Phase 1
N=3
Phase I Study of Intravenous Lipotecan® (TLC388 HCl for Injection) in Patients With Advanced Solid Tumors
Advanced Solid Tumors
Bottom Line
View on ClinicalTrials.gov: NCT00747474 ↗Enrolled (actual)
3
Serious AEs
20.4%
Results posted
Feb 2012
Primary outcome: Primary: Maximum Tolerated Dose (MTD) of Lipotecan — 50 mg/m^2
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Lipotecan (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Taiwan Liposome Company
- Primary completion
- Aug 2011
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Maximum Tolerated Dose (MTD) of Lipotecan |
50 | — |
| PRIMARY Number of Participants With Adverse Events |
54 | — |
| PRIMARY Maximum Observed Dose-normalized Plasma Concentration (Cmax) of S,R-TLC388 |
1.39 | — |
| PRIMARY Maximum Observed Dose-normalized Plasma Concentration (Cmax) of S,S-TLC388 |
2.21 | — |
| PRIMARY Maximum Observed Dose-normalized Plasma Concentration (Cmax) of Topotecan |
0.82 | — |
| PRIMARY Maximum Observed Dose-normalized Plasma Concentration (Cmax) of TLC-U1 |
5.01 | — |
| PRIMARY Maximum Observed Dose-normalized Plasma Concentration (Cmax) of TLC-U2 |
1.40 | — |
| PRIMARY Time to Reach Maximum Observed Plasma Concentration (Tmax) of S,R-TLC388 |
0.47 | — |
| PRIMARY Time to Reach Maximum Observed Plasma Concentration (Tmax) of S,S-TLC388 |
0.47 | — |
| PRIMARY Time to Reach Maximum Observed Plasma Concentration (Tmax) of Topotecan |
0.93 | — |
| PRIMARY Time to Reach Maximum Observed Plasma Concentration (Tmax) of TLC-U1 |
0.45 | — |
| PRIMARY Time to Reach Maximum Observed Plasma Concentration (Tmax) of TLC-U2 |
0.47 | — |
| PRIMARY Dose-normalized Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-t)] of S,R-TLC388 |
0.70 | — |
| PRIMARY Dose-normalized Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-t)] of S,S-TLC388 |
1.04 | — |
| PRIMARY Dose-normalized Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-t)] of Topotecan |
3.59 | — |
| PRIMARY Dose-normalized Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-t)] of TLC-U1 |
7.15 | — |
| PRIMARY Dose-normalized Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-t)] of TLC-U2 |
2.00 | — |
| PRIMARY Plasma Decay Half-Life (t1/2) of S,R-TLC388 |
1.08 | — |
| PRIMARY Plasma Decay Half-Life (t1/2) of S,S-TLC388 |
0.75 | — |
| PRIMARY Plasma Decay Half-Life (t1/2) of Topotecan |
6.05 | — |
| PRIMARY Plasma Decay Half-Life (t1/2) of TLC-U1 |
3.13 | — |
| PRIMARY Plasma Decay Half-Life (t1/2) of TLC-U2 |
2.58 | — |
| SECONDARY Anti-tumor Activity |
0; 0; 21; 20; 13 | — |
Summary
The purpose of this study is to find a safe and tolerable dose of Lipotecan® when administered to patients with advanced solid tumors.
Eligibility Criteria
Inclusion Criteria
- Adult patients defined by age ≥18 years.
- Pathologically confirmed advanced solid tumors for which standard therapy proven to provide clinical benefit does not exist or is no longer effective
- Evaluable disease, either measurable on imaging or with informative tumor marker(s), by RECIST (Response Evaluation Criteria in Solid Tumors) criteria.
Exclusion Criteria
- Pregnancy or lactation. Women of childbearing potential must have a negative pregnancy test within 7 days prior to enrolment. Male and female patients of childbearing potential must agree to use appropriate birth control (barrier methods with spermicides, oral or parenteral contraceptives and/or intrauterine devices) during the entire duration of the study, or the patient must be surgically sterile (with documentation in the patient's medical records).
- Previous malignancy, except for non-basal-cell carcinoma of skin or carcinoma-in-situ of the uterine cervix, unless the tumor was treated with curative intent more than 2 years prior to study entry.
- Receipt of more than 3 prior regimens of chemotherapy.
- Chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to baseline. Receipt of radiotherapy to >25 % of bone marrow. Major surgery within 4 weeks prior to baseline.
- Concomitant treatment with, or anticipated use of, pharmaceutical or herbal agents which are potent inhibitors or inducers of cytochrome P450 enzymes unless approved by the Sponsor.
- Uncontrolled intercurrent illness that would jeopardize patient safety, interfere with the objectives of the protocol, or limit patient compliance with study requirements, as determined by the Investigator.
Data sourced from ClinicalTrials.gov (NCT00747474). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.