advanced malignancies advances cancer (solid tumors)
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria (selected): (1) Male or female subjects aged > or = 18 years (2) Study population For the dose-escalation cohorts: Subjects with histologically or cytologically confirmed advanced malignancies (solid tumors), refractory to any standard therapy, have no standard therapy available, or subjects actively refused any standard treatment and/or if, in the judgement of the investigator, experimental treatment is clinically acceptable. For the expansion cohort: Subjects with advanced, histologically or cytologically confirmed TNBC, relapsed on a paclitaxel-containing regimen within 12 months prior to enrollment and refractory to any standard therapy, have no standard therapy available. Other malignancies where paclitaxel is part of the standard of care may be considered upon agreement of the investigator and the sponsor. (3) Subjects must have evaluable or measurable disease. (4) Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 (5) Life expectancy of at least 12 weeks (6) Adequate bone marrow, liver, and renal functions
Exclusion criteria
Exclusion criteria: Exclusion criteria (selected) (1) Known hypersensitivity to the study drugs or excipients of the preparations or any agent given in association with this study (2) Evidence of peripheral neuropathy of Grade >2 (3) History of cardiac disease: congestive heart failure New York Heart Association (NYHA) class >II, unstable angina (anginal symptoms at rest), new-onset angina (within the past 3 months before study entry), myocardial infarction within the past 3 months before study entry, or cardiac arrhythmias requiring anti-arrhythmic therapy (beta blockers, calcium channel blockers, and digoxin are permitted) (4) Uncontrolled hypertension defined as systolic blood pressure >150 mmHg or diastolic blood pressure >90 mmHg, despite optimal medical management (5) Moderate or severe hepatic impairment, i.e. Child-Pugh class B or C (6) History of human immunodeficiency virus, hepatitis B, or hepatitis C infection (7) Active clinically serious infections of Grade >2 (8) Central nervous system metastases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary study outcome is the MTD. The MTD is defined as the highest dose that can be given such that the DLT rate of the combination treatment is not more than 10% higher than the cumulative DLT rate of the standard single-agent treatment across all previous and the current cohort. | — |
Countries
Netherlands