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Safety, Dose Tolerance, Pharmacokinetics, and Pharmacodynamics Study of CPX-POM in Patients With Advanced Solid Tumors

A Phase 1, First-in-Human, Safety, Dose Tolerance, Pharmacokinetics, and Pharmacodynamics Study of CPX-POM in Patients With Advanced Solid Tumors.

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03348514
Enrollment
19
Registered
2017-11-21
Start date
2018-01-15
Completion date
2020-05-31
Last updated
2021-12-03

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

Conditions

Advanced Solid Tumors

Brief summary

This is a first-in-human, Phase I, multicenter, open label, dose escalation study to evaluate the DLTs and MTD and to determine the recommended Phase 2 dose (RP2D) of CPX-POM administered IV in patients with any histologically- or cytologically-confirmed solid tumor type.

Detailed description

The study will initially employ an accelerated escalation design, with a single patient enrolled in each cohort (i.e., Single-Patient Cohorts). The initial patient will receive CPX-POM at a starting dose of 30 mg/m2. Doses will be escalated (doubling), until a ≥Grade 2 toxicity (with the exception of alopecia), is encountered. Subsequently that and all subsequent cohorts will follow a classical 3+3 dose escalation design. Note: Fosciclopirox is the generic name for CPX-POM.

Interventions

DRUGCPX-POM - 30 mg/m^2

CPX-POM

DRUGCPX-POM - 60 mg/m^2

CPX-POM

DRUGCPX-POM - 120 mg/m^2

CPX-POM

DRUGCPX-POM - 240 mg/m^2

CPX-POM

DRUGCPX-POM - 360 mg/m^2

CPX-POM

DRUGCPX-POM - 600 mg/m^2

CPX-POM

DRUGCPX-POM - 900 mg/m^2

CPX-POM

DRUGCPX-POM - 1200 mg/m^2

CPX-POM

Sponsors

Cmed Clinical Services
CollaboratorOTHER
CicloMed LLC
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

This is a Phase I, first-in-human, multicenter, open label, dose escalating study to evaluate the DLTs and MTD and to determine the recommended Phase 2 dose (RP2D) of CPX-POM administered IV in patients with any histologically- or cytologically-confirmed solid tumor type.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Include: 1. Patient is male or female aged ≥18 years. 2. Patient provided signed and dated informed consent prior to initiation of any study procedures. 3. Patient has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 (fully active, able to carry out all pre-disease activities without restriction) or 1 (unable to perform physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature). 4. Patient has a predicted life expectancy of ≥3 months. 5. Dose escalation cohorts only: Patient has adequate renal function (creatinine ≤1.5 × the upper limit of normal \[ULN\]) or a glomerular filtration rate (GFR) of ≥50 mL/min/1.73 m\^2). Expansion cohort only: Patient has a GFR of ≥30 mL/min/1.73 m\^2. 6. Patient has adequate hepatic function, as evidenced by a total bilirubin ≤1.5 × ULN, aspartate transaminase (AST), and /or alanine transaminase (ALT) ≤3 × ULN or ≤5 ×ULN, if due to liver involvement by tumor. 7. Patient has adequate bone marrow function, as evidenced by hemoglobin ≥9.0 g/dL in the absence of transfusion within the previous 72 hours, platelet count ≥100×10\^9cells/L, and absolute neutrophil count (ANC) ≥1.5×10\^9 cells/L. 8. Patient has no significant ischemic heart disease or myocardial infarction (MI) within 6 months before the first dose of CPX-POM and currently has adequate cardiac function, as evidenced by a left ventricular ejection fraction of \>50% as assessed by multi-gated acquisition (MUGA) or ultrasound/echocardiography (ECHO); and corrected QT interval (QTc) \<470 msec by Fridericia (QTcF). The eligibility of patients with ventricular pacemakers for whom the QT interval may not be accurately measurable will be determined on a case-by-case basis by the Sponsor in consultation with the Medical Monitor. 9. Patient and his/her partner agree to use adequate contraception after providing written informed consent through 3 months after the last dose of CPX-POM, as follows: 1. For women: Negative pregnancy test during Screening and at Day 1 of each treatment cycle and compliant with a medically-approved contraceptive regimen during and for 3 months after the treatment period or documented to be surgically sterile or postmenopausal. 2. For men: Compliant with a medically-approved contraceptive regimen during and for 3 months after the treatment period or documented to be surgically sterile. Men whose sexual partners are of child-bearing potential must agree to use 2 methods of contraception prior to study entry, during the study, and for 3 months after the treatment period. 10. Patient is willing and able to participate in the study and comply with all study requirements.

