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This Is The First Study Using Escalating Doses Of PF-03758309, An Oral Compound, In Patients With Advanced Solid Tumors

Phase 1, Open Label, Dose-Escalation, Safety, Pharmacokinetic And Pharmacodynamic Study Of Single Agent PF-03758309, An Oral PAK4 Inhibitor, In Patients With Advanced Solid Tumors

Status
Terminated
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00932126
Enrollment
35
Registered
2009-07-03
Start date
2009-09-30
Completion date
2011-12-31
Last updated
2015-10-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Advanced Solid Tumors

Keywords

Phase 1 dose escalation dose finding pharmacokinetic and pharmacodynamic study

Brief summary

This is the first study using PF-03758309, an oral compound, in patients with advanced solid tumors. In this study different doses of PF-03758309 will be administered to different groups of patients. The study will assess the compound's safety, the blood levels of PF-03758309 during the treatment and the effect of the compound on the tumor cells.

Detailed description

The study was prematurely terminated on 26Jul2011 due to the undesirable PK characteristics of PF-03758309 and the lack of an observed dose-response relationship. There were no safety concerns that contributed to the study termination.

Interventions

DRUGPF-03758309

Oral PF-03758309 will be administered in capsules (once or twice daily) until toxicity, progressive disease, or patient refusal to continue on therapy. The starting dose is 1 mg once daily.

Sponsors

Pfizer
Lead SponsorINDUSTRY

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

* Advanced/metastatic solid tumor that is resistant to standard therapy or for which no standard therapy is available. * ECOG (Eastern Cooperative Oncology Group) Performance Status (PS) must be 0 or 1. * Adequate bone marrow, liver and kidney function.

Exclusion criteria

* Patients with known brain metastases. * Previous high dose chemotherapy requiring stem cell rescue. * Prior irradiation to \>25% of the bone marrow. * Active bacterial, fungal or viral infection including hepatitis B (HBV), hepatitis C (HCV). * Current active treatment in another clinical study. * Pregnancy or breast feeding. * Active inflammatory gastrointestinal disease, chronic diarrhea (unless related to underlying malignancy or prior related treatment) or history of abdominal fistula, gastrointestinal perforation, peptic ulcer disease, or intra-abdominal abscess within 6 months prior to study enrollment.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Cycle 1 Dose-limiting Toxicities (DLT)Baseline (up to 30 days prior to first study drug administration) till 28 days after the last treatment administration (end of Cycle 1 [28 days])DLT includes: Grade (GR) 4 neutropenia (NP) that persisted for \>7 consecutive days; Febrile NP; GR3 NP infection; GR4 thrombocytopenia (TP); GR3 TP with bleeding; Any other GR\>=3 toxicity not classified under Common Terminology Criteria for Adverse Events (CTCAE) blood or bone marrow (exception of nausea, vomiting, or diarrhea in subjects who received optimal treatment with antiemetics or anti-diarrheals); Failure to recover to an adequate condition to recommence study treatment after a 2-week delay; Failure to receive \>= 80% of planned PF-03758309 dose due to study drug related toxicity

