Trial Outcomes & Findings for Safety, Dose Tolerance, Pharmacokinetics, and Pharmacodynamics Study of CPX-POM in Patients With Advanced Solid Tumors (NCT NCT03348514)

NCT ID: NCT03348514

Last Updated: 2021-12-03

Results Overview

The primary objective of this study is to evaluate the dose limiting toxicities (DLTs) of ciclopirox phosphoryloxymethyl ester (CPX-POM) administered intravenously (IV) and establish the CPX POM dose recommended for further investigation. A DLT will include some Grade 3 or 4 AEs (as assessed by CTCAE version 4.03) if deemed related to study drug. In addition, any patient who is unable to receive 80% of the expected dose of CPX-POM (i.e., patients who are unable to receive at least 4 of the 5 scheduled doses) because of AEs will be considered to have a DLT. In order to identify any DLTs, safety assessments including AEs, physical examinations, vital signs, and clinical laboratory tests will be conducted during each study visit through Day 22.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

19 participants

Primary outcome timeframe

Up to 22 days for each cohort

Results posted on

2021-12-03

Participant Flow

Participant milestones

Participant milestones
Measure
CPX-POM - 30 mg/m^2
Period 1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
Period 7, Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
Period 8, Dose Cohort - 1200 mg/m\^2
Overall Study
STARTED
1
1
1
1
3
4
6
2
Overall Study
COMPLETED
1
1
1
1
3
4
6
2
Overall Study
NOT COMPLETED
0
0
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety, Dose Tolerance, Pharmacokinetics, and Pharmacodynamics Study of CPX-POM in Patients With Advanced Solid Tumors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CPX-POM - 30 mg/m^2
n=1 Participants
Period1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
n=1 Participants
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
n=1 Participants
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
n=1 Participants
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
n=3 Participants
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
n=4 Participants
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
n=6 Participants
Period 7, Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
n=2 Participants
Period 8, Dose Cohort - 1200 mg/m\^2
Total
n=19 Participants
Total of all reporting groups
Age, Continuous
46 years
n=93 Participants
62 years
n=4 Participants
76 years
n=27 Participants
61 years
n=483 Participants
54 years
n=36 Participants
63 years
n=10 Participants
60 years
n=115 Participants
82.5 years
n=40 Participants
63 years
n=8 Participants
Sex: Female, Male
Female
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
1 Participants
n=483 Participants
2 Participants
n=36 Participants
4 Participants
n=10 Participants
4 Participants
n=115 Participants
0 Participants
n=40 Participants
13 Participants
n=8 Participants
Sex: Female, Male
Male
1 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
1 Participants
n=36 Participants
0 Participants
n=10 Participants
2 Participants
n=115 Participants
2 Participants
n=40 Participants
6 Participants
n=8 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
0 Participants
n=40 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
0 Participants
n=40 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
0 Participants
n=40 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
1 Participants
n=115 Participants
0 Participants
n=40 Participants
1 Participants
n=8 Participants
Race (NIH/OMB)
White
1 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
1 Participants
n=483 Participants
3 Participants
n=36 Participants
4 Participants
n=10 Participants
5 Participants
n=115 Participants
2 Participants
n=40 Participants
18 Participants
n=8 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
0 Participants
n=40 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
0 Participants
n=40 Participants
0 Participants
n=8 Participants
Cancer type
Colon
0 Participants
n=93 Participants
1 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
2 Participants
n=10 Participants
2 Participants
n=115 Participants
0 Participants
n=40 Participants
5 Participants
n=8 Participants
Cancer type
Bladder
0 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
0 Participants
n=483 Participants
1 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
0 Participants
n=40 Participants
2 Participants
n=8 Participants
Cancer type
Breast
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
1 Participants
n=10 Participants
1 Participants
n=115 Participants
0 Participants
n=40 Participants
2 Participants
n=8 Participants
Cancer type
Gastric
1 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
1 Participants
n=115 Participants
0 Participants
n=40 Participants
2 Participants
n=8 Participants
Cancer type
Head and Neck
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
1 Participants
n=115 Participants
0 Participants
n=40 Participants
1 Participants
n=8 Participants
Cancer type
Liver
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
0 Participants
n=40 Participants
1 Participants
n=8 Participants
Cancer type
Ovarian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
1 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
0 Participants
n=40 Participants
1 Participants
n=8 Participants
Cancer type
Prostate
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
1 Participants
n=40 Participants
1 Participants
n=8 Participants
Cancer type
Other
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
1 Participants
n=36 Participants
1 Participants
n=10 Participants
1 Participants
n=115 Participants
1 Participants
n=40 Participants
4 Participants
n=8 Participants