Exclusion criteria

Include: Patients who meet any of the following

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMUp to 22 days for each cohortThe primary objective of this study is to evaluate the dose limiting toxicities (DLTs) of ciclopirox phosphoryloxymethyl ester (CPX-POM) administered intravenously (IV) and establish the CPX POM dose recommended for further investigation. A DLT will include some Grade 3 or 4 AEs (as assessed by CTCAE version 4.03) if deemed related to study drug. In addition, any patient who is unable to receive 80% of the expected dose of CPX-POM (i.e., patients who are unable to receive at least 4 of the 5 scheduled doses) because of AEs will be considered to have a DLT. In order to identify any DLTs, safety assessments including AEs, physical examinations, vital signs, and clinical laboratory tests will be conducted during each study visit through Day 22.
Determine the Maximum Tolerated Dose (MTD) of CPX-POMDays 1, 2, 3, 4, 5, 6, 10, 22 and 28The primary objective of this study is to evaluate the maximum tolerated dose (MTD) of ciclopirox phosphoryloxymethyl ester (CPX-POM) administered intravenously (IV) and establish the CPX POM dose recommended for further investigation. MTD was determined by testing increasing doses up to 1200 mg/m\^2 by IV. The MTD is defined as the dose BELOW that dose which causes DLTs in ≥33% of patients.

Secondary

MeasureTime frameDescription
Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Days 5-6Measure PK parameter area-under-the-plasma-drug/metabolite-concentration-time curve (ng/mL/hr) following single dose (AUC) and at steady-state AUCss following single and repeat drug administration.
Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Days 5-6Measure PK parameter Cls (mL/hr/kg) - systemic clearance following single dose (Cls) following single and repeat drug administration.
Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Days 5-6Measure PK parameters Vd (apparent volume of distribution) and Vss (steady state volume of distribution) (mL/kg)
Assess Plasma PK: Cmax (ng/mL) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Days 5-6Measure PK parameter Cmax (ng/mL)
Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.Days 5-6Measure Percent Dose (%)
Assess Urine PK: Average 24-hour Urine Concentration of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Days 5-6Measure urine CPX concentration (uM)
Characterize Plasma PK: AUCss/AUCi Accumulation Ratio of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Days 5-6Determine PK parameter AUC derived accumulation ratio (AUCss/AUCi ratio)
Assess Plasma PK: Terminal Half-life of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Days 5-6Determine Terminal Half-Life

Countries

United States

Participant flow

Participants by arm

ArmCount
CPX-POM - 30 mg/m^2
Period1, Dose Cohort - 30 mg/m\^2
1
CPX-POM - 60 mg/m^2
Period 2, Dose Cohort - 60 mg/m\^2
1
CPX-POM - 120 mg/m^2
Period 3, Dose Cohort - 120 mg/m\^2
1
CPX-POM - 240 mg/m^2
Period 4, Dose Cohort - 240 mg/m\^2
1
CPX-POM - 360 mg/m^2
Period 5, Dose Cohort - 360 mg/m\^2
3
CPX-POM - 600 mg/m^2
Period 6, Dose Cohort - 600 mg/m\^2
4
CPX-POM - 900 mg/m^2
Period 7, Dose Cohort - 900 mg/m\^2
6
CPX-POM - 1200 mg/m^2
Period 8, Dose Cohort - 1200 mg/m\^2
2
Total19