Secondary

MeasureTime frameDescription
Time to Tumor Progression (TTP)Baseline until the date of first documented progression or discontinuation from the study due to any cause, assessed every 2 months until when the last participant was discontinued due to disease progression in Month 27 of the studyTime in weeks from start of study treatment to first documentation of objective tumor progression or death due to cancer, whichever comes first. TTP was calculated as (first event date minus the date of first dose of study medication plus 1) divided by 7. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease \[PD\])
Duration of ResponseBaseline until the date of first documented progression or discontinuation from the study due to any cause, assessed every 2 months until when the last participant was discontinued due to disease progression in Month 27 of the studyTime in weeks from the first documentation of objective tumor response to objective tumor progression or death due to any cancer. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 7. DR was calculated for the subgroup of participants with a confirmed objective tumor response.
Maximum Observed Plasma Concentration (Cmax)predose, 0.5, 1, 2, 3, 5, 8, 10, 24 and 48 hours post dose, on Cycle 1 Day 8 and Cycle 2-4 Day 1 at pre-dose and 2 hours post morning dose, and on Cycle 1 Day 15 at predose, 0.5, 1, 2, 3, 5, 8 and 10 hours post morning dose
Time to Reach Maximum Observed Plasma Concentration (Tmax)predose, 0.5, 1, 2, 3, 5, 8, 10, 24 and 48 hours post dose, on Cycle 1 Day 8 and Cycle 2-4 Day 1 at pre-dose and 2 hours post morning dose, and on Cycle 1 Day 15 at predose, 0.5, 1, 2, 3, 5, 8 and 10 hours post morning dose
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)predose, 0.5, 1, 2, 3, 5, 8, 10, 24 and 48 hours post dose, on Cycle 1 Day 8 and Cycle 2-4 Day 1 at pre-dose and 2 hours post morning dose, and on Cycle 1 Day 15 at predose, 0.5, 1, 2, 3, 5, 8 and 10 hours post morning doseArea under the plasma concentration time-curve from zero to the last measured concentration (AUClast)
Number of Participants With Objective ResponseBaseline until the date of first documented progression or discontinuation from the study due to any cause, assessed every 2 months until when the last participant was discontinued due to disease progression in Month 27 of the studyNumber of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST. Confirmed CR defined as disappearance of all target lesions. Confirmed PR defined as ≥30% decrease in sum of the longest dimensions (LD) of the target lesions taking as a reference the baseline sum LD according to RECIST. Confirmed responses are those that persist on repeat imaging study ≥4 weeks after initial documentation of response.
Minimum Observed Plasma Trough Concentration (Cmin)predose, 0.5, 1, 2, 3, 5, 8, 10, 24 and 48 hours post dose, and on Cycle 1 Day 15 at predose, 0.5, 1, 2, 3, 5, 8 and 10 hours post morning dose
Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau)predose, 0.5, 1, 2, 3, 5, 8, 10, 24 and 48 hours post dose, and on Cycle 1 Day 15 at predose, 0.5, 1, 2, 3, 5, 8 and 10 hours post morning dose
PAK (p21 Activated Kinase)-Related Pathway Molecule Expression Modulation by PF-03758309 in Tumor and Surrogate TissueScreening, 0, 2, 4, and 72 hours post dose Cycle 2 Day 8. A 6th sample of hair follicle could be requested at 6 or 8 hours post-dose if necessary. For fresh tumor tissue, baseline and between Day 8 and 22 of Cycle 1 in participants with accessible tumors
Baseline Tumor Expression of PAK-related Pathway Molecules and Other Known BiomarkersBaseline
Area Under the Concentration-Time Curve From Time 0 to 12 Hours Post Morning Dose [AUC(0-12)]pre-dose and 12 hours post morning dose

Countries

Australia, United States

Participant flow

Participants by arm

ArmCount
PF-03758309
Participants who received: 1 mg QD, 1 mg BID, 2 mg BID, 10 mg BID, 20 mg BID, 40 mg BID, 50 mg BID and 60 mg BID
35
Total35

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007
Overall StudyAdverse Event00000012
Overall StudyObjective progression or relapse33233335
Overall StudyOther00001012
Overall StudyProtocol Violation00001000
Overall StudyWithdrawal by Subject00100001

Baseline characteristics

CharacteristicPF-03758309
Age, Customized
18 - 44 years
6 participants
Age, Customized
<18 years
0 participants
Age, Customized
45 - 64 years
15 participants
Age, Customized
>=65 years
14 participants
Sex: Female, Male
Female
17 Participants
Sex: Female, Male
Male
18 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
3 / 33 / 33 / 33 / 35 / 53 / 35 / 510 / 10
serious
Total, serious adverse events
0 / 30 / 30 / 30 / 31 / 50 / 31 / 52 / 10

Outcome results

Primary

Number of Participants With Cycle 1 Dose-limiting Toxicities (DLT)

