Mesothelioma Related Clinical Trials:
Open Label, Dose Escalation Trial of Oral PXD101 in Patients With Advanced Solid Tumors

   

Status: Recruiting
Sponsors and Collaborators: CuraGen Corporation; TopoTarget A/S
Information provided by: CuraGen Corporation
Government Identifier: NCT00413075

Condition: Solid Tumor; Lymphoma
Intervention: Drug: belinostat


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Purpose:


This is a Phase I dose escalation study of PXD101 administered orally. Oral belinostat will be given once or twice daily at various dosing schedules to patients with solid tumors. Doses will be escalated until the maximum tolerated dose (MTD) is identified. In parallel, a cohort of lymphoma patients will be given oral belinostat on a discontinuous once daily dosing schedule.
Study Type: Interventional
Study Design: Treatment, Open Label, Single Group Assignment, Safety Study
Official Title: Open Label, Dose Escalation Trial of Oral PXD101 in Patients With Advanced Solid Tumors

Further study details as provided by CuraGen Corporation:

Primary Outcome Measures:
  • Safety, tolerability and maximum tolerated dose of orally administered PXD101 for each cohort [ Time Frame: throughout the study ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Determine the pharmacokinetics of oral PXD101 when dosed once or twice daily at various dose levels [ Time Frame: throughout the study ] [ Designated as safety issue: No ]
  • Explore anti-tumor activity [ Time Frame: throughout the study ] [ Designated as safety issue: No ]
  • Determine the safety, tolerability, and anti-tumor activity of orally administered PXD101 to patients with lymphoma [ Time Frame: throughout the trial ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 100
Study Start Date: July 2006
Estimated Primary Completion Date: July 2008 (Final data collection date for primary outcome measure)

Intervention Details:
    Drug: belinostat
    oral belinostat dosed once or twice daily at continuous and discontinuous dosing schedules.

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Eligibility:

Ages Eligible for Study: 18 Years and older
Genders Eligible for Study: Both
Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria:

  • Age ≥ 18 years
  • Solid tumor: Histologically confirmed solid tumors.
  • Lymphoma: relapsed or refractory B-cell or T-cell lymphoma or Hodgkins disease
  • At least one evaluable lesion. Lesions must be evaluated by computed tomography (CT), magnetic resonance imaging (MRI), or bone scan. Patients with prostate cancer, bone disease and rising prostate-specific antigen [PSA] but no other evaluable disease are eligible and will be evaluated based on PSA.
  • Progressive disease: Progressive disease will be defined as new or progressive lesions on CT-scan, MRI, bone scan or by rising PSA
  • ≥ 4 weeks since prior radiation therapy or chemotherapy
  • Karnofsky performance ≥ 60%
  • Acceptable liver, renal and bone marrow function to include:
    • absolute neutrophil count ≥ 1.5 x 10^9/L
    • hemoglobin ≥ 9.0 g/dl
    • platelets ≥ 100 x 10^9/L
    • bilirubin ≤ 1.5 x upper limit of normal (ULN)
    • AST and ALT ≤ 3.0 x ULN (≤ 5.0 x ULN is acceptable if liver has tumor involvement)
    • serum creatinine ≤ 1.5 x ULN
    • PT-INR/PTT ≤ 1.5 x ULN, or for patients on anticoagulation therapy, status within therapeutic range
  • Serum potassium within normal range
  • Estimated life expectancy of greater than 3 months
  • Signed informed consent prior to any study specific procedures

Exclusion Criteria:

  • Prior treatment with PXD101
  • Within 4 weeks of enrollment:
    • major surgery
    • metastatic disease requiring palliative treatment
    • Anticancer therapy, including:
      • chemotherapy
      • radiotherapy
      • endocrine therapy
      • immunotherapy
      • other investigational agents (6 weeks for mitomycin or nitrosourea)
  • Serious concomitant systemic disorders (eg, active infection) compromising patient safety.
  • Symptomatic brain metastases
  • Significant cardiovascular disease, including:
    • unstable angina pectoris
    • uncontrolled hypertension
    • congestive heart failure (New York Heart Association [NYHA] Class III or IV) related to primary cardiac disease, a condition requiring anti-arrhythmic therapy
    • ischemic or severe valvular heart disease
    • myocardial infarction within 6 months prior to the trial entry
  • A marked baseline prolongation of QT/QTc interval, such as:
    • repeated demonstration of a QTc interval > 500 msec
    • Long QT syndrome
    • required use of concomitant medication on dosing days that may cause torsade de pointes
  • Altered mental status precluding understanding of the informed consent process and/or completion of the study
  • Pregnant or breast-feeding women
  • Refusal or inability to use effective means of contraception (for men and women of childbearing potential)
  • History of, or test positive for, HIV.

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Contacts and Locations:

Please refer to this study by its ClinicalTrials.gov identifier: NCT00413075

Contacts
Contact: CuraGen Clinical Trial Call Center 877-462-4363 info@curagen.com
Locations
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United States, Connecticut
Yale New Haven Hospital Recruiting
New Haven, Connecticut, United States, 06520
Contact: Call For Information 877-462-4363 info@curagen.com
Principal Investigator: Kevin Kelly, D.O.
United States, New York
Columbia University - Herbert Irving Cancer Center Recruiting
New York, New York, United States, 01132
Contact: Call For Information 877-462-4363 info@curagen.com
Principal Investigator: Dan Petrylak, M.D.
United States, Texas
M.D. Anderson Cancer Center Recruiting
Houston, Texas, United States, 77230-1402
Contact: Call For Information 877-462-4363 info@curagen.com
Principal Investigator: George Blumenschein, Jr, M.D.
Denmark
Research Facility Recruiting
Copenhagen, Denmark
Contact: Call For Information 877-462-4363 info@curagen.com
United Kingdom, Surrey
Research Facility Recruiting
London, Surrey, United Kingdom, SW3 6JJ
Contact: Call For Information 877-462-4363 info@curagen.com

Sponsors and Collaborators
CuraGen Corporation
TopoTarget A/S

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Additional Information:

Responsible Party:   CuraGen Corporation ( Vice President, Regulatory Affairs and Quality Assurance )
Study ID Numbers:   PXD101-CLN-9
First Received:   December 18, 2006
Last Updated:   January 29, 2008
ClinicalTrials.gov Identifier:   NCT00413075
Health Authority:   United States: Food and Drug Administration;   United Kingdom: Medicines and Healthcare Products Regulatory Agency;   Denmark: Danish Medicines Agency

Keywords provided by CuraGen Corporation:
mesothelioma  
mesothelioma, cystic  
Solid tumors  
Adenosarcoma  
B-cell lymphoma  
belinostat  
bladder cancer  
Breast cancer  
Carcinoma, Non-Small-Cell Lung  
Carcinoma, Small Cell  
Chondrosarcoma
colorectal cancer
Esophageal Neoplasms
Fibrosarcoma
head and neck cancer
Hemangiosarcoma
Hodgkins Disease
kidney cancer
Leiomyosarcoma
Liposarcoma

Study placed in the following topic categories:
Fibrosarcoma
Hodgkin's disease
Otorhinolaryngologic Neoplasms
Leiomyosarcoma
Hodgkin lymphoma, adult
Esophageal Neoplasms
Malignant mesenchymal tumor
Kidney cancer
Osteogenic sarcoma
Soft tissue sarcomas
Lymphoma, B-Cell
Lymphoma, T-Cell
Chondrosarcoma
Esophageal neoplasm
Hodgkin Disease
Lymphoma
Bladder neoplasm
Ovarian cancer
Ovarian Neoplasms
Immunoproliferative Disorders

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