Advanced Solid Malignancies
Conditions
Keywords
Phase I, Adults, HSP990, Advanced Solid Tumors, Hsp90 inhibitor, Cancer
Brief summary
This study will study the safety, tolerability and metabolism of a drug called HSP990 when given by mouth once a week or twice weekly to subjects with advanced solid tumors.
Interventions
DRUGHSP990
Sponsors
Novartis Pharmaceuticals
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Patients with histologically confirmed, advanced malignant solid tumors whose disease has progressed on standard therapy or for whom no standard therapy exists 2. All patients must have at least one measurable lesion as defined by RECIST. Irradiated lesions are only evaluable for disease progression 3. All patients must have documented progressive disease before entering the study 4. Age ≥ 18 years 5. World Health Organization (WHO) Performance Status ≤ 2 6. Life expectancy of ≥ 12 weeks 7. Patients must have the certain laboratory values 8. Patients able and willing to swallow capsules 9. Ability to understand the patient information and informed consent form and comply with the protocol 10. Signed and dated written informed consent is available 11. Only for patients enrolled at MTD: willing to provide a fresh pre-dose and post-dose tumor biopsy.
Exclusion criteria
1. Patients with present or history of CNS metastasis. 2. Prior treatment with any Hsp90 or HDAC inhibitor compound. 3. Patients who have not recovered from side effects of previous systemic anticancer therapy to \< CTCAE Grade 2 prior to the first dose 4. Patients identified to be poor or intermediate CYP2C9 metabolizers 5. Patients who received systemic anti-cancer treatment prior to the first dose of HSP990 within the following time frames: * Patients who have received cyclical chemotherapy within a period of time that is shorter than the cycle length used for that treatment (e.g., 6 weeks for nitrosourea, mitomycin-C) prior to starting study drug or who have not recovered from the side effects of such therapy * Patients who have received biologic therapy (e.g., antibodies) within a period of time that is ≤ 4 weeks prior to starting study drug or who have not recovered from the side effects of such therapy * Patients who have been treated with a continuous or intermittent small molecule therapeutic within a period of time that is ≤ 5 t1/2 or ≤ 4 weeks (whichever is shorter) prior to starting study drug or who have not recovered from the side effects of such therapy * Patients who have received any other investigational agents within a period of time that is ≤ 5 t1/2 or less than the cycle length used for that treatment or ≤ 4 weeks (whichever is shorter) prior to starting study drug or who have not recovered from the side effects of such therapy * Patients who have received wide field radiotherapy (including therapeutic radioisotopes such as strontium 89) ≤ 4 weeks or limited field radiation for palliation ≤ 2 weeks prior to starting study drug or who have not recovered from side effects of such therapy. * Patients who have undergone major surgery ≤ 2 weeks prior to starting study drug or who have not recovered from side effects of such therapy 6. Treatment with therapeutic doses of sodium warfarin (Coumadin). 7. Patients using medications that are CYP2C9 inhibitors and/or medications known to have QT prolongation effect and cannot be switched or discontinued to an alternative drug prior to commencing HSP990 dosing. 8. Unresolved diarrhea ≥ CTCAE grade 2 9. Patients who do not have either an archival tumor sample available or readily obtainable in the course of the study or are unwilling to have a fresh tumor sample collected at baseline. 10. Pregnant or lactating women. 11. Fertile women of childbearing potential (WCBP) not using adequate contraception (abstinence, oral contraceptives, intrauterine device or barrier method of contraception in conjunction with spermicidal jelly or surgically sterile). Male patients whose partners are WCBP, not using adequate contraception. 12. Acute or chronic liver disease. 13. Acute or chronic renal disease. 14. Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of HSP990 15. Other concurrent severe and/or uncontrolled medical conditions (e.g., uncontrolled diabetes, active or uncontrolled infection) that could cause unacceptable safety risks or compromise compliance with the protocol. 16. Known diagnosis of HIV infection (HIV testing is not mandatory). 17. Patients with a history of another primary malignancy that is currently clinically significant or currently requires active intervention 18. Cardiac
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximum Tolerated Dose of HSP990 in patients treated once weekly or twice weekly | At the end of the dose escalation phase of the study |
Secondary
| Measure | Time frame |
|---|---|
| True DLT rate | At the end of the 1st 4 weeks of treatment |
| Preliminary Efficacy | Every 2 months (or 8 weeks, which equals 2 treatment cycles) |
| Drug metabolism in Humans, PK, PD | every 4 weeks |
Countries
Canada, France, Spain
Outcome results
None listed