DLT includes: Grade (GR) 4 neutropenia (NP) that persisted for \>7 consecutive days; Febrile NP; GR3 NP infection; GR4 thrombocytopenia (TP); GR3 TP with bleeding; Any other GR\>=3 toxicity not classified under Common Terminology Criteria for Adverse Events (CTCAE) blood or bone marrow (exception of nausea, vomiting, or diarrhea in subjects who received optimal treatment with antiemetics or anti-diarrheals); Failure to recover to an adequate condition to recommence study treatment after a 2-week delay; Failure to receive \>= 80% of planned PF-03758309 dose due to study drug related toxicity

Time frame: Baseline (up to 30 days prior to first study drug administration) till 28 days after the last treatment administration (end of Cycle 1 [28 days])

Population: Safety analysis set: All participants enrolled in the study that received at least 1 dose of PF-03758309 (including the lead in dose).

ArmMeasureValue (NUMBER)
PF-03758309, 1 mg QDNumber of Participants With Cycle 1 Dose-limiting Toxicities (DLT)0 participants
PF-03758309, 1 mg BIDNumber of Participants With Cycle 1 Dose-limiting Toxicities (DLT)0 participants
PF-03758309, 2 mg BIDNumber of Participants With Cycle 1 Dose-limiting Toxicities (DLT)0 participants
PF-03758309, 10 mg BIDNumber of Participants With Cycle 1 Dose-limiting Toxicities (DLT)0 participants
PF-03758309, 20 mg BIDNumber of Participants With Cycle 1 Dose-limiting Toxicities (DLT)0 participants
PF-03758309, 40 mg BIDNumber of Participants With Cycle 1 Dose-limiting Toxicities (DLT)0 participants
PF-03758309, 50 mg BIDNumber of Participants With Cycle 1 Dose-limiting Toxicities (DLT)1 participants
PF-03758309, 60 mg BIDNumber of Participants With Cycle 1 Dose-limiting Toxicities (DLT)2 participants
Secondary

Area Under the Concentration-Time Curve From Time 0 to 12 Hours Post Morning Dose [AUC(0-12)]

Time frame: pre-dose and 12 hours post morning dose

Population: Data not analyzed due to early termination of the study.

Secondary

Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau)

Time frame: predose, 0.5, 1, 2, 3, 5, 8, 10, 24 and 48 hours post dose, and on Cycle 1 Day 15 at predose, 0.5, 1, 2, 3, 5, 8 and 10 hours post morning dose

Population: Data not analyzed due to early termination of the study.

Secondary

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)

Time frame: predose, 0.5, 1, 2, 3, 5, 8, 10, 24 and 48 hours post dose, on Cycle 1 Day 8 and Cycle 2-4 Day 1 at pre-dose and 2 hours post morning dose, and on Cycle 1 Day 15 at predose, 0.5, 1, 2, 3, 5, 8 and 10 hours post morning dose

Population: Data not analyzed due to early termination of the study.

Secondary

Baseline Tumor Expression of PAK-related Pathway Molecules and Other Known Biomarkers

Time frame: Baseline

Population: Data not analyzed due to early study termination.

Secondary

Duration of Response

Time in weeks from the first documentation of objective tumor response to objective tumor progression or death due to any cancer. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 7. DR was calculated for the subgroup of participants with a confirmed objective tumor response.

Time frame: Baseline until the date of first documented progression or discontinuation from the study due to any cause, assessed every 2 months until when the last participant was discontinued due to disease progression in Month 27 of the study

Population: Data not analyzed due to early termination of the study.

Secondary

Maximum Observed Plasma Concentration (Cmax)

Time frame: predose, 0.5, 1, 2, 3, 5, 8, 10, 24 and 48 hours post dose, on Cycle 1 Day 8 and Cycle 2-4 Day 1 at pre-dose and 2 hours post morning dose, and on Cycle 1 Day 15 at predose, 0.5, 1, 2, 3, 5, 8 and 10 hours post morning dose

Population: Data not analyzed due to early termination of the study.

Secondary

Minimum Observed Plasma Trough Concentration (Cmin)

Time frame: predose, 0.5, 1, 2, 3, 5, 8, 10, 24 and 48 hours post dose, and on Cycle 1 Day 15 at predose, 0.5, 1, 2, 3, 5, 8 and 10 hours post morning dose

Population: Data not analyzed due to early termination of the study.

