Phase 1
N=125
Dose Escalation Study of TAK-117 (MLN1117) in Subjects With Advanced Cancer
Metastatic Solid Tumors
Bottom Line
View on ClinicalTrials.gov: NCT01449370 ↗Enrolled (actual)
125
Serious AEs
41.6%
Results posted
Mar 2017
Primary outcome: Primary: Maximum Tolerated Dose (MTD) of TAK-117 — 150; 900; 900; NA mg
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- TAK-117 (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Millennium Pharmaceuticals, Inc.
- Primary completion
- Jul 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Maximum Tolerated Dose (MTD) of TAK-117 |
150; 900; 900; NA; NA; 500 | — |
| PRIMARY Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), Death, Adverse Events (AEs) Leading to Discontinuation of Study Drug, and DLTs in Cycle 1 |
6; 6; 8; 4; 3; 3 | — |
| PRIMARY Number of Participants With Highest Level of TEAEs Severity |
1; 0; 0; 0; 2; 0 | — |
| PRIMARY Number of Participants With Clinically Meaningful Changes in Laboratory Values |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Clinically Meaningful Changes in Vital Signs |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Clinically Meaningful Changes in Electrocardiogram (ECG) |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Overall Response Rate (ORR) |
0; 0; 13; 100; 0; 0 | — |
| SECONDARY Duration of Objective Response |
— | — |
| SECONDARY Clinical Benefit Rate (CBR) |
25; 17; 38; 100; 33; 33 | — |
| SECONDARY Cmax: Maximum Observed Plasma Concentration for TAK-117 |
1747.61; 1613.23; 2736.60; 2658.23; 4335.88; 4175.13 | — |
| SECONDARY Ctrough: Observed Concentration at the End of Dosing Interval for TAK-117 |
187.29; 177.70; 630.82; 627.62; NA; NA | — |
| SECONDARY Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-117 |
1.5; 1.5; 2.0; 2.1; 4.0; 3.1 | — |
| SECONDARY T 1/2z: Terminal Disposition Phase Half-life for TAK-117 |
8.74; 7.32; 11.17; 9.75; 12.24; 14.71 | — |
| SECONDARY AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-117 |
18008; 13807; 44733; 42909; 93748; 75937 | — |
| SECONDARY AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-117 |
— | — |
| SECONDARY %AUC Extrapolated: Percentage of Area Under Concentration-extrapolated |
— | — |
| SECONDARY Percent Change From Baseline in Pharmacodynamic Markers |
-27.94; -13.07; -61.41; -24.50; -100.00; NA | — |
Summary
The purpose of this study is to determine the maximum tolerated dose (MTD) and/or optimal biologic dose(OBD), safety and tolerability, dose-limiting toxicity (DLT) of TAK-117 when administered orally in subjects with advanced solid malignancies.
Eligibility Criteria
Inclusion Criteria
- Subjects have had their PIK3CA gene mutation status assessed prior to enrolling into the study
- Subjects must have documented disease progression prior to enrolling into the study
- locally advanced or metastatic solid tumors with the exception of primary brain tumor, and have failed or are not eligible for standard of care therapy.
- Age greater than or equal to (>=) 18 years, including males and females;
- Eastern cooperative oncology group (ECOG) performance status (PS) 0-1;
- Adequate organ function;
- Male subjects must be surgically sterile or must agree to use physician-approved contraception during the study and for 30 days following the last study drug administration;
- Ability to swallow oral medications;
- Ability to understand and willingness to sign informed consent prior to initiation of any study procedures;
- For women of child-bearing potential, negative serum pregnancy test within 14 days prior to the first study drug administration and use of physician-approved method of birth control from 30 days prior to the first study drug administration to 30 days following the last study drug administration
Exclusion Criteria
- Diagnosis of primary brain tumor; untreated brain metastasis or history of leptomeningeal disease or spinal cord compression;
- Received prior cancer or other investigational therapy within 2 weeks prior to the first administration of study drug;
- Have received a systemic corticosteroid within one week prior to the first administration of study drug;
- Clinically significant cardiac disease;
- Myocardial infarction or unstable angina within 6 months prior to the first administration of study drug;
- Malabsorption ;
- Poorly controlled diabetes mellitus;
- Pregnancy (positive serum or urine pregnancy test) or breast feeding;
- Untreated brain metastasis or history of leptomeningeal disease or spinal cord compression;
- Failed to recover from the reversible effects of prior anticancer therapies;
- Have received a selective phosphoinositide-3-kinase alpha isoform (PI3K-alpha) inhibitor
- Other clinically significant co-morbidities, such as uncontrolled pulmonary disease, active central nervous system (CNS) disease, active infection, or any other condition that could compromise the subject's participation in the study
- Known human immunodeficiency virus (HIV) infection
- Have a secondary malignancy within the last 3 years prior to first dose of study drug, excluding treated non-melanoma skin cancer, carcinoma in situ, or locally-treated prostate cancer
Data sourced from ClinicalTrials.gov (NCT01449370). 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.