Trial Outcomes & Findings for Nilotinib in Preventing Paclitaxel-Induced Peripheral Neuropathy in Patients With Stage I-III Breast Cancer (NCT NCT04205903)

NCT ID: NCT04205903

Last Updated: 2025-06-29

Results Overview

Will be classified and attributed using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version (v)5.0 and will be summarized within and across dose levels using descriptive statistics. The overall number and percentage of patients experiencing adverse events (AEs) and toxicities will be summarized and reported as across all event types, non-hematologic AEs, hematologic AEs, and for each type. Specific focus will be in summarizing any neuropathy-related AEs by dose level and how this corresponds to our measures of OATP1B1 inhibition. All patients who have received at least one dose of the therapeutic agents will be evaluable for toxicity and tolerability.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

11 participants

Primary outcome timeframe

Up to 6 weeks

Results posted on

2025-06-29

Participant Flow

Eleven participants enrolled in the study. One participant withdrew prior to be randomized to a dose level,, leaving ten participants who were randomized to the three dose levels.

Participant milestones

Participant milestones
Measure
Dose Level 1 (100mg Nilotinib)
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Dose Level 2 (200mg Nilotinib)
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Dose Level 3 (300mg Nilotinib)
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Overall Study
STARTED
5
3
2
Overall Study
COMPLETED
2
2
2
Overall Study
NOT COMPLETED
3
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nilotinib in Preventing Paclitaxel-Induced Peripheral Neuropathy in Patients With Stage I-III Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dose Level 1 (100mg Nilotinib)
n=5 Participants
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Dose Level 2 (200mg Nilotinib)
n=3 Participants
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Dose Level 3 (300mg Nilotinib)
n=2 Participants
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Total
n=10 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
10 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
10 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
9 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
8 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
5 participants
n=5 Participants
3 participants
n=7 Participants
2 participants
n=5 Participants
10 participants
n=4 Participants

PRIMARY outcome

Timeframe: Up to 6 weeks

Will be classified and attributed using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version (v)5.0 and will be summarized within and across dose levels using descriptive statistics. The overall number and percentage of patients experiencing adverse events (AEs) and toxicities will be summarized and reported as across all event types, non-hematologic AEs, hematologic AEs, and for each type. Specific focus will be in summarizing any neuropathy-related AEs by dose level and how this corresponds to our measures of OATP1B1 inhibition. All patients who have received at least one dose of the therapeutic agents will be evaluable for toxicity and tolerability.

