Dose-Escalation Study of E7727, an Oral Cytidine Deaminase Inhibitor With Oral Decitabine in Subjects With Solid Tumors

NCT ID: NCT03875287

Last Updated: 2026-01-12

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-17

Study Completion Date

2027-07-01

Brief Summary

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This is a phase 1 study of the combination of cedazuridine with decitabine in patients with solid tumors. At least 6 patients will be enrolled per treatment level to assess optimal hypomethylation and toxicity (up to 35 patients total).

Detailed Description

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Conditions

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Solid Tumor

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Decitabine and Cedazuridine

Treatment will be administered on an outpatient basis. Cycle length is 28 days. The dose of cedazuridine is fixed at 100mg and the dose and duration of decitabine will vary depending on when a patient enters the study.

Group Type EXPERIMENTAL

Decitabine

Intervention Type DRUG

DOSING REGIMEN(S):

Level -1 10mg daily days 1-4

Level 1 10mg daily days 1-5

Level 2 15mg daily days 1-5

Level 3 20mg daily days 1-5

Level 4 25 mg daily days 1-5

Cedazuridine

Intervention Type DRUG

DOSING REGIMEN(S):

Level -1 100mg daily days 1-4

Level 1 100mg daily days 1-5

Level 2 100mg daily days 1-5

Level 3 100mg daily days 1-5

Level 4 100mg daily days 1-5

Interventions

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Decitabine

DOSING REGIMEN(S):

Level -1 10mg daily days 1-4

Level 1 10mg daily days 1-5

Level 2 15mg daily days 1-5

Level 3 20mg daily days 1-5

Level 4 25 mg daily days 1-5

Intervention Type DRUG

Cedazuridine

DOSING REGIMEN(S):

Level -1 100mg daily days 1-4

Level 1 100mg daily days 1-5

Level 2 100mg daily days 1-5

Level 3 100mg daily days 1-5

Level 4 100mg daily days 1-5

Intervention Type DRUG

Other Intervention Names

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Dacogen

Eligibility Criteria

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Inclusion Criteria

* Participants must have advanced, unresectable, and/or metastatic solid tumor malignancy that is histologically or cytologically confirmed.
* Patients must have received at least 2 lines of therapy in the advanced/metastatic setting (if 2 lines exist) and have no other possible therapies or refuse therapies that have shown clinical benefit for their condition.
* ECOG performance status \<1
* Ability to understand and the willingness to sign a written informed consent document.
* Patients must have measurable disease
* Ability to swallow oral medications

Exclusion Criteria

* Participants who have had chemotherapy or radiotherapy within 3 weeks
* Participants may not be receiving any other investigational agents.
* Active hepatitis B or hepatitis C infection.
* Active or untreated gastric or duodenal ulcer
* Symptomatic bowel obstruction within 3 months prior to screening visit.
* Symptomatic ascites in the last 4 weeks
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astex Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role collaborator

Stand Up To Cancer

OTHER

Sponsor Role collaborator

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nilofer Azad, MD

Role: PRINCIPAL_INVESTIGATOR

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Locations

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USC Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Baltimore, Maryland, United States

Site Status

Countries

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United States

Other Identifiers

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IRB00182038

Identifier Type: OTHER

Identifier Source: secondary_id

ASTX727

Identifier Type: OTHER

Identifier Source: secondary_id

J18115

Identifier Type: -

Identifier Source: org_study_id

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