A Phase 1/2a Study of ABT-263 in Subjects With Small Cell Lung Cancer (SCLC) or Other Non-Hematological Malignancies

NCT ID: NCT00445198

Last Updated: 2018-06-06

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/PHASE2

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-04-30

Study Completion Date

2010-12-31

Brief Summary

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The Phase 1 portion of the study will evaluate the pharmacokinetic profile and safety of ABT-263 with the objective of defining the dose limiting toxicity and maximum tolerated dose. (This portion of the study is complete). The Phase 2a portion of the study will evaluate ABT-263 at the defined recommended Phase 2 dose to obtain additional safety information and a preliminary assessment of efficacy.

Detailed Description

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Conditions

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Small Cell Lung Cancer Small Cell Lung Carcinoma

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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Phase 1 and Phase 2a

Group Type EXPERIMENTAL

ABT-263

Intervention Type DRUG

Phase 1 dosing under two different schedules: 14 days on drug, 7 days off or continuous dosing.

\- 50 patients with SCLC and non-hematologic malignancies. Enrollment is closed in this arm of the study.

Phase 2a dosing under two different schedules: 14 days on drug, 7 days off or continuous dosing.

\- 40 patients with SCLC

Interventions

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ABT-263

Phase 1 dosing under two different schedules: 14 days on drug, 7 days off or continuous dosing.

\- 50 patients with SCLC and non-hematologic malignancies. Enrollment is closed in this arm of the study.

Phase 2a dosing under two different schedules: 14 days on drug, 7 days off or continuous dosing.

\- 40 patients with SCLC

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* The subject must be \>=18 years of age.(Phase 1 \& 2a)
* Histologically and/or cytologically documented diagnosis of small cell lung cancer (North America \& UK) or other non-hematological malignancy (North America only).(Phase 1 only)
* Histologically and/or cytologically documented diagnosis of SCLC.(Phase 2a)
* At least one prior chemotherapy treatment regimen(s) and their disease is refractory or experienced progressive disease following the treatment.(Phase 1)
* Extensive-stage SCLC \& is chemotherapy naïve(US only) has experienced progressive disease following at least one chemotherapy regimen or their disease is refractory.(Phase 2a)
* Brain metastases with clinically controlled neurologic symptoms, defined as surgical excision and/or radiation therapy followed by 21 days of stable neurologic function \& no evidence of CNS disease progression as determined by CT or MRI within 21 days prior to the first dose of study drug.
* ECOG performance score \<= 2(Ph 1) \<=1(Phase 2a)
* Must be receiving a stable dose of Selective Serotonin Reuptake Inhibitor (SSRI) anti-depressants 21 days prior to 1st dose of study drug.
* Adequate bone marrow, renal \& hepatic function per local lab reference range at Screening as follows:

* Bone marrow: Absolute Neutrophil count (ANC)\>=1000/µL
* Platelets\>= 100,000/mm3
* Hemoglobin\>=9.0g/dL
* Renal function: Serum creatinine\<= 2.0mg/dL or calculated creatinine clearance\>=50mL/min
* Hepatic function\&enzymes: AST and ALT\<=3.0 x the upper normal limit(ULN) of institution's normal range
* Bilirubin\<=1.5xULN. If Gilbert's Syndrome may have Bilirubin\> 1.5 x ULN
* Coagulation: aPTT and PT\<=1.2 x the upper limit of normal
* Should have archived diagnostic tissue available for assessment of Bcl-2 family protein expression.(Phase 2a)
* All female subjects not surgically sterile or postmenopausal(for at least 1 year)and non-vasectomized male subject must practice at least one method of birth control.