Baseline characteristics

CharacteristicCPX-POM - 60 mg/m^2CPX-POM - 120 mg/m^2CPX-POM - 240 mg/m^2CPX-POM - 360 mg/m^2CPX-POM - 600 mg/m^2CPX-POM - 900 mg/m^2CPX-POM - 30 mg/m^2CPX-POM - 1200 mg/m^2Total
Age, Continuous62 years76 years61 years54 years63 years60 years46 years82.5 years63 years
Cancer type
Bladder
0 Participants1 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants2 Participants
Cancer type
Breast
0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants2 Participants
Cancer type
Colon
1 Participants0 Participants0 Participants0 Participants2 Participants2 Participants0 Participants0 Participants5 Participants
Cancer type
Gastric
0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants2 Participants
Cancer type
Head and Neck
0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants
Cancer type
Liver
0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Cancer type
Other
0 Participants0 Participants0 Participants1 Participants1 Participants1 Participants0 Participants1 Participants4 Participants
Cancer type
Ovarian
0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Cancer type
Prostate
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
1 Participants1 Participants1 Participants3 Participants4 Participants5 Participants1 Participants2 Participants18 Participants
Sex: Female, Male
Female
1 Participants1 Participants1 Participants2 Participants4 Participants4 Participants0 Participants0 Participants13 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants1 Participants0 Participants2 Participants1 Participants2 Participants6 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
1 / 10 / 10 / 10 / 10 / 30 / 40 / 60 / 2
other
Total, other adverse events
0 / 10 / 11 / 11 / 11 / 33 / 46 / 61 / 2
serious
Total, serious adverse events
1 / 10 / 10 / 10 / 11 / 33 / 41 / 61 / 2

Outcome results

Primary

Determine the Maximum Tolerated Dose (MTD) of CPX-POM

The primary objective of this study is to evaluate the maximum tolerated dose (MTD) of ciclopirox phosphoryloxymethyl ester (CPX-POM) administered intravenously (IV) and establish the CPX POM dose recommended for further investigation. MTD was determined by testing increasing doses up to 1200 mg/m\^2 by IV. The MTD is defined as the dose BELOW that dose which causes DLTs in ≥33% of patients.

Time frame: Days 1, 2, 3, 4, 5, 6, 10, 22 and 28

ArmMeasureValue (NUMBER)
CPX-POM - 30 mg/m^2Determine the Maximum Tolerated Dose (MTD) of CPX-POM900 mg/m^2
Primary

Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POM

The primary objective of this study is to evaluate the dose limiting toxicities (DLTs) of ciclopirox phosphoryloxymethyl ester (CPX-POM) administered intravenously (IV) and establish the CPX POM dose recommended for further investigation. A DLT will include some Grade 3 or 4 AEs (as assessed by CTCAE version 4.03) if deemed related to study drug. In addition, any patient who is unable to receive 80% of the expected dose of CPX-POM (i.e., patients who are unable to receive at least 4 of the 5 scheduled doses) because of AEs will be considered to have a DLT. In order to identify any DLTs, safety assessments including AEs, physical examinations, vital signs, and clinical laboratory tests will be conducted during each study visit through Day 22.

Time frame: Up to 22 days for each cohort

ArmMeasureGroupValue (NUMBER)
CPX-POM - 30 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 30 participants
CPX-POM - 30 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 10 participants
CPX-POM - 60 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 30 participants
CPX-POM - 60 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 10 participants
CPX-POM - 120 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 30 participants
CPX-POM - 120 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 10 participants
CPX-POM - 240 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 30 participants
CPX-POM - 240 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 10 participants
CPX-POM - 360 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 30 participants
CPX-POM - 360 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 10 participants
CPX-POM - 600 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 30 participants
CPX-POM - 600 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 12 participants
CPX-POM - 900 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 12 participants
CPX-POM - 900 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 30 participants
CPX-POM - 1200 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 31 participants
CPX-POM - 1200 mg/m^2Number of Participants With Dose Limiting Toxicities (DLTs) of CPX-POMGrade 10 participants
Secondary

Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.

Measure PK parameter area-under-the-plasma-drug/metabolite-concentration-time curve (ng/mL/hr) following single dose (AUC) and at steady-state AUCss following single and repeat drug administration.

Time frame: Days 5-6

Population: Pharmacokinetic data not obtained in one patient receiving 1200 mg/m\^2

