Phase 1/1b Dose Escalation Study Evaluating BSI-201 as a Single Agent and in Combination With Irinotecan in Subjects With Advanced Solid Tumors

NCT ID: NCT00298675

Last Updated: 2012-08-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

59 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-03-31

Study Completion Date

2011-05-31

Brief Summary

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The purpose of this study is to assess the safety, establish the maximum tolerated dose (MTD) and generate pharmacokinetic profiles of BSI-201 after IV administration in adult subjects with histologically documented advanced solid tumors that are refractory to standard therapy or for which no standard therapy is available. Additionally, the safety and tolerability and clinical response of BSI-201 + irinotecan will be investigated in patients with metastatic breast cancer in the phase 1b portion of the study.

Based on data generated by BiPar/Sanofi, it is concluded that iniparib does not possess characteristics typical of the PARP inhibitor class. The exact mechanism has not yet been fully elucidated, however based on experiments on tumor cells performed in the laboratory, iniparib is a novel investigational anti-cancer agent that induces gamma-H2AX (a marker of DNA damage) in tumor cell lines, induces cell cycle arrest in the G2/M phase in tumor cell lines, and potentiates the cell cycle effects of DNA damaging modalities in tumor cell lines. Investigations into potential targets of iniparib and its metabolites are ongoing.

Detailed Description

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Conditions

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Tumors

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Iniparib

Group Type EXPERIMENTAL

BSI-201 (iniparib)

Intervention Type DRUG

BSI-201 administered intravenously (IV), 2x weekly

Iniparib/irinotecan

Group Type EXPERIMENTAL

BSI-201 (iniparib)

Intervention Type DRUG

BSI-201 administered intravenously (IV), 2x weekly

irinotecan

Intervention Type DRUG

Irinotecan administered weekly, IV.

Interventions

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BSI-201 (iniparib)

BSI-201 administered intravenously (IV), 2x weekly

Intervention Type DRUG

irinotecan

Irinotecan administered weekly, IV.

Intervention Type DRUG

Other Intervention Names

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SAR240550

Eligibility Criteria

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Inclusion Criteria

* Pathologically documented, advanced solid tumor that is refractory to standard therapy or for which no standard therapy is available.
* ECOG performance status of 0, 1, or 2
* Adequate hematological status
* Any prior toxicity from prior chemotherapeutic treatment recovered to grade 1 or grade 0
* 18 years of age or older
* Competent to comprehend, sign, and date an Institutional Review Board (IRB) approved informed consent form
* For phase 1b portion only: metastatic breast cancer

Exclusion Criteria

* Hematologic malignancies
* Symptomatic or untreated brain metastases requiring concurrent treatment, inclusive of but not limited to surgery, radiation, and corticosteroids
* Myocardial infarction within 6 months of study day 1, unstable angina, congestive heart failure with NYHA \> class II, uncontrolled hypertension
* Known positive test for HIV or hepatitis C virus, or chronic active hepatitis
* Major surgery within 1 month of study day 1
* History of second neoplasm, except for curatively treated non-melanoma skin cancer, carcinoma in situ of the cervix and other primary cancer with no known active disease present and no curative treatment administered for the last 3 years
* History of seizure disorder or currently on anti-seizure medication
* Systemic chemotherapy or radiation therapy within 28 days of study day 1
* Antibody therapy for treatment of underlying malignancy within 1 month of study day 1
* Evidence of liver disease shown by elevated enzymes
* Evidence of renal disease shown by serum creatinine \> 1.5 x upper limit of normal
* Currently receiving platelet of GCF support for any medical condition
* Concurrent use of herbal medications taken with the intent to treat cancer
* Enrolled in or not yet completed at least 30 days since ending other investigational device or drug study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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Research Site

New Haven, Connecticut, United States

Site Status

Research Site

Houston, Texas, United States

Site Status

Research Site

San Antonio, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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20060101

Identifier Type: OTHER

Identifier Source: secondary_id

TED11483

Identifier Type: -

Identifier Source: org_study_id