PRIMARY outcome

Timeframe: Up to 22 days for each cohort

The primary objective of this study is to evaluate the dose limiting toxicities (DLTs) of ciclopirox phosphoryloxymethyl ester (CPX-POM) administered intravenously (IV) and establish the CPX POM dose recommended for further investigation. A DLT will include some Grade 3 or 4 AEs (as assessed by CTCAE version 4.03) if deemed related to study drug. In addition, any patient who is unable to receive 80% of the expected dose of CPX-POM (i.e., patients who are unable to receive at least 4 of the 5 scheduled doses) because of AEs will be considered to have a DLT. In order to identify any DLTs, safety assessments including AEs, physical examinations, vital signs, and clinical laboratory tests will be conducted during each study visit through Day 22.

Outcome measures

Outcome measures
Measure
CPX-POM - 30 mg/m^2
n=1 Participants
Period 1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
n=1 Participants
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
n=1 Participants
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
n=1 Participants
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
n=3 Participants
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
n=4 Participants
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
n=6 Participants
Period 7, Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
n=2 Participants
Period 8, Dose Cohort - 1200 mg/m\^2
Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POM
Grade 3
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants
1 participants
Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POM
Grade 1
0 participants
0 participants
0 participants
0 participants
0 participants
2 participants
2 participants
0 participants

PRIMARY outcome

Timeframe: Days 1, 2, 3, 4, 5, 6, 10, 22 and 28

The primary objective of this study is to evaluate the maximum tolerated dose (MTD) of ciclopirox phosphoryloxymethyl ester (CPX-POM) administered intravenously (IV) and establish the CPX POM dose recommended for further investigation. MTD was determined by testing increasing doses up to 1200 mg/m\^2 by IV. The MTD is defined as the dose BELOW that dose which causes DLTs in ≥33% of patients.

Outcome measures

Outcome measures
Measure
CPX-POM - 30 mg/m^2
n=19 Participants
Period 1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
Period 7, Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
Period 8, Dose Cohort - 1200 mg/m\^2
Determine the Maximum Tolerated Dose (MTD) of CPX-POM
900 mg/m^2

SECONDARY outcome

Timeframe: Days 5-6

Population: Pharmacokinetic data not obtained in one patient receiving 1200 mg/m\^2

Measure PK parameter Cmax (ng/mL)

Outcome measures

Outcome measures
Measure
CPX-POM - 30 mg/m^2
n=1 Participants
Period 1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
n=1 Participants
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
n=1 Participants
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
n=1 Participants
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
n=3 Participants
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
n=4 Participants
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
n=6 Participants
Period 7, Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
n=1 Participants
Period 8, Dose Cohort - 1200 mg/m\^2
Assess Plasma PK: Cmax (ng/mL) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.
371 ng/mL
1935 ng/mL
3491 ng/mL
6792 ng/mL
5297 ng/mL
Standard Deviation 1182
9457 ng/mL
Standard Deviation 512
17277 ng/mL
Standard Deviation 1913
15970 ng/mL

SECONDARY outcome

Timeframe: Days 5-6

Population: Pharmacokinetic data not obtained in one patient receiving 1200 mg/m\^2

Determine Terminal Half-Life

Outcome measures

Outcome measures
Measure
CPX-POM - 30 mg/m^2
n=1 Participants
Period 1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
n=1 Participants
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
n=1 Participants
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
n=1 Participants
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
n=3 Participants
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
n=4 Participants
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
n=6 Participants
Period 7, Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
n=1 Participants
Period 8, Dose Cohort - 1200 mg/m\^2
Assess Plasma PK: Terminal Half-life of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.
2.34 hours
0.54 hours
5.56 hours
3.34 hours
3.12 hours
Standard Deviation 1.34
4.61 hours
Standard Deviation 1.46
8.30 hours
Standard Deviation 2.63
7.43 hours

SECONDARY outcome

Timeframe: Days 5-6

Population: Pharmacokinetic data not obtained in one patient receiving 1200 mg/m\^2

Measure PK parameter area-under-the-plasma-drug/metabolite-concentration-time curve (ng/mL/hr) following single dose (AUC) and at steady-state AUCss following single and repeat drug administration.

