A Trial of LEE011 in Patients With Advanced Solid Tumors or Lymphoma.

NCT ID: NCT01237236

Last Updated: 2020-12-17

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

156 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-12-21

Study Completion Date

2017-03-09

Brief Summary

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LEE011 is a new oral drug designed to inhibit the activity of an enzyme known as CDK4/6. CDK4/6 is involved in the process that allows both normal and cancer cells to divide and multiply. Cancer cells are often driven to divide and multiply by abnormalities that increase the activity of CDK4. Hence there is hope that blocking the activity of CDK4 may slow the growth of some cancers. LEE011 has shown anti-cancer activity in several different tumor models in animals.

Because CDK4 is important in both normal and cancerous cells, LEE011 is expected to decrease the ability of the bone marrow to make white blood cells, platelets, and red blood cells. Although these effects are expected to be reversible, they can increase the risk of infection, bleeding and fatigue.

The primary purpose of this study is to find the highest dose of LEE011 that can be safely given to adult patients with advanced solid tumors or lymphomas for which no further effective standard treatment is available. It will provide information about the side effects that may occur following treatment. The study will also possibly provide early evidence for LEE011's anti-tumor activity.

Detailed Description

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Conditions

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Advanced Solid Tumor Lymphomas

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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LEE011

Group Type EXPERIMENTAL

LEE011

Intervention Type DRUG

Interventions

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LEE011

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients aged ≥18 years with a histologically or cytologically confirmed diagnosis of a solid tumor or lymphoma for which no further effective standard treatment is available
2. Patients must have an ECOG performance status of 0 - 1
3. Patients enrolled in the dose expansion phase must have at least one measurable lesion as defined by RECIST criteria for solid tumors or Measurable nodal disease at baseline as defined by Cheson criteria for Lymphoma.
4. A sufficient interval must have elapsed between the last dose of prior anti-cancer therapy (including cytotoxic and biological therapies and major surgery) and enrollment in this study, to allow the effects of prior therapy to have abated:

* Cytotoxic chemotherapy: ≥ the duration of the cycle of the most recent treatment regimen (a minimum of 2 weeks for all regimens, except 6 weeks for nitrosoureas and mitomycin-C).
* Biologic therapy (e.g., antibodies): ≥ 4 weeks.
5. Patients must have adequate organ function, as defined by the following parameters:

* Bone marrow: Absolute Neutrophil Count (ANC) ≥ 1.5 x 109/L, Hemoglobin (Hgb) ≥ 9 g/dL, Platelets ≥ 100 x 109/L
* Hepatic function: Serum total bilirubin ≤ 1.5 x ULN (upper limit of normal); AST (SGOT) and ALT (SGPT) ≤ 3 x ULN, except in patients with tumor involvement of the liver who must have AST and ALT ≤ 5 x ULN
* Renal function: Serum creatinine ≤ 1.5 x ULN or 24-hour clearance ≥ 40 ml/min, Serum potassium, magnesium and calcium must be within normal limits

Exclusion Criteria

1. Patients with primary central nervous system tumors or brain metastases. However, if radiation therapy and/or surgery has been completed and serial evaluation by CT (with contrast enhancement) or MRI over a minimum of 3 months demonstrates the disease to be stable and if the patient remains asymptomatic, then the patient may be enrolled. Such patients must have no need for treatment with steroids or anti-epileptic medications.
2. Impairment of gastro-intestinal (GI) function or GI disease that may significantly alter the absorption of LEE011 such as patients with a history of GI surgery which may result in intestinal blind loops and patients with clinically significant gastroparesis, unresolved nausea, vomiting, or diarrhea of CTCAE grade \> 1
3. Prior hematopoietic stem cell or bone marrow transplantation
4. Impaired cardiac function or clinically significant cardiac diseases, including any of the following:

* LVEF \<45% as determined by MUGA or echo
* Complete left bundle branch block
* Obligate use of a cardiac pacemaker or implantable cardioverter defibrillator
* Congenital long QT syndrome or family history of unexpected sudden cardiac death
* History or presence of ventricular tachyarrhythmia
* Presence of unstable atrial fibrillation (ventricular response \> 100 bpm
* Clinically significant resting bradycardia
* QTcF \>450 ms for males and \>470 ms for females on screening ECG
* Right bundle branch block and left anterior hemiblock (bifascicular block)
* Angina pectoris ≤ 3 months prior to dosing with study drug
* Acute MI ≤ 3 months prior to dosing with study drug
* Other clinically significant heart disease
5. Acute myocardial infarction or angina pectoris ≤ 3 months prior to starting study drug
6. Patients with concurrent severe and/or uncontrolled concurrent medical conditions that could compromise participation in the study (e.g. uncontrolled hypertension and/or diabetes mellitus, clinically significant pulmonary disease, clinically significant neurological disorder, active or uncontrolled infection).

Known diagnosis of HIV or hepatitis C
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Dana Farber Cancer Institute DFCI

Boston, Massachusetts, United States

Site Status

University of Michigan Comprehensive Cancer Center SC

Ann Arbor, Michigan, United States

Site Status

Memorial Sloan Kettering MSKCC (2)

New York, New York, United States

Site Status

Sarah Cannon Research Institute DeptofSarahCannonRes.Inst. (2)

Nashville, Tennessee, United States

Site Status

Novartis Investigative Site

Lyon, , France

Site Status

Novartis Investigative Site

Villejuif, , France

Site Status

Novartis Investigative Site

Utrecht, , Netherlands

Site Status

Countries

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United States France Netherlands

References

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Ji Y, Yartsev V, Quinlan M, Serra P, Wang Y, Chakraborty A, Miller M. Justifying Ribociclib Dose in Patients with Advanced Breast Cancer with Renal Impairment Based on PK, Safety, and Efficacy Data: An Innovative Approach Integrating Data from a Dedicated Renal Impairment Study and Oncology Clinical Trials. Clin Pharmacokinet. 2023 Mar;62(3):493-504. doi: 10.1007/s40262-022-01206-2. Epub 2023 Feb 17.

Reference Type DERIVED
PMID: 36800111 (View on PubMed)

Related Links

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https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=17048

Results for CLEE011X2101 can be found on the Novartis Clinical Trial Results Website

Other Identifiers

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2009-017017-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CLEE011X2101

Identifier Type: -

Identifier Source: org_study_id

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