Study of XL281 in Adults With Solid Tumors

NCT ID: NCT00451880

Last Updated: 2011-10-13

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

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-02-28

Study Completion Date

2011-10-31

Brief Summary

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The purpose of this study is to determine the safest dose of the multiple Raf kinase inhibitor (including c-Raf, B-Raf, and the activated mutant B-RafV600E) XL281, how often it should be taken, and how well subjects with cancer tolerate XL281. This study will also determine how the body reacts to XL281 when it is taken with and without food, and with and without Pepcid (famotidine), a drug that inhibits stomach acid production.

Detailed Description

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Conditions

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Cancer Non-small-cell Lung Cancer Colorectal Cancer Papillary Thyroid Cancer Melanoma

Keywords

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Cancer Solid Tumors NSCLC

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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Arm 1

XL281 administered once a day

Group Type EXPERIMENTAL

XL281

Intervention Type DRUG

Gelatin capsules supplied as 5-, 25-, and 100-mg strengths

Arm 2

XL281 administered twice a day

Group Type EXPERIMENTAL

XL281

Intervention Type DRUG

Gelatin capsules supplied as 5-, 25-, and 100-mg strengths

Arm 3

XL281 administered once a day. Subjects in this arm will be dosed under fed conditions, fasted conditions, and with a concomitant single dose of 40 mg famotidine, during the second, third, and fourth week of the first cycle.

Group Type EXPERIMENTAL

XL281

Intervention Type DRUG

Gelatin capsules supplied as 5-, 25-, and 100-mg strengths

famotidine

Intervention Type DRUG

single dose, supplied as 20-mg or 40-mg tablets

Interventions

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XL281

Gelatin capsules supplied as 5-, 25-, and 100-mg strengths

Intervention Type DRUG

famotidine

single dose, supplied as 20-mg or 40-mg tablets

Intervention Type DRUG

Other Intervention Names

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Pepcid®

Eligibility Criteria

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Inclusion Criteria

* The subject has a histologically confirmed solid tumor that is metastatic or unresectable, and for which standard curative or palliative measures do not exist or are no longer effective, and there are no therapies known to prolong survival. Subjects treated at the MTD (once- or twice- daily) must have a diagnosis of colorectal cancer, non-small-cell lung cancer (no longer recruiting), melanoma, or papillary thyroid cancer. Certain other eligibility requirements must also be met.
* The subject is ≥18 years old.
* The subject has an Eastern Cooperative Oncology Group (ECOG) performance status ≤2.
* The subject has adequate organ and marrow function.
* The subject is capable of understanding the protocol and has signed the informed consent document.
* Sexually active subjects (male and female) must use medically acceptable methods of contraception during the course of the study and for 3 months after study drug discontinuation.
* Female subjects of childbearing potential must have a negative pregnancy test at screening.
* The subject has had no other diagnosis of malignancy (unless non-melanoma skin cancer, carcinoma in situ of the cervix, or a malignancy diagnosed ≥5 years ago, and has had no evidence of disease for 5 years prior to screening for this study).
* The subject must meet certain other eligibility requirements.

Exclusion Criteria

* The subject has received anticancer treatment (eg, chemotherapy, radiotherapy, cytokines, or hormones) within 28 days (6 weeks for nitrosoureas or mitomycin C) before the first dose of study drug.
* The subject has received treatment with a small molecule kinase inhibitor or a hormonal therapy (including investigational kinase inhibitors or hormones) within a certain amount of time before the first dose of study drug.
* The subject has received any other investigational agent within 28 days of first dose of XL281.
* The subject has not recovered to Grade ≤1 from adverse events (AEs) or to within 10% of baseline values due to investigational or other agents administered more than 30 days prior to study enrollment. Some irreversible toxicities from previous treatment may be allowed.
* The subject requires treatment with antacids (continual treatment), proton pump inhibitors, or H2 receptor antagonists.
* The subject has a primary brain tumor or known brain metastases.
* The subject has an uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
* The subject is pregnant or breastfeeding.
* The subject is known to be positive for the human immunodeficiency virus (HIV).
* The subject has an allergy or hypersensitivity to components of the XL281 formulation or to famotidine.
* The subject is unable or unwilling to abide by the study protocol or cooperate fully with the investigator or designee.
* The subject is receiving anticoagulation with warfarin or coumarin-related compounds (low-dose warfarin ≤ 1 mg/day, heparin, and low-molecular weight heparin are permitted)
* The subject must meet certain other eligibility requirements.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Exelixis

INDUSTRY

Sponsor Role lead

Responsible Party

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Exelixis, Inc.

Locations

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Premiere Oncology of Arizona

Scottsdale, Arizona, United States

Site Status

H. Lee Moffitt Cancer Center & Research Institute

Tampa, Florida, United States

Site Status

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Sarah Cannon Research Institute

Nashville, Tennessee, United States

Site Status

Mary Crowley Cancer Research Center

Dallas, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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XL281-001

Identifier Type: -

Identifier Source: org_study_id