Outcome measures

Outcome measures
Measure
CPX-POM - 30 mg/m^2
n=1 Participants
Period 1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
n=1 Participants
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
n=1 Participants
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
n=1 Participants
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
n=3 Participants
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
n=4 Participants
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
n=6 Participants
Period 7, Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
n=1 Participants
Period 8, Dose Cohort - 1200 mg/m\^2
Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.
Single Dose AUCs
589 ng*hr/mL
1262 ng*hr/mL
3736 ng*hr/mL
4622 ng*hr/mL
4731 ng*hr/mL
Standard Deviation 1310
11914 ng*hr/mL
Standard Deviation 1852
24148 ng*hr/mL
Standard Deviation 6067
34470 ng*hr/mL
Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.
Steady State AUCss
515 ng*hr/mL
1328 ng*hr/mL
5143 ng*hr/mL
6000 ng*hr/mL
4856 ng*hr/mL
Standard Deviation 910
12484 ng*hr/mL
Standard Deviation 1182
23414 ng*hr/mL
Standard Deviation 1913
28048 ng*hr/mL

SECONDARY outcome

Timeframe: Days 5-6

Population: Pharmacokinetic data not obtained in one patient receiving 1200 mg/m\^2

Measure PK parameter Cls (mL/hr/kg) - systemic clearance following single dose (Cls) following single and repeat drug administration.

Outcome measures

Outcome measures
Measure
CPX-POM - 30 mg/m^2
n=1 Participants
Period 1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
n=1 Participants
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
n=1 Participants
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
n=1 Participants
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
n=3 Participants
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
n=4 Participants
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
n=6 Participants
Period 7, Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
n=1 Participants
Period 8, Dose Cohort - 1200 mg/m\^2
Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.
Single Dose Cls
614 mL/hr/kg
581 mL/hr/kg
361 mL/hr/kg
515 mL/hr/kg
1065 mL/hr/kg
Standard Deviation 435
507 mL/hr/kg
Standard Deviation 95
432 mL/hr/kg
Standard Deviation 142
375 mL/hr/kg
Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.
Steady State Cls
702 mL/hr/kg
552 mL/hr/kg
262 mL/hr/kg
397 mL/hr/kg
963 mL/hr/kg
Standard Deviation 271
471 mL/hr/kg
Standard Deviation 113
421 mL/hr/kg
Standard Deviation 184
456 mL/hr/kg

SECONDARY outcome

Timeframe: Days 5-6

Population: Pharmacokinetic data not obtained in one patient receiving 1200 mg/m\^2

Measure PK parameters Vd (apparent volume of distribution) and Vss (steady state volume of distribution) (mL/kg)

Outcome measures

Outcome measures
Measure
CPX-POM - 30 mg/m^2
n=1 Participants
Period 1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
n=1 Participants
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
n=1 Participants
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
n=1 Participants
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
n=3 Participants
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
n=4 Participants
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
n=6 Participants
Period 7, Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
n=1 Participants
Period 8, Dose Cohort - 1200 mg/m\^2
Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.
Vd
2370 mL/kg
429 mL/kg
2100 mL/kg
1966 mL/kg
4522 mL/kg
Standard Deviation 2715
3090 mL/kg
Standard Deviation 1015
5340 mL/kg
Standard Deviation 3935
4887 mL/kg
Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.
Vss
2053 mL/kg
473 mL/kg
1633 mL/kg
736 mL/kg
1986 mL/kg
Standard Deviation 802
1346 mL/kg
Standard Deviation 349
2261 mL/kg
Standard Deviation 1249
2518 mL/kg

SECONDARY outcome

Timeframe: Days 5-6

Population: Pharmacokinetic data not obtained in one patient receiving 1200 mg/m\^2

Determine PK parameter AUC derived accumulation ratio (AUCss/AUCi ratio)

Outcome measures

Outcome measures
Measure
CPX-POM - 30 mg/m^2
n=1 Participants
Period 1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
n=1 Participants
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
n=1 Participants
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
n=1 Participants
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
n=3 Participants
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
n=4 Participants
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
n=6 Participants
Period 7, Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
n=1 Participants
Period 8, Dose Cohort - 1200 mg/m\^2
Characterize Plasma PK: AUCss/AUCi Accumulation Ratio of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.
0.86 ratio
1.05 ratio
1.59 ratio
1.30 ratio
1.08 ratio
Standard Deviation 0.14
1.09 ratio
Standard Deviation 0.17
1.03 ratio
Standard Deviation 0.29
0.81 ratio