ArmMeasureGroupValue (MEAN)Dispersion
CPX-POM - 30 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose AUCs589 ng*hr/mL
CPX-POM - 30 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State AUCss515 ng*hr/mL
CPX-POM - 60 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose AUCs1262 ng*hr/mL
CPX-POM - 60 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State AUCss1328 ng*hr/mL
CPX-POM - 120 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose AUCs3736 ng*hr/mL
CPX-POM - 120 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State AUCss5143 ng*hr/mL
CPX-POM - 240 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose AUCs4622 ng*hr/mL
CPX-POM - 240 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State AUCss6000 ng*hr/mL
CPX-POM - 360 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose AUCs4731 ng*hr/mLStandard Deviation 1310
CPX-POM - 360 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State AUCss4856 ng*hr/mLStandard Deviation 910
CPX-POM - 600 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose AUCs11914 ng*hr/mLStandard Deviation 1852
CPX-POM - 600 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State AUCss12484 ng*hr/mLStandard Deviation 1182
CPX-POM - 900 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State AUCss23414 ng*hr/mLStandard Deviation 1913
CPX-POM - 900 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose AUCs24148 ng*hr/mLStandard Deviation 6067
CPX-POM - 1200 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose AUCs34470 ng*hr/mL
CPX-POM - 1200 mg/m^2Assess Plasma PK: AUCss (ng/mL/hr) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State AUCss28048 ng*hr/mL
Secondary

Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.

Measure PK parameter Cls (mL/hr/kg) - systemic clearance following single dose (Cls) following single and repeat drug administration.

Time frame: Days 5-6

Population: Pharmacokinetic data not obtained in one patient receiving 1200 mg/m\^2

ArmMeasureGroupValue (MEAN)Dispersion
CPX-POM - 30 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose Cls614 mL/hr/kg
CPX-POM - 30 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State Cls702 mL/hr/kg
CPX-POM - 60 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose Cls581 mL/hr/kg
CPX-POM - 60 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State Cls552 mL/hr/kg
CPX-POM - 120 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose Cls361 mL/hr/kg
CPX-POM - 120 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State Cls262 mL/hr/kg
CPX-POM - 240 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose Cls515 mL/hr/kg
CPX-POM - 240 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State Cls397 mL/hr/kg
CPX-POM - 360 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose Cls1065 mL/hr/kgStandard Deviation 435
CPX-POM - 360 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State Cls963 mL/hr/kgStandard Deviation 271
CPX-POM - 600 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose Cls507 mL/hr/kgStandard Deviation 95
CPX-POM - 600 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State Cls471 mL/hr/kgStandard Deviation 113
CPX-POM - 900 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State Cls421 mL/hr/kgStandard Deviation 184
CPX-POM - 900 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose Cls432 mL/hr/kgStandard Deviation 142
CPX-POM - 1200 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Single Dose Cls375 mL/hr/kg
CPX-POM - 1200 mg/m^2Assess Plasma PK: Cls (mL/hr/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Steady State Cls456 mL/hr/kg
Secondary

Assess Plasma PK: Cmax (ng/mL) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.

Measure PK parameter Cmax (ng/mL)

Time frame: Days 5-6

Population: Pharmacokinetic data not obtained in one patient receiving 1200 mg/m\^2

ArmMeasureValue (MEAN)Dispersion
CPX-POM - 30 mg/m^2Assess Plasma PK: Cmax (ng/mL) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.371 ng/mL
CPX-POM - 60 mg/m^2Assess Plasma PK: Cmax (ng/mL) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.1935 ng/mL
CPX-POM - 120 mg/m^2Assess Plasma PK: Cmax (ng/mL) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.3491 ng/mL
CPX-POM - 240 mg/m^2Assess Plasma PK: Cmax (ng/mL) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.6792 ng/mL
CPX-POM - 360 mg/m^2Assess Plasma PK: Cmax (ng/mL) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.5297 ng/mLStandard Deviation 1182
CPX-POM - 600 mg/m^2Assess Plasma PK: Cmax (ng/mL) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.9457 ng/mLStandard Deviation 512
CPX-POM - 900 mg/m^2Assess Plasma PK: Cmax (ng/mL) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.17277 ng/mLStandard Deviation 1913
CPX-POM - 1200 mg/m^2Assess Plasma PK: Cmax (ng/mL) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.15970 ng/mL
Secondary

Assess Plasma PK: Terminal Half-life of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.

