A Study Comparing Oral Picoplatin With Intravenous Picoplatin in Subjects With Solid Tumors

NCT ID: NCT00465725

Last Updated: 2009-09-24

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

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-04-30

Study Completion Date

2009-07-31

Brief Summary

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Picoplatin is a new platinum-based chemotherapy drug that has been studied in a variety of cancers. Phase 1 and 2 studies have demonstrated that picoplatin may be effective in patients whose cancer returns or does not improve after treatment with chemotherapy. In these studies, picoplatin was administered intravenously. A capsule containing picoplatin has been formulated. This study will investigate the activity of the oral capsule in humans. Participants with advanced solid tumors will be enrolled.

Detailed Description

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The primary study design is a randomized, two-period crossover, open label study in which a single dose (Cycle 1) of picoplatin will be given either IV or by oral capsule, followed 4 weeks later by a single dose (Cycle 2) of picoplatin given either IV or by oral capsule (whichever route was not used in Cycle 1). Participants may continue to receive cycles of IV picoplatin every 3 weeks, beginning with Cycle 3, as part of a Continuation Study.

This study will determine the relative safety, bioavailability, pharmacokinetics, pharmacodynamics, and urinary excretion of picoplatin administered orally with reference to picoplatin administered intravenously.

Conditions

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Bladder Cancer Breast Cancer Colorectal Cancer Gastrointestinal Neoplasm Head and Neck Cancer Lung Cancer Ovarian Cancer Pancreatic Cancer Prostate Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

two-period crossover, open label study in which a single dose (Cycle 1) of picoplatin will be given either IV or PO, followed 4 weeks later by a single dose (Cycle 2) of picoplatin given by the route not used for Cycle 1. Subjects subsequently may continue to receive IV picoplatin commencing with Cycle 3 in a Continuation Study.

Group Type EXPERIMENTAL

Picoplatin

Intervention Type DRUG

The IV dose will be 120 mg/m2. Three oral dose levels will be studied sequentially (6 subjects per dose level) in the absence of dose limiting toxicity 200 mg, 300 mg, or 400 mg total dose.

Interventions

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Picoplatin

The IV dose will be 120 mg/m2. Three oral dose levels will be studied sequentially (6 subjects per dose level) in the absence of dose limiting toxicity 200 mg, 300 mg, or 400 mg total dose.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histological diagnosis of non-hematological malignancy.
* Patients for whom no standard therapy exists and for whom, in the opinion of the investigator, treatments with single agent picoplatin is appropriate.
* 18 years of age or older.
* ECOG performance status 0-2.
* Life expectancy of at least 12 weeks.

Exclusion Criteria

* Symptomatic or uncontrolled brain metastases.
* Prior radiation involving ≥ 30% of the total bone marrow space.
* Any concurrent severe and/or uncontrolled medical conditions which could compromise participation in the study.
* Gastrointestinal surgery that might interfere with absorption of orally administered drug.
* Active inflammatory bowel disease, gastritis, ulcers, gastrointestinal or rectal bleeding.
* Clinical evidence of pancreatic injury or active pancreatitis.
* Female subjects who are pregnant or breastfeeding.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Poniard Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Poniard Pharmaceuticals

Principal Investigators

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Robert Earhart, MD, PhD

Role: STUDY_DIRECTOR

Poniard Pharmaceuticals

Locations

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Georgia Cancer Specialists

Atlanta, Georgia, United States

Site Status

Nevada Cancer Institute

Las Vegas, Nevada, United States

Site Status

Northwest Medical Specialties

Tacoma, Washington, United States

Site Status

Countries

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United States

References

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Beale P, Judson I, O'Donnell A, Trigo J, Rees C, Raynaud F, Turner A, Simmons L, Etterley L. A Phase I clinical and pharmacological study of cis-diamminedichloro(2-methylpyridine) platinum II (AMD473). Br J Cancer. 2003 Apr 7;88(7):1128-34. doi: 10.1038/sj.bjc.6600854.

Reference Type BACKGROUND
PMID: 12671715 (View on PubMed)

Holford J, Raynaud F, Murrer BA, Grimaldi K, Hartley JA, Abrams M, Kelland LR. Chemical, biochemical and pharmacological activity of the novel sterically hindered platinum co-ordination complex, cis-[amminedichloro(2-methylpyridine)] platinum(II) (AMD473). Anticancer Drug Des. 1998 Jan;13(1):1-18.

Reference Type BACKGROUND
PMID: 9474239 (View on PubMed)

Raynaud FI, Boxall FE, Goddard PM, Valenti M, Jones M, Murrer BA, Abrams M, Kelland LR. cis-Amminedichloro(2-methylpyridine) platinum(II) (AMD473), a novel sterically hindered platinum complex: in vivo activity, toxicology, and pharmacokinetics in mice. Clin Cancer Res. 1997 Nov;3(11):2063-74.

Reference Type BACKGROUND
PMID: 9815598 (View on PubMed)

Related Links

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http://www.poniard.com

Poniard Pharmaceuticals, Inc.

Other Identifiers

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0602 Oral Picoplatin

Identifier Type: -

Identifier Source: org_study_id

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