Outcome measures

Outcome measures
Measure
Dose Level 1 (100mg Nilotinib)
n=5 Participants
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Dose Level 2 (200mg Nilotinib)
n=3 Participants
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Dose Level 3 (300mg Nilotinib)
n=2 Participants
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Number of Adverse Events (Phase Ib)
Sleep apnea
0 Number of Events
0 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Vomiting
0 Number of Events
0 Number of Events
4 Number of Events
Number of Adverse Events (Phase Ib)
Anemia
10 Number of Events
2 Number of Events
2 Number of Events
Number of Adverse Events (Phase Ib)
Localized edema
3 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Otitis externa
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Anorexia
4 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Bone pain
1 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Insomnia
1 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Neuralgia
0 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Dry skin
0 Number of Events
1 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Pruritus
0 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Abdominal pain
0 Number of Events
0 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Breast infection
0 Number of Events
0 Number of Events
2 Number of Events
Number of Adverse Events (Phase Ib)
Muscle cramp
0 Number of Events
0 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Peripheral sensory neuropathy
5 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Tinnitus
0 Number of Events
0 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Aspartate aminotransferase increased Aspartate aminotransferase increased
0 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Lymphocyte count decreased
2 Number of Events
1 Number of Events
3 Number of Events
Number of Adverse Events (Phase Ib)
Neutrophil count decreased
5 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
White blood cell decreased
4 Number of Events
0 Number of Events
2 Number of Events
Number of Adverse Events (Phase Ib)
Hyperglycemia
3 Number of Events
3 Number of Events
2 Number of Events
Number of Adverse Events (Phase Ib)
Hyperphosphatemia
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Arthralgia
1 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Watering eyes
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Constipation
1 Number of Events
1 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Diarrhea
4 Number of Events
0 Number of Events
4 Number of Events
Number of Adverse Events (Phase Ib)
Weight loss
0 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Musculoskeletal and connective tissue disorder - Other, specify
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Myalgia
3 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Dysgeusia
2 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Headache
4 Number of Events
1 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Nervous system disorders - Other, specify
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Paresthesia
1 Number of Events
1 Number of Events
4 Number of Events
Number of Adverse Events (Phase Ib)
Anxiety
1 Number of Events
1 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Depression
3 Number of Events
1 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Allergic rhinitis
4 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Dyspnea
2 Number of Events
1 Number of Events
3 Number of Events
Number of Adverse Events (Phase Ib)
Alopecia
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Bullous dermatitis
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Nail changes
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Pain of skin
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Palmar-plantar erythrodysesthesia syndrome
2 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Rash maculo-papular
1 Number of Events
0 Number of Events
3 Number of Events
Number of Adverse Events (Phase Ib)
Skin and subcutaneous tissue disorders - Other, specify
5 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Flushing
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Hot flashes
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Hypertension
1 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Cardiac disorders - Other, specify
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Ear and labyrinth disorders - Other, specify
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Dry mouth
0 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Blurred vision
1 Number of Events
0 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Alanine aminotransferase increased
0 Number of Events
1 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Eye pain
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Gastroesophageal reflux disease
2 Number of Events
1 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Gastrointestinal disorders - Other, specify
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Mucositis oral
4 Number of Events
1 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Hypokalemia
0 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Nausea
3 Number of Events
2 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Edema limbs
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Fatigue
4 Number of Events
2 Number of Events
3 Number of Events
Number of Adverse Events (Phase Ib)
Pain
1 Number of Events
2 Number of Events
4 Number of Events
Number of Adverse Events (Phase Ib)
Dizziness
0 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Mucosal infection
2 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Injury, poisoning and procedural complications - Other, specify
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Alkaline phosphatase increased
1 Number of Events
0 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Peripheral motor neuropathy
0 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Dysuria
0 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Skin hyperpigmentation
0 Number of Events
1 Number of Events
0 Number of Events
Number of Adverse Events (Phase Ib)
Platelet count decreased
0 Number of Events
0 Number of Events
2 Number of Events
Number of Adverse Events (Phase Ib)
Back pain
0 Number of Events
0 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Joint range of motion decreased
0 Number of Events
0 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Scoliosis
0 Number of Events
0 Number of Events
1 Number of Events
Number of Adverse Events (Phase Ib)
Extrapyramidal disorder
0 Number of Events
0 Number of Events
1 Number of Events

PRIMARY outcome

Timeframe: Up to 6 weeks

Population: The 6 participants who completed study treatment were evaluated for this outcome.

The RP2D will be derived from an adaptive Bayesian method for dose-finding based on trade-offs between the probabilities of treatment efficacy and toxicity. In this design, treatment efficacy is defined as significant inhibition of OATP1B1 activity by nilotinib, without causing changes in the pharmacokinetic profiles of paclitaxel. Efficacy in this setting will be OATP1B1 inhibition as defined by a \>= 5-fold increase in the area under the curve (AUC) of GCDCA-S from pre- to post-treatment and/or detectable CDCA-24G levels post-treatment.

Outcome measures

Outcome measures
Measure
Dose Level 1 (100mg Nilotinib)
n=6 Participants
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Dose Level 2 (200mg Nilotinib)
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Dose Level 3 (300mg Nilotinib)
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Recommended Phase II Dose (RP2D) of Nilotinib in Combination With Paclitaxel (Phase Ib)
NA milligrams
A recommended phase 2 dose was not determined as none of the dose level cohorts reached the efficacy threshold.

OTHER_PRE_SPECIFIED outcome

Timeframe: : Pre-dose, prior to starting paclitaxel (day 1, day 8), prior to starting nilotinib (day 8 only), immediately prior to end of paclitaxel, after paclitaxel on days 1 and 8 and pre-dose, after nilotinib on day 7.

