Pancreatic Cancer, Colorectal Cancer, Rectal Cancer, Gastric Cancer, Esophageal Cancer, Gastrointestinal Stromal Tumor (GIST)
Conditions
Brief summary
This is a Phase 1 multi-center study to assess the safety and efficacy of TGR-1202 as a single agent or in combination with nab-paclitaxel + gemcitabine or with FOLFOX in patients with select relapsed or refractory solid tumors.
Detailed description
TGR-1202 will be evaluated alone or in combination with nab-paclitaxel + gemcitabine or with FOLFOX in patients with adenocarcinoma of the pancreas, adenocarcinoma of the colon, rectum, gastric and GE junction cancer, and GI Stromal Tumor (GIST) who have relapsed from or are refractory to prior treatment.
Interventions
TGR-1202 oral daily dose
IV infusion
IV infusion
IV Infusion
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed: 1. adenocarcinoma of the pancreas (pancreatic cancer) 2. adenocarcinoma of the colon or rectum (colorectal cancer) 3. adenocarcinoma of the gastric (gastric cancer) 4. esophageal cancer 5. gastrointestinal stromal tumor (GIST) * Relapsed or refractory disease * Measurable lesion by RECIST 1.1
Exclusion criteria
* Known Hepatitis B, C or HIV infection * Previous therapy with any drug that inhibits the PI3K pathway * Anti-tumor therapy within 21 days of study Day 1
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adverse events as a measure of safety and tolerability of TGR-1202 as a single agent and in combination in combination with nab-paclitaxel + gemcitabine, or with oxaliplatin + leucovorin + 5-FU (FOLFOX) or with FOLFOX + bevacizumab. | Up to 28 days after the last patient enrolled | To determine the incidence of adverse events, any potential abnormal laboratory results and any dose-limiting toxicities. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Response Rate | Up to 1 year | Overall response rate with TGR-1202 as a single agent and in combination with nab-paclitaxel + gemcitabine, or with oxaliplatin + leucovorin + 5-FU (FOLFOX) or with FOLFOX + bevacizumab. |
| Duration of Response | Up to 1 year | Duration of response with TGR-1202 as a single agent and in combination with nab-paclitaxel + gemcitabine, or with oxaliplatin + leucovorin + 5-FU (FOLFOX) or with FOLFOX + bevacizumab. |
| Pharmacokinetic (PK) profile of TGR-1202. Peak Plasma Concentration (Cmax). | At selected timepoints up through 6 months | This endpoint will measure the plasma PK profile of TGR-1202 as a single agent and in combination with nab-paclitaxel + gemcitabine, or with oxaliplatin + leucovorin + 5-FU (FOLFOX) or with FOLFOX + bevacizumab. |
| Pharmacokinetic (PK) profile of TGR-1202. Time to Peak Plasma Concentration (Tmax). | At selected timepoints up through 6 months | — |
| Pharmacokinetic (PK) profile of TGR-1202. Area under the plasma concentration versus time curve (AUC) | At selected timepoints up through 6 months | — |
Countries
United States