Determine Terminal Half-Life

Time frame: Days 5-6

Population: Pharmacokinetic data not obtained in one patient receiving 1200 mg/m\^2

ArmMeasureValue (MEAN)Dispersion
CPX-POM - 30 mg/m^2Assess Plasma PK: Terminal Half-life of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.2.34 hours
CPX-POM - 60 mg/m^2Assess Plasma PK: Terminal Half-life of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.0.54 hours
CPX-POM - 120 mg/m^2Assess Plasma PK: Terminal Half-life of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.5.56 hours
CPX-POM - 240 mg/m^2Assess Plasma PK: Terminal Half-life of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.3.34 hours
CPX-POM - 360 mg/m^2Assess Plasma PK: Terminal Half-life of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.3.12 hoursStandard Deviation 1.34
CPX-POM - 600 mg/m^2Assess Plasma PK: Terminal Half-life of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.4.61 hoursStandard Deviation 1.46
CPX-POM - 900 mg/m^2Assess Plasma PK: Terminal Half-life of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.8.30 hoursStandard Deviation 2.63
CPX-POM - 1200 mg/m^2Assess Plasma PK: Terminal Half-life of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.7.43 hours
Secondary

Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.

Measure PK parameters Vd (apparent volume of distribution) and Vss (steady state volume of distribution) (mL/kg)

Time frame: Days 5-6

Population: Pharmacokinetic data not obtained in one patient receiving 1200 mg/m\^2

ArmMeasureGroupValue (MEAN)Dispersion
CPX-POM - 30 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vss2053 mL/kg
CPX-POM - 30 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vd2370 mL/kg
CPX-POM - 60 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vd429 mL/kg
CPX-POM - 60 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vss473 mL/kg
CPX-POM - 120 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vd2100 mL/kg
CPX-POM - 120 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vss1633 mL/kg
CPX-POM - 240 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vss736 mL/kg
CPX-POM - 240 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vd1966 mL/kg
CPX-POM - 360 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vss1986 mL/kgStandard Deviation 802
CPX-POM - 360 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vd4522 mL/kgStandard Deviation 2715
CPX-POM - 600 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vd3090 mL/kgStandard Deviation 1015
CPX-POM - 600 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vss1346 mL/kgStandard Deviation 349
CPX-POM - 900 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vd5340 mL/kgStandard Deviation 3935
CPX-POM - 900 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vss2261 mL/kgStandard Deviation 1249
CPX-POM - 1200 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vd4887 mL/kg
CPX-POM - 1200 mg/m^2Assess Plasma PK: Vd and Vss (mL/kg) of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.Vss2518 mL/kg
Secondary

Assess Urine PK: Average 24-hour Urine Concentration of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.

Measure urine CPX concentration (uM)

Time frame: Days 5-6

Population: Urine pharmacokinetic data not obtained in one patient receiving 600 mg/m\^2 and one patient receiving 1200 mg/m\^2

ArmMeasureValue (MEAN)Dispersion
CPX-POM - 30 mg/m^2Assess Urine PK: Average 24-hour Urine Concentration of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.0.65 uM
CPX-POM - 60 mg/m^2Assess Urine PK: Average 24-hour Urine Concentration of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.0.84 uM
CPX-POM - 120 mg/m^2Assess Urine PK: Average 24-hour Urine Concentration of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.10.77 uM
CPX-POM - 240 mg/m^2Assess Urine PK: Average 24-hour Urine Concentration of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.3.93 uM
CPX-POM - 360 mg/m^2Assess Urine PK: Average 24-hour Urine Concentration of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.5.10 uMStandard Deviation 0.86
CPX-POM - 600 mg/m^2Assess Urine PK: Average 24-hour Urine Concentration of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.22.91 uMStandard Deviation 12.83
CPX-POM - 900 mg/m^2Assess Urine PK: Average 24-hour Urine Concentration of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.138.17 uMStandard Deviation 157.97
CPX-POM - 1200 mg/m^2Assess Urine PK: Average 24-hour Urine Concentration of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.208.65 uM
Secondary

Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.