Will explore PK endpoints Area under the plasma concentration versus time curve (AUC)

Outcome measures

Outcome data not reported

Adverse Events

Dose Level 1

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Dose Level 2

Serious events: 2 serious events
Other events: 3 other events
Deaths: 0 deaths

Dose Level 3

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dose Level 1
n=5 participants at risk
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Dose Level 2
n=3 participants at risk
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Dose Level 3
n=2 participants at risk
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
General disorders
Fatigue
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Investigations
Lymphocyte count decreased
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks

Other adverse events

Other adverse events
Measure
Dose Level 1
n=5 participants at risk
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Dose Level 2
n=3 participants at risk
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Dose Level 3
n=2 participants at risk
Patients receive paclitaxel IV on days 1, 8, and 15. Patients also receive nilotinib hydrochloride monohydrate PO on days 7, 8, 14, and 15 of cycle 1 and days -1, 1, 7, 8, 14, and 15 of cycle 2. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. Nilotinib: Given PO Nilotinib Hydrochloride Monohydrate: Given PO on cycle 1 Days 7, 14, 15 once a day 24 hours prior to the paclitaxel infusion and again 30 minutes prior to the paclitaxel infusion on days 8, 15. Paclitaxel: Given IV weekly on days 1, 8, 15, of every 21 days, at a starting dose of 80mg/m2 Questionnaire Administration: Ancillary studies
Musculoskeletal and connective tissue disorders
Scoliosis
0.00%
0/5 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Nervous system disorders
Extrapyramidal disorder
0.00%
0/5 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Respiratory, thoracic and mediastinal disorders
Sleep apnea
0.00%
0/5 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Blood and lymphatic system disorders
Anemia
40.0%
2/5 • Number of events 10 • Up to 6 weeks
33.3%
1/3 • Number of events 2 • Up to 6 weeks
100.0%
2/2 • Number of events 2 • Up to 6 weeks
Cardiac disorders
Cardiac disorders - Other, specify
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Ear and labyrinth disorders
Ear and labyrinth disorders - Other, specify
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Eye disorders
Blurred vision
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Eye disorders
Eye pain
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Eye disorders
Watering eyes
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Gastrointestinal disorders
Constipation
20.0%
1/5 • Number of events 1 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Gastrointestinal disorders
Diarrhea
40.0%
2/5 • Number of events 4 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
100.0%
2/2 • Number of events 4 • Up to 6 weeks
Gastrointestinal disorders
Gastroesophageal reflux disease
20.0%
1/5 • Number of events 2 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Gastrointestinal disorders
Mucositis oral
60.0%
3/5 • Number of events 4 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Gastrointestinal disorders
Nausea
60.0%
3/5 • Number of events 3 • Up to 6 weeks
66.7%
2/3 • Number of events 2 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
General disorders
Edema limbs
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
General disorders
Fatigue
60.0%
3/5 • Number of events 4 • Up to 6 weeks
66.7%
2/3 • Number of events 2 • Up to 6 weeks
100.0%
2/2 • Number of events 3 • Up to 6 weeks
General disorders
Localized edema
40.0%
2/5 • Number of events 3 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
General disorders
Pain
20.0%
1/5 • Number of events 1 • Up to 6 weeks
66.7%
2/3 • Number of events 2 • Up to 6 weeks
100.0%
2/2 • Number of events 4 • Up to 6 weeks
Infections and infestations
Mucosal infection
20.0%
1/5 • Number of events 2 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Infections and infestations
Otitis externa
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications - Other, specify
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Investigations
Alkaline phosphatase increased
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Investigations
Lymphocyte count decreased
20.0%
1/5 • Number of events 2 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
100.0%
2/2 • Number of events 3 • Up to 6 weeks
Investigations
Neutrophil count decreased
20.0%
1/5 • Number of events 5 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Investigations
White blood cell decreased
20.0%
1/5 • Number of events 4 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
100.0%
2/2 • Number of events 2 • Up to 6 weeks
Metabolism and nutrition disorders
Anorexia
20.0%
1/5 • Number of events 4 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Metabolism and nutrition disorders
Hyperglycemia
20.0%
1/5 • Number of events 3 • Up to 6 weeks
66.7%
2/3 • Number of events 3 • Up to 6 weeks
100.0%
2/2 • Number of events 2 • Up to 6 weeks
Metabolism and nutrition disorders
Hyperphosphatemia
