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Phase 1 N=31 Treatment

Dose-Escalation Study of LY573636-sodium and Liposomal Doxorubicin in Patients With Advanced Solid Tumors

Solid Tumors

Enrolled (actual)
31
Serious AEs
51.6%
Results posted
Oct 2018
Primary outcome: Primary: Recommended Phase 2 Dose — NA; NA; NA; NA micrograms per milliliter (μg/mL)

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
LY573636-sodium (Drug); Liposomal Doxorubicin (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Eli Lilly and Company
Primary completion
Feb 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Recommended Phase 2 Dose
NA; NA; NA; NA; NA; NA
SECONDARY
Number of Participants With Clinically Significant Events
2; 0; 5; 3; 3; 3
SECONDARY
Pharmacokinetics: Maximum Concentration (Cmax) of LY573636
335.1; 284.5; 250.7
SECONDARY
Number of Participants With Tumor Response
1; 0; 1; 3; 0; 2
SECONDARY
Pharmacokinetics: Area Under the Curve of LY573636 Above the Albumin Corrected Threshold (AUCalb)
1081.0; 413.7; 228.4

Summary

The goal of this study is to determine the dose of LY573636-sodium (hereafter referred to as LY573636) that can be administered safely in combination with liposomal doxorubicin in patients with advanced cancer who have failed a prior treatment. The study consists of a dose escalation phase to the maximum tolerated dose (MTD) and a dose confirmation phase in patients with platinum resistant epithelial ovarian, fallopian tube or primary peritoneal cancer who have never been treated with doxorubicin.

Eligibility Criteria

Inclusion Criteria

  • You must have a histologically confirmed solid malignancy that is unresectable and/or metastatic which has progressed after receiving standard approved chemotherapy
  • You must have a solid malignancy for which an anthracycline-based regimen is felt to be a reasonable treatment option
  • You must have measurable disease or non-measurable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST)
  • You must have a serum albumin level greater than or equal to 3.0 grams/deciliter (g/dL) (30 g/L)
  • You must have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) scale
  • You must have tumor progression after receiving standard/approved chemotherapy
  • You must be reliable and willing to make yourself available for the duration of the study and are willing to follow study procedures
  • Women must be sterile, post-menopausal or on a contraception and men must be sterile or on contraception
  • Your test results assessing the function of your blood, kidneys, liver, and heart are satisfactory
  • Ovarian patients in the confirmation phase must have failed to achieve at least a partial response to a first-line platinum-based therapy (platinum-refractory) or have progression in less than 6 months after a response to a first-line platinum-based therapy (platinum-resistant)
  • Ovarian patients in the confirmation phase must have measurable disease by RECIST
  • Ovarian patients in the confirmation phase must be liposomal doxorubicin or doxorubicin naive and not amendable to curative therapy

Exclusion Criteria

  • You cannot have received other investigational drugs within the last 28 days
  • You cannot have other on-going serious illnesses including active bacterial, fugal, or viral infections
  • You cannot have current hematologic malignancies, acute or chronic leukemia, or brain metastasis
  • You cannot currently be receiving warfarin (Coumadin®) therapy
  • You cannot have known positive test results in human immunodeficiency, hepatitis B surface antigen or hepatitis C antibodies
  • You cannot have a history of cardiac disease or clinical evidence of congestive heart failure
  • Ovarian patients in the confirmation phase who have received 2 or more cytotoxic regimens for platinum-resistant disease
  • You cannot currently be receiving amiodarone, quinidine, propofol, and clozapine
  • If you are taking esomeprazole or pantoprazole you must be able to stop taking this medication within 72 hours before and after LY573636 administration
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01214668). 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.

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