Study Results
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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COMPLETED
PHASE1
31 participants
INTERVENTIONAL
2016-01-31
2017-02-06
Brief Summary
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Detailed Description
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PTC596 will be administered orally on a twice a week (biw) schedule. Each 4-week period of drug administration will be considered one cycle. The objective of the study will be to determine the recommended Phase 2 dose (RP2D) and to determine preliminary proof of mechanism of action.
Collectively, data from the Good Laboratory Practice (GLP) and non-GLP studies indicate that 40 mg/kg biw is approximately the severely toxic dose in 10% of animals (STD 10). Therefore, the starting dose in this study will be calculated as one-tenth of the human equivalent dose (HED) of 40 mg/kg biw in rats, which is 0.65 mg/kg biw.
In this study, escalating dose levels will be evaluated to determine the RP2D. Three patients will be enrolled at the starting dose level (0.65 mg/kg biw); if 1 of the 3 patients experiences a dose-limiting toxicity (DLT), an additional 3 patients will be enrolled at the same dose level. Thus, 3 to 6 patients will receive the starting dose level of 0.65 mg/kg. Dose escalation will continue until the occurrence of DLT in ≥2/6 patients at a given dose level. Dose escalation will occur in approximately 100% increments until Grade ≥2, first-cycle toxicity is seen in at least 2 patients across all dose levels, after which dose escalation will occur in smaller (50% or 33%) increments.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Cohort 1
PTC 596 administered twice daily- Dose level 0.65mg/kg
PTC596
PTC 596 will be administered orally twice a day until unmanageable toxicity, disease progression, or withdrawal of consent is noted
Cohort 2
PTC 596 administered twice daily-Dose level 1.3mg/kg
PTC596
PTC 596 will be administered orally twice a day until unmanageable toxicity, disease progression, or withdrawal of consent is noted
Cohort 3
PTC 596 administered twice daily-2.6mg/kg
PTC596
PTC 596 will be administered orally twice a day until unmanageable toxicity, disease progression, or withdrawal of consent is noted
Cohort 4
PTC 596 administered twice daily-Dose level 5.2mg/kg
PTC596
PTC 596 will be administered orally twice a day until unmanageable toxicity, disease progression, or withdrawal of consent is noted
Cohort 5
PTC 596 administered twice daily-Dose level 10mg/kg
PTC596
PTC 596 will be administered orally twice a day until unmanageable toxicity, disease progression, or withdrawal of consent is noted
Cohort 6
PTC 596 administered twice daily-Dose level 7mg/kg
PTC596
PTC 596 will be administered orally twice a day until unmanageable toxicity, disease progression, or withdrawal of consent is noted
Cohort 7 (Bio Marker cohort)
PTC 596 administered twice daily-Dose level 5.2mg/kg
PTC596
PTC 596 will be administered orally twice a day until unmanageable toxicity, disease progression, or withdrawal of consent is noted
Interventions
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PTC596
PTC 596 will be administered orally twice a day until unmanageable toxicity, disease progression, or withdrawal of consent is noted
Eligibility Criteria
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Inclusion Criteria
* Discontinuation of all other therapies (including other investigational drugs, radiotherapy, or chemotherapy) for the treatment of cancer ≥4 weeks (≥6 weeks if nitrosoureas, ≥12 weeks if radiotherapy) before initiation of study treatment
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Life expectancy of at least 3 months
* A measured or estimated creatinine clearance (CrCl) ≥60 mL/min/1.73 m2
Exclusion Criteria
* History of solid organ, bone marrow, or progenitor cell transplantation
* History of major surgical procedure within 28 days prior to start of study treatment
* Evidence of ongoing systemic bacterial, fungal, or viral infection. Known human immunodeficiency virus (HIV) infection or acquired-immunodeficiency syndrome (AIDS)-related illness
* Any of the following in the past 6 months: myocardial infarction, unstable angina, coronary/peripheral artery bypass graft, congestive heart failure (New York Heart Association Class III or IV), cerebrovascular accident, transient ischemic attack, other arterial thromboembolic event, or pulmonary embolism
18 Years
ALL
No
Sponsors
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PTC Therapeutics
INDUSTRY
Responsible Party
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Principal Investigators
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Edward O'Mara, MD
Role: STUDY_DIRECTOR
PTC Therapeutics
Locations
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Dana Farber Cancer Institute
Boston, Massachusetts, United States
Duke University
Durham, North Carolina, United States
Sarah Cannon Research Institute
Nashville, Tennessee, United States
Princess Margaret Cancer Centre
Toronto, Ontario, Canada
Countries
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References
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Related Links
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Characterization and Chromosomal localization of the human proto-oncogene
Phase 1 clinical trials in oncology
Human protein atlas
Dose escalation study design example
Increased polycomb-group oncogene BMI-1expression coorelates with poor prognosis in Hepatocellular carcinoma
Other Identifiers
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PTC596-ONC-001-AST
Identifier Type: -
Identifier Source: org_study_id