SECONDARY outcome

Timeframe: Days 5-6

Population: Urine pharmacokinetic data not obtained in one patient receiving 600 mg/m\^2 and one patient receiving 1200 mg/m\^2

Measure Percent Dose (%)

Outcome measures

Outcome measures
Measure
CPX-POM - 30 mg/m^2
n=1 Participants
Period 1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
n=1 Participants
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
n=1 Participants
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
n=1 Participants
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
n=3 Participants
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
n=3 Participants
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
n=6 Participants
Period 7, Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
n=1 Participants
Period 8, Dose Cohort - 1200 mg/m\^2
Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.
% CPX-POM Dose Excreted as ciclopirox glucuronide over 24 hours
59.74 Percent of CPX-POM dose
69.73 Percent of CPX-POM dose
70.21 Percent of CPX-POM dose
73.86 Percent of CPX-POM dose
75.99 Percent of CPX-POM dose
Standard Deviation 10.40
50.70 Percent of CPX-POM dose
Standard Deviation 29.28
69.62 Percent of CPX-POM dose
Standard Deviation 15.16
68.19 Percent of CPX-POM dose
Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.
% CPX-POM Dose Excreted as CPX-POM over 24 hours
0 Percent of CPX-POM dose
Standard Deviation 0
0 Percent of CPX-POM dose
Standard Deviation 0
0 Percent of CPX-POM dose
Standard Deviation 0
0 Percent of CPX-POM dose
Standard Deviation 0
0 Percent of CPX-POM dose
Standard Deviation 0
0 Percent of CPX-POM dose
Standard Deviation 0
0 Percent of CPX-POM dose
Standard Deviation 0
0 Percent of CPX-POM dose
Standard Deviation 0
Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.
% CPX-POM Dose Excreted as ciclopirox over 24 hours
0.81 Percent of CPX-POM dose
0.82 Percent of CPX-POM dose
1.74 Percent of CPX-POM dose
1.25 Percent of CPX-POM dose
0.80 Percent of CPX-POM dose
Standard Deviation 0.21
1.21 Percent of CPX-POM dose
Standard Deviation 0.11
4.42 Percent of CPX-POM dose
Standard Deviation 4.68
2.89 Percent of CPX-POM dose

SECONDARY outcome

Timeframe: Days 5-6

Population: Urine pharmacokinetic data not obtained in one patient receiving 600 mg/m\^2 and one patient receiving 1200 mg/m\^2

Measure urine CPX concentration (uM)

Outcome measures

Outcome measures
Measure
CPX-POM - 30 mg/m^2
n=1 Participants
Period 1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
n=1 Participants
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
n=1 Participants
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
n=1 Participants
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
n=3 Participants
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
n=3 Participants
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
n=6 Participants
Period 7, Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
n=1 Participants
Period 8, Dose Cohort - 1200 mg/m\^2
Assess Urine PK: Average 24-hour Urine Concentration of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.
0.65 uM
0.84 uM
10.77 uM
3.93 uM
5.10 uM
Standard Deviation 0.86
22.91 uM
Standard Deviation 12.83
138.17 uM
Standard Deviation 157.97
208.65 uM