Exclusion Criteria

* Underlying or predisposing condition of bleeding or currently exhibits signs of bleeding.
* Recent history of non-chemotherapy induced thrombocytopenia associated bleeding within 1 year prior to first dose of study drug.
* Active peptic ulcer disease or other potentially hemorrhagic esophagitis/gastritis.
* The subject has active immune thrombocytopenic purpura (ITP),active autoimmune hemolytic anemia (AIHA), or a history of being refractory to platelet transfusions (within 1 year prior to the first dose of study drug).
* Currently receiving or requires anticoagulation therapy or any drug or herbal supplements that affect platelet function, with exception of low-dose anticoagulation medications that are used to maintain the patency of a central intravenous catheter.
* Received any anti-cancer therapy including chemotherapy, immunotherapy, radiotherapy, hormonal (with the exception of hormones for hypothyroidism or estrogen replacement therapy (ERT), anti estrogen analogs, agonists required to suppress serum testosterone levels), or any investigational therapy within 14 days prior to the first dose of study drug, or has not recovered to less than a grade 2 adverse effect(s) of the previous therapy.
* Received a biologic (G-CSF, GM-CSF or erythropoietin) within 28 days prior to the first dose of study drug.
* Steroid therapy for anti-neoplastic intent within seven days prior to the first dose of study drug.
* Has consumed grapefruit or grapefruit products within 3 days prior to the first dose of study drug.
* Significant history of cardiovascular disease, renal, neurologic, psychiatric, endocrinologic, metabolic, immunologic, or hepatic disease that in the opinion of the investigator would adversely affect his/her participating in this study.
* Positive for HIV
* A history of other active malignancies within the past 3 years prior to screening, with the exception of:

* Adequately treated in situ carcinoma of the cervix uteri
* Basal or squamous cell carcinoma of the skin
* Previous malignancy confined and surgically resected with curative intent
* Evidence of other clinically significant uncontrolled condition(s) including, but not limited to:

* Active systemic fungal infection
* Diagnosis of fever and neutropenia within 1 week prior to study drug administration.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role collaborator

AbbVie (prior sponsor, Abbott)

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Site Reference ID/Investigator# 13605

Peoria, Arizona, United States

Site Status

Site Reference ID/Investigator# 5261

Phoenix, Arizona, United States

Site Status

Site Reference ID/Investigator# 11942

Los Angeles, California, United States

Site Status

Site Reference ID/Investigator# 4718

Sacramento, California, United States

Site Status

Site Reference ID/Investigator# 3755

Aurora, Colorado, United States

Site Status

Site Reference ID/Investigator# 8324

Atlanta, Georgia, United States

Site Status

Site Reference ID/Investigator# 2623

Chicago, Illinois, United States

Site Status

Site Reference ID/Investigator# 2625

Baltimore, Maryland, United States

Site Status

Site Reference ID/Investigator# 12343

Bethesda, Maryland, United States

Site Status

Site Reference ID/Investigator# 11941

Boston, Massachusetts, United States

Site Status

Site Reference ID/Investigator# 2626

Boston, Massachusetts, United States

Site Status

Site Reference ID/Investigator# 4934

Charlotte, North Carolina, United States

Site Status

Site Reference ID/Investigator# 2624

Nashville, Tennessee, United States

Site Status

Site Reference ID/Investigator# 6650

Tacoma, Washington, United States

Site Status

Site Reference ID/Investigator# 7493

Edmonton, , Canada

Site Status

Site Reference ID/Investigator# 7635

Ottawa, , Canada

Site Status

Site Reference ID/Investigator# 18541

Leicester, , United Kingdom

Site Status

Site Reference ID/Investigator# 2622

Manchester, , United Kingdom

Site Status

Countries

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United States Canada United Kingdom

References

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Gandhi L, Camidge DR, Ribeiro de Oliveira M, Bonomi P, Gandara D, Khaira D, Hann CL, McKeegan EM, Litvinovich E, Hemken PM, Dive C, Enschede SH, Nolan C, Chiu YL, Busman T, Xiong H, Krivoshik AP, Humerickhouse R, Shapiro GI, Rudin CM. Phase I study of Navitoclax (ABT-263), a novel Bcl-2 family inhibitor, in patients with small-cell lung cancer and other solid tumors. J Clin Oncol. 2011 Mar 1;29(7):909-16. doi: 10.1200/JCO.2010.31.6208. Epub 2011 Jan 31.

Reference Type RESULT
PMID: 21282543 (View on PubMed)

Other Identifiers

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2006-003298-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

M06-822

Identifier Type: -

Identifier Source: org_study_id

NCT00929513

Identifier Type: -

Identifier Source: nct_alias

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