Safety and Tolerability of ODM-203 in Subjects With Advanced Solid Tumours

NCT ID: NCT02264418

Last Updated: 2020-01-18

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

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-18

Study Completion Date

2019-05-31

Brief Summary

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The purpose of this first-in-human study is to evaluate the safety and tolerability of escalating doses of ODM-203 in subjects with advanced solid tumours and to determine the maximum tolerated dose and dose limiting toxicities.

Detailed Description

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The safety profile of ODM-203 will be explored together with the pharmacokinetics, pharmacodynamics and tumour response to treatment with ODM-203 to recommend the dosing regimen for further clinical studies. The pharmacokinetic properties of ODM 203 will be evaluated after single and multiple dose administrations at different dose levels

Conditions

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Solid Tumours

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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ODM 203

Oral capsules given once daily dosage 50-800mg

Group Type EXPERIMENTAL

ODM 203

Intervention Type DRUG

ODM 203

ODM 203

Intervention Type DRUG

ODM 203

ODM-203

Oral tablets given once daily 200-1600mg

Group Type EXPERIMENTAL

ODM 203

Intervention Type DRUG

ODM 203

Interventions

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ODM 203

ODM 203

Intervention Type DRUG

ODM 203

ODM 203

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent
* Male and female subjects over 18 years of age
* Subjects with histologically or cytologically confirmed locally advanced or metastatic tumours. Subjects in Part 2 to have a tumour/genetic aberration.
* Availability of tumour sample for genetic analysis
* Adequate haemopoietic, hepatic and renal function
* Eastern Cooperative Oncology Group performance status of 0 to 1
* Serum mineral levels phosphate: 2.5 mg/dl; calcium: 8.8 mg/dl; magnesium: 1.2 mg/dl; potassium: 11.7 mg/dl; sodium: 299mg/dl.
* Recovery from reversible adverse events of previous systemic anti-cancer therapies to baseline or grade 1 with the exception of alopecia;stable neuropathy of grade 2 induced by previous cancer treatment
* Life expectancy of 12 weeks or more

Exclusion Criteria

* Any prior anti VEGFR/FGFR treatment related AE that in the judgement of the investigator is considered severe/life threatening
* Subjects receiving warfarin
* Active central nervous system metastases not controlled by prior surgery/radiotherapy and/or low dose steroids for 4 weeks or more
* Subjects with current evidence of endocrine alteration of calcium-phosphate homeostasis
* Concomitant therapies known to increase serum phosphorus and/or calcium levels that cannot be discontinued or switched to a different therapy are not permitted within 14 days before the first dose of ODM-203.
* Significant cardiovascular conditions/circumstances as follows:
* a active or unstable cardio/cerebro-vascular disease
* b Uncontrolled hypertension (systolic blood pressure ≥ 150mmHg and/or diastolic blood pressure ≥ 90mg Hg with optimised antihypertensive therapy.
* c history of severe arrhythmia, familial arrhythmia, conduction abnormality or congenital long QT syndrome
* dConcomitant therapies known to prolong the QT interval and associated with a risk of Torsades de Pointes are not permitted within 7 days before the first dose of ODM 203
* e Repeatable prolongation of QTcF interval ≥ 450 msec or any clinically significant abnormality in the ECG at screening in 2 out of 3 recordings
* f Left ventricular ejection fraction \<50% at screening
* Subjects who received systemic anticancer treatment prior to the first dose of ODM-203 within the following timeframes: less than 28 days since the last dose of antineoplastic therapy and/or 28 days of wide field radiotherapy or 14 days of limited field radiation for palliation
* Major surgery or serious infection within 21 days of the first dose of ODM-203
* Known gastrointestinal disease or a procedure that may affect absorption of ODM 203
* Serious concurrent medical condition or psychiatric illness
* History and/or current evidence of ectopic mineralisation/calcification
* Known active or past history of other primary malignancy
* Female of child bearing potential
* Female of child bearing potential or male subject with a female partner of child bearing potential who does not agree to use effective contraception during the study and for 3 months after the last dose of ODM 203
* Known hypersensitivity to the study treatment excipients
* Any condition which in the opinion of the investigator would impair the subject's ability to comply with the study procedures
* Participation in another interventional clinical trial/ concurrent treatment with any investigational drug within 4 weeks prior to the start of treatment with ODM 203
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Orion Corporation, Orion Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Petri Bono, MD

Role: PRINCIPAL_INVESTIGATOR

Helsinki University Central Hospital

Locations

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Finsen Centre

Copenhagen, , Denmark

Site Status

Helsinki University Central Hospital, Department of Oncology

Helsinki, , Finland

Site Status

Institut Bergonie

Bordeaux, , France

Site Status

Gustave Roussy Oncology Institute

Villejuif, , France

Site Status

European Institute of Oncology

Milan, , Italy

Site Status

Vall d'Hebron University Hospital

Barcelona, , Spain

Site Status

Sarah cannon Research Institute

London, , United Kingdom

Site Status

UCL Cancer Institute

London, , United Kingdom

Site Status

Countries

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Denmark Finland France Italy Spain United Kingdom

References

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Bono P, Massard C, Peltola KJ, Azaro A, Italiano A, Kristeleit RS, Curigliano G, Lassen U, Arkenau HT, Hakulinen P, Garratt C, Ikonen T, Mustonen MVJ, Rodon JA. Phase I/IIa, open-label, multicentre study to evaluate the optimal dosing and safety of ODM-203 in patients with advanced or metastatic solid tumours. ESMO Open. 2020 Dec;5(6):e001081. doi: 10.1136/esmoopen-2020-001081.

Reference Type DERIVED
PMID: 33262202 (View on PubMed)

Other Identifiers

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3113001

Identifier Type: -

Identifier Source: org_study_id

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