Adverse Events

CPX-POM - 30 mg/m^2

Serious events: 1 serious events
Other events: 0 other events
Deaths: 1 deaths

CPX-POM - 60 mg/m^2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

CPX-POM - 120 mg/m^2

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

CPX-POM - 240 mg/m^2

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

CPX-POM - 360 mg/m^2

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

CPX-POM - 600 mg/m^2

Serious events: 3 serious events
Other events: 3 other events
Deaths: 0 deaths

CPX-POM - 900 mg/m^2

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

CPX-POM - 1200 mg/m^2

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
CPX-POM - 30 mg/m^2
n=1 participants at risk
Period 1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
n=1 participants at risk
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
n=1 participants at risk
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
n=1 participants at risk
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
n=3 participants at risk
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
n=4 participants at risk
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
n=6 participants at risk
Period 7 Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
n=2 participants at risk
Period 8, Dose Cohort - 1200 mg/m\^2
Infections and infestations
Pneumonia
100.0%
1/1 • Number of events 1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
Infections and infestations
Meningitis bacterial
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
Infections and infestations
Pneumococcal sepsis
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
Infections and infestations
Sepsis
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
Psychiatric disorders
Confusional State
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/2 • 28 days
Respiratory, thoracic and mediastinal disorders
Haemoptysis
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
33.3%
1/3 • Number of events 1 • 28 days
0.00%
0/4 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
Cardiac disorders
Bradycardia
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
0.00%
0/6 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
Gastrointestinal disorders
Abdominal Pain
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/2 • 28 days
Investigations
Hyperbilirubinaemia
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days

Other adverse events

Other adverse events
Measure
CPX-POM - 30 mg/m^2
n=1 participants at risk
Period 1, Dose Cohort - 30 mg/m\^2
CPX-POM - 60 mg/m^2
n=1 participants at risk
Period 2, Dose Cohort - 60 mg/m\^2
CPX-POM - 120 mg/m^2
n=1 participants at risk
Period 3, Dose Cohort - 120 mg/m\^2
CPX-POM - 240 mg/m^2
n=1 participants at risk
Period 4, Dose Cohort - 240 mg/m\^2
CPX-POM - 360 mg/m^2
n=3 participants at risk
Period 5, Dose Cohort - 360 mg/m\^2
CPX-POM - 600 mg/m^2
n=4 participants at risk
Period 6, Dose Cohort - 600 mg/m\^2
CPX-POM - 900 mg/m^2
n=6 participants at risk
Period 7 Dose Cohort - 900 mg/m\^2
CPX-POM - 1200 mg/m^2
n=2 participants at risk
Period 8, Dose Cohort - 1200 mg/m\^2
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
100.0%
1/1 • Number of events 1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
0.00%
0/6 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
0.00%
0/6 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
33.3%
1/3 • Number of events 1 • 28 days
0.00%
0/4 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
Metabolism and nutrition disorders
Hyperglycaemia
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
0.00%
0/6 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
Vascular disorders
Flushing
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
Eye disorders
Vision blurred
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/2 • 28 days
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/2 • 28 days
Nervous system disorders
Taste Disorder
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
Gastrointestinal disorders
Vomiting
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
33.3%
1/3 • Number of events 1 • 28 days
0.00%
0/4 • 28 days
66.7%
4/6 • Number of events 4 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
Gastrointestinal disorders
Nausea
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
100.0%
1/1 • Number of events 1 • 28 days
33.3%
1/3 • Number of events 1 • 28 days
50.0%
2/4 • Number of events 2 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/2 • 28 days
Gastrointestinal disorders
Constipation
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
Gastrointestinal disorders
Dry mouth
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/2 • 28 days
Gastrointestinal disorders
Glossodynia
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/2 • 28 days
Gastrointestinal disorders
Stomatitis
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/2 • 28 days
Gastrointestinal disorders
Toothache
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
Psychiatric disorders
Confusional state
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
50.0%
2/4 • Number of events 2 • 28 days
33.3%
2/6 • Number of events 2 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
Psychiatric disorders
Disorientation
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
General disorders
Fatigue
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
100.0%
1/1 • Number of events 1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
General disorders
Chills
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
General disorders
Feeling hot
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
0.00%
0/6 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
General disorders
Non cardiac chest pain
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
0.00%
0/6 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
Nervous system disorders
Amnesia
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
Nervous system disorders
Dizziness
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
Nervous system disorders
Somnolence
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/2 • 28 days
Nervous system disorders
Dysarthria
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
0.00%
0/6 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
Nervous system disorders
Headache
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
0.00%
0/2 • 28 days
Injury, poisoning and procedural complications
Infusion related reaction
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
0.00%
0/4 • 28 days
16.7%
1/6 • Number of events 1 • 28 days
50.0%
1/2 • Number of events 1 • 28 days
Injury, poisoning and procedural complications
Procedural dizziness
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days
Musculoskeletal and connective tissue disorders
Muscle twitching
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/1 • 28 days
0.00%
0/3 • 28 days
25.0%
1/4 • Number of events 1 • 28 days
0.00%
0/6 • 28 days
0.00%
0/2 • 28 days

Additional Information

Dr. John A Taylor III

University of Kansas Medical Center

Phone: 913-588-8170

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place