Measure Percent Dose (%)

Time frame: Days 5-6

Population: Urine pharmacokinetic data not obtained in one patient receiving 600 mg/m\^2 and one patient receiving 1200 mg/m\^2

ArmMeasureGroupValue (MEAN)Dispersion
CPX-POM - 30 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as CPX-POM over 24 hours0 Percent of CPX-POM doseStandard Deviation 0
CPX-POM - 30 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox glucuronide over 24 hours59.74 Percent of CPX-POM dose
CPX-POM - 30 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox over 24 hours0.81 Percent of CPX-POM dose
CPX-POM - 60 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox glucuronide over 24 hours69.73 Percent of CPX-POM dose
CPX-POM - 60 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox over 24 hours0.82 Percent of CPX-POM dose
CPX-POM - 60 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as CPX-POM over 24 hours0 Percent of CPX-POM doseStandard Deviation 0
CPX-POM - 120 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox glucuronide over 24 hours70.21 Percent of CPX-POM dose
CPX-POM - 120 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as CPX-POM over 24 hours0 Percent of CPX-POM doseStandard Deviation 0
CPX-POM - 120 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox over 24 hours1.74 Percent of CPX-POM dose
CPX-POM - 240 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as CPX-POM over 24 hours0 Percent of CPX-POM doseStandard Deviation 0
CPX-POM - 240 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox over 24 hours1.25 Percent of CPX-POM dose
CPX-POM - 240 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox glucuronide over 24 hours73.86 Percent of CPX-POM dose
CPX-POM - 360 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox over 24 hours0.80 Percent of CPX-POM doseStandard Deviation 0.21
CPX-POM - 360 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as CPX-POM over 24 hours0 Percent of CPX-POM doseStandard Deviation 0
CPX-POM - 360 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox glucuronide over 24 hours75.99 Percent of CPX-POM doseStandard Deviation 10.4
CPX-POM - 600 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox over 24 hours1.21 Percent of CPX-POM doseStandard Deviation 0.11
CPX-POM - 600 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as CPX-POM over 24 hours0 Percent of CPX-POM doseStandard Deviation 0
CPX-POM - 600 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox glucuronide over 24 hours50.70 Percent of CPX-POM doseStandard Deviation 29.28
CPX-POM - 900 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox over 24 hours4.42 Percent of CPX-POM doseStandard Deviation 4.68
CPX-POM - 900 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as CPX-POM over 24 hours0 Percent of CPX-POM doseStandard Deviation 0
CPX-POM - 900 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox glucuronide over 24 hours69.62 Percent of CPX-POM doseStandard Deviation 15.16
CPX-POM - 1200 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as CPX-POM over 24 hours0 Percent of CPX-POM doseStandard Deviation 0
CPX-POM - 1200 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox over 24 hours2.89 Percent of CPX-POM dose
CPX-POM - 1200 mg/m^2Assess Urine PK: Percent (%) of the CPX-POM Dose Excreted in Urine as CPX-POM and Metabolites, Following Five Consecutive Days of Once Daily Dosing.% CPX-POM Dose Excreted as ciclopirox glucuronide over 24 hours68.19 Percent of CPX-POM dose
Secondary

Characterize Plasma PK: AUCss/AUCi Accumulation Ratio of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.

Determine PK parameter AUC derived accumulation ratio (AUCss/AUCi ratio)

Time frame: Days 5-6

Population: Pharmacokinetic data not obtained in one patient receiving 1200 mg/m\^2

ArmMeasureValue (MEAN)Dispersion
CPX-POM - 30 mg/m^2Characterize Plasma PK: AUCss/AUCi Accumulation Ratio of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.0.86 ratio
CPX-POM - 60 mg/m^2Characterize Plasma PK: AUCss/AUCi Accumulation Ratio of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.1.05 ratio
CPX-POM - 120 mg/m^2Characterize Plasma PK: AUCss/AUCi Accumulation Ratio of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.1.59 ratio
CPX-POM - 240 mg/m^2Characterize Plasma PK: AUCss/AUCi Accumulation Ratio of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.1.30 ratio
CPX-POM - 360 mg/m^2Characterize Plasma PK: AUCss/AUCi Accumulation Ratio of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.1.08 ratioStandard Deviation 0.14
CPX-POM - 600 mg/m^2Characterize Plasma PK: AUCss/AUCi Accumulation Ratio of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.1.09 ratioStandard Deviation 0.17
CPX-POM - 900 mg/m^2Characterize Plasma PK: AUCss/AUCi Accumulation Ratio of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.1.03 ratioStandard Deviation 0.29
CPX-POM - 1200 mg/m^2Characterize Plasma PK: AUCss/AUCi Accumulation Ratio of the Active Metabolite, Ciclopirox (CPX), Following Five Consecutive Days of Once Daily Dosing.0.81 ratio

Source: ClinicalTrials.gov · Data processed: Mar 3, 2026