Secondary

Number of Participants With Objective Response

Number of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST. Confirmed CR defined as disappearance of all target lesions. Confirmed PR defined as ≥30% decrease in sum of the longest dimensions (LD) of the target lesions taking as a reference the baseline sum LD according to RECIST. Confirmed responses are those that persist on repeat imaging study ≥4 weeks after initial documentation of response.

Time frame: Baseline until the date of first documented progression or discontinuation from the study due to any cause, assessed every 2 months until when the last participant was discontinued due to disease progression in Month 27 of the study

Population: Per protocol analysis set: all participants who have received a minimum of 1 cycle of study treatment (at least 80% of planned dose), had baseline assessments and at least 1 on-study tumor assessment were considered evaluable for response.

ArmMeasureGroupValue (NUMBER)
PF-03758309, 1 mg QDNumber of Participants With Objective Responseconfirmed complete response (CR)0 participants
PF-03758309, 1 mg QDNumber of Participants With Objective Responseconfirmed partial response (PR)0 participants
PF-03758309, 1 mg BIDNumber of Participants With Objective Responseconfirmed complete response (CR)0 participants
PF-03758309, 1 mg BIDNumber of Participants With Objective Responseconfirmed partial response (PR)0 participants
PF-03758309, 2 mg BIDNumber of Participants With Objective Responseconfirmed complete response (CR)0 participants
PF-03758309, 2 mg BIDNumber of Participants With Objective Responseconfirmed partial response (PR)0 participants
PF-03758309, 10 mg BIDNumber of Participants With Objective Responseconfirmed complete response (CR)0 participants
PF-03758309, 10 mg BIDNumber of Participants With Objective Responseconfirmed partial response (PR)0 participants
PF-03758309, 20 mg BIDNumber of Participants With Objective Responseconfirmed complete response (CR)0 participants
PF-03758309, 20 mg BIDNumber of Participants With Objective Responseconfirmed partial response (PR)0 participants
PF-03758309, 40 mg BIDNumber of Participants With Objective Responseconfirmed complete response (CR)0 participants
PF-03758309, 40 mg BIDNumber of Participants With Objective Responseconfirmed partial response (PR)0 participants
PF-03758309, 50 mg BIDNumber of Participants With Objective Responseconfirmed partial response (PR)0 participants
PF-03758309, 50 mg BIDNumber of Participants With Objective Responseconfirmed complete response (CR)0 participants
PF-03758309, 60 mg BIDNumber of Participants With Objective Responseconfirmed complete response (CR)0 participants
PF-03758309, 60 mg BIDNumber of Participants With Objective Responseconfirmed partial response (PR)0 participants
Secondary

PAK (p21 Activated Kinase)-Related Pathway Molecule Expression Modulation by PF-03758309 in Tumor and Surrogate Tissue

Time frame: Screening, 0, 2, 4, and 72 hours post dose Cycle 2 Day 8. A 6th sample of hair follicle could be requested at 6 or 8 hours post-dose if necessary. For fresh tumor tissue, baseline and between Day 8 and 22 of Cycle 1 in participants with accessible tumors

Population: Data not analyzed due to early study termination.

Secondary

Time to Reach Maximum Observed Plasma Concentration (Tmax)

Time frame: predose, 0.5, 1, 2, 3, 5, 8, 10, 24 and 48 hours post dose, on Cycle 1 Day 8 and Cycle 2-4 Day 1 at pre-dose and 2 hours post morning dose, and on Cycle 1 Day 15 at predose, 0.5, 1, 2, 3, 5, 8 and 10 hours post morning dose

Population: Data not analyzed due to early termination of the study.

Secondary

Time to Tumor Progression (TTP)

Time in weeks from start of study treatment to first documentation of objective tumor progression or death due to cancer, whichever comes first. TTP was calculated as (first event date minus the date of first dose of study medication plus 1) divided by 7. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease \[PD\])

Time frame: Baseline until the date of first documented progression or discontinuation from the study due to any cause, assessed every 2 months until when the last participant was discontinued due to disease progression in Month 27 of the study

Population: Data not analyzed due to early termination of the study.

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026