Cancer
Conditions
Keywords
paclitaxel, carboplatin, custirsen, drug-drug interaction, pharmacokinetics, cancer
Brief summary
The primary goal of this study is to determine if custirsen has an effect on the way the body distributes and gets rid of paclitaxel, the standard administered chemotherapy. The study will also evaluate if custirsen influences the way the body distributes and gets rid of carboplatin (another standard administered chemotherapy) and will measure custirsen blood levels in this cancer population. Finally, the study will evaluate the safety and tolerability of adding custirsen to the standard paclitaxel/carboplatin chemotherapy.
Interventions
Custirsen (640 mg IV over 2 hours) will be administered weekly on Days 1, 8, and 15 of each 21 day cycle. Paclitaxel (200 mg/m2 IV over 3 hours) and carboplatin (AUC 6.0 mg/mL/min IV over 30 minutes) will be administered on Day 1 of each 21 day cycle
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmed diagnosis of a solid tumor that is refractory to standard therapies and is not amenable to treatment with established curative or palliative therapies and for whom paclitaxel and carboplatin is deemed an acceptable treatment by the investigator * Males or females ≥18 years of age * Life expectancy of ≥12 weeks * Minimum of 1 lesion * ECOG performance status of 0, 1 or 2 * Adequate bone marrow reserve * Adequate renal and liver function
Exclusion criteria
* Brain metastases that are symptomatic or require ongoing treatment * Major trauma or surgery within last 2 months, acute infection within 2 weeks (14 days), or radiotherapy, chemotherapy, immunotherapy or hormonal therapy within past 4 weeks * Persistent grade 2 or greater toxicity related to prior therapy * Grade 2 or greater peripheral neuropathy * Recent or current use of Cyp3A4, Cyp2C8 or P-gp inhibitors * Recent or current use of CYP enzyme inducers
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the impact of custirsen on paclitaxel pharmacokinetics | 0, 1, 2, 3, 3.25, 3.67, 4.5, 6, 8, 12, 24 and 48 hours after the start of paclitaxel infusion | The maximum peak concentration of paclitaxel after administration. |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the safety and tolerability of adding custirsen to standard paclitaxel/carboplatin chemotherapy | 0, 1, 2, 3, 3.25, 3.67, 4.5, 6, 8, 12, 24 and 48 hours after the start of paclitaxel infusion |
Countries
United States