Title
    Phosphorylated 4E Binding Protein 1 (Phospho-4E-BP1) Blood Levels
    Time Frame
    Screening, Cycle 1 Days 1, 2, 3, 6/7, 8; Cycle 2 Day 1

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: (Patients must meet each of the following criteria to be eligible for participation in the study). Male or female patients, ≥ 18 years of age. Patients with a documented measurable or evaluable malignancy, including myeloma or lymphoma, that is recurrent, advanced, or metastatic. Patients with disease that is currently refractory to, or not amenable to, standard therapy. Patients with disease that is currently not amenable to surgical intervention. Patients with Karnofsky performance status of ≥ 70% (Eastern Cooperative Oncology Group [ECOG] performance status of 0 or 1) and an anticipated life expectancy of ≥ 3 months. Patients either not of childbearing potential, or agreeing to use a medically effective method of contraception. Patients with the ability to understand and give written informed consent. Exclusion Criteria: (Patients meeting any of the following criteria are ineligible for participation in the study) Women who are pregnant or lactating. Patients with primary central nervous system (CNS) malignancies. Patients with leukemia, any form. Patients with certain hematologic abnormalities. Patients with certain serum chemistry abnormalities at baseline. Patients with known or suspected hypersensitivity to either drugs formulated with polysorbate 80 (Tween 80) or any other excipient contained in the test drug formulation. Patients with known hypersensitivity to macrolide antibiotics (e.g., clarithromycin, erythromycin, azithromycin). Patients with significant cardiovascular disease. Patients with active CNS metastases (or leptomeningeal disease) not controlled by prior surgery or radiotherapy. Note: Patients with treated brain metastases will be eligible if they are on a stable dose of corticosteroids or are without change in brain disease status for at least 4 weeks following related therapy (e.g., whole brain radiation, surgery). Patients with known human immunodeficiency virus (HIV) infection. Patients with any active infection. Patients with inadequate recovery from any prior surgical procedure, or patients having undergone any major surgical procedure within 2 weeks prior to study entry. Note: Patients having undergone recent placement of a central venous access port will be considered eligible for enrollment if they have recovered. Patients who have any other life-threatening illness or organ system dysfunction which, in the opinion of the Investigator, would either compromise the patient's safety or interfere with evaluation of the safety of the test drug. Patients with a psychiatric disorder or altered mental status that would preclude understanding of the informed consent process and/or completion of the necessary studies. Patients with the inability, in the opinion of the Investigator, to comply with the protocol requirements. Drugs and Other Treatments to be Excluded (Either during or within 4 weeks prior to study entry, unless otherwise noted) Chemotherapeutic agents (standard or experimental). Other antineoplastic agents. Immunotherapy (including vaccines) or biological response modifier therapy. Systemic replacement hormonal therapy for life-threatening non-oncology diseases. Herbal preparations or related over-the-counter (OTC) preparations containing herbal ingredients (e.g., St John's Wort) during or within 2 weeks prior to study entry. Any prior therapy with rapamycin, CCI-779, or any other rapamycin analog. Any other experimental therapy during the course of the study. Radiotherapy for the primary malignancy or metastases.

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    19228743
    Citation
    Hartford CM, Desai AA, Janisch L, Karrison T, Rivera VM, Berk L, Loewy JW, Kindler H, Stadler WM, Knowles HL, Bedrosian C, Ratain MJ. A phase I trial to determine the safety, tolerability, and maximum tolerated dose of deforolimus in patients with advanced malignancies. Clin Cancer Res. 2009 Feb 15;15(4):1428-34. doi: 10.1158/1078-0432.CCR-08-2076.
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    Safety Study of Ridaforolimus in Patients With Advanced, Refractory or Recurrent Malignancies (MK-8669-001 AM5)(COMPLETED)

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