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
20.0%
1/5 • Number of events 1 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Musculoskeletal and connective tissue disorders
Bone pain
20.0%
1/5 • Number of events 1 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Metabolism and nutrition disorders
Musculoskeletal and connective tissue disorder - Other, specify
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Musculoskeletal and connective tissue disorders
Myalgia
40.0%
2/5 • Number of events 3 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Nervous system disorders
Dysgeusia
20.0%
1/5 • Number of events 2 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Nervous system disorders
Headache
40.0%
2/5 • Number of events 4 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Nervous system disorders
Nervous system disorders - Other, specify
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Nervous system disorders
Paresthesia
20.0%
1/5 • Number of events 1 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
50.0%
1/2 • Number of events 4 • Up to 6 weeks
Nervous system disorders
Peripheral sensory neuropathy
80.0%
4/5 • Number of events 5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Psychiatric disorders
Anxiety
20.0%
1/5 • Number of events 1 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Psychiatric disorders
Depression
40.0%
2/5 • Number of events 3 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Psychiatric disorders
Insomnia
20.0%
1/5 • Number of events 1 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
20.0%
1/5 • Number of events 4 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnea
40.0%
2/5 • Number of events 2 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
100.0%
2/2 • Number of events 3 • Up to 6 weeks
Skin and subcutaneous tissue disorders
Alopecia
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Skin and subcutaneous tissue disorders
Bullous dermatitis
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Skin and subcutaneous tissue disorders
Nail changes
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Skin and subcutaneous tissue disorders
Pain of skin
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Skin and subcutaneous tissue disorders
Palmar-plantar erythrodysesthesia syndrome
20.0%
1/5 • Number of events 2 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Skin and subcutaneous tissue disorders
Rash maculo-papular
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
100.0%
2/2 • Number of events 3 • Up to 6 weeks
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
40.0%
2/5 • Number of events 5 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Vascular disorders
Flushing
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Vascular disorders
Hot flashes
20.0%
1/5 • Number of events 1 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Vascular disorders
Hypertension
20.0%
1/5 • Number of events 1 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Gastrointestinal disorders
Dry mouth
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Investigations
Alanine aminotransferase increased
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Investigations
Aspartate aminotransferase increased
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Investigations
Weight loss
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Metabolism and nutrition disorders
Hypokalemia
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Nervous system disorders
Dizziness
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Nervous system disorders
Neuralgia
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Nervous system disorders
Peripheral motor neuropathy
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Renal and urinary disorders
Dysuria
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
0.00%
0/5 • Up to 6 weeks
33.3%
1/3 • Number of events 1 • Up to 6 weeks
0.00%
0/2 • Up to 6 weeks
Ear and labyrinth disorders
Tinnitus
0.00%
0/5 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Gastrointestinal disorders
Abdominal pain
0.00%
0/5 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Gastrointestinal disorders
Vomiting
0.00%
0/5 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
50.0%
1/2 • Number of events 4 • Up to 6 weeks
Infections and infestations
Breast infection
0.00%
0/5 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
50.0%
1/2 • Number of events 2 • Up to 6 weeks
Investigations
Platelet count decreased
0.00%
0/5 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
50.0%
1/2 • Number of events 2 • Up to 6 weeks
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/5 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Musculoskeletal and connective tissue disorders
Joint range of motion decreased
0.00%
0/5 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks
Musculoskeletal and connective tissue disorders
Muscle cramp
0.00%
0/5 • Up to 6 weeks
0.00%
0/3 • Up to 6 weeks
50.0%
1/2 • Number of events 1 • Up to 6 weeks

Additional Information

Dr. Nicole Williams

The Ohio State University Comprehensive Cancer Center

Phone: (614) 293-0066

Results disclosure agreements

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