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Study of TAK-733 in Adult Patients With Advanced Nonhematologic Malignancies

Primary Purpose

Advanced Non-hematologic Malignancies, Advanced Metastatic Melanoma

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
TAK-733
Sponsored by
Millennium Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Non-hematologic Malignancies focused on measuring Advanced nonhematologic malignancies, Advanced metastatic melanoma, BRAF gene

Eligibility Criteria

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

Inclusion Criteria:

Each patient must meet all of the following inclusion criteria to be enrolled in the study:

  • 18 years or older.
  • Have one of the following diagnoses: a nonhematologic malignancy for which standard, curative, or life-prolonging treatment does not exist or is no longer effective; OR have stage 3 or stage 4 unresectable melanoma not priorly treated with either MEK or BRAF inhibitor therapy.
  • Melanoma patients should have the V600E BRAF mutation status of their tumor documented, if available, and tumor tissue must be provided for confirmatory genotyping by a central laboratory.
  • Have a radiographically or clinically evaluable tumor.
  • Have suitable venous access for the conduct of blood sampling.
  • Provide voluntary written consent, which can be withdrawn by the patient at any time.
  • Female patients who: are post-menopausal for at least 1 year before screening; OR are surgically sterile; OR if they are of childbearing potential agree to practice two effective methods of birth control from the time of signing the informed consent form through 30 days after the last dose of the study drug, or agree to completely abstain from heterosexual intercourse.
  • Male patients, even if surgically sterilized, must agree to practice effective barrier contraception during the entire study treatment period and through 30 days after the last dose of the study drug; OR agree to completely abstain from heterosexual intercourse.

Exclusion Criteria:

Patients meeting any of the following exclusion criteria are not to be enrolled in the study:

  • Female patients who are lactating or have a positive serum pregnancy test during the Screening period.
  • Antineoplastic therapy or radiotherapy within 21 days; or nitrosoureas of mitomycin C within 42 days
  • Prior biologic or immunotherapy ≤ 4 weeks prior to enrollment.
  • Grade 2 or greater unresolved toxicity (except alopecia) from previous anticancer therapy.
  • Major surgery within 14 days of the first dose of the study drug.
  • An active infection requiring systemic therapy; or other severe infection.
  • Symptomatic brain metastases.
  • Inability to meet specific laboratory test standards during the Screening period as specified in the study protocol.
  • Human Immunodeficiency (HIV) positive.
  • Hepatitis B surface antigen positive or active hepatitis C infection.
  • Serious medical or psychiatric illness likely to interfere with the study.
  • Uncontrolled cardiovascular condition.
  • Abnormalities on 12-lead ECG performed within 28 days before the start of the study drug that are considered to be clinically significant or rate corrected QT interval > 470 milliseconds.
  • Melanoma patients will be excluded if they have had a diagnosis with or treatment for another malignancy within 2 years of the first dose of the study drug, or have been previously diagnosed with another malignancy with any evidence of residual disease.
  • Treatment with any investigational product within 28 days before the first dose of the study drug.
  • A history of an ongoing or newly diagnosed eye abnormality, such as retinal or corneal pathologies.
  • Abnormal left ventricular ejection fraction (LVEF).
  • Receiving therapeutic anticoagulation
  • Treatment with any of the following strong CYP3A inhibitors or inducers within 14 days before the first dose of study drug: ketoconazole, itraconazole, voriconazole, posaconazole, clarithromycin, telithromycin, nefazodone, rifampin, rifapentine, or rifabutin.

Sites / Locations

  • Wayne State University Karmanos Cancer Institute
  • Roswell Park Cancer Institute

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

TAK-733

Arm Description

Outcomes

Primary Outcome Measures

Safety profile, dose-limiting toxicities, maximum tolerated dose and recommended phase 2 dose of TAK-733
Pharmacokinetic characterization of TAK-733

Secondary Outcome Measures

Effect of food on the pharmacokinetics of TAK-733
Antitumor activity of TAK-733 in patients with advanced nonhematologic malignancies
Antitumor activity of TAK-733 in melanoma patients

Full Information

First Posted
July 27, 2009
Last Updated
July 1, 2013
Sponsor
Millennium Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00948467
Brief Title
Study of TAK-733 in Adult Patients With Advanced Nonhematologic Malignancies
Official Title
A Multicenter, Open-label, Dose-escalation, Phase I Study of TAK-733, an Oral MEK Inhibitor, in Adult Patients With Advanced Nonhematologic Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
December 2009 (undefined)
Primary Completion Date
April 2013 (Actual)
Study Completion Date
June 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Millennium Pharmaceuticals, Inc.

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety, pharmacokinetics, pharmacodynamics and maximum tolerated dose of TAK-733 in patients with advanced, nonhematologic tumors. The expansion stage of the study will evaluate evidence of antitumor activity of TAK-733 in patients with advanced metastatic melanoma.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Non-hematologic Malignancies, Advanced Metastatic Melanoma
Keywords
Advanced nonhematologic malignancies, Advanced metastatic melanoma, BRAF gene

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
TAK-733
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
TAK-733
Intervention Description
The Initial Escalation Stage will enroll approximately 30 patients with advanced nonhematologic malignancies. TAK-733 will be administered orally in 28-day treatment cycles consisting of intermittent dosing with 21 days of continuous treatment, followed by a rest period of 7 days. The Expansion Stage will enroll approximately 30 patients with advanced metastatic melanoma. The recommended phase 2 dose determined in the Initial Escalation Stage of TAK-733 will be administered orally in 28-day treatment cycles consisting of intermittent dosing with 21 days of continuous treatment, followed by a rest period of 7 days.
Primary Outcome Measure Information:
Title
Safety profile, dose-limiting toxicities, maximum tolerated dose and recommended phase 2 dose of TAK-733
Time Frame
12 months
Title
Pharmacokinetic characterization of TAK-733
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Effect of food on the pharmacokinetics of TAK-733
Time Frame
12 months
Title
Antitumor activity of TAK-733 in patients with advanced nonhematologic malignancies
Time Frame
12 months
Title
Antitumor activity of TAK-733 in melanoma patients
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Each patient must meet all of the following inclusion criteria to be enrolled in the study: 18 years or older. Have one of the following diagnoses: a nonhematologic malignancy for which standard, curative, or life-prolonging treatment does not exist or is no longer effective; OR have stage 3 or stage 4 unresectable melanoma not priorly treated with either MEK or BRAF inhibitor therapy. Melanoma patients should have the V600E BRAF mutation status of their tumor documented, if available, and tumor tissue must be provided for confirmatory genotyping by a central laboratory. Have a radiographically or clinically evaluable tumor. Have suitable venous access for the conduct of blood sampling. Provide voluntary written consent, which can be withdrawn by the patient at any time. Female patients who: are post-menopausal for at least 1 year before screening; OR are surgically sterile; OR if they are of childbearing potential agree to practice two effective methods of birth control from the time of signing the informed consent form through 30 days after the last dose of the study drug, or agree to completely abstain from heterosexual intercourse. Male patients, even if surgically sterilized, must agree to practice effective barrier contraception during the entire study treatment period and through 30 days after the last dose of the study drug; OR agree to completely abstain from heterosexual intercourse. Exclusion Criteria: Patients meeting any of the following exclusion criteria are not to be enrolled in the study: Female patients who are lactating or have a positive serum pregnancy test during the Screening period. Antineoplastic therapy or radiotherapy within 21 days; or nitrosoureas of mitomycin C within 42 days Prior biologic or immunotherapy ≤ 4 weeks prior to enrollment. Grade 2 or greater unresolved toxicity (except alopecia) from previous anticancer therapy. Major surgery within 14 days of the first dose of the study drug. An active infection requiring systemic therapy; or other severe infection. Symptomatic brain metastases. Inability to meet specific laboratory test standards during the Screening period as specified in the study protocol. Human Immunodeficiency (HIV) positive. Hepatitis B surface antigen positive or active hepatitis C infection. Serious medical or psychiatric illness likely to interfere with the study. Uncontrolled cardiovascular condition. Abnormalities on 12-lead ECG performed within 28 days before the start of the study drug that are considered to be clinically significant or rate corrected QT interval > 470 milliseconds. Melanoma patients will be excluded if they have had a diagnosis with or treatment for another malignancy within 2 years of the first dose of the study drug, or have been previously diagnosed with another malignancy with any evidence of residual disease. Treatment with any investigational product within 28 days before the first dose of the study drug. A history of an ongoing or newly diagnosed eye abnormality, such as retinal or corneal pathologies. Abnormal left ventricular ejection fraction (LVEF). Receiving therapeutic anticoagulation Treatment with any of the following strong CYP3A inhibitors or inducers within 14 days before the first dose of study drug: ketoconazole, itraconazole, voriconazole, posaconazole, clarithromycin, telithromycin, nefazodone, rifampin, rifapentine, or rifabutin.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Millennium Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Wayne State University Karmanos Cancer Institute
City
Detriot
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
Roswell Park Cancer Institute
City
Buffalo
State/Province
New York
ZIP/Postal Code
14263
Country
United States

12. IPD Sharing Statement

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Study of TAK-733 in Adult Patients With Advanced Nonhematologic Malignancies

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