Study of PX-866 and Docetaxel in Solid Tumors

NCT ID: NCT01204099

Last Updated: 2018-05-16

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

223 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2014-02-28

Brief Summary

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Phase 1: To determine the maximally tolerated dose (MTD) or recommended dose (RD) and any potential efficacy of PX-866 in combination with docetaxel in patients with solid tumors.

Phase 2: To determine the antitumor activity and safety of PX-866 in combination with docetaxel versus docetaxel alone in patients with NSCLC or SCCHN.

Detailed Description

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This is a Phase 1/2 open-label study. In the Phase 1 part of the study, PX-866 was given in combination with docetaxel to patients with incurable locally advanced, recurrent or metastatic cancer.

Phase 2 of the study is an open-label, randomized evaluation of the antitumor activity and safety of PX-866, administered at the MTD/RD identified in Phase 1 (8mg daily), in combination with docetaxel versus docetaxel alone in patients with locally advanced, recurrent, or metastatic NSCLC (Group 1) or patients with locally advanced, recurrent, or metastatic SCCHN (Group 2).

Group 1 (patients with locally advanced, recurrent, or metastatic NSCLC) is now closed to enrollment.

All treatments will be administered on a 21-day cycle. Docetaxel 75 mg/m2 will be administered IV on Day 1 of each 21-day cycle. PX-866 will be administered orally or via PEG tube (if applicable) once per day on Days 1 to 21 of all treatment cycles in patients randomized to the treatment arm containing PX-866.

Patients will be evaluated for progression approximately every 6 weeks. Patients with stable disease (SD) or better, per investigator assessment, will receive repeat cycles of treatment on a 21-day schedule until disease progression, unacceptable toxicity or withdrawal of consent.

Conditions

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Non Small Cell Lung Cancer (NSCLC) Squamous Cell Carcinoma of the Head and Neck (SCCHN)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Docetaxel (NSCLC)

IV docetaxel administered once every three weeks as per standard of care. Treatment continues until disease progression, unacceptable toxicity or withdrawal of consent.

Group Type ACTIVE_COMPARATOR

Docetaxel

Intervention Type DRUG

PX-866 (NSCLC)

Oral PX-866 administered daily at the RD in combination with IV docetaxel administered once every three weeks on a 21 day cycle. Treatment continues until disease progression, unacceptable toxicity or withdrawal of consent.

Group Type EXPERIMENTAL

Docetaxel

Intervention Type DRUG

PX-866

Intervention Type DRUG

Docetaxel (SCCHN)

IV docetaxel administered once every three weeks as per standard of care. Treatment continues until disease progression, unacceptable toxicity or withdrawal of consent.

Group Type ACTIVE_COMPARATOR

Docetaxel

Intervention Type DRUG

PX-866 (SCCHN)

Oral PX-866, administered daily at the RD in combination with IV docetaxel administered once every three weeks on a 21 day cycle. Treatment continues until disease progression, unacceptable toxicity or withdrawal of consent.

Group Type EXPERIMENTAL

Docetaxel

Intervention Type DRUG

PX-866

Intervention Type DRUG

Interventions

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Docetaxel

Intervention Type DRUG

PX-866

Intervention Type DRUG

Other Intervention Names

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taxotere

Eligibility Criteria

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Inclusion Criteria

* At least 18 years at time of consent
* Agrees to use a medically accepted form of contraception from the time of consent to completion of all follow up study visits
* If female of child bearing potential, negative pregnancy test (not required for post menopausal females)
* Signed an informed consent document that has been approved by an institutional review board or independent ethics committee (IRB/IEC)
* Has either locally advanced, recurrent, or metastatic NSCLC for which they have received at least 1 and no more than 2 prior systemic treatment regimens that may include up to 1 platinum based chemotherapy regimen and/or an epidermal growth factor receptor (EGFR) inhibitor OR locally advanced, recurrent or metastatic SCCHN for which they have received at least one and no more than two prior systemic treatment regimens.
* Measurable disease per Response Evaluation Criteria In Solid Tumors
* Eastern Cooperative Oncology Group (ECOG) 0 or 1
* In the opinion of the clinical investigator, life expectancy \>3 months
* Adequate hematologic function as defined by:

* Hemoglobin ≥ 9 g/dL
* Absolute neutrophil count (ANC) ≥1500 cells/µL
* Platelets ≥100,000/µL
* Adequate hepatic function as defined by the following:

* Bilirubin ≤ ULN
* Aspartate aminotransaminase (AST/SGOT) and alanine aminotransferase (ALT/SGPT) ≤1.5 x upper limit of normal (ULN)
* Creatinine level ≤1.5 x ULN

Exclusion Criteria

* Has medical, social, or psychosocial factors that, in the opinion of the investigator, could impact safety or compliance with study procedures
* Is breastfeeding
* Treatment with any systemic chemotherapy, epidermal growth factor receptor (EGFR) inhibitor, radiation or experimental agent within 4 weeks of study drug dosing. Washout period following palliative radiation should be discussed with the study medical monitor
* Previous treatment with docetaxel except for patients in Phase 2 who received a docetaxel containing regimen as part of adjuvant or neoadjuvant therapy which was completed at least 6 months prior to study drug dosing
* Previous treatment with a phosphatidylinositol 3 kinase (PI 3K) inhibitor
* Known human immunodeficiency virus (HIV)
* Known or suspected clinically active brain metastases. Previously treated and stable brain metastases are allowable. Stable brain metastases are defined as no change on CT scan or MRI for minimum of two months AND no change in steroid dose for a minimum of four weeks, unless change due to intercurrent infection or other acute event
* Grade \>2 peripheral neuropathy, as defined by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), Version 4.02
* Any other significant medical or psychiatric condition that in the opinion of the investigator renders the patient inadequate for participation
* History of severe hypersensitivity reactions to docetaxel or to other drugs formulated with polysorbate
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cascadian Therapeutics Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Southwest Cancer Care

Escondido, California, United States

Site Status

Bay Area Cancer Research Group, LLC

Pleasant Hill, California, United States

Site Status

University of Colorado Cancer Center

Aurora, Colorado, United States

Site Status

Eastern Colorado Health Care System - Denver VA

Denver, Colorado, United States

Site Status

Cancer Center of Pasco-Pinellas

Holiday, Florida, United States

Site Status

Cancer Center of Kansas

Wichita, Kansas, United States

Site Status

John Hopkins University

Baltimore, Maryland, United States

Site Status

Washington University

St Louis, Missouri, United States

Site Status

New Mexico Cancer Care Alliance

Albuquerque, New Mexico, United States

Site Status

Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

New York Oncology, Hematology

Latham, New York, United States

Site Status

Beth Israel Hospital

New York, New York, United States

Site Status

New York University Medical Center

New York, New York, United States

Site Status

Columbia University Medical Center

New York, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Northwest Cancer Specialists

Tualatin, Oregon, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Texas Oncology - South Austin

Austin, Texas, United States

Site Status

Mary Crowley Cancer Center

Dallas, Texas, United States

Site Status

Texas Oncology - Baylor Charles A. Sammons Cancer Center

Dallas, Texas, United States

Site Status

Oncology and Hematology Associates of SW Virginia, DBA Blue Ridge Cancer Care

Christiansburg, Virginia, United States

Site Status

Virginia Cancer Specialists

Fairfax, Virginia, United States

Site Status

Virginia Oncology Associates

Newport News, Virginia, United States

Site Status

Columbia Basin Hematology & Oncology

Kennewick, Washington, United States

Site Status

Medical Oncology Associates

Spokane, Washington, United States

Site Status

Yakima Valley Memorial Hospital/North Star Lodge

Yakima, Washington, United States

Site Status

Cancer Care Manitoba

Winnipeg, Manitoba, Canada

Site Status

London Regional Cancer Program

London, Ontario, Canada

Site Status

Jewish General Hospital

Montreal, Quebec, Canada

Site Status

CHUS Hopital Fleurimont

Sherbrooke, Quebec, Canada

Site Status

Countries

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United States Canada

Other Identifiers

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PX-866-002

Identifier Type: -

Identifier